Palliative care and end of life negative outcomes

On last January 2, JAMA Surg. published a report titled Palliative Care and End-of-Life Outcomes Following High-Risk Surgery (Original investigation). The issue has bioethics implications and is a matter that concerns the difficulty of access to adequate palliative care even in...

A brief review of access to palliative care in the world. Evaluation and ethical aspects

Our Observatory is following the palliative care issue as an urgent global ethical matter to be resolved, both in developed countries and in the rest of the world (read HERE). We said in a recent article “the consideration of the dignity of the suffering human person,...

More than 47% of people who will die by 2060 will do so without adequate palliative care

Why palliative care universal access should be defended? Palliative care universal access for all A report from King’s College in London, published last week in The Lancet Global Health, predicts that by 2060, around 48 million people (47% of all deaths) will die without...

Reflections on Vincent Lambert paradigmatic case. Death of starvation promulgated by law, an objectively euthanasic act

An assisted death paradigmatic case in a country where euthanasia is not legal Our Observatory at the Catholic University of Valencia considers that the death of Vincent Lambert following the withdrawal of hydration and nutrition is an objectively euthanasic act since, although...

Alfie Evans’ parents welcome baby boy four months after losing their firstborn

The parents of Alfie Evans are celebrating the birth of their son – four months after they lost their firstborn to a rare degenerative disease. Kate James, 20, gave birth to a little boy in August who has been named Thomas after his 21-year-old father and said to be...

To what extent should the opinion of children treated medically be taken into account?

A bioethical problem that sometimes arises in pediatric practice, is to what extent the opinion of sick children should be taken into consideration when assessing the medical measures that they receive. In a series of articles published in the American Journal of Bioethics, it is...

Open debate in the UK. Bioethicists and parents argue for a change in childcare law in the UK

 “Best interest” or “independent significant harm test” A paper in the British Medical Journal has called for ‘new solutions’ to disputes between parents and doctors on medical care, in the wake of the Alfie Evans case. Two bioethicists have argued there...

When Hospital’s decision-making affects the end of life patients basic rights. Alfie Evans case bioethics approach

New conflictive NHS hospital’s decisions The new conflict between NHS hospital decision supported by English Supreme Court and parents claims has arisen a new strong public opinion reaction and an international debate. Alfie was born on May 9, 2016, but suffered seizures...

Palliative care and sedation. When is it suitable to sedate a patient and when is it covert euthanasia?

A proportional sedation of intense sufferings patients totally invalidates pro-euthanasia arguments In Italy, the mystery surrounding the circumstances of the death of Marina Ripa de Meana, multifaceted writer and Italian cinema and television celebrity, who died on 4 January at...

The Charlie Gard case. An ultimate dispassionate ethical reflexion

It is dangerous to exclude ethical judgment from medical decisions in which death is knocking at the door of life In medical cases in which death comes knocking at the door of life, circumstances arise that are not easy to judge and even less easy to resolve. Such cases can be...
12