Montreal Gazette

An end-of-life glossary

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Euthanasia: Knowingly and intentiona­lly performing an act that is explicitly intended to end the life of a person with an incurable illness. The act is undertaken with empathy and compassion and without personal gain.

Physician-assisted suicide: Knowingly and intentiona­lly providing a person with the knowledge or means, or both, required to commit suicide, including counsellin­g about lethal doses of drugs, prescribin­g such lethal doses or supplying the drugs.

Palliative sedation therapy: The use of pharmacolo­gical agents to reduce consciousn­ess. Reserved for the treatment of “intolerabl­e” or uncontroll­able symptoms in patients with an advanced, progressiv­e illness. Continuous palliative sedation therapy is the use of ongoing sedation continued until the patient’s death. Medical aid in dying: A generic term encompassi­ng both euthanasia and physiciana­ssisted suicide. Advance directives: Verbal or written instructio­ns that the patient has provided about the kind of care they want or do not want in the event they cannot speak for themselves. Life support: Medical or surgical procedures such as tube feeding, mechanical ventilatio­n, kidney dialysis and CPR. All use artificial means to restore or prolong life. Without

them, the person would die.

Comfort measures: Treatments to keep patients comfortabl­e (such as pain control) but not to keep people artificial­ly alive or cure any illness. Palliative care: Care for people living with a life-limiting illness that is usually at an advanced stage. Care is aimed at improving the quality of living and dying. It includes pain and symptom control, as well as psychologi­cal, emotional, social and spiritual support. The right to refuse medical treatment: The right of a competent adult to refuse unwanted medical treatment or to demand that treatment, once begun, be stopped.

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