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Principles of palliative care nursing
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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 …show more content…
Patients are scared of what the disease will do to them and how they will feel. Advocates say that the name physician assisted suicide is misleading, in part because people associated suicide with being a horrid thing. Psychological factors are a major reason, mainly including depression, feeling like a burden, fearing loss of control or dignity, or being dependent. Many patients do not want palliative care because they feel they will be mistreated, harmed, or just not cared for by their caretaker. If this is the case, it can make things worse because it can cause more suffering through secondary illness 's and other complications due to neglect.(Lachman 3) The patient can develop bedsores and atrophy if not properly moved, they can lose the ability to feed themselves and use the facility. Patients that are utilizing PAS often remain in the care of family and hospice during the time of their death, but before then most utilize a limited amount of palliative care to help control their pain. (Lachman 4) Depending on what the patient is utilizing to aid in their dying the body itself may often help with pain management. If the patient is utilizing the VSED, the body will produce a strong Opiate, which is known to have an anesthetic effect on the body, reducing the pain and thirst felt. Chewing in ice and mouth washes often help with the feeling of thirst, and artificial saliva help when patients choose terminal dehydration. (Pickert
Imagine a family member being extremely ill and suffering from day to day. When they decide they cannot take the pain any more, would you want them to pull through for you or would you fulfill their dying wish and let the doctor pull the plug? Could you even make a decision? Many people would not allow such an event to happen because with all the pain and confusion the patient is enduring may cause confusion and suicidal tendencies. However, there are people who believe otherwise. This is called physician-assisted suicide. Physician-assisted suicide (PAS) is a controversial topic that causes much debate. Though it is only legal in the three states Oregon, Washington and Montana, there are many people who are for it and think it can be necessary. Even with morals put aside, Physician-assisted suicide should be illegal because it will be a huge violation of the oath every doctor must abide by, there would be no real way to distinguish between people who are suffering and the people who are faking or depressed, and it causes a lot of confusion to people with new diseases or new strands of disease that does not have a clear cure.
Imagine, if you will, that you have just found out you have a terminal medical condition. Doesn’t matter which one, it’s terminal. Over the 6 months you have to live you experience unmeasurable amounts of pain, and when your free of your pain the medication you’re under renders you in an impaired sense of consciousness. Towards the 4th month, you begin to believe all this suffering is pointless, you are to die anyways, why not with a little dignity. You begin to consider Physician-Assisted Suicide (PAS). In this essay I will explain the ethical decisions and dilemmas one may face when deciding to accept the idea of Physician-Assisted Suicide. I will also provide factual information pertaining to the subject of PAS and testimony from some that advocate for legalization of PAS. PAS is not to be taken lightly. It is the decision to end one’s life with the aid of a medical physician. Merriam-Webster’s Dictionary states that PAS is “Suicide by a patient facilitated by means (as a drug prescription) or by information (as an indication of a lethal dosage) provided by a physician aware of the patient’s intent.” PAS is considered, by our textbook – Doing Ethics by Lewis Vaughn, an active voluntary form of euthanasia. There are other forms of euthanasia such as non-voluntary, involuntary, and passive. This essay is focusing on PAS, an active voluntary form of euthanasia. PAS is commonly known as “Dying/Death with Dignity.” The most recent publicized case of PAS is the case of Brittany Maynard. She was diagnosed with terminal brain cancer in California, where she lived. At the time California didn’t have Legislative right to allow Brittany the right to commit PAS so she was transported to Oregon where PAS is legal....
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
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.
The patient might just be waiting for the disease they have caught to kill them, but it does not always go so quickly . ¨Ending a patient's life by injection, with the added solace that it will be quick and painless, is much easier than this constant physical and emotional care¨ (Ezekiel Emanuel, 1997, p. 75). If a patient is terminally ill and will not get better, it allows them to end the suffering. If the physician has to keep a constant eye on the patient and they need constant care and the patient is not getting better, the option is there if they want to end all of it they can. Sometimes dealing with all of the physical care like medications and not being able to live completely normal with a disease is hard. It can get extremely hard and stressful that all the patients can think about doing is ending it, this alternative gives the patient a painless option. According to Somerville (2009), ¨… respect for people's rights to autonomy and self determination means everyone has a right to die at a time of their choosing¨ ( p.4). The patient deserves to choose whether they want to keep fighting or if they cannot go any farther. The patient should not have to push through a fight they have been fighting and know they cannot win. According to Kevorkian ¨the patient decides when it's best to go.¨ Nobody tells the patient when they have to end their lives, they understand their body and know
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 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.
Oftentimes when one hears the term Physician Assisted Suicide (hereafter PAS) the words cruel and unethical come to mind. On October 27, 1997 Oregon passed the Death with Dignity Act, this act would allow terminally ill Oregon residents to end their lives through a voluntary self-administered dose of lethal medications that are prescribed by a physician (Death with Dignity Act) . This has become a vital, medical and social movement. Having a choice should mean that a terminally ill patient is entitled to the choice to pursue PAS. If people have the right to refuse lifesaving treatments, such as chemo and palliative care, then the choice of ending life with PAS should be a choice that is allowed.
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. ?
In this article Quill states “Between 10% and 50% of patients in programs devoted to palliative care still report significant pain 1 week before death.” In this article Quill talks about how terminal sedation is for the patient from his standpoint. He talks about how patients who pick thermal sedation die from starvation, dehydration, or some other complication. He also states that “The suffering patient is sedated to unconsciousness, usually through ongoing administration of barbiturates or benzodiazepines.” Quill speaks about how opposers of physician suicide often say that it is against many moral beliefs. Voluntary Active Euthanasia is much like physician assisted suicide, but differs where the physician does all the steps, including the final step. Quill says, “For patients who are prepared to die because their suffering is intolerable , VAE has the advantage of being quick and
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
Thesis Statement: Physician assisted suicide or euthanasia may offer an accelerated and pain relieved alternative to end someone’s suffering, therefore people should not be denied the right to die especially when faced with terminal illnesses.
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.
Assisted suicide brings up one of the biggest moral debates currently circulating in America. Physician assisted suicide allows a patient to be informed, including counseling about and prescribing lethal doses of drugs, and allowed to decide, with the help of a doctor, to commit suicide. There are so many questions about assisted suicide and no clear answers. Should assisted suicide be allowed only for the terminally ill, or for everyone? What does it actually mean to assist in a suicide? What will the consequences of legalizing assisted suicide be? What protection will there be to protect innocent people? Is it (morally) right or wrong? Those who are considered “pro-death”, believe that being able to choose how one dies is one’s own right.
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