Universität zu Köln

Pestinger, Martina, Stiel, Stephanie, Elsner, Frank, Widdershoven, Guy, Voltz, Raymond, Nauck, Friedemann and Radbruch, Lukas (2015). The desire to hasten death: Using Grounded Theory for a better understanding When perception of time tends to be a slippery slope. Palliat. Med., 29 (8). S. 711 - 720. LONDON: SAGE PUBLICATIONS LTD. ISSN 1477-030X

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Abstract

Background: Some patients with advanced and progressive diseases express a desire to hasten death. Aim: This study evaluated the motivations of patients expressing such a desire in a country with prohibitive legislation on euthanasia and physician-assisted suicide. Design: A modified form of Grounded Theory was used. Setting/participants: Patients from the departments of palliative medicine in three hospitals in Germany were recruited when they had made a statement or request to hasten death. Participants were interviewed face to face. Recruitment was stopped with 12 participants because of data saturation. Results: Thematic analysis revealed three main motivational themes: self-determination, agony, and time. Expectations toward health professionals, attitudes toward death, and secureness related to the end of life were additional main themes emerging from the analysis. Conclusions: The desire to hasten death may be used as an extreme coping strategy to maintain control against anticipated agony. Patients expected health professionals to listen to and respect their experiences. Emerging hypotheses included the following: (a) patients try to balance life time and anticipated agony, and the perception of time is distressing in this balancing act; (b) anticipated images of agony and suffering in the dying process occur frequently and are experienced by patients as intrusive; (c) patients expressing a desire to hasten death are in need of more information about the dying process; and (d) patients wanted their caregivers to listen to and respect their wish to hasten death, and they did not expect the caregivers to understand this as an order to actually hasten their death.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Pestinger, Martina UNSPECIFIED UNSPECIFIED UNSPECIFIED Stiel, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Elsner, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Widdershoven, Guy UNSPECIFIED UNSPECIFIED UNSPECIFIED Voltz, Raymond UNSPECIFIED UNSPECIFIED UNSPECIFIED Nauck, Friedemann UNSPECIFIED UNSPECIFIED UNSPECIFIED Radbruch, Lukas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-394774
DOI:	10.1177/0269216315577748
Journal or Publication Title:	Palliat. Med.
Volume:	29
Number:	8
Page Range:	S. 711 - 720
Date:	2015
Publisher:	SAGE PUBLICATIONS LTD
Place of Publication:	LONDON
ISSN:	1477-030X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ILL CANCER-PATIENTS; PHYSICIAN-ASSISTED SUICIDE; PALLIATIVE CARE; HOSPITAL ANXIETY; ADVANCED DISEASE; WISH; DIE; REQUESTS; VALIDATION Multiple languages Health Care Sciences & Services; Public, Environmental & Occupational Health; Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39477