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Early conclusions

M. Régis Aubry

Rapporteur général du Symposium, Chef du Département Soins Palliatifs Douleur, CHU Besançon, Hôpital Jean Minjoz, Coordonnateur du Programme National de Développement des Soins Palliatifs, (France) Head of the Department of Pain Management–Palliative Care, University Hospital of Besançon, Jean Minjoz Hospital, Coordinator of the National Programme on Palliative Care Development

Chair: Prof. Tina Garani-Papadatos (Greece), Chair of the CDBI

Durée :

Symposium on decision making process regarding medical treatment in end of life situations

Du au

Room 1, Palais de l’Europe, Strasbourg

CDBI - Comité Directeur pour la Bioéthique du Conseil de l'Europe

In Europe, most deaths occur in health care institutions.

While advances in medicine offer us more effective treatment and increased life expectancy, more of us die in hospital than anywhere else, following increasingly lengthy periods of treatment. In end-of-life situations, in view of the possibilities for improving the patient’s state of health and quality of life, an issue is whether treatment should be withheld or withdrawn. Another issue to be addressed is whether to start treatment whose main purpose is to alleviate pain but which may also have the effect of shortening the patient’s life.

What criteria should be applied when deciding to begin, limit or withdraw medical treatment in end-of-life situations? Who are the actors participating in such decision? Doctors, care teams, patients, relatives - what should be their respective role in the process? What should happen when patients are not able to express their will? And how can patient’s previously expressed wishes be taken into account?

Health professionals, patients’ associations, sociologists and lawyers – representatives of all these relevant sectors will be attend this symposium to launch a Europe-wide debate on these issues, favouring an approach based on practical examples. The aim of the symposium will be to clarify concepts in order to dispel potential misunderstandings, and to identify points of convergence and, where they exist, divergences. The conclusions of the symposium could then be used as a basis for the elaboration of guidelines on the decision-making process concerning medical treatment in end-of-life situations.

http://www.coe.int/t/dg3/healthbioethic/default_en.asp

Thème(s) : Éthique

Sciences de la santé et du sport

Producteur : Université de Strasbourg

Réalisateur : Colloques et Conférences

Session 4, continues : the person cannot take part in the decision)

Decision process

Mme Jane Seymour

Professeur en Etudes Palliatives et de Fin de Vie, Ecole d’Infirmiers, de Sage-femmes et de Physiothérapie, Université de Nottingham, (Royaume-Uni) Sue Ryder Care Professor in Palliative and End of Life Studies, School of Nursing, Midwifery and Physiotherapy, University of Nottingham

Discussion

M. Emmanuel Agius

Doyen, Faculté de Théologie, Université de Malte, (Malte) Dean, Faculty of Theology, University of Malta

Mme Jane Seymour

Professeur en Etudes Palliatives et de Fin de Vie, Ecole d’Infirmiers, de Sage-femmes et de Physiothérapie, Université de Nottingham, (Royaume-Uni) Sue Ryder Care Professor in Palliative and End of Life Studies, School of Nursing, Midwifery and Physiotherapy, University of Nottingham

Mme Andrée Endinger

Infirmière spécialisée en soins palliatifs, Clinique de la Toussaint, Strasbourg, (France) Nurse specialised in palliative care, Clinique de la Toussaint, Strasbourg

Mme Cynthia Benz

Bénévole dans un Service de soins palliatifs et de fin de vie, Plateforme Européenne des Scléroses Multiples, (Royaume Uni) European Multiple Sclerosis Platform, Volunteer within Palliative and End of Life Care

Conclusions

Early conclusions

M. Régis Aubry

Rapporteur général du Symposium, Chef du Département Soins Palliatifs Douleur, CHU Besançon, Hôpital Jean Minjoz, Coordonnateur du Programme National de Développement des Soins Palliatifs, (France) Head of the Department of Pain Management–Palliative Care, University Hospital of Besançon, Jean Minjoz Hospital, Coordinator of the National Programme on Palliative Care Development

Closing

M. Takis Vidalis

Commission Nationale de Bioéthique, (Grèce) Member of the National Bioethics Commission

Béatrice Gabriela Ioan

Maître de Conférences, Université de Médecine et de Pharmacie, (Roumanie) Associate Professor, University of Medicine and Pharmacy