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The ethical implications of euthanasia
The ethical implications of euthanasia
Role of palliative care nurses
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Euthanasia: the practice of ending a life in order to relieve pain and suffering (“Medical,” 2016). Also called mercy killing, euthanasia has been a hot debate for the last couple of decades on whether the intentional killing of a terminally ill or handicapped person is to be legal or illegal. However, since the topic first came up, only six states have legalized physician-assisted suicide in which a person only has six months or less to live. So why is it that we do not allow patients in pain with only months or week to live, to end their life painlessly and safely? Euthanasia should be legalized to ensure that each hopelessly ill person can have control over their life and their right to die.
Sue Rodriguez was a 30 year old mother who suffered
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from Lou Gehrig’s disease. Sue suffered years in constant fear that her muscles would one day go completely weak and she would consciously choke to death, unable to do anything about it. In 1991 she made headlines as she begged to the supreme court to let her decide when and how she died; however, in March 1993, it was denied. Sue said, “if I cannot give consent to my own death, whose body is this? Who owns my life?”(Desk, 2013). Although she was denied to have assisted suicide, Sue had the help of an anonymous doctor to end her own life, on her terms. Sue is not the only one who has gone through these extensive and illegal measures just to end her life.
Soon, “Right to Die” supports emerged, campaigning for those who want to end their lives legally.The supporters also spread information about the three different types of euthanasia. The different types are called passive euthanasia, active euthanasia, and physician-assisted suicide. The top two most controversial type are active euthanasia, which is intentionally killing someone; and physician-assisted suicide, which is voluntarily prescribing the means for somebody to kill him or herself (“Euthanasia,” n.d.). Furthermore, all three types are usually used with terminally ill or patients who are brain dead; however, one of the three types is used for a different reason. A form of active euthanasia, called state-assisted suicide, is commonly used and seen to be more “appropriate” than physician-assisted …show more content…
suicide. According to US Legal (n.d.), state-assisted suicide, or more commonly known as the death penalty, ”is the sentence of execution for murder and some other capital crimes (serious crimes, especially murder, which are punishable by death).” Currently, there are 32 states who have the death penalty. Since 1976, about 1,392 inmates have been killed, while over 3,305 inmates are on the death penalty (Statistic Brain Staff, 2016). Surprisingly, 65% of Americans support the death penalty (“Death Penalty,” n.d.), and 70% of Americans support euthanasia (Boland, 2014). Although there is almost an equal percentage of Americans who support the death penalty and euthanasia, the death penalty is the only one legal in most states. However, in our current society, it is okay to kill an inmate who may not want to die, but it is not okay for a terminally ill patient to end their life the way they want to. In the mid 1990’s, a U.S. Supreme Court judged whether or not euthanasia should be legalized. Sadly, the court ruled that it would interfere with the U.S. Constitution, but left the issue open for individual states to decide (Yount, 2007, p.9). Although states have the option to legalize euthanasia, if they wish, only six states have done so due to the high controversy of the topic. One of the reasons for such controversy is because of the Hippocratic Oath. The Hippocratic Oath states that “every doctor will promise to neither give a deadly drug to anybody if asked for it nor to make a suggestion to this effect” (Lund, 2002, p. 41). With this oath, many doctors have become skeptical on whether or not it is against their medical license, and some are scared that they will go to jail because of it. A second reason the US Supreme Court is skeptical to legalize, is due to the Dutch Experience of 1984. When euthanasia was first legalized in the Netherlands, over 40% of physicians said they gave a lethal drug without a patient’s consent (Lund 42). However, that was 33 years ago, and new rules, guidelines, and legal measurements can be taken to prevent another experience like this. The six states and Washington DC, who have all legalized physician-assisted suicide, have set up a perfect example as to have specific and strict guidelines can prevent another mistake to happen. In all legalized states and DC, a patient must be terminally ill and expected to have only 6 months to live. The individual must be a state resident and at least 18 years old. Finally, there must be two oral requests, each within 15 days, and one written request to a physician (“State-by-State,” 2017). The guidelines have set up a strict and effective way so that physicians cannot take advantage of euthanasia, but so that dying patients can have their “right to die.” One main concept that many have a hard time understanding is why someone would want to end their life so soon if they are terminally ill or brain damaged. Some of the major side effects accompanied with a terminal illness is depression, suicidal thoughts, delirium, and anxiety. All of these side effects take their own toll on an individual’s body. For instance, anxiety consists of physical, psychological, spiritual, practical, and social aspects. It can cause problems such as insomnia, development of panic disorder, excessive sweating, hyperventilation, fear, and tachycardia (Fine, 2001). Furthermore, physical pain tends to be among the highest reported symptom of a chronic illness, but every disease or disorder comes with their own symptoms to add to the long list. That brings about the finally reason many want the option of euthanasia: personhood and dignity. As quoted by Norman Cousins (n.d.), “death is not the ultimate tragedy of life. The ultimate tragedy is depersonalization.” With all the side effects that come with an extreme illness, an adult would soon turn into a ‘child’. The embarrassment of not being able to go to the bathroom, bathe oneself, feed oneself, or get out of bed can be more painful than the physical pain. Would they even consider themselves a person anymore? Hospice facilities have become popular for patients near the end of life because of the depersonalizing symptoms.
Hospice has been able to provide support and relief for patients in pain, making them as comfortable as possible. One of the many workers who help the dying are called palliative care workers. Palliative care, as defined by the National Association of Social Workers (2010), is the “seeking to prevent or relieve pain—which can be physical, psychosocial, or spiritual—and other symptoms associated with serious illness. Although hospice facilities are strongly opposed to euthanasia, Dr. Dee Grott gave her own view on the controversial topic. She stated, “as a physician there are two questions to consider,” she said. “Do I think patients have a right to choice? Yes. But do I personally feel I have the right to take another’s life. No. It’s not for me to decide when you’ll die.” However, she will not try to revive a dying patient who has overdosed or in cardiac arrest unless they request it before hand. “We shouldn’t prolong life at any cost, for most of our patients, it’s medically futile since they are already so close to death (Hunter, 2002, p.
21).” Another aspect that should also be considered is the family members of a dying patient. Family members and close friends all have to see, hear, and experience the slow, painful death of loved ones. For Reese Marshