Planning for end of life in the past and present: historical, legal and clinical perspectives on ReSPECT.

IF 8.8 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of the Royal Society of Medicine Pub Date : 2025-02-19 DOI:10.1177/01410768251317843

James David van Oppen, Sarah Gunn, Timothy John Coats, Nataly Papadopoulou, Michaela Senkova, Sarah Tarlow, Elizabeth Wicks

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Abstract

The ReSPECT ('Recommended Summary Plan for Emergency Care and Treatment') process was developed in the UK to guide and document conversations and decision-making with patients and their relatives around intervention during critical deterioration. This includes advising whether resuscitation should be attempted when a person dies. Current medical preparation for death is qualitatively different to social behaviours by people in the past and presents some controversies when considering the legal status of death-related decisions. In this article, we discuss our interdisciplinary perspectives as archaeological, historical, legal, medical and clinical psychologist academics following a historico-medico-legal appraisal of the ReSPECT process as situated in the current UK legal and cultural landscape. We review controversies and conundrums, and contextualise and contrast the current position to preparing for death and dying in the past.

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来源期刊

Journal of the Royal Society of Medicine 医学-医学：内科

CiteScore

8.40

自引率

3.50%

发文量

107

审稿时长

6-12 weeks

期刊介绍： Since 1809, the Journal of the Royal Society of Medicine (JRSM) has been a trusted source of information in the medical field. Our publication covers a wide range of topics, including evidence-based reviews, original research papers, commentaries, and personal perspectives. As an independent scientific and educational journal, we strive to foster constructive discussions on vital clinical matters. While we are based in the UK, our articles address issues that are globally relevant and of interest to healthcare professionals worldwide.