CSMD – 231M C.G. – Question de mourir dans la dignité

Euthanasie:+les+balises+légales+ne+sont+pas+respectées+dans+un+cas+sur+cinq+
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5,%-"''(&&(")%&./-(,+0%&#$%+,%1#0&2(")%30%'"#$($%3,)&%+,%3(4)(2/%/2#3(0%+,%."&&(6(+(2/%30%
+/4,+(&0$%+0%$0-"#$&%*%+70#28,),&(0%1#70++0%3/9()(0%-"''0%+7,-20%30%.$":"1#0$%
()20)2("))0++0'0)2%+,%'"$2%37,#2$#(%."#$%'022$0%9()%*%&0&%&"#99$,)-0&%;<=>%50&%!,?&@A,&%
"99$0)2%+0&%'0(++0#$0&%."&&(6(+(2/&%37/:,+#0$%0'.($(1#0'0)2%+0&%-")&/1#0)-0&%.$,2(1#0&%30%
+,%+/4,+(&,2(")%30%+70#28,),&(0B%.#(&1#0%-0++0@-(%?%0&2%0)-,3$/0%.,$%+,%C#$(&.$#30)-0%30.#(&%
+0&%,))/0&%<DEF>%50%'()(&2G$0%30%+,%&,)2/%30&%!,?&@A,&%,%'0)/%30&%/2#30&%),2("),+0&%,#.$G&%
30&%'/30-()&%&#$%+0#$&%.$,2(1#0&%370#28,),&(0%0)2$0%<DDF%02%HFFI%,9()%37/:,+#0$%&(%+0&%
6,+(&0&%+/4,+0&%02%.$"90&&("))0++0&%&")2%$0&.0-2/0&%"#%)")%3,)&%+,%.$,2(1#0%-+()(1#0>%%
Cadre+légal+et+professionnel+
5,%J#2-8%K"?,+%L"-(02?%9"$%280%M3:,)-0'0)2%"9%N03(-()0%&70&2%."&(2("))/%0)%9,:0#$%30%
+70#28,),&(0%3G&%<DEO>%50%I?#.;";6%;'!0#%,3".2/%0)%HFFH%,#P%!,?&@A,&%3/9()(%+0&%-")3(2(")&%
.0$'022,)2%+70#28,),&(0%02%+0%&#(-(30%'/3(-,+0'0)2%,&&(&2/%+"$&1#0Q%<=%+,%30',)30%3#%
.,2(0)2%0&2%+(6$0%02%-")&(3/$/0R%H=%-0+#(@-(%:(2%#)0%&"#99$,)-0%()&#.."$2,6+0%02%&,)&%0&."($%
37,'/+("$,2(")R%S=%+0%'/30-()%,%0P.+(1#/%+,%-")3(2(")%3#%.,2(0)2%02%+0&%".2(")&%3(&.")(6+0&R%
O=%+0%'/30-()%,%-")-+#2%,:0-%+0%.,2(0)2%1#7,#-#)0%,#2$0%,+20$),2(:0%)70&2%."&&(6+0R%I=%+0%
'/30-()%,%-")&#+2/%#)%,#2$0%-"++G4#0R%T=%+0%'/30-()%2$,(2,)2%'02%9()%*%+,%:(0%3#%.,2(0)2%"#%
+7,(30%*%?%'022$0%9()%0)%+#(%.$"3(4#,)2%2"#&%+0&%&"()&%'/3(-,#P%02%+7,220)2(")%3")2%+0%.,2(0)2%,%
60&"()>%50%'/30-()%0&2%/4,+0'0)2%20)#B%,.$G&%+0%3/-G&B%30%-")2,-20$%+0%-"$")0$%1#(%$/9G$0%+0%
3"&&(0$%*%#)%-"'(2/%-8,$4/%37/:,+#0$%&(%+0&%-$(2G$0&%30%6"))0%.$,2(1#0%")2%/2/%$0&.0-2/&B%
9,#20%30%1#"(%30&%."#$&#(20&%-$('()0++0&%.0#:0)2%U2$0%()20)2/0&%-")2$0%+0%'/30-();H=>%%
5,%-0&&,2(")%30%2$,(20'0)2%;0P>%,$$U2%30%$0&.($,20#$%"#%-0&&,2(")%30%-8('("28/$,.(0=B%02%
+7#2(+(&,2(")%30%),$-"2(1#0&%*%30&%9()&%30%&"#+,40'0)2%&")2%30&%.$,2(1#0&%+/4,+0&%02%
-"#$,)20&%,#%V#/60-%',(&%)0%&")2%.,&%30&%,-20&%370#28,),&(0%,#%&0)&%3#%I?#.;";6%;'!0#4%W+%
0&2%',()20),)2%6(0)%3/'")2$/%1#0%+7#2(+(&,2(")%,..$".$(/0%30%),$-"2(1#0&%*%30&%9()&%30%
.,++(,2(")%)70)2$,X)0%.,&%+,%'"$2%02%+0&%),$-"2(1#0&%&")2%37,(++0#$&%3/-")&0(++/%3,)&%+0&%
.$"2"-"+0&%370#28,),&(0%,#P%!,?&@A,&B%-"'.20@20)#%30&%09902&%&0-")3,($0&%02%30&%3"&0&%
/+0:/0&%$01#(&0&%."#$%.$":"1#0$%+,%'"$2;S=>%50&%'/3(-,'0)2&%+0&%.+#&%-"#$,''0)2%#2(+(&/&%
*%30&%9()&%370#28,),&(0%,#P%!,?&@A,&%&")2%+0&%6+"1#0#$&%)0#$"'#&-#+,($0&B%.$":"1#,)2%
+7,$$U2%$0&.($,2"($0%*%-"#$2%20$'0>%570#28,),&(0%30'0#$0%#)0%'0&#$0%370P-0.2(")%,#P%!,?&@
A,&%02%0&2%+,%-,#&0%.$()-(.,+0%30%3/-G&%3,)&%'"()&%30%HY%30&%-,&;O=>%
Le+respect+de+l’autonomie+est+problématique%
Plusieurs partisans de la légalisation de l’euthanasie revendiquent le droit des patients à
l’autodétermination. Or, s(%+70#28,),&(0%.$0)3%28/"$(1#0'0)2%."#$%."()2%30%3/.,$2%+,%
CSMD – 231M
C.G. – Question
de mourir dans
la dignité
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+0%'/30-()>%Z)%HFFIB%[Y%30&%.0$&"))0&%3/-/3/&%,#P%!,?&@A,&%30%-,#&0&%.$/:(&(6+0&%")2%
30',)3/%+70#28,),&(0%"#%+0%&#(-(30%,&&(&2/%02%-0&%
30',)30&%")2%/2/%$09#&/0&%3,)&%SEY%30&%-,&%.,$%+0%
'/30-();I=>%50&%'/30-()&%&")2%.+#&%0)-+()&%*%
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&"#99$,)-0%.8?&(1#0%02%'"()&%+"$&1#7#)0%20++0%
30',)30%$0."&0%&#$%+,%.0$-0.2(")%30%.0$20%30%3(4)(2/%
;T=>%\,(2%2$"#6+,)2B%3,)&%<DY%30&%-,&%370#28,),&(0B%+0%
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&,)&%3(&-#&&(")%.$/,+,6+0%,:0-%+,%9,'(++0%"#%#)%
-"++G4#0;O=>%J0&%'/30-()&%")2%.$,2(1#/%+70#28,),&(0%
&#$%30&%)"#:0,#P@)/&B%30&%.0$&"))0&%,:0-%30&%.$"6+G'0&%30%&,)2/%'0)2,+0%02%30&%
.0$&"))0&%]4/0&%,220()20&%30%.$"6+G'0&%-"4)(2(9&;[B%E=>%50&%3"))/0&%,-2#0++0&%)0%
.0$'0220)2%.,&%370P-+#$0%+,%."&&(6(+(2/%1#0%+70#28,),&(0%,(2%/2/%.$,2(1#/0%-80^%30&%
.0$&"))0&%1#(%,#$,(0)2%&"#8,(2/%:(:$0%"#%1#(%,#$,(0)2%-8,)4/%37(3/0%*%-"#$2%20$'0>%J,)&%
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IFB[Y%30&%.,2(0)2&%-")&(3/$,)2%+70#28,),&(0%")2%-8,)4/%37(3/0%30#P%*%&(P%'"(&%.+#&%2,$3%;D=>%%
Légaliser+ne+garantis+pas+un+meilleur+encadrement+des+pratiques%
L0+")%-0$2,()&B%+70#28,),&(0%0P(&20$,(2%3/C*%,#%V#/60-%02%&,%+/4,+(&,2(")%.0$'022$,(2%#)%
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J7#)0%.,$2B%+0&%&")3,40&%0990-2#/&%.,$%+,%\NLV%02%+,%\N`V%*%+7,#2"')0%HFFD%)0%.0$'0220)2%
,#-#)0'0)2%30%-")-+#$0%1#0%+70#28,),&(0%&0%.$,2(1#0%,#%V#/60-%-"'.20@20)#%30%+,%
9"$'#+,2(")%,'6(4#a%30&%&")3,40&%;b%+70#28,),&(0B%&"#&%3(:0$&0&%9"$'0&%02%30%9,c")%
()3($0-20B%0&2%,-2#0++0'0)2%.$,2(1#/0%,#%V#/60-%d=%-")9")3,)2%-0&&,2(")%30%2$,(20'0)2B%
&"()&%.,++(,2(9&%02%0#28,),&(0>%%
N,+4$/%&,%+/4,+(&,2(")%,#P%!,?&@A,&B%HFY%30&%-,&%370#28,),&(0%)0%&")2%.,&%3/-+,$/&%.,$%+0&%
'/30-()&B%-0%1#(%0'.U-80%2"#20%9"$'0%30%:/$(9(-,2(")%0P20$)0>%<FY%30&%'/30-()&%1#(%)7")2%
.,&%3/-+,$/%+0#$%40&20%C#40,(0)2%0#P@'U'0&%1#0%+0&%-")3(2(")&%30%6"))0%.$,2(1#0%)7/2,(0)2%
.,&%$0&.0-2/0&>%Z)%HFFIB%+0&%'/30-()&%")2%-,#&/%+,%'"$2%30%.+#&%30%<FFF%.0$&"))0&%&,)&%
+0#$%30',)30%0P.+(-(20%"#%&,)&%$,.."$20$%+0#$%40&20%,#P%,#2"$(2/&;O=>%%
Une+ligne+à+ne+pas+franchir++
W+%0&2%9")3,'0)2,+%30%$0&.0-20$%+,%3(4)(2/%02%+7,#2")"'(0%30&%',+,30&%0)%/:(2,)2%
+7,-8,$)0'0)2%28/$,.0#2(1#0%02%0)%&"#+,40,)2%+0#$&%&"#99$,)-0&%,3/1#,20'0)2>%!,$%-")2$0B%
+70P./$(0)-0%30&%!,?&@A,&%3/'")2$0%1#0%+,%+/4,+(&,2(")%30%+70#28,),&(0%02%3#%&#(-(30%,&&(&2/%
-"'."$20%30&%$(&1#0&%('."$2,)2&>%N,+4$/%#)%-,3$0%+/4,+%/2"99/%02%+,%."&&(6(+(2/%30%."#$&#(20&%
-$('()0++0&B%+0&%6,+(&0&%+/4,+0&%0)%.+,-0%)7")2%.,&%/2/%$0&.0-2/0&%3,)&%#)%-,&%370#28,),&(0%
&#$%-()1>%%
'
Dans+19%+des+cas+
d’euthanasie,+le+médecin+a+
administré+un+médicament+
provoquant+la+mort+sans+la+
demande+explicite+du+patient+
et+parfois+sans+discussion+
préalable+avec+la+famille+ou+
un+collègue+
+
Coordonnées+
Antoine Boivin, MD, PhD(c), CCMF
Candidat au doctorat
Affiliation académique:
Scientific Institute for Quality of Healthcare
Radboud University Nijmegen Medical Centre
Netherlands
Coordonées:
Agence de la santé et des services sociaux de l'Abitibi-Témiscamingue
1, 9e rue (#443)
Rouyn-Noranda (Qc); J9X 2A9
Canada
+1(819)760-0031
References+
<>% M&&0'6+/0%e,2("),+0%3#%V#/60->%f"''(&&(")%&./-(,+0%&#$%+0%3$"(2%30%'"#$($%3,)&%+,%
3(4)(2/Q%3"-#'0)2%30%-")&#+2,2(")>%V#/60->%HF<F>%
H>% g('&',%hg>%J0,28%6?%$01#0&2%()%i80%e0280$+,)3&Q%9,-2&B%280%+04,+%-")20P2%,)3%0990-2&%
")%.8?&(-(,)&B%.,2(0)2&%,)3%9,'(+(0&>%N03%j0,+28%f,$0%!8(+"&>%HF<F%k#+%HD>%
S>% L?l0&%eB%i8"$)&%M>%i80%#&0%"9%".("(3&%,)3%&03,2(:0&%,2%280%0)3%"9%+(90>%5,)-02%`)-"+>%
HFFS%N,?RO;I=QS<H@E>%
O>% :,)%30$%j0(30%MB%`)m#20,l,@!8(+(.&0)%AJB%K#$#.%N5B%A#(2()4%jNB%:,)%J0+30)%kkB%
j,)&&0)@30%n"+9%kZB%02%,+>%Z)3@"9@+(90%.$,-2(-0&%()%280%e0280$+,)3&%#)30$%280%Z#28,),&(,%M-2>%
e%Z)4+%k%N03>%HFF[%N,?%<FRSIT;<D=Q<DI[@TI>%
I>%`)m#20,l,@!8(+(.&0)%AJB%K#$#.%N5B%!,&',)%jKB%:,)%30$%j0(30%M>%i80%+,&2%.8,&0%"9%
+(90Q%m8"%$01#0&2&%,)3%m8"%$0-0(:0&%0#28,),&(,%"$%.8?&(-(,)@,&&(&203%&#(-(30o%N03%f,$0>%
HF<F%k#+ROE;[=QIDT@TFS>%
T>% :,)%i"+%JB%K(02C0)&%kB%:,)%30$%j0(30%M>%k#34'0)2%"9%#)60,$,6+0%&#990$()4%,)3%
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HF<F%`-2RD[;H@S=Q<TT@[H>%
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W&&#0&%()%5,m%p%N03(-()0>%<DD[R<SQOO[>%
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