{"id":9597,"date":"2017-11-23T13:59:44","date_gmt":"2017-11-23T13:59:44","guid":{"rendered":"https:\/\/www.wma.net\/wp-content\/uploads\/2017\/05\/Pa\u0308lve-WMA-EoL-Presentation-Vatican-Nov2017.pdf"},"modified":"2017-11-23T13:59:44","modified_gmt":"2017-11-23T13:59:44","slug":"pa%cc%88lve-wma-eol-presentation-vatican-nov2017-2","status":"inherit","type":"attachment","link":"https:\/\/www.wma.net\/fr\/pa%cc%88lve-wma-eol-presentation-vatican-nov2017-2\/","title":{"rendered":"Pa\u0308lve-WMA EoL Presentation Vatican-Nov2017"},"author":5,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"description":{"rendered":"

\"\"<\/a><\/p>\n

11\/23\/17
\n1
\nDealing with public and published opinions
\nFinnish experience of public debate 2017
\nHeikki P\u00e4lve
\nChair of the WMA Medical Ethics
\nCommittee 2014 – 2017
\nFinnish Medical Association
\nBackground
\n\u2022 Legistlative proposal intiatiated by lay people on euthansia was
\nhanded to the parliament 9.11.2016
\n\u2022 Huge public attention due to very well respected and known people
\nacting behind the proposal \u2013 fourth in order
\n\u2022 Medical association was immediately one partner in the debate.
\n\u2022 It was about the only partner raising opposite views,
\nLesson 1:
\n\u2022 Every nation must deal with the issue its own way
\n\u2022 Finland is homogenic, small, open, democratic, secular, we have
\nconfidence to the \u2019system\u2019\u2026.
\nLesson 2:
\nSupport of the euthanasia among the public (in
\nFinland) is \u2019natural\u2019 and big
\n\u2022 people 73%
\n\u2022 Physicians (2013) 46%
\n\u2022 nurses 42%
\n\u2022 Ready to do it 23%
\n\u2022 Specialists in end-of-life care 17% (!)
\nLesson 3:
\nQuestions raised are implying that opposing
\neuthanasia is inhuman
\n\u2022 Why do the physicians allow suffering?
\n\u2022 Suffering is understood as physical (pain) suffering and the other
\nnatural forms of suffering prior to death are not understood:
\n\u2022 Social, psychological, existential
\n\u2022 Explaing that the suffering (pain) is treatable does not have any
\neffect
\nLesson 4:
\nAutonomy of the patient is put forefont
\n\u2022 Why is a suffering person not entitled to his\/her own opinion on the
\ntreatment?
\n\u2022 It is MY life and MY desicion!
\n\u2022 Is the physician not willing to treat the patient according to his\/her
\nwill?
\n11\/23\/17
\n2
\nLesson 5:
\nMedia is on the side of the ill individual
\n\u2022 \u2026. illustrating that the opposing profession is against the sick
\nperson which damages the the trust to the profession and
\nquestions the trust to our ethics
\n\u2022 Social media is of huge importance and mainly pro-euthanasia
\nLesson 6:
\nClarify terminology
\n\u2022 \u2019euthasia\u2019 as a term is extremely poorly understood
\n\u2022 Therefore many people support it on wrong basis or expects
\nsolutions to problems it will not solve
\nIs euthanasia the seeked solution?
\n\u2013\u2009
\nTS\t7.2.2017
\nUpon\tarriving to\tterminal care institution they wanted \u2019euthanasia\u2019\tand
\nafter receiving proper palliative care the husband confirmed that it\twas
\nexcactly what they ment with it
\nIs euthanasia the solution?
\nIlta-Sanomat
\n18.12.2016
\nOn\tthe tabloids was given the image\tthat
\n3\tyrs old ICH\tboy could benefit of
\neuthanasia legistlation
\nDo we understand the terminology?
\nSK\t47\/2016
\nMy\tpersonal experience makes
\nme\tan\texpert;
\nHis son died suffering of
\nimmense pain
\nSuffering =\tpain
\nexl.\tSocial,\tmental and
\nexistential suffering
\nLesson 6:
\nTry to clarify the intentions of any debate
\n\u2022 Clarify\/inform concerning the terminology
\n\u2022 Clarify the diffferent forms of suffering and the possibillities to
\nmeasure them
\n\u2022 Physcical\/existential\/psycological\/social
\n\u2022 Explain the difference between the possibiities to treat pain and the
\ncurrent situation in palliative care
\n11\/23\/17
\n3
\nLesson 7:
\n\u2022 Give the floor to the specialists of palliative care
\n\u2022 Endorse their visibility in the debate
\n\u2022 Inform about palliative sedation as being a treatment \u2013 not a form of
\neuthanasia
\n\u2022 Only after that come the medical ethical issues important in the
\npublic debate
\nShould we have law on euthasia?
\n15
\n71
\n17
\n59
\n14
\n64
\n26
\n15
\n19
\n0% 20% 40% 60% 80% 100%
\nL\u00e4\u00e4k\u00e4riavusteisen\titsemurhan\tsalliva\tlaki
\nSaattohoitolaki
\nEutanasian\tsalliva\tlaki
\nKyll\u00e4 Ei\t En\tosaa\tsanoa
\nMedical ethics standpoint
\n\u2022 Euthanasia fundamentally changes and to some degree also
\ndamages the trust to the health care system
\n\u2022 Unacceptable and unvisible pressure on vulnerable patient groups
\n\u2022 \u00e8 new suffering
\n\u2022 Physicians are supposed to decide on the diagnosis and treatment
\n\u2013 not on active termination of life (let the life end \u2013 do not end it)
\n\u2022 Slippery slope is a fact \u2013 and very undesirabe
\n\u2022 Medical ethics is international
\n16
\nthank you<\/p>\n"},"caption":{"rendered":"

