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Assisted Suicide Case Study
Case of physician assisted suicide
Ethics and the doctor-patient relationship
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In today’s society, physicians are held to high moral and ethical standards in helping patients achieve obtainable and mutually agreed upon goals for their health. However, for the patients constantly suffering from unrelieved pain as a result of a terminal illness, the goals in place and the maximum quality of life they can achieve, may not seem worth the effort to remain alive. As it is the physician’s duty to insure patients are as comfortable as possible, an ethical issue arises when the patient seeks to have the physician assist directly or indirectly in the hastening of their death to achieve a painless and nonsuffering state. Currently, there are two dominant methods in which this can be achieved and that is by euthanasia or physician-assisted …show more content…
These “encourage individuals to inform their physicians about the persons they most trust to decide on their behalf and how they would wish to be treated at a future time when they might be unable to participate in decisions about their own care” (Jonsen, Siegler, and Winslade 86). In the case of Terri, there was no certainty of what her wishes would have been. If she would have had advanced directive documentation that existed, she would have been able to appoint Michael are her durable power of attorney or “designated decision maker” (Jonsen, Siegler, and Winslade 88). Another option would have been her having a living will that list who she wanted appointed as her power of attorney, but also address other circumstances that may include treatment when incapacitate or the need of life support and a feeding tube. Since Michael was seen as a surrogate and Terri did not express her preference to anyone else, his actions seemed contrary to her benefit in the view of her …show more content…
However, some individuals do not view it as such, because it is not the direct taking of a life by the physician. It would be considered a secondary cause, because she will die of dehydration or starvation rather than a lethal substance being injected into her veins. There is the appearance that certain acts of euthanasia would be deemed acceptable from a moral and ethical point of view. The ethical issue that arises from this is whether this form constitutes as a humane because ultimately it would still apply as nonvoluntary euthanasia. Yet, the end result is always the same and that is the death of the
Diane: A Case of Physician Assisted Suicide. Diane was a patient of Dr. Timothy Quill, who was diagnosed with acute myelomonocytic leukemia. Diane overcame alcoholism and had vaginal cancer in her youth. She had been under his care for a period of 8 years, during which an intimate doctor-patient bond had been established.
As a result, life-sustaining procedures such as ventilators, feeding tubes, and treatments for infectious and terminal diseases are developing. While these life-sustaining methods have positively influenced modern medicine, they also inadvertently cause terminal patients extensive pain and suffering. Previous to the development of life-sustaining procedures, many people died in the care of their own home, however, today the majority of Americans take their last breath lying in a hospital bed. As the advancement of modern medicine continues, physicians and patients are going to encounter life-altering trials and tribulations. Arguably, the most controversial debate in modern medicine is the discussion of the ethical choice for physician-assisted suicide.
Any discussion that pertains to the topic of euthanasia must first include a clear definition of the key terms and issues. With this in mind, it should be noted that euthanasia includes both what has been called physician-assisted "suicide" and voluntary active euthanasia. Physician-assisted suicide involves providing lethal medication(s) available to the patient to be used at a time of the patient’s own choosing (Boudreau, p.2, 2014). Indifferently, voluntary active euthanasia involves the physician taking an active role in carrying out the patient’s request, and usually involves intravenous delivery of a lethal substance. Physician-assisted suicide is felt to be easier psychologically for the physician and patient than euthanasia because
Several of the main reasons provided are, the state has the commitment to protect life, the medical profession, and vulnerable groups (Washington et al. v. Glucksberg et al., 1997). However, in 2008 the Supreme Courts reversed their previous decision and passed the Death with Dignity Act legalizing PAS for Washington State. This declares that terminally ill individuals in the states of Oregon, Washington, Montana, and Vermont now have the liberty to choose how they will end their lives with either hospice care, palliative care, comfort measures, or PAS. The question remains: will the rest of the United States follow their lead?
gotten to the point where they feel as if there is no point in living.
In the medical field, there has always been the question raised, “What is ethical?” There is a growing conflict between two important principles: autonomy and death being considered a medical treatment. Physician assisted suicide is defined as help from a medical professional,
The approach of physician-assisted suicide respects an individual’s need for personal dignity. It does not force the terminally ill patient to linger hopelessly, and helplessly, often at great cost to their psyche. It drive’s people mad knowing they are going to die in a short period of time, suffering while they wait in a hospital bed.
Dr. Braddock and Dr. Tonelli use Aristotelian rhetoric in their article titled, “Physician Aid-in-Dying: Ethical Topic in Medicine.” The authors provide examples of logos by providing statistics about physician assisted suicide. In the article you will find pathos that will offer different emotions within the topic. These authors have many ethos or many years of credentials within the medical field.
Johnson, S. M., Cramer, R. J., Conroy, M. A., & Gardner, B. O. (2013). The Role of and
Should physicians be able to assist patients who are terminally ill end their lives? Physician assisted suicide is a very controversial subject. In today’s society, people who commit suicide are known as “insane,” a person who takes prescription pills is known as a “drug addict” or “criminal.” However, when a doctor honors a patient’s request for a lethal dose of medicine, (which the patient will inject themselves) to end their life in peace is considered to be a murderer. However, when a physician unplugs a terminally ill patient who is on life support at the patient’s request is just doing their job. However, a person whose quality of life is nonexistent and are faced with a terminal illness should have the right to decide to seek physicians assistance.
