Negotiating a Good Death : Euthanasia in the Netherlands Foreign Language

by Pool, Robert; Munson, Carlton

• ISBN13: 9780789010803
• ISBN10: 0789010801
• Format: Hardcover
• Copyright: 2000-10-23
• Publisher: Routledge

Summary

Social Work Theory and Practice with the Terminally Ill, second edition, takes a compassionate look at ways that social workers can help dying people and their families. The social workers who work most effectively with terminally ill patients and their families are the ones who best understand the multifaceted nature of the dying process and its impact on the the patient, the family, and even on the health care professionals who work with patients at the end of life. Dr. Parry--who specializes in dying and bereavement--offers astute observations on the stages of dealing with the diagnosis of a terminal illness and the impending death that patients and their families confront. This updated second edition provides valuable new information on ways that social workers can help those with AIDS and their families, on traumatic death from any cause, and on the grieving processes of parents. Social Work Theory and Practice with the Terminally Ill, second edition, also includes stimulating discussions on: the interdisciplinary health team the grieving process professional burnout how social workers adapt to working with dying patients euthanasia and physician-assisted dying living wills and patients'rights In touching case studies, this volume illustrates the particular needs and concerns of the terminally ill and their families--impending losses, financial worries, job concerns, pain, unfinished business, and spiritual needs--and reviews successful interventions used by social workers to help patients and their families work through the dying process.

Table of Contents

Preface. Euthanasia in the Netherlands: Twenty-Five Years of Debate	xi
The Present Study	xv
Acknowledgments	xvii
Death and the Anthropologist: On the Problem of Studying Euthanasia	1	(16)
The End: The Death of David	1	(8)
Emotion and the Anthropology of Death	9	(3)
Participant Observation	12	(2)
Performative Ethnography	14	(3)
Euthanasia According to the Rules	17	(26)
The Endoscopy Room	17	(1)
The Attending Physician	18	(3)
Mrs. Kees	21	(1)
The Son	22	(1)
The Psychologist	23	(2)
The Second Opinion	25	(1)
Dr. Van Ham	26	(1)
The Head Nurse	27	(2)
The Daughter	29	(2)
Euthanasia	31	(1)
The Coroner	32	(1)
The Anesthetist	32	(3)
The Euthanasia Request	35	(2)
The Participants	37	(1)
Did She Really Want to Die?	38	(1)
The Rules of Due Care	39	(2)
On the Role of the Researcher Once More	41	(2)
Where the Responsibility Lies	43	(22)
Mrs. Van Nelle	43	(2)
She Wants Euthanasia, but She is Afraid to Take the Responsibility	45	(4)
Increasing the Morphine	49	(6)
Was She Suffering Unbearably?	55	(1)
Did She Really Want to Die?	56	(3)
Dr. Glas's Intention	59	(3)
Assuming Responsibility	62	(3)
The Line Between Euthanasia and Symptom Alleviation	65	(16)
Mr. Strasser's Denial	65	(2)
The Reversal	67	(2)
Gerrit Knol's Interpretation	69	(3)
Dr. Schuyt's Interpretation	72	(5)
Was It Euthanasia or Just Symptom Alleviation?	77	(4)
Coping with Pressure from the Family	81	(18)
Mrs. Lanser	81	(8)
Mrs. Jonas	89	(5)
The Euthanasia Requests, the Relatives, and the Conservative Option	94	(5)
A Reflexive Intermezzo	99	(16)
Dialogue	99	(1)
The Doctors' Discussion	100	(10)
Themes	110	(5)
Turning Off Mr. Joost's Respirator	115	(20)
Amyotrophic Lateral Sclerosis	115	(1)
The Joost Family	116	(4)
Shifting the Boundary	120	(4)
Turning Off the Respirator	124	(4)
What the Nurses Said, and What They Meant	128	(1)
Doubt, Uncertainty, and Hesitation	129	(6)
When Doctors Refuse a Euthanasia Request	135	(22)
Mr. Oosten's Euthanasia Request	135	(5)
Mr. Oosten's Death	140	(1)
The Nursing Records	140	(4)
The Doctors' Interpretations	144	(4)
When Is Euthanasia Negotiable?	148	(6)
Euthanasia and Alleviation	154	(3)
The Negotiation Process	157	(30)
Prerounds Discussion on the AIDS Ward	157	(1)
Background of the Euthanasia Request	158	(5)
The Request	163	(3)
Bryan Mayflower	166	(5)
The Request Considered	171	(4)
Preparations	175	(4)
The Mystery	179	(1)
Dr. Edelman and the AIDS Patients	180	(4)
Was It the Right Decision?	184	(3)
Unreported Euthanasia	187	(14)
Uncle Max's Story	187	(6)
Increasing the Morphine	193	(2)
Euthanasia	195	(1)
Where Was the Specialist? Dr. Schuyt's Explanation	196	(2)
The Reason Why	198	(3)
The Social Context of Euthanasia	201	(28)
The Patients	202	(2)
The Relatives	204	(3)
The Ideology of Easy Death	207	(3)
Control and the Negotiation of a Good Death	210	(2)
The Doctors	212	(6)
The Nurses	218	(4)
The Culture of the Ward	222	(2)
Language, Discourse, and Communication	224	(5)
What Is Euthanasia?	229	(10)
Euthanasia and Assisted Suicide	230	(2)
Euthanasia and Symptom Alleviation	232	(2)
Euthanasia and the Withdrawal or Nonimplementation of Life-Prolonging Treatment	234	(2)
Euthanasia As Cultural Construct	236	(3)
Appendix: Euthanasia Declaration	239	(2)
Notes	241	(2)
References	243	(2)
Index	245