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Southern Illinois University School of Medicine
Medical Humanities
Clinical Ethics Center at Memorial Medical Center

Clinical Ethics Center- CEC
Human Values & Ethics Committee - HVEC
SAGE - Southern Illinois Advisory Group for Ethics
Illinois Advance Directives
SIU Medical Humanities
Memorial Medical Center
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DESCRIPTION
The so-called Dutch experiment with euthanasia has been much analyzed, criticized, and discussed in American medical and nursing journals and in the public media. This interest is fueled by the continued activity of Dr. Jack Kevorkian in Michigan, confessions by physicians like Timothy Quill (in New England Journal of Medicine), and developments in law such as Oregon's Proposition 16, Death with Dignity Act, that legalizes physician-asssited suicide.This workshop is an opportunity to explore with two experts on medical ethics and medical practice in the Netherlands the practice and the problems associated with euthanasia in the Netherlands. By comparing and contrasting the Dutch system of medical and nursing care and the place of euthanasia therein with the American medical and nursing attitudes towards pain control, suffering, patient and family rights, we hope to increase the level of understanding of the complex ethical issues that are involved in the care of seriously ill patients with chronic or terminal illness.

OBJECTIVES
Familiarize health care providers with developments in the law and professional standards surrounding euthanasia and assisted suicide.
Address the ethical issues involved in responding to intractable pain and suffering of terminally ill patients.
Discuss the relationship of the ethics of withholding and withdrawing care to cases of active intervention and assistance in dying.
Review the ambiguities associated with current practices of withholding and withdrawing life support in light of the distinction between killing and letting die.
Address the question of the health provider responsibilities when the patient's quality of life and suffering are intolerable.
Understand the integrated view of end of life decision making that characterizes the Dutch practice.
Assess the importance of hospice care and pain management for terminally ill patients.
Identify problematic surrogate, family, and community interests at the end of life.

TARGET AUDIENCE
All health care personnel interested in the complex issues surrounding end of life decision making and the specific issue of euthanasia and assisted suicide. This workshop will be of particular interest to physicians and nurses working in critical care, hospice, home health, and nursing home settings, as well as clergy, hospital and nursing home administrators and other health care professionals interested in end of life care.


PRESENTATIONS/SPEAKERS
"Euthanasia: The Second Phase: Integrating the Act in Medical Institutions and Home Care Programs" - Gerrit K. Kimsma, M.D., M.Ph.
Lecturer in Medical Ethics and Family and Nursing Home Medicine, Free University of Amsterdam, Amsterdam, The Netherlands.

"The Values Involved In Medical Decision Making Towards The End Of Life" - Evert van Leeuwen, Ph.D.
Chairman of the Department of Philosophy and Medical Ethics, Faculty of Medicine, Free University of Amsterdam, Amsterdam, The Netherlands.

"A Critical Look at American and Dutch Terminal Care" - George J. Agich, Ph.D.
Professor of Medical! Humanities and Psychiatry, Southern Illinois University School of Medicine, Springfield, Illinois and Director of the Clinical Ethics Center, Memorial Medical Center, Springfield, Illinois.

"General Discussion" - Theodore LeBlang, J.D.
Professor and Chairman, Department of Medical Humanities, Southern Illinois University School of Medicine, Springfield, Illinois.

"The Status of Physician Assisted Suicide in the United States" - Bethany Spielman, Ph.D., J.D.
Assistant Professor of Medical Humanities, Southern Illinois University School of Medicine, Springfield, Illinois.

"American Values and Traditions in Medicine and Death" - Andrew J. Varney, M.D.
Assistant Professor of Internal Medicine and Medical Humanities, Southern Illinois University School of Medicine, Springfield, Illinois and Chair of the Human Values and Ethics Committee, Memorial Medical Center, Springfield, Illinois.

Questions or comments - email us at Clinical Ethics Center
Last Updated May 24, 2007
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