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Rich Find articles by Ben A. Their proposal was carefully considered and temperate, but there were sentencia c 710 de 1996 data on the practice of AID at the time.

With AID, a physician writes a prescription for life-ending medication for a terminally ill, mentally capacitated adult. With the passage of time, a substantial body of data on AID has developed from the states of Oregon and Washington.

Clinical Criteria for Physician Aid in Dying

For more than 17 years, physicians in Oregon have been authorized to provide a prescription for AID. Accordingly, we have updated the clinical criteria of Quill, et al.


With more jurisdictions authorizing AID, it is critical that physicians can turn to reliable clinical criteria. As with any medical practice, AID must be provided in a safe and effective manner.

Physicians need to know 1 how to respond to a patient's inquiry about AID, 2 how to assess patient decision making capacity, and 3 how to address a range sentencia c 710 de 1996 other issues that may arise.

The committee includes experts in medicine, law, bioethics, hospice, nursing, social work, and pharmacy.

Using an iterative consensus process, the Committee drafted the criteria over a one-year period. For nearly two decades, physicians in Oregon have been authorized to sentencia c 710 de 1996 a prescription for AID.

For example, while the states require physicians to ensure that the sentencia c 710 de 1996 is making an informed and voluntary decision, the statutes provide insufficient guidance for physicians in their assessment of the patient's decision-making process.

Our clinical criteria discuss the ways in which physicians should respond to a request for AID, including 1 discussion of the patient's reasons for requesting AID, 2 evaluation of the patient's decisional capacity, and 3 assessment of the patient's understanding of palliative measures that might be used instead of or concurrent with AID.

In addition, while the statutes authorize the writing of a prescription for AID, they say nothing about the kinds or doses of medication that should be used. In contrast, our criteria provide specific recommendations for the prescriptions that physicians should write and the steps that patients should take in preparing their medication for ingestion.

Not only are statutory criteria incomplete in the states that have them, but criteria are wholly absent in other states.

Sentencia c 710 de 1996 such lawsuits were filed in early Between January and Septembermore than 25 state legislatures considered bills to authorize AID. Using an iterative consensus process, the committee drafted the criteria over a one-year period.


The criteria draw upon over 25 combined years of extensive documentation and data collection from AID in Oregon and Washington, with the goal of supporting optimal patient care at EOL. Some statutory provisions impose requirements that are not necessary from a clinical perspective, so sentencia c 710 de 1996 not included.

The full version of the clinical criteria can be found online.

In the remainder of this article we provide a summary. See online supplementary material at www. A patient's request for AID must receive prompt evaluation.

Clinical Criteria for Physician Aid in Dying

Physicians sentencia c 710 de 1996 explore the physical, psychological, spiritual, financial, and social issues influencing the request. The goals are 1 to deter any premature action by the patient, 2 to establish whether a request reflects decisional capacity and freedom from external pressure, and 3 to ensure that the patient is considering alternatives to AID.

It is important that the physician identify patient concerns that could be addressed without AID. AID must reflect a considered and voluntary choice by the patient.

Sentencia C by María Camila Penagos Ceballos on Prezi

If the physician is concerned that a mental health condition may be impairing the patient's judgment or decisional capacity, the physician should refer the patient to a licensed psychiatrist or clinical psychologist for sentencia c 710 de 1996.

A number of mental health screening assessments are available for physicians to use in the office. For example, the Patient Health Questionnaire PHQ-9 is a validated instrument for detecting and diagnosing depression.

First, patients should understand alternatives to hastening death: