Traduction de: Dying : Considerations concerning the passage from life to death.
"Par Lawrence Whytehead and Paul Chidwick".
"Le Groupe de travail sur la vie humaine de l'Église épiscopale du Canada".
"Traduit de l'anglais par Ernest Richer, S.J.".
Comprends des références bibliographiques.
Comprends: Présentation / David J. Roy, Directeur, Centre de bioéthique, Institut de Recherches cliniques de Montréal -- Présentation de l'édition française / Irénée Beaubien, s.j., Directeur, Centre canadien d'Oecumenisme -- Avant-Propos / Edward W. Scott, Primat de l'Église épiscopale du Canada -- Préface et remerciements -- Le problème et la réaction humaine -- Décisions pour la vie ou pour la mort -- La réaction chrétienne à la mort -- Document de travail.
"While the government tabled legislation April 14  to clarify the laws around doctor-assisted death, responses from some members of the Anglican Church of Canada's task force on assisted dying show that the church -- and Canadian society -- remain divided about how widely available this measure should be. Canon Eric Beresford, the ethicist who chairs the task force, said he felt the government 'tried hard to balance a number of things', and commended the decision to exclude children from the purview of the act. Another member of the task force, however, suggested its restrictiveness is a problem. Julie Guichon, a lawyer and assistant professor at the University of Calgary's school of medicine, argued that in its current form the bill is unconstitutional." (p. 1). "Meanwhile, the government's promise to spend $3 billion over the next five years for homecare and expanded palliative care was received positively by various quarters. Beresford said the announcement was 'wonderful news', and suggested that with assisted dying now an option, strong palliative care is more important than ever" (p. 12).
"This book is intended for several audiences: those who work professionally with the dying and the bereaved, those who must cope with the death of someone close to them, and those who wish to reflect on the issues, moral and intellectual, raised by death and bereavement. Two years ago the Anglican Church of Canada published a report by its Taskforce on Human life entitled 'Dying: Considerations Concerning the Passage from Life to Death'. The report has provoked much discussion, to which the present volume is a contribution". -- Preface.
Contents: Notes on Contributors -- Preface -- The Relief of Pain in Terminal Disease / John F. Scott -- Palliative Care of the Dying / Balfour M. Mount -- Dying at Home / Eleanor Wasserman, Martin E. Blackstein -- How To Be a Friend to the Dying and the Mourner / Donald N. Peel -- Grief and Bereavement: the Family's Experience Before and After Death / Mary L.S. Vachon -- Post-abortion Mourning: the Hidden Grief / Mary Lassance Parthun -- Children, Cancer, and Death / Barrie L.L. de Veber -- How We Got to Where We Are Now: an Historical Overview of Death and Dying / Ian Gentles -- Euthanasia / Sheila and George Grant -- Christian Dying: a Theological Meditation / Eugene R. Fairweather.
Includes bibliographical references and bibliography: p. -80.
"Ours is a death-denying society. Fifty years ago sex was the taboo subject; now its death. Society pretends that death is not there and hides it away in dimly lit, solitary rooms in institutions such as hospitals and nursing homes. The dying person is often an embarrassment to medical staff who are oriented to cure, and unendurable to family members who want to avoid unpleasantness. .... Terminal care, when all active treatment of a patient's disease becomes ineffective and irrelevant to his needs, becomes palliative care. Palliative care is not a medical speciality. It is a concept and philosophy of care. Palliative care tries to alleviate distress in any of its forms, keeps patients as free from pain as possible without drugging them into insensibility, and provides medical, psychological, social, and spiritual support for the family as well as the patient." -- Intro.
"This book has evolved from [Beverly Hall's] working experience with terminally ill people through St. Mary's Anglican Church, Richmond Hill, and Hospice King (the prototype of community homecare in Canada)." -- back cover.
Contents: Introduction -- Learning from the Dying -- Physical-Medical Needs -- Psychological-Social Needs -- Spiritual Needs -- Understanding the Needs of AIDS Patients -- Care of the Caregiver -- The Hospice Concept -- Epilogue -- Endnotes -- Bibliography.
The Journal spoke with three chaplains and ministers who work closely with the dying and their families about the recent Supreme Court decision to strike down the ban on physician-assisted suicide. The Very Rev. Iain Luke, in the diocese of Athabasca, "expressed a theological concern that the statement suggests that 'dying and suffering around death, have no value', [but] he was also cautiously optimistic that the court's decision might actually provide a boost to palliative care". "For Luke, the church's most important role in response to assisted dying is to continue showing care and support for the dying and their families". The Rev. Keirstan Wells, co-ordinating diocesan health care chaplain for the diocese of Nova Scotia and Prince Edward Island, "said she thinks the court ruling is a 'positive development' because if will give people that autonomy, should they desire it. But she also believes that the church must provide guidance for those who are thinking through such end-of-life decisions". The Rev. Joanne Davies, a chaplain with the diocese of Toronto, "does think that the ruling has a positive side, in addition to the challenges. 'It means that we're actually going to talk about death and dying and actually name it', she said. 'As I begin to look at, that's the best part .. that people will actually start to think about it, and that passage to death is one form of care'".
"The Rev. Eric MacDonald, a retired Anglican priest who lives in Windsor, N.S., said he was 'overjoyed' by the Supreme Court of Canada's decision to legalize doctor-assisted suicide. 'I think it was about time', he said, but added, 'For Elizabeth, it is 10 years too late'" (p. 8). Elizabeth MacDonald was diagnosed with primary progressive MS (Multiple Sclerosis) in 1998 which resulted in rapidly progressing paralysis in 2006. "In June 2007, when Elizabeth was 38, they travelled to Zurich, seeking the help of Dignitas, an organization that offers medically assisted suicide" (p. 8). After Elizabeth's death and his return to Nova Scotia, "the Euthanasia Prevention Coalition asked the RCMP in Nova Scotia to investigate. The RCMP asked MacDonald to come into their station for an interview. ... About a week later the same officer came to his house to tell him that no charges were going to be laid" (p. 8-9). "MacDonald said he was outraged by the report's suggestion [Care in Dying] that assisted suicide is a failure of community. 'That really means that people who are helped to die are really being abandoned by their community, and I think that's a horrible thing to say'. In Elizabeth's case, he said, 'For me to have refused and said. 'There's no way I'm going to assist you in this -- there's no way I'm going to accompany you to Switzerland -- that would have been, to me, abandonment'" (p. 9).
"The Twenty-Seventh General Synod of the Anglican Church of Canada, meeting in Quebec City, 12-19 June 1975, requested the Primate to reappoint the Task Force on Human Life 'to prepare a report on death and dying, including the extension of life by mechanical and other means'. Subsequently it was decided that a number of independent study groups should be set up across Canada and that their discussions on this subject should be reported to the Rev. Canon Paul Chidwick, would act as a liaison between these committees. An interim report was presented to the Twenty-Eighth General Synod of the Anglican Church of Canada, meeting in Calgary in August 1977. The report was prepared by a study group in Winnipeg and compiled under the joint editorship of Dr. Lawrence Whytehead and the Rev. Canon Paul Chidwick. .... The General Synod, after discussion, sent the interim report back to the study group for rewriting (Resolution 87). The membership of the group was augmented by: The Right Reverend Barry Valentine, Bishop of Rupert's Land. .... In the spirit of these statements and within the terms of reference of the Task Force on Human Life, the revised report discusses relevant personal, social, medical, and legal issues, with emphasis on underlying theological insights. .... To all we would would say that we have tried to present a full picture of the problems posed by death in our technological age. We have attempted not to give answers, though the reader may detect bias, but to assist each individual to work out his or her own position on the problems involved". -- Preface.
Includes bibliographic references and bibliography, p. 78-83.
Contents: Foreword / Edward W. Scott, Primate -- Preface and Acknowledgements -- The Problem and Man's Response -- Decisions about Life and Death -- The Christian Response to Death -- Recommendations -- Summary -- Selected Bibliography -- Audio-Visual Aids -- Study Guide.
a) the report be sent back to the Task Force or a successor group for re-writing in the light of the total discussion on the floor of Synod, with a clear emphasis on the Christian concern for the sanctity of human life; such re-written report to be published for distribution and study on the authority of the National Executive Council.
b) the Task Force be encouraged to receive submissions from all interested bodies and individuals such as other churches, The Canadian Association for the Mentally Retarded, the Address of Mr. Justice Lamer of the Canadian Law Reform Commission, etc.; and
c) in the meantime Recommendations 2 and 3 on pages 18 and 19 of the interim Report be accepted as a basis for ecumenical action from the present time.
After extensive discussion and debate the Motion was put and CARRIED ACT 70
The Recommendations referred to in paragraph (c) of the Resolution are:
A) That the Church recognize its responsibility to provide educational programmes to effect a better understanding of the needs of the dying patient, of those responsible for the patient's welfare and of the next of kin. We believe that these programmes should focus on a number of specific areas.
a) The delineation, in the continuing education of clergy, of their special role with the dying patient and with their immediate families.
b) The inclusion of similar training and experience within the academic and pastoral programmes of theological colleges.
c) To equip church people for effective ministry to the terminally ill in conjunction with the medical team and for service in volunteer Home Care programmes of hospitals.
d) The establishment of Grief Recovery groups to enable the bereaved to identify and reconcile their feeling of guilt and grief.
e) The development in the Church and in society at large of a more realistic and wholesome attitude to and acceptance of the dying process and of death itself.
B) a) That the Church urge local professional associations to initiate programmes of continuing education for doctors and nurses to develop more skillful and compassionate care of the dying and bereaved.
b) That the Church emphasize the importance of similar training in the curricula of all health care teaching institutions.
3. Patient Care
A) That the Church actively support and encourage all persons and institutions which provide effective care for the terminally ill especially the Palliative Care Units at the Royal Victoria Hospital, Montreal and at St. Boniface Hospital, Winnipeg, working toward the establishment of similar units in other hospitals.
B) That the Church make continuing representations to provincial governments for the provision on a growing scale of small, independent units for the care of terminal patients in which conditions allow the development of close relations between patients, their families and those who care for them.
C) That the Church urge hospitals to expand Home Care programmes in the community with the support of visiting nurses, physician home visits and ancillary services so that dying patients may have the option of remaining at home in the care of their families (see Malkin, S.: "Care of the terminally ill at home", "Canadian Medical Association Journal" 115 (July 17, 1976), p.129
D) That the Church cooperate at the local level with appropriate Medical Boards, District Health Councils, professional societies, provincial associations and other agencies to initiate feasibility studies for improving further the care of dying patients and that findings be forwarded to provincial and the federal governments.