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Case studies on doctor assisted suicide
Case studies on doctor assisted suicide
Case studies on doctor assisted suicide
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On the 28th October 2015, I finally got the answer to a question that had been exercising my mind for a number of years. On that day I was told that I had incurable cancer and that my life expectancy was unlikely to be years. The irony is that I would not die as a result of Multiple Sclerosis that had plagued me for 17 years but of a disease that had not been diagnosed soon enough for treatment.
I suppose one of the problems of having a chronic disease is that most symptoms such as numbness, cold extremities, nerve pain, fatigue and oedema are dismissed as ‘just your MS’, whereas actually they were symptoms of liver disease which was secondary to an unidentified cancer.
For the 17 years I have lived with MS, I have been thinking of the manner
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She explained that the Royal College reflected the view of their members and to discover what their thoughts were the College surveyed them on two separate occasions. The first time assisted dying appears on the agenda is approximately 5 years ago and at that time members returned a 70/30 against vote. More recently during the debate of Lord Falconer’s Assisted Dying Bill, the RCP surveyed their members again and although the majority of their members were still against, the vote returned was now 60/40 against which indicated a softening of the attitude towards assisted dying. We talked about the reluctance of doctors to write a lethal prescription and agreed that doctors did not go into medicine to end life but to sustain it. I had noticed that since my diagnosis of incurable cancer doctors were much more willing to prescribe medication which in large enough doses might lead to death. This may be indicate that with the aim of controlling pain doctors are willing to take the risk that the patient might use this medication to end their life. I have since discovered that this is described as a ‘doctrine of double effect’.
However, I am not going to spend a long time describing the nitty-gritty of this because there is an elephant in the room. Both of these writings are on a terrible chronic disease affecting millions of people worldwide. What’s worse is that millions and millions more do not even know that this disease exists. I remember when I sprained my ankle while playing baseball, it was so bad that I needed crutches for two weeks and had to keep my foot wrapped for multiple weeks after. The incident took me out for the rest of the season, where my little league team got very close to going into the postseason but fell short. Due to my absence, I felt partly responsible for my team’s loss. I cannot begin to fathom the effect that MS would have in my life
MS causes a degeneration of the myelin around axons due to the killing off of oligodendrocytes, which are cells that make up the myelin sheath of an axon; losing myelin decreases the neuron’s ability to propagate an action potential. Since this disease affects the central nervous system, MS can cause dysfunction of both the sensory and the motor aspects of the body. Some common sensory complaints(Lundy-Ekman, 2007) of MS are tingling, numbness, and/or paresthesia in the affected area, which is variable but typically involves one or more limbs (Palace, 2001), as well as partial blindness in one eye, a decrease in vision acuity, and double vision. Lhermitte’s sign, which is a radiating shock that travels down the back or limbs, is another common characteristic of MS that aff...
In 1969, Elisabeth Kübler-Ross opened a dialogue of debate about death and dying. She accomplished this with her ground breaking book “On Death and Dying.” In 1993, another physician by the name of Sherwin Nuland, continued the dialogue with his popular book “How We Die- Reflections on Life’s Final Chapter.” A comparison of chapter one, On the Fear of Death, from Kübler-Ross’s book, and chapter seven, Accidents, Suicide, and Euthanasia, of Nuland’s book, shows that both Kübler-Ross and Nuland argue for control over the circumstances surrounding a patient’s death. However, while Kübler-Ross advocates for strong patient control, Nuland emphasizes the need for physician and society control.
However, the framework in practice is very complex, and has various inconsistencies, such as the legality of refusing treatment, the sovereignty of a living will and the issue of prosecuting those who assist someone to end their lives. There is evidence that shows doctors using palliative sedation as a means to facilitate death in patients that are in extreme pain and the use of limiting or even stopping treatment at the patient’s request is not uncommon. The difficulties of putting the law into practice make it extremely difficult for courts, legislators and doctors to reach clear decisions on individual cases. Therefore, the inconsistencies in the legal framework need to be addressed, as with these present the argument against legalising the right to die is weakened. Legalising assisted dying would simplify the framework and ensure that set barriers and safeguards could be created in order to protect the patient and his/her
With MS, most people experience exacerbations, where symptoms get progressively worse, which are then “followed by periods of reduced or no symptoms,” indicative of remission (PubMed Health 2013). Though for many it is “common for the disease to return (relapse), […for some] the disease may continue to get worse without periods of remission” (PubMed Health 2013). Also, the severity of the disorder can be amplified by exposure to extreme heat in addit...
