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Religious and cultural beliefs that influence peoples end of life care
Ethical issues in the end of life decisions
Ethical issues in the end of life decisions
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Religious Concerns Medical technology has made end of life care more available, however, many religions have conflicting options of PAS. Most religions see PAS an immoral and disrespect to the human life. For example, American Baptists Churches believe in minimizing suffering and respecting the choices people make at the end of their lives. However, the Sothern Baptists believe that PAS violates the purity of life. Buddhists believe that reincarnation is greatly affected by the way life ends. They respect suicide but only for people who have achieved enlightenment. Roman Catholics, Mormons, and Muslims completely disagree with PAS. They believe the killing of a human being, even by an act of omission to eliminate suffering, violates divine …show more content…
For example, if someone is in a serious car accident and cannot make medical decisions about their lives, the decision is now for a family member or power of attorney to make. However, it may be hard for someone to make a life ending decision for a family member as emotions are involved. A living will give the terminally ill patient peace of mind and takes the burden off the family. Living wills can be written at any time and are considered a legal document if it is signed, witnessed and notarized. This document will have wishes listed, such as, if the patient wants a breathing machine or artificial nourishment at the point where it may be needed. Living wills have been used since 1967 when Luis Kurtner wanted dying patients to still make decisions about their medical care. Living wills do not expire but revoked or changed in written form at time. In a study of six thousand people in 2010, approximately 72% of these people had a legal living will. Living wills are becoming more popular because they give people the idea of more control at the end of their lived. Palliative care is very common, but a living will may give people peace of mind if PAS is not an option for
In What Dying People Want, Kuhl comments, "Dying involves choice"(xviii). People choose what they wear, what they do, and what they will eat on a day to day basis. Choosing how, when, or why sick people die is just like an everyday decision for them. This however, has not been accomplished by some individuals in this Country. Americans have the right of choice. When a patient communicates the desire to die, the inspection of acceptability for palliative care begins instantly. Inspections include evaluation of pain management, depression, anxiety, family burnout, spirituality and other observed issues (Baird and Rosenbaum 100). When working or living with an elder, never ignore the words "I want to die". If this is ignored, that person will not receive their wishes they deserve. Countries are starting to understand that people should be able to die if they choose, "In the United States there are assisted dying laws restricted to terminally ill and mentally competent adults" (Firth). The assisted dying law is only in Oregon, Montana, Washington, Vermont, and California. That is five states out of fifty states. This must be expanded to all fifty states because all individuals have the right of this law. In 2013, Vermont passed an "End of Life Choices" bill. This bill allows terminally ill people to get
Once I explained exactly what a living will is because some were unaware they were very comfortable with the idea of filling out a living will. The responses that I got all varied to different degrees. My brother stated that he did not yet have a living will but that they are very important to have and everyone should get one. He said that his wishes would be to pretty much “pull the plug in every circumstance”. He absolutely did not want to be put on life support, be artificially supplied with food, or get life sustaining drugs, machines, or other medical procedures. My mother had wishes the same as I would have which is to consider the circumstances and give me a month to evaluate if I have the possibility of making a full recovery. If there is no hope of having a full recovery then I want all life sustaining measures to be stopped because I don’t in any way want to be a burden on
As we get older and delve into the real world, it is important to start thinking about end-of-life care and advance directives. Although it is something no one wants to imagine, there is an absolute necessity for living wills and a power of attorney. Learning about the Patient Self-Determination Act and the different legal basis in where you live is important because it will help people understand why advance care directives are so important. Although there are several barriers in implementing advance care directives, there are also several actions that healthcare professionals can take to overcome these obstacles. These are also important to know about, especially for someone going into the medical field.
Social Attitudes Survey noted that 78% of respondents believe that “the law should require doctors to carry out the instructions of a Living Will” (Park et al, 2007). These decisions become important once patients lose their mental capacity, are unconscious, or unable to communicate” (BMA, 2009). The Mental Capacity Act 2005 defines an “advance decision” as a decision made by a person 18 or over, when he or she has the capacity to do so. The implications of a Living Will, make the case against legalising assisted dying weaker. This is because if a person is legally allowed to set out which treatments they will or will not agree to, and can refuse life sustaining treatments by creating a legal document, then why shouldn’t an individual in extreme pain who is able to make the request at the time be able to ask for assistance in
Ethical decisions are being made by terminally ill patients as they face death. Some are choosing to end life through PAS, physician-assisted suicide. Dr. Jack Kevorkian has been helping patients end life through his machines. The public opinion is the use of this machine is considered murder, but some have changed their thinking and created laws to make it legal for a physician to help a terminally ill patient die. Physician assisted suicide is a dignified way to end life.
