Desire to die, desire to live at the end of life
Mazzocato, C.; Benaroyo, L.
Revue Medicale Suisse 5(203): 1076-1079
2009
ISSN/ISBN: 1660-9379 PMID: 19526978 Document Number: 11962
Since a couple of years, physicians are confronted with an increasing request of end of life patients asking for a dying facilitated process. The reasons for this are multiple and complex. Existential suffering, increased by depression, a feeling of loss of meaning or dignity and/or being a burden, seems to be a significant factor. Social isolation and physical symptoms seem to be only contributory. The identification of "protecting elements" such as spiritual well-being or a preserved sense of dignity offers new opportunities for care. Providing a space for dialogue by exploring the patient's expectations and fears, his knowledge of care options available at the end of life, his own resources and difficulties frequently contribute to decrease suffering.
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