11\/23\/17 1 Dealing with public and published opinions Finnish experience of public debate 2017 Heikki P\u00e4lve Chair of the WMA Medical Ethics Committee 2014 – 2017 Finnish Medical Association Background \u2022 Legistlative proposal intiatiated by lay people on euthansia was handed to the parliament 9.11.2016 \u2022 Huge public attention due to very well respected and […]<\/p>\n"},"alt_text":"","media_type":"file","mime_type":"application\/pdf","media_details":{"sizes":{"thumbnail":{"file":"Pa\u0308lve-WMA-EoL-Presentation-Vatican-Nov2017-pdf-106x150.jpg","width":106,"height":150,"mime_type":"image\/jpeg","source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2017\/05\/Pa\u0308lve-WMA-EoL-Presentation-Vatican-Nov2017-pdf-106x150.jpg"},"medium":{"file":"Pa\u0308lve-WMA-EoL-Presentation-Vatican-Nov2017-pdf-212x300.jpg","width":212,"height":300,"mime_type":"image\/jpeg","source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2017\/05\/Pa\u0308lve-WMA-EoL-Presentation-Vatican-Nov2017-pdf-212x300.jpg"},"large":{"file":"Pa\u0308lve-WMA-EoL-Presentation-Vatican-Nov2017-pdf-724x1024.jpg","width":724,"height":1024,"mime_type":"image\/jpeg","source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2017\/05\/Pa\u0308lve-WMA-EoL-Presentation-Vatican-Nov2017-pdf-724x1024.jpg"},"full":{"file":"Pa\u0308lve-WMA-EoL-Presentation-Vatican-Nov2017-pdf.jpg","width":1058,"height":1497,"mime_type":"application\/pdf","source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2017\/05\/Pa\u0308lve-WMA-EoL-Presentation-Vatican-Nov2017-pdf.jpg"}}},"post":null,"source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2017\/05\/Pa\u0308lve-WMA-EoL-Presentation-Vatican-Nov2017.pdf","_links":{"self":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/media\/9597"}],"collection":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/media"}],"about":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/types\/attachment"}],"author":[{"embeddable":true,"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/comments?post=9597"}]}}