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The terminal care and death with dignity in Washington state

Research Project

Project/Area Number 23613008
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Bioethics
Research InstitutionKyorin University

Principal Investigator

GAMOU Shinobu  杏林大学, 保健学部, 教授 (90122308)

Research Collaborator MCCORMICK Thomas R.  University of Washington, Department of Bioethics & Humanities, Lecturer Emeritus
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2013: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2012: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2011: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords尊厳死 / 安楽死 / 自律原則 / 事前指示 / 緩和医療 / 医療倫理 / 終末期選択 / 国際研究者交流 / スピリチュアルケア / 全人的痛み / 終末期医療 / 米国
Research Abstract

In Washington state, the DWD act went into effect in 2009. Care providers in WA are continuing to learn how to interact with patients who have a life expectancy of six months or less and who request a prescription from their physician so they may use this medication to end their lives. Dr. McCormick, University of Washington provided assistance to investigators in carrying out interviews with physicians to clarify how care providers deal with patients who make requests for aid in dying. Approximately 100 patients/year request and receive the medication, however, 80% actually ingest the lethal medicine. Our investigation points out that physicians seek to learn from the patients the reason for making such a request and reassure patients that palliative care and social support are available to patients and their families. A request for DWD, ideally, leads to frank communication so that care providers can respond to the needs of patients in ways that best suit the patient's values.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (4 results)

All 2013 2012 Other

All Presentation (2 results) (of which Invited: 2 results) Book (2 results)

  • [Presentation] Cultural and Ethical variances in Medical Ethics : Decision Making for the Oldest Old-A Japanese Perspective2013

    • Author(s)
      Shinobu Gamou.
    • Organizer
      26^<th> Summer Seminar in Clinical Ethics
    • Place of Presentation
      University of Washington, Seattle, WA, USA
    • Year and Date
      2013-08-09
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] Cultural and Ethical variances in Medical Ethics: Decision Making for the Oldest Old-A Japanese Perspective

    • Author(s)
      Shinobu Gamou
    • Organizer
      26th Summer Seminar in Clinical Ethics
    • Place of Presentation
      University of Washington, Seattle, WA, USA
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Book] 遺伝子検査と遺伝子医療「メディカルサイエンス遺伝子検査学」2012

    • Author(s)
      蒲生忍
    • Total Pages
      192
    • Publisher
      倫理近代出版
    • Related Report
      2013 Final Research Report
  • [Book] メディカルサイエンス遺伝子検査学「遺伝子検査と遺伝子医療の倫理」 (165-169)2012

    • Author(s)
      蒲生忍
    • Total Pages
      192
    • Publisher
      近代出版
    • Related Report
      2012 Research-status Report

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Published: 2011-08-05   Modified: 2019-07-29  

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