Euthanasia has been an ongoing debate for many years. Everyone has an opinion on why euthanasia should or should not be allowed but, it is as simple as having the choice to die with dignity. If a patient wishes to end his or her life before a disease takes away their quality of life, then the patient should have the option of euthanasia. Although, American society considers euthanasia to be morally wrong euthanasia should be considered respecting a loved one’s wishes. To understand euthanasia, it is important to know the rights humans have at the end of life, that there are acts of passive euthanasia already in practice, and the beneficial aspects. Death is a personal experience and to ensure loved one’s wishes, there has to be the ‘what if’ conversation. It is natural to talk about the possible end with loved ones after marriage and having children. Living wills are obtained and do not resuscitate orders, thoughts of a possible guardian for the children, life insurance, appointing a health care agent, and any other loose ends that will ensure the well being of the family. A health care agent is someone who the patient designates to make medical decisions, if decisions cannot be made generally. The chosen agent should be a person who knows the wishes on the extent of medical care treatment wanted. The appointed health care agent should be someone who is not afraid to ask questions of the healthcare professionals to get information needed to make decisions and be assertive to ensure that wishes are respected. (Healthcare Agents, n.d.). While the thought of ensuring the patient’s last wishes by a health care agent is present, consider this scenario. There is a 68 year old male patient with a medical history including a hea... ... middle of paper ... ...What Are the Potential Cost Savings from Legalizing Physician-Assisted Suicide? The New England Journal of Medicine, 339, 167-172. Retrieved from http://www.nejm.org/doi/full Healthcare Agents, (n.d.). Healthcare Agents: Choosing One and Being One. Caring Connections. Retrieved from http://www.caringinfo.org Rurup, M. L., Pasman, H. R. W., Goedhart, J., Deeg, D. J. H., Kerkhof, A. J. F. M., & Onwuteaka-Philipsen, B. D. (2011). Understanding Why Older People Develop a Wish to Die. The Journal of Crisis Intervention and Suicide Prevention, 32(4), 204-216. Retrieved from http://web.ebscohost.com.lib.kaplan.edu/ehost/pdfviewer American Thoracic Society, (n.d.). Withdrawal of life-sustaining treatments. American Thoracic Society. Retrieved from http://www.thoracic.org/clinical/critical-care/patient-information/withdrawal-of-life-sustaining-treatments.php
Anyone can be diagnosed with a terminal illness. It doesn’t matter how healthy you are, who you are, or what you do. Some terminal illnesses you can prevent by avoiding unhealthy habits, eating healthily, exercising regularly and keeping up with vaccinations. However some terminally ill people cannot be helped, their diseases cannot be cured and the only thing possible to help them, besides providing pain relieving medication, is to make them as comfortable as possible while enduring their condition. Many times the pharmaceuticals do not provide the desired pain escape, and cause patients to seek immediate relief in methods such as euthanasia. Euthanasia is the practice of deliberately ending a life in order to alleviate pain and suffering, but is deemed controversial because many various religions believe that their creators are the only ones that should decide when their life’s journey should reach its end. Euthanasia is performed by medical doctors or physicians and is the administration of a fatal dose of a suitable drug to the patient on his or her express request. Although the majority of American states oppose euthanasia, the practice would result in more good as opposed to harm. The patient who is receiving the euthanizing medication would be able to proactively choose their pursuit of happiness, alleviate themselves from all of the built up pain and suffering, relieve the burden they may feel they are upon their family, and die with dignity, which is the most ethical option for vegetative state and terminally ill patients. Euthanasia should remain an alternative to living a slow and painful life for those who are terminally ill, in a vegetative state or would like to end their life with dignity. In addition, t...
When needing to use the advance care directive, it is important that the individual’s wishes be carried out by their proxy and their physicians, no matter what their own personal beliefs are. The last action that should be taken when considering end-of-life care is that is should be reassessed periodically. This is important because an individual may change their mind about what kind of care they would want to receive as they get older.
Many of his suggestions provided revolve around training doctors to better assist patients in end-of-life care decisions and to ask pertinent questions and have frank discussions on the matter that encompass more than just medical care, which is what much of the literature provides. However, while many of these suggestions can be implemented, one relevant question is whether healthcare providers, when faced with these critical junctures, always have the time to do so, especially if it is a time-sensitive intervention that requires quick thinking. This may be why Gawande advocates for planning beforehand with the family/patient regarding their desires for end-of-life care, so that if this critical juncture is reached, the best decision is made that accords with the wishes of the
Thanks in part to the scientific and technological advances of todays’ society, enhanced medicinal treatment options are helping people battle illnesses and diseases and live longer than ever before. Despite these advances, however, many people with life threatening illnesses have needs and concerns that are unidentified and therefore unmet at the end of life, notes Arnold, Artin, Griffith, Person and Graham (2006, p. 62). They further noted that when these needs and concerns remain unmet, due in part to the failure of providers to correctly evaluate these needs, as well as the patients’ reluctance to discuss them (p. 63, as originally noted by Heaven & Maguire, 1997), a patient’s quality of life may be adversely affected. According to Bosma et al. (2010, p. 84), “Many generalist social work skills regarding counseling, family systems, community resources, and psychosocial assessments are relevant to working with patients and families with terminal illness”, thereby placing social workers in the distinctive position of being able to support and assist clients with end of life decisions and care planning needs. In fact, they further noted that at some point, “most social work practitioners will encounter adults, children, and families who are facing progressive life limiting illness, dying, death, or bereavement” (p. 79).