Imagine being diagnosed with a disease that is going to kill you, but then you learn that you cannot do anything to avoid the pain it will cause you. The palliative care you will receive will only be able to provide slight comfort. You look at the options and consult with your physician, and decide physician-assisted suicide, or PAS, is what you want. Within the last two decades, the argument regarding physician-assisted suicide has grown. While some believe that death should be "natural", physician-assisted suicide helps the terminally ill maintain their dignity while dying. Physician assisted suicide should be a viable option for those diagnosed with a terminal illness. It provides a permanent relief to the pain and suffering that is involved
According to National Multiple Sclerosis Society, Multiple Sclerosis (MS) is an unpredictable, often disabling disease of the central nervous system (CNS) that disrupts the flow of information within the brain, and between the brain and body. The central nervous system (CNS) comprises of the brain and the spinal cord. CNS is coated and protected by myelin sheath that is made of fatty tissues (Slomski, 2005). The inflammation and damage of the myelin sheath causing it to form a scar (sclerosis). This results in a number of physical and mental symptoms, including weakness, loss of coordination, and loss of speech and vision. The way the disease affect people is always different; some people experience only a single attack and recover quickly, while others condition degenerate over time (Wexler, 2013). Hence, the diagnosis of MS is mostly done by eliminating the symptoms of other diseases. Multiple sclerosis (MS) affects both men and women, but generally, it is more common in women more than men. The disease is most usually diagnosed between ages 20 and 40, however, it can occur at any age. Someone with a family history of the disease is more likely to suffer from it. Although MS is not
Primarily, the term MS refers to a chronic disorder that attacks the central nervous system (CNS). It is most common in temperate continents such as Europe and Australia with Asiatic and African continents having a lower risk of the disease (Wiley Online Library, 2013). A search organised by the Multiple Sclerosis Society (2013) has estimated that there are 127,000 people living with MS in the United Kingdom. Further research by Chipps, Clanin, and Campbell (1992, pp. 158-167) shows that MS disorder more likely affects women than men with its symptoms occurring between the ages of 20 and 40 in most cases and is quite uncommon in childhood and old age. The nerve cells known as neurons in the brain constantly transmit and receive signals. They invoke emotions, activities and cognition that constitute the day to day experiences of humans. Under normal circumstances, these signals travel on a protected insulation path known as the myelin sheath. This insulation is vital as it enables signals to reach their target. In Multiple Sclerosis, the myelin sheath gets disintegrated causing the nerve fibre to be damaged leading to a disruption in the abili...
Death is not a concept that is well grasped or understood but we all know the cycle of life, we live and we die. We do not know how and we do not know when, our fate is laid out for us, we just learn to accept it because it is just how it goes. Some are lucky enough to live a healthy life with few to none complications and some find themselves fighting for their lives because of a terminating illness or severely injured from any type of accident. In an act of pain, torture, agony and knowing there is no hope for survival why can it not be you that has the upper hand in deciding when it is time to say goodbye.
We believe all people have the freedom to make choices in their life, however, the question posed today is whether we have the freedom to choose our death. Some say absolutely. We should have the freedom to decide how we spend our last days. If they’re filled with pain, debilitating, and cause hardship on our loved ones, we should have the right to opt out. Others take the view that we didn’t choose our birth, therefore our death isn’t ours to choose either. This has caused much debate as moral, ethical and legal ramifications come into the mix. This in turn has led to defining the process under two different terms for legal purposes. They are euthanasia and physician assisted suicide. Internationally, assisted suicide is a doctor prescribing
Physicians Assisted Suicide An Argumentative Essay Physicians Assisted suicide is a topic many people are not fully informed about. Physician assisted suicide, or PAS for short, is when a physician can legally prescribe medicine for a patient to take in order to medically kill themselves. I believe that PAS should be talked more about in order for more people to understand how bad or grave it can be to a family and to our world. PAS falls underneath the umbrella of euthanasia. ?
Critics to the idea of providing dying patients with lethal doses, fear that people will use this type those and kill others, “lack of supervision over the use of lethal drugs…risk that the drugs might be used for some other purpose”(Young 45). Young explains that another debate that has been going on within this issue is the distinction between killings patients and allowing them die. What people don’t understand is that it is not considered killing a patient if it’s the option they wished for. “If a dying patient requests help with dying because… he is … in intolerable burden, he should be benefited by a physician assisting him to die”(Young 119). Patients who are suffering from diseases that have no cure should be given the option to decide the timing and manner of their own death. Young explains that patients who are unlikely to benefit from the discovery of a cure, or with incurable medical conditions are individuals who should have access to either euthanasia or assisted suicide. Advocates agreeing to this method do understand that choosing death is a very serious matter, which is why it should not be settled in a moment. Therefore, if a patient and physician agree that a life must end and it has been discussed, and agreed, young concludes, “ if a patient asks his physician to end his life, that constitutes a request for
Life or Death? I see it fitting to start off by actually explaining what “Right to Die” is. The Right to Die is a principle based on a person’s choice to terminate their life or to endure voluntary euthanasia. The two Supreme Court cases that relate to the constitutional Right to Die are Cruzan by Cruzan V. Director, Missouri Department of Health and Washington V. Glucksberg . The first of these cases is based on the constitutional right of the state to interfere with medical decisions. Whether the state has a right to withhold the parent’s decision to remove life-sustaining support from their child. While the second case argues whether the state has a right to restrict a patient’s decision to partake in Physician Assisted Suicide.
Today, medical interventions have made it possible to save or prolong lives, but should the process of dying be left to nature? (Brogden, 2001). Phrases such as, “killing is always considered murder,” and “while life is present, so is hope” are not enough to contract with the present medical knowledge in the Canadian health care system, which is proficient of giving injured patients a chance to live, which in the past would not have been possible (Brogden, 2001). According to Brogden, a number of economic and ethical questions arise concerning the increasing elderly population. This is the reason why the Canadian society ought to endeavor to come to a decision on what is right and ethical when it comes to facing death. Uhlmann (1998) mentions that individuals’ attitudes towards euthanasia differ. From a utilitarianism point of view – holding that an action is judged as good or bad in relation to the consequence, outcome, or end result that is derived from it, and people choosing actions that will, in a given circumstance, increase the overall good (Lum, 2010) - euthanasia could become a means of health care cost containment, and also, with specific safeguards and in certain circumstances the taking of a human life is merciful and that all of us are entitled to end our lives when we see fit.
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