Intended for healthcare professionals

Rapid response to:

Views & Reviews Personal View

An extremely interesting time to die

BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b2827 (Published 15 July 2009) Cite this as: BMJ 2009;339:b2827

Rapid Response:

Palliative care is effective for most but not all

Having worked in cancer medicine for over 25 years I have witnessed
tremendous improvements in palliative care and symptom control, and yet
there are still some patients whose death is not the idealised pain-free
passing that was hoped for.

A few patients have symptoms that are never effectively controlled
despite all the best efforts of the caring health professionals looking
after them. As a consequence dozens of patient have asked me if I could
'put them to sleep' and a similar number of relatives have made the same
request.

Surely there is now a role for carefully controlled physician
assisted death; in this era of patient choice it is surely the most
important one that a patient could make rather than the spurious ones
currently on offer?

Competing interests:
None declared

Competing interests: No competing interests

28 July 2009
Peter Kirkbride
Consultant Oncologist
Sheffield Teaching Hospitals S10 2 SJ