Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Apr 2003
Case Reports[Diagnostic image (134). A woman with a crepitating arm. Post trauma emphysema].
A 35-year-old woman presented with extensive subcutaneous emphysema caused by trapping of air by valve-like wound edges after a minor trauma of her right olecranon.
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Ned Tijdschr Geneeskd · Apr 2003
Case Reports['Tired of life': a reason to evaluate physical handicaps].
A 91-year-old woman was admitted to a nursing home because of functional deterioration: poor vision and hearing, and diminished mobility. She had been widowed for 30 years, had no children and a very small social network. She described herself as 'tired of life', and alluded to the assisted suicide of the former senator Brongersma, where this term was the trigger to the administration of assistance. ⋯ The term 'tired of life' appears to be rather confusing, as it has no medical connotation. It is recommended that elderly persons who ask for help in dying because they are 'tired of life', based on physical handicaps, are evaluated carefully to determine the severity of the handicaps and the hopelessness and unbearableness of the suffering. This could lead to the patient receiving assistance in dying.