The Public Health Imperative measures the quality of life of an individual during times of severe chronic illness. This health imperative is characterized by: the potential to prevent suffering caused by the illness, major impact, and high burden. In the recent past is has become evident that care for older people, who have potential to become terminally ill, must be focused on. The types of patients may also lose the capability to make some of their most important decisions which include actions made by health professionals that are related to their end of life situation. Luckily actions were made to identify certain priorities pertaining to the public health and end of life issues. These priorities were established by the National Association of Chronic Disease Directors and the Healthy Aging Program at the Centers for Disease Control and Prevention. These end of life health priorities which address short-term, medium-term and long-term needs are also called advanced care planning. It can be concluded that communication between professionals and among families about the patient can enhance the effectiveness of advanced care planning.
While navigating the abundant and sometimes confusing legal language of advance directives can be time consuming, it would benefit every person to consider their end of life wishes and have some form of written statement available for their doctor and family to understand those wishes. Doing this in advance can prevent emotional anguish, suffering and expensive litigation. In the end, clearly and when possible, written, documentation of a medical directive, a living will, or a chosen health care power of attorney will lessen the burden for the medical professionals and family of a dying or incapacitated person.
The care of patients at the end of their live should be as humane and respectful to help them cope with the accompanying prognosis of the end of their lives. The reality of this situation is that all too often, the care a patient receives at the end of their life is quite different and generally not performed well. The healthcare system of the United States does not perform well within the scope of providing the patient with by all means a distress and pain free palliative or hospice care plan. To often patients do not have a specific plan implemented on how they wish to have their end of life care carried out for them. End of life decisions are frequently left to the decision of family member's or physicians who may not know what the patient needs are beforehand or is not acting in the patient's best wishes. This places the unenviable task of choosing care for the patient instead of the patient having a carefully written out plan on how to carry out their final days. A strategy that can improve the rate of care that patients receive and improve the healthcare system in general would be to have the patient create a end of life care plan with their primary care physician one to two years prior to when the physician feels that the patient is near the end of their life. This would put the decision making power on the patient and it would improve the quality of care the patient receives when they are at the end of their life. By developing a specific care plan, the patient would be in control of their wishes on how they would like their care to be handled when the time of death nears. We can identify strengths and weakness with this strategy and implement changes to the strategy to improve the overall system of care with...
I am presented with questions, from both family and patients, regarding when it is appropriate to die peacefully and not prolong living with a terminal disease. I see how hard it is on the family and the patient when they do not agree about an end of life decision. During a start of care, I always ask if the patient has a DNR. Although it is a simple yes or no question, I believe after viewing these videos, I will discuss the importance of making their wishes known, to both the family and healthcare staff, prior to experiencing a condition that could prevent them from expressing their wishes. It is very important to discuss this information with their family and physician and take appropriate action when they are still fairly healthy and in sound
In this essay, I will discuss whether euthanasia is morally permissible or not. Euthanasia is the intention of ending life due to inevitable pain and suffering. The word euthanasia comes from the Greek words “eu,” which means good, and “thanatosis, which means death. There are two types of euthanasia, active and passive. Active euthanasia is when medical professionals deliberately do something that causes the patient to die, such as giving lethal injections. Passive euthanasia is when a patient dies because the medical professionals do not do anything to keep them alive or they stop doing something that was keeping them alive. Some pros of euthanasia is the freedom to decide your destiny, ending the pain, and to die with dignity. Some cons
The choices that these families face are in fact extremely difficult and may take a lot of time. The focus on making sure that the loved one is comfortable and doing what they want is stressed throughout the book. It is also mentioned how doctors and medical professionals provide the options for patients and their end of life care but how these conversations are difficult for doctors as well. Finding the balance of being too emotional or emotionless, too pushy or not pushy enough. These are some challenges that people face as they choose how they want to live the rest of their final days. The author provides a lot of stories that deal with very different cases but a theme within these cases is making sure that the patient gets what they want in the end. That they get to accomplish their goal. Whether that be not feeling pain or getting to teach piano lessons one last time to their students. Hospice and other services are also mentioned and how these services provide
Although healthcare providers are able to have some input in the decision making process in healthcare, they truly are not always aware of what their patients want. Only a patient has the responsibility to decide what direction according to their health that they want to go. It is a matter of choosing someone or something to lay out directives in case such a circumstance is to take place. Mo...
will have to make the decision on where the patient want to spend their last days, treatments
While there are many rules and regulations outlining medical assistance in dying, one eligibility criteria is of particular interest. Informed consent must be provided
In the following essay, I argue that euthanasia is not morally acceptable because it always involves killing, and undermines intrinsic value of human being. The moral basis on which euthanasia defends its position is contradictory and arbitrary in that its moral values represented in such terms as ‘mercy killing’, ‘dying with dignity’, ‘good death’ and ‘right for self-determination’ fail to justify taking one’s life.
The world is full of people, some of which are suffering every day from pain. Even with the advancements that have been made with medicine, it’s not enough to cure many diseases or to heal a person’s pain. Euthanasia is commonly referred to as a “mercy killing”. It is the intentional act of putting a person to death quietly and painlessly who has an incurable or painful disease, it is intended to be an act of mercy. According to (ANA, 2013), Euthanasia is the act of putting to death someone suffering from a painful and prolonged illness or injury.