Navigation Links
Doctors’ Own Fear of Death Linked to Hastening Death of Very Sick Newborn

Doctors who fear their own death say they are more prepared than other doctors to hasten death in sick newborns for whom further medical treatment is considered futile,// reveals research published ahead of print in the Fetal & Neonatal Edition of Archives of Disease in Childhood.

The findings are based on an anonymous survey of 138 doctors specialising in the care of sick newborns (neonatologists) across Australia and New Zealand.

The doctors were asked questions about their ethical practice and to complete the Multidimensional Fear of Death Scale (MFODS), which measures different facets of personal fear of death.

Of the 138 doctors contacted, 78 (56%) completed the questionnaire. Virtually all of them said they sometimes withheld or withdrew life-sustaining treatment in newborns with severe mental and/or physical disability and those for whom further medical treatment was considered to be “overly burdensome” or futile.

They said they used painkillers or sedatives in both situations to alleviate pain and suffering, but without intending to hasten death.

But one in three specialists was prepared to use painkillers or sedatives to relieve pain and suffering by intentionally hastening death in newborns with severe disability.

And more than three out of four were prepared to hasten death for this purpose in babies for whom further treatment was considered futile.

In this situation, they preferred to use painkillers or sedatives to hasten death rather than withhold minimal treatment, such as tube feeds or oxygen, in a bid to prevent unnecessary pain and suffering.

But one in five neonatologists said that hastening death in this context was unacceptable by either means.

There was a link between the neonatologists’ personal fear of death and their ethical practice.

Doctors who said they were not prepared to hasten death had significantly less fear of the “dying process” and of “premature death” than those prepared to hasten death with painkillers or sedatives. But they had significantly more “fear of being destroyed.”

The author suggests that doctors’ fear of the dying process or of premature death may unconsciously motivate them to hasten a newborn’s death in order to relieve their own death anxiety.

Similarly, those who fear being "destroyed" may not be prepared to hasten death, because of their own fears, even though this may be the most humane way to relieve a newborn’s suffering.

In an accompanying editorial, Martin Ward Platt points out that the findings should not be interpreted as indicative of rampant euthanasia on neonatal units.

Rather, he says, the study shows that “In relation to neonatal death and dying, doctors’ fear, or lack of it, matters. It matters because it can influence clinical judgements.”

He adds: “Recognising this difference is an important aspect of self knowledge, and there is a case to be made for all of us to be more open about it.”

SourceNewswise
SRM
'"/>




Related medicine news :

1. Health Board and Doctors’ Association clash on working hours issu
2. Reforms Suggested By TN Doctors’ Foru
3. White Cells Count Can Predict Heart Attack Death Risk
4. Bayer Voluntarily Withdraws BAYCOL - A Drug Associated With 50 Deaths
5. AIDS toll set to exceed Black Death
6. Fish Oil Fights Arrhythmias, Sudden Death
7. Painkiller Linked to Deaths
8. Death due to premature heartbeat after exercise
9. Preventing Childhood Deaths
10. Death Risk Higher in Obese Women with Colon Cancer
11. Death Among the Homeless
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:4/29/2016)... ... , ... For those who skip meals occasionally (which is pretty much everyone), ... many new lifestyle diet tips offered by nutritionists Pam Bonney and Priya Lawrence of ... show. Bonny and Lawrence noted that because proper nutrition, including water, provides energy during ...
(Date:4/29/2016)... FL (PRWEB) , ... April 29, 2016 , ... ... will feature Grassland Dairy Products, Inc. in an upcoming episode, airing third quarter ... a century of churning cream into butter, Grassland Dairy Products, located in Greenwood, ...
(Date:4/29/2016)... PLAINSBORO, N.J. (PRWEB) , ... April 29, 2016 ... ... consumer digital and print media enterprise focused entirely on patients with cancer, today ... Mirage, California, was chosen as the 2016 CURE® Extraordinary Healer® for Oncology ...
(Date:4/29/2016)... CA (PRWEB) , ... April 29, 2016 , ... Nike ... long softball camp from July 24th – 27th for girls aged 10-18. All facets ... is held at the beautiful Clark V. Whited Complex, one of the finest softball ...
(Date:4/29/2016)... (PRWEB) , ... April 29, 2016 , ... International Dehydrated ... Seminar on May 3 and 4 at the Doubletree by Hilton Hotel in Oak ... dedicated to marketing and applications technologies for protein ingredients. , At the seminar, IDF™ ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... 2016 Dr. ... und Stephen Schmidt werden ... ArisGlobal®, ein führender Anbieter cloudbasierter Softwarelösungen für ... dass neue Führungskräfte zum Team Sicherheit und ... vielfältige Erfahrungen mitbringen.  Dies wird die Geschäftseinheit ...
(Date:4/28/2016)... Oramed Pharmaceuticals Inc. (NASDAQ: ... on the development of oral drug delivery systems, announced today ... conference, presented by Joseph Gunnar & Co. LLC, ... York . Nadav Kidron , CEO of Oramed, ... Presentation Details:   PIONEERS 2016, presented by ...
(Date:4/27/2016)...  Hologic, Inc. (Nasdaq: HOLX ) ... fiscal second quarter ended March 26, 2016.  GAAP ... 41.2%, and non-GAAP diluted EPS of $0.47 increased ... a reported basis, and 6.3% on a constant ... good quarter, highlighted by 14.6% growth in non-GAAP ...
Breaking Medicine Technology: