Death has always been part of human culture. It’s viewed in all kinds of manners, ranging from the worst enemy to a welcome liberator. In today’s society, death and the culture of death expand ever so quickly as people live longer on more advanced medicine, and thus die older and weaker. Of course, eventually everyone will face the prospect of taking their last breaths. Therefore it becomes necessary to give serious thought about how we choose to die in an intensifying plethora of options. Some believe in fighting until the disease wins with the best technology and best treatments without regard to cost. Others believe that after a certain age, or certain period of “extreme treatments”, the ill should accept their fate and die with “dignity”, off the machines and any radical treatments. Few physicians recommend the second option, because they are expected to do everything humanely possible to keep patients alive. With a range of increasing medical technology, it’s only become easier to do so. However, the effectiveness and relative comfort of these new remedies are another question entirely. Renouncing the desperate fighting philosophy, the hospice institution takes the issue of dying in a different perspective. Hospice supports a submissive approach to dying, allowing the patient to experience a natural, dignified death without painful or bizarre treatments. Many times, spiritual and emotional counseling to the patient and his or her family is also offered. How to end a normal life seems to rest on how much people want to defy death. The point of disconnect occurs when people have to decide which is nobler: a courageous fight, or a graceful acceptance. We generally want to live as long as we possibly can, but can the way we end ...
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The boundaries of right to die with dignity are hard to determine. Keeping the terminal patient comfortable is the purpose of comfort care, however there could be a very thin line between what we consider terminal sedation and euthanasia. In theory, comfort care is quite different from euthanasia. Keeping the patient comfortable and letting the nature take its course is at the core of comfort measures (Gamliel, 2012). Yet, the line between keeping comfortable and facilitating death is often blurry. Euthanasia refers to the practice of intentionally ending a life in order to relieve pain and suffering (Gamliel, 2012). The purpose of this paper is to highlight the ethical issue of keeping comfortable vs. hastening death, and the ethical principles involved. Facilitating or hastening death is considered unethical or even illegal.
The Dying of the Light is an article by Dr. Craig Bowron that captures the controversy surrounding the role of medication in prolonging life. The author describes that many medical advancements have become a burden to particularly elderly patients who in most instances are ready to embrace the reality of death. Dr. Bowron believes that dying in these modern times has become a tiring and unnatural process. “Everyone wants to grow old and die in his or her sleep, but the truth is most of us will die in pieces,” Bowron notes (Bowron). The article does not advocate for euthanasia or the management of health care costs due to terminal or chronic illness. Bowron faults humanity for not embracing life and death with dignity as it was in the past. He blames the emergence of modern medical advances and democracy as the sole reason why everyone is pursuing immortality or prolonging of life rather than embracing the natural course of things. The article is very articulate and comes out rather persuasive to its target audience that happens to be health-conscious. Craig Bowron uses effective rhetorical strategies such as logos, ethos, and pathos to pass on his message. The article’s credibility is impeccable due to the author’s authority in health matters as he is a hospital-based internist. A better placed individual to dissect this issue by analyzing his experiences in the healthcare profession. The article incorporates a passionate delivery that appeals to the readers’ hopes, opinions, and imagination.
Being in hospice care is a better alternative than being stuck in the hospital to try to avoid the unavoidable. Common misconceptions about Hospice could include that hospice makes life more miserable; however, a physician expressed his findings in Hospice,“You can only fail a patient if you fail to understand and respond to their needs. We may not be able to cure all of our patients, but if we can make them comfortable in the last moments of their lives, we will not have failed them”..Hospice care gradually emerged in the 1970s, when groups like the National Hospice Organization were formed “in response to the unmet needs of dying patients and their families for whom traditional medical care was no longer effective.”Herbert Hendin, an executive director of the American Suicide Foundations illustrates a story of a young man diagnosed with acute myelocytic leukemia and was expected to have only a few months before he died. He persistently asked the doctor to assist him, but he eventually accepted the medical treatment. His doctor told him he can use his time wisely to become close to his family. Two days before he died, Tim talked about what he would have missed without the opportunity for a
Terminally ill patients deserve the right to have a dignified death. These patients should not be forced to suffer and be in agony their lasting days. The terminally ill should have this choice, because it is the only way to end their excruciating pain. These patients don’t have
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...
As a result, life-sustaining procedures such as ventilators, feeding tubes, and treatments for infectious and terminal diseases are developing. While these life-sustaining methods have positively influenced modern medicine, they also inadvertently cause terminal patients extensive pain and suffering. Previous to the development of life-sustaining procedures, many people died in the care of their own home, however, today the majority of Americans take their last breath lying in a hospital bed. As the advancement of modern medicine continues, physicians and patients are going to encounter life-altering trials and tribulations. Arguably, the most controversial debate in modern medicine is the discussion of the ethical choice for physician-assisted suicide.
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...
A terminal illness can promote multiple cases of doubt, concern, and terror into any individual, regardless of race, religious conviction, or belief. Death is an inevitable fate. No man can escape death. A normal human being does not want to have his life ended by conditions he cannot control. Nevertheless, disease and illness prevent an individual of sanity and choice throughout the course of his life. Not only does this relate to an individual undergoing a disease, but also consist of the individual's family and acquaintances. The physician's main part is to reconcile and upkeep terminally ill patients, furthermore, the author of this paper does believe assisted suicide should be supplementary within the job description. Presented throughout this writing assignment are the main arguments in the debate over Physician Assisted Suicide.
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
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The act of euthanasia may be justifiable, in that it gives those in pain an escape from their lives, however, it places a lot of power in the patient’s healthcare provider. Medical professionals are more pessimistic in patients’ diagnosis and rate their live value lower than it actually is (Pawlick and DiLascio 2). The negative diagnosis of these medical practitioners makes the patient feel especially drawn to euthanasia as a solution for the problem they may possess. Furthermore, the legalization of euthanasia would “cause society to devalue all life,” in that it makes everyone, not just patients, feel that euthanizing those who have medical issues is a better way to fix problems within our society, rather than treating them (Wekesser 64). Those against legalization say that the open availability for someone to end their life could lead to people feeling “more driven toward, or even forced” to be euthanized due to their emotional, rather than physical, pain (Lee and Stingl 1). During times of hardship such as a terminal illness, one often feels that their life is decreasing in value under the circumstances of the effective suffering their situation causes to the family and loves ones around them. It is therefore easier to end their life in a way that puts ease on the family and loved ones, in a
Everyone, at some point in their life, will grapple with the grievous reality of a loved one dying. Doctors and medical practitioners will do all they can to comfort and help those who are terminally ill, but their efforts will only postpone the inevitable. Modern medical advances have facilitated the use of life-support machines and intubation, but these advances have also facilitated the controversial introduction of euthanasia and physician-assisted dying. A number of pro-choice advocates have recently suggested that euthanasia is the gentlest, easiest, and quickest way to end one 's life with dignity. By focusing on these appealing prospects, however, many people do not adequately take into account what I consider to be important constituents
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