Publications by authors named "D O Coers"
Background: The Dutch Euthanasia law permits euthanasia in patients with advanced dementia lacking decisional capacity based on advance euthanasia directives. Nevertheless, physicians encounter difficulties assessing the criteria for due care in such cases. This study explores the perspectives of legal experts on the fulfillment of these criteria and the potential for additional legal guidance to support physicians' decision-making processes.
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- The study investigates the challenges that physicians in the Netherlands face when considering euthanasia requests from patients with advanced dementia, focusing on ethical dilemmas related to communication and assessing suffering.
- It involves a descriptive multimethod approach, including a questionnaire to gather insights from three categories of physicians: older adult care physicians (ECPs), support and consultation on euthanasia (SCEN) physicians, and euthanasia expertise center (EEC) physicians.
- Results revealed that while ECPs handle most requests for euthanasia based on advance directives, very few actually perform the procedure, with a consensus among all physician groups emphasizing the need for effective communication with patients to understand their wishes and gauge their suffering.
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- In the Netherlands, some doctors were upset about a case of euthanasia involving a patient with dementia and a special request for euthanasia, leading to a petition signed by over 450 doctors.
- The study talked to 12 doctors to understand why they supported the petition, focusing on issues like "sneaky euthanasia" and how to care for patients at the end of their lives.
- Doctors felt pressure to follow these special requests, which made them question their own morals and the importance of clear communication about what patients want.