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  4. Experiences with euthanasia requests of persons with SCI in Belgium

Experiences with euthanasia requests of persons with SCI in Belgium

Spinal Cord Series and Cases, 2018 · DOI: 10.1038/s41394-018-0101-8 · Published: June 16, 2018

Spinal Cord InjuryPalliative Care

Simple Explanation

This paper explores the experiences of three individuals with tetraplegia in Belgium who requested euthanasia. It highlights the importance of open dialogue and consideration of all options in end-of-life care for individuals with SCI. The cases suggest that a well-regulated and strictly controlled legal framework for euthanasia can provide added value to the care of individuals with SCI, offering them a sense of control and peace of mind. The legal framework in Belgium allows individuals to request euthanasia if they experience constant and unbearable physical or mental suffering that cannot be alleviated, provided their request is well-considered, voluntary, sustainable, and repeated.

Study Duration
Not specified
Participants
Three persons with tetraplegia, between 36 and 88 years old
Evidence Level
Case Report

Key Findings

  • 1
    A well-regulated legal framework for euthanasia can provide a sense of security and control for individuals with SCI, potentially improving their focus on rehabilitation and overall quality of life.
  • 2
    The study emphasizes the need for a multidisciplinary approach in evaluating euthanasia requests, involving physicians, psychologists, ethicists, and other relevant caregivers to ensure all aspects of the patient's condition and wishes are considered.
  • 3
    The cases illustrate that some individuals with SCI may find their quality of life decreases over time, and euthanasia can be considered as a way to alleviate suffering when all other options have been exhausted.

Research Summary

This case report discusses the experiences with euthanasia requests from three individuals with spinal cord injury (SCI) in Belgium, where euthanasia is legal under specific conditions. The cases highlight the importance of open communication, multidisciplinary evaluation, and a well-defined legal framework in addressing end-of-life decisions for individuals with SCI. The authors conclude that a strictly controlled legal framework for euthanasia can be an added value to SCI care, providing patients with a sense of security and control over their end-of-life options.

Practical Implications

Improved End-of-Life Care

The findings underscore the importance of integrating end-of-life discussions and options into the care plans for individuals with SCI.

Enhanced Patient Autonomy

Legal frameworks for euthanasia, when implemented with prudence, can empower patients to make informed decisions about their lives and deaths.

Multidisciplinary Collaboration

Complex cases involving euthanasia requests necessitate a collaborative approach involving various healthcare professionals to ensure comprehensive assessment and support.

Study Limitations

  • 1
    Small sample size (three cases)
  • 2
    Limited generalizability to countries without legal euthanasia frameworks
  • 3
    Potential for emotional distress among healthcare providers involved in euthanasia procedures

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