Résumés
Résumé
Les conflits en sphère clinique sont souvent dus à une mauvaise communication entre soignants, patients, et leurs représentants. En l’absence d’une amélioration de ces relations, le nombre de discordes risque d’augmenter lors de l’administration de la sédation palliative continue et de l’aide médicale à mourir. Un examen de certaines études empiriques qui analysent la communication dans l’environnement médical, notamment pour ce qui a trait à l’obtention d’un consentement éclairé aux soins de fin de vie, ainsi que l’impact des différences culturelles et religieuses entre soignants et patients, permet d’identifier certaines pistes de solutions et d’effectuer une application de la Loi concernant les soins de fin de vie dans le respect des droits des patients.
Mots-clés :
- Soins de fin de vie,
- Sédation palliative,
- Aide médicale à mourir,
- Suicide assisté,
- Directives médicales anticipées,
- Consentement éclairé,
- Diversité ethnoculturelle
Abstract
The medical environment is characterized by certain problems relating to communication between healthcare providers, patients and their representatives. These problems may become exacerbated in the context of the administration of continuous palliative sedation and physician assisted suicide. A review of empirical research which examines certain aspects of obtaining an informed consent for end of life care, as well as the hurdles associated with cultural and religious differences between healthcare providers and patients, provides certain insights which may avoid conflicts associated with the application of the Act Respecting End-of-life Care, and ensure that the Act is applied in a manner which is consistent with patients’ rights.
Keywords:
- End-of-life Care,
- Palliative Sedation,
- Medical Aid in Dying,
- Physician assisted suicide,
- Advance Medical Directives,
- Informed Consent,
- Ethno-cultural Diversity
Parties annexes
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