カナダでついに安楽死後臓器提供ガイドライン 一部医療職から
医院を送ったのは、
Canadian Blood Services,
the Canadian Critical Care Society,
the Canadian Society of Transplantation,
the Canadian Association of Critical Care Nurses
Canadian Blood Services,
the Canadian Critical Care Society,
the Canadian Society of Transplantation,
the Canadian Association of Critical Care Nurses
委員長は、救急医療と緩和ケアの専門医でMAiD推進派である James Downar医師。
バイオエッジによると、主要論点は以下。日本語は、ごくあらましな要約のみ。
Medically suitable, conscious and competent patients who provide first-person consent to end-of-life procedures should be given the opportunity to donate organs and tissues. Patients who seek MAiD or WLSM [withdrawal of life-sustaining measures] should not be prohibited from donating organs and tissue.
MAiDまたは生命維持措置の中止に同意能力を要する患者には臓器または身体組織の提供を禁じるべきではない。
The patient must have the ability to provide first-person consent to MAiD or WLSM as well as to organ and tissue donation. The individual should be informed and understand that they may withdraw consent for MAiD or donation at any time, and that withdrawal of consent for donation does not affect their consent for, or access to, MAiD or WLSM.
対象となるのは、臓器と組織の提供と同時にMAiDまたは生命維持中止に本人同意が可能な患者。いつなんどきでも撤回可能であること、撤回しても終末医療への影響はないことを周知の上で。
The dead donor rule must always be respected. Vital organs can be procured only from a donor who is already deceased; the act of procurement cannot be the immediate cause of death.
デッド・ドナー・ルールは堅持。死後に摘出。
To avoid any real or perceived conflict of interest, health care practitioners should separate the decision regarding WLSM or MAiD from discussions concerning donation. Providers who are assessing eligibility for MAiD should not be involved in donation discussions.
終末医療と臓器提供の意思決定は独立して行われること。MAiDの審査に関わる医療職は臓器提供の話にはかかわらないこと。
People with amyotrophic lateral sclerosis and patients with other nontransmissible neurodegenerative diseases should be offered the opportunity to donate organs after their death.
ALSその他の非感染性進行性神経疾患の患者にも死後提供の機会は与えられること。
Health care professionals may exercise a conscientious objection to MAiD or WLSM specifically, but they should strive to accommodate the wishes of the donor by ensuring that their objection to MAiD or WLSM does not impede the ability of the patient to donate.
MAiDや生命維持中止に対する医療職の思想信条による反対は認められるにせよ、それにより臓器提供可能な患者の意思が尊重されないことに繋がってはならない。
MAiDまたは生命維持措置の中止に同意能力を要する患者には臓器または身体組織の提供を禁じるべきではない。
The patient must have the ability to provide first-person consent to MAiD or WLSM as well as to organ and tissue donation. The individual should be informed and understand that they may withdraw consent for MAiD or donation at any time, and that withdrawal of consent for donation does not affect their consent for, or access to, MAiD or WLSM.
対象となるのは、臓器と組織の提供と同時にMAiDまたは生命維持中止に本人同意が可能な患者。いつなんどきでも撤回可能であること、撤回しても終末医療への影響はないことを周知の上で。
The dead donor rule must always be respected. Vital organs can be procured only from a donor who is already deceased; the act of procurement cannot be the immediate cause of death.
デッド・ドナー・ルールは堅持。死後に摘出。
To avoid any real or perceived conflict of interest, health care practitioners should separate the decision regarding WLSM or MAiD from discussions concerning donation. Providers who are assessing eligibility for MAiD should not be involved in donation discussions.
終末医療と臓器提供の意思決定は独立して行われること。MAiDの審査に関わる医療職は臓器提供の話にはかかわらないこと。
People with amyotrophic lateral sclerosis and patients with other nontransmissible neurodegenerative diseases should be offered the opportunity to donate organs after their death.
ALSその他の非感染性進行性神経疾患の患者にも死後提供の機会は与えられること。
Health care professionals may exercise a conscientious objection to MAiD or WLSM specifically, but they should strive to accommodate the wishes of the donor by ensuring that their objection to MAiD or WLSM does not impede the ability of the patient to donate.
MAiDや生命維持中止に対する医療職の思想信条による反対は認められるにせよ、それにより臓器提供可能な患者の意思が尊重されないことに繋がってはならない。
「臓器提供安楽死」求める声に移植医からの懸念(2019/5/12)
