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. 2003 Jul 26;327(7408):180. doi: 10.1136/bmj.327.7408.180-b

Freedom from unpleasant symptoms is essential for a good death

Jocalyn Clark 1
PMCID: PMC1126569  PMID: 12881238

Over three quarters of voters in a poll conducted on bmj.com to coincide with this theme issue considered freedom from unpleasant symptoms during dying as the most important characteristic of a good death.

Table 1.

Non-healthcare professionals (%) Healthcare professionals (%)
What are your three most important characteristics of a good death?
Choice over where I die 32 30
Choice over when I die (with possibility of bringing my death forward) 42 27
Choice over with whom I die 28 25
Freedom from unpleasant symptoms (pain, shortness of breath) 80 77
Freedom from heroic medical interventions 20 35
With specialist palliative care services available 15 17
With my spiritual needs addressed 19 28
With psychological support available 15 10
With my financial matters resolved 18 22
With bereavement care for my family 26 24
Where would you prefer to die?
Home 67 76
Hospice 7 6
Hospital 2 12
No preference 23 15

Over half the respondents wanted control over the timing or place of their death. By Monday 21 July, 692 people had responded to the questions.

For the 171 non-healthcare professionals who had voted, the top three characteristics of a good death were: freedom from unpleasant symptoms such as pain or shortness of breath (80% of voters), choice over timing of death (42%), and choice over place of death (32%).

For the 521 healthcare professionals who had voted, the top three were: freedom from unpleasant symptoms (77%), freedom from heroic medical interventions (35%), and choice over place of death (30%).


Articles from BMJ : British Medical Journal are provided here courtesy of BMJ Publishing Group

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