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Medical ethics case
Should assisted suicide be legal or illegal
Doctors views on physician assisted suicide
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For the purpose of this discussion, by using MORAL framework for ethical decision-making I will analyze Question 4: What ethical principle does a physician face when he or she gets a request for assisted suicide? As the nurse, what are the conflicting ethical principles that you might face with this request? Many passionate discussions are done on the issues of euthanasia. On one side, people who are pro-euthanasia argue that a person has the right to choose, what is in the best interest of the patient, and some will argue from a medical resources perspective. On the other side, anti-euthanasia arguments present that life is sacred, it is against best interest, it devalues life, there is potential for pressure and abuse, professional integrity, …show more content…
The active euthanasia – also called mercy killing is the act of putting someone to death. Assisted suicide is the act of providing means to end a life but not act as a direct agent of death. Medical professionals face and ethical dilemma when a patient asks for euthanasia or assisted suicide. In the Statement of ANA Position, American Nurses Association provides clear declaration that “prohibits nurses’ participation in the assisted suicide and euthanasia because these acts are in direct violation of Code of Ethics for nurses” (ANA, 2013).
Ethics question: Given conflicting values between patient and medical professional, is ethically justifiable to assist in the assisted suicide. M = Massage the dilemma. The patient is suffering from unbearable and debilitating pain at the-end-of life stage of his/her life and asks medical professional to provide means (medications) to end his/her own life. Major stakeholders in this scenario are the patient who asks for assisted suicide, a medical professional who was asked, other medical professionals and patient’s family members who might be involved in the procedure.
O = Outline the options. Adhere to the patient’s wishes and provide the means for the patient to end his/her own life or refuse to
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In many states, without specific legislative authority or a court decision assisted suicide is considered illegal. Therefore, it would be unethical and illegal to participate in assisted suicide. Thus, when a physician or the nurse get a request from a patient to assist in assisted suicide they should not adhere to this request.
A = Affirm the decision. Considering that according to ANA position statement and that it is illegal in the state where I practice, physicians and the nurses should not participate in the patient assistant suicide.
L = Look back. Evaluating outcomes of the decision made was the right one and ethical dilemma was resolved. Other ethical dilemmas did not emerge related to this specific outcome and the action that was taken. In conclusion, according to Burkhardt & Nathaniel (2014), ethical decision-making process requires many considerations, skill, and repeated practice. It is not easy to come to a conclusion and a course of action when it comes to ethical questions in the nursing practice. A lot of emotions are involved from everyone who is involved in the ethical
The discussion of physician-assisted suicide is frequently focused around the ethical implications. The confusion commonly surfaces from the simple question, what is physician-assisted suicide? Physician-assisted suicide can be defined as a circumstance in which a medical physician provides a lethal dose of medication to a patient with a fatal illness. In this case, the patient has given consent, as well as direction, to the physician to ethically aid in their death (Introduction to Physician-Assisted Suicide: At Issue,
It should not be up to anybody except the dying patient. There are only four states that have legalized assisted suicide.
The word Euthanasia comes from the Greek and means “good death” (http://www.medicinenet.com/script/main/hp.asp) and in the range of this paper, it is called physician assisted suicide or “active” euthanasia. The definition of “active” euthanasia is ending one’s life yourself or with the aid of a doctor. It can be done in various different ways; however, the most common form is with a combination of drugs, usually given by a physician. ( http://www.medicinenet.com/script/main/hp.asp) The reason Physician Assisted Suicide (or PAS) is an important issue in this country and around the world is that there are many people out there suffering from debilitating, incurable and intensely painful diseases that would like to end their lives with dignity and without suffering.
There are many legal and ethical issues when discussing the topic of physician-assisted suicide (PAS). The legal issues are those regarding numerous court cases over the past few decades, the debate over how the 14th Amendment of the United States Constitution comes into play, and the legalization vs. illegalization of this practice. The 14th Amendment states, “nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws” (U.S. Const. amend. XIV, §1). PAS in the past has been upheld as illegal due to the Equal Protection Clause of the 14th amendment of the constitution, but in recent years this same 14th amendment is also part of the reasoning for legalizing PAS, “nor shall any State deprive any person of…liberty” (U.S. Const. amend. XIV, §1). The ethical issues surrounding this topic include a patient’s autonomy and dignity and if PAS should be legalized everywhere. This paper is an analysis of the PAS debate and explores these different issues using a specific case that went to the supreme courts called Washington et al. v. Glucksberg et al.
The ongoing controversy about Physician assisted suicides is an ongoing battle among physicians, patients and court systems. The question of whether or not individuals have the “right” to choose death over suffering in their final days or hours of life continues to be contested. On one side you have the physicians and the Hippocratic Oath they took to save lives; on the other you have the patients’ right to make life choices, even if that means to choose death to end suffering. The ultimate question “is it ethical for a physician to agree to assisted suicides and is it ethical for a patient to request assisted suicide?
Braddock and Tonelli. “Physician-Assisted Suicide.” Ethics in Medicine University of Washington Medical School. 2008. .
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,
Although physician assisted suicide may result in the fulfillment of another’s choice, be considered a compassionate means to end suffering, or even be considered a right, I believe it is not morally acceptable. In the act of physician assisted suicide, a patient voluntarily requests his or her doctor to assist in providing the means needed for self-harm. In most cases of physician assisted suicide, patients who request this type of assistance are terminally ill and mentally competent (i.e. have sufficient understanding of an individual’s own situation and purpose and consequences of any action). Those who have committed the action of physician assisted suicide or condone the act may believe that one has the right to end their own life, the right of autonomy (the right or condition of self governing), the right to a dignified death, believe that others have a duty to minimize suffering, or believe it (physician assisted suicide) to be a compassionate act, or a combination of these things. However, since this act violates the intrinsic value of human life, it is not morally acceptable.
There exists two possible solutions to the ethical dilemma of a terminally ill patient’s right to die: they are the legalization of physician assisted suicide and the banning of it. This paper will explore whether the legalization of PAS should be the recommended course of action or whether there are sufficient negative issues surrounding it to make the banning of it, the correct ethical choice.
Physician assisted suicide (PAS) is a very important issue. It is also important tounderstand the terms and distinction between the varying degrees to which a person can be involved in hastening the death of a terminally ill individual. Euthanasia, a word that is often associated with physician assisted suicide, means the act or practice of killing for reasons of mercy. Assisted suicide takes place when a dying person who wishes to precipitate death, requests help in carrying out the act. In euthanasia, the dying patients may or may not be aware of what is happening to them and may or may not have requested to die. In an assisted suicide, the terminally ill person wants to die and has specifically asked for help. Physician-assisted suicide occurs when the individual assisting in the suicide is a doctor rather than a friend or family member. Because doctors are the people most familiar with their patients’ medical condition and have knowledge of and access to the necessary means to cause certain death, terminally ill patients who have made
In today's society, one of the most controversial health-care-related ethical issues is assisted suicide for terminally ill patients. Assisted suicide is not to be confused with ethically justified end-of-life decisions and actions. Nurses have a responsibility to deliver comprehensive and benevol...
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.
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.
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
The ethical debate regarding euthanasia dates back to ancient Greece and Rome. It was the Hippocratic School (c. 400B.C.) that eliminated the practice of euthanasia and assisted suicide from medical practice. Euthanasia in itself raises many ethical dilemmas – such as, is it ethical for a doctor to assist a terminally ill patient in ending his life? Under what circumstances, if any, is euthanasia considered ethically appropriate for a doctor? More so, euthanasia raises the argument of the different ideas that people have about the value of the human experience.