As patients come closer to the end of their lives, certain organs stop performing as well as they use to. People are unable to do simple tasks like putting on clothes, going to the restroom without assistance, eat on our own, and sometimes even breathe without the help of a machine. Needing to depend on someone for everything suddenly brings feelings of helplessness much like an infant feels. It is easy to see why some patients with terminal illnesses would seek any type of relief from this hardship, even if that relief is suicide. Euthanasia or assisted suicide is where a physician would give a patient an aid in dying. “Assisted suicide is a controversial medical and ethical issue based on the question of whether, in certain situations, Medical practioners should be allowed to help patients actively determine the time and circumstances of their death” (Lee). “Arguments for and against assisted suicide (sometimes called the “right to die” debate) are complicated by the fact that they come from very many different points of view: medical issues, ethical issues, legal issues, religious issues, and social issues all play a part in shaping people’s opinions on the subject” (Lee). Euthanasia should not be legalized because it is considered murder, it goes against physicians’ Hippocratic Oath, violates the Controlled
One of the most controversial end-of-life decisions is “physician-assisted suicide” (PAS). This method of suicide involves a physician providing a patient, at his or her own request, with a lethal dose of medication, which the patient self-administers. The ethical acceptability and the desirability of legalization of this practice both continue to cause controversy (Raus, Sterckx, Mortier 1). Vaco v. Quill and Washington v. Glucksberg were landmark decisions on the issue of physician-assisted suicide and a supposed Constitutional right to commit suicide with another's assistance. In Washingotn v. Glucksberg, the Supreme Court unanimously ruled that the state of Washington's ban on physician-assisted suicide was not unconstitutional. Justices noted that while terminally ill patients on life support have legal right to refuse all treatment, terminally ill patients who are not on life support lack this right. Although the U.S. Supreme Court ruled that a ban on physician-assisted suicide was not unconstitutional, individual states were free to enact laws permitting physician-assisted suicide. Not long after this ruling, Oregon passed adopted the Death with Dignity Act (DWDA) permitting physician-assisted suicide under certain conditions (State of Oregon 1995). More recently, Oregon's neighbor state Washington also enacted a law allowing physician-assisted suicide – the Washington Death with Dignity Act (State of Washington 2008) (Raus, Sterckx, Mortier 2).
The right to assisted suicide is a significant topic that concerns people all over the United States. The debates go back and forth about whether a dying patient has the right to die with the assistance of a physician. Some are against it because of religious and moral reasons. Others are for it because of their compassion and respect for the dying. Physicians are also divided on the issue. They differ where they place the line that separates relief from dying--and killing. For many the main concern with assisted suicide lies with the competence of the terminally ill. Many terminally ill patients who are in the final stages of their lives have requested doctors to aid them in exercising active euthanasia. It is sad to realize that these people are in great agony and that to them the only hope of bringing that agony to a halt is through assisted suicide.When people see the word euthanasia, they see the meaning of the word in two different lights. Euthanasia for some carries a negative connotation; it is the same as murder. For others, however, euthanasia is the act of putting someone to death painlessly, or allowing a person suffering from an incurable and painful disease or condition to die by withholding extreme medical measures. But after studying both sides of the issue, a compassionate individual must conclude that competent terminal patients should be given the right to assisted suicide in order to end their suffering, reduce the damaging financial effects of hospital care on their families, and preserve the individual right of people to determine their own fate.
Throughout the course of history, death and suffering have been a prominent topic of discussion among people everywhere. Scientists are constantly looking for ways to alleviate and/or cure the pain that comes with the process of dying. Treatments typically focus on pain management and quality of life, and include medication and various types of therapy. When traditional treatments are not able to eliminate pain and suffering or the promise of healing, patients will often consider euthanasia or assisted suicide. Assisted suicide occurs when a person is terminally ill and believes that their life is not worth living anymore. As a result of these thoughts and feelings, a physician or other person is enlisted to “assist” the patient in committing suicide. Typically this is done by administering a lethal overdose of a narcotic, antidepressant or sedative, or by combining drugs to create an adverse reaction and hasten the death of the sick patient. Though many people believe that assisted suicide is a quick and honorable way to end the sufferings of a person with a severe illness, it is, in fact, morally wrong. Assisted suicide is unethical because it takes away the value of a human life, it is murder, and it opens the door for coercion of the elderly and terminally ill to seek an untimely and premature death. Despite the common people’s beliefs, assisted suicide is wrong and shouldn’t be legalized.
Should a patient have the right to ask for a physician’s help to end his or her life? This question has raised great controversy for many years. The legalization of physician assisted suicide or active euthanasia is a complex issue and both sides have strong arguments. Supporters of active euthanasia often argue that active euthanasia is a good death, painless, quick, and ultimately is the patient’s choice. While it is understandable, though heart-rending, why a patient that is in severe pain and suffering that is incurable would choose euthanasia, it still does not outweigh the potential negative effects that the legalization of euthanasia may have. Active euthanasia should not be legalized because