Hospice focuses on end of life care. When patients are facing terminal illness and have an expected life sentence of days to six months or less of life. Care can take place in different milieu including at home, hospice care center, hospital, and skilled nursing facility. Hospice provides patients and family the tool and resources of how to come to the acceptance of death. The goal of care is to help people who are dying have peace, comfort, and dignity. A team of health care providers and volunteers are responsible for providing care. A primary care doctor and a hospice doctor or medical director will patients care. The patient is allowed to decide who their primary doctor will be while receiving hospice care. It may be a primary care physician or a hospice physician. Nurses provide care at home by vising patient at home or in a hospital setting facility. Nurses are responsible for coordination of the hospice care team. Home health aides provide support for daily and routine care ( dressing, bathing, eating and etc). Spiritual counselors, Chaplains, priests, lay ministers or other spiritual counselors can provide spiritual care and guidance for the entire family. Social workers provide counseling and support. They can also provide referrals to other support systems. Pharmacists provide medication oversight and suggestions regarding the most effective
One of the greatest dangers facing chronic and terminally ill patients is the grey area regarding PAS. In the Netherlands, there are strict criteria for the practice of PAS. Despite such stringencies, the Council on Ethical and Judicial Affairs (1992) found 28% of the PAS cases in the Netherlands did not meet the criteria. The evidence suggests some of the patient’s lives may have ended prematurely or involuntarily. This problem can be addressed via advance directives. These directives would be written by competent individuals explaining their decision to be aided in dying when they are no longer capable of making medical decisions. These interpretations are largely defined by ones morals, understanding of ethics, individual attitudes, religious and cultural values.
Euthanasia is the practice of intentionally ending a life in order to relieve pain and suffering of any individual from an incurable disease. People who are against euthanasia believe that any individual suffering from an incurable disease should not be given the ability to end their suffering. According to Sherif Emil, “Legalizing euthanasia can become a slippery slope” (Emil). In other word, euthanasia will open the doors to those that will mistreat it and will cause a great amount of increase in deaths. But many for euthanasia would certainly take issue with the argument that it will not be a slippery slope but, that it will give the right to end the life of a terminal ill patient who is going to die a painful death.
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.
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...
Our modern world is full of diseases that are often incurable, making people’s life a living torment, stealing the sense of living and encouraging a person to give up on everything. Even though the medical advances that are offered today are being developed to save a patient’s life or relieve their pain they fail to do so. There is a controversy between two groups those who believe euthanasia should be allowed and those who strongly believe it should be prohibited. Those against euthanasia see a doctor who performs it as a murderer, their believe’s foundation is that there is nobody else other than god who should end a life. ““eu” means good and “thanathous” means death” (Boudreau, et al. 2) Physicians should be allowed by law to prescribe
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...
“Euthanasia is defined as a deliberate act undertaken by one person with the intention of ending life of another person to relieve that person's suffering and where the act is the cause of death.”(Gupta, Bhatnagar and Mishra) Some define it as mercy killing. Euthanasia may be voluntary, non voluntary and involuntary. When terminally ill patient consented to end his or her life, it is called voluntary euthanasia. Non voluntary euthanasia occurs when the suffering person never consented nor requested to end a life. These patients are incompetent to decide because they are either minor, in a comatose stage or have mental conditions. Involuntary euthanasia is conducted when it is against the will of the patient (Gupta, Bhatnagar, Mishra). Euthanasia can be either passive or active. Passive euthanasia means life-sustaining treatments are withheld and nothing is done to keep the patient alive. Active euthanasia occurs when a physician do something by giving drugs or substances that ends a patient’s life. (Medical News Today)
Since the early stages of recorded history, the use of the word euthanasia has been used to describe the death of someone either through the use of legal drugs or the withholding of medical treatments. The word euthanasia, stems from the greek words “eu” meaning good, and “thanatosis” meaning death, which roughly translates to good death []. The first recorded use of euthanasia was through scriptures describing the death of the Roman Empire emperor Augustus Caesar. While Augustus ' death was termed "a euthanasia”, it was not caused by the actions of any other person, the term euthanasia was used to describe the swift and painless death that incurred. The Merriam-Webster dictionary defines euthanasia to
I think it is not reasonable approaches to improving end-of-life care if a doctor said that a patient can live only a few months. If a family of patient is a rich, they can spend money for a hospital treatment,but people who don't have money cannot pay for a patient who is going to die in a few months because after the family spend all the money for hospital treatment, and the patient is die, family should worry about a money. after all, they may blame the patient. It was what my brain said, but my heart says differently. If it happens to my family, I would let the patient get hospital treatment until the doctors says that they have nothing to do with the patient. Even though I spend most of my money, I will do anything I can do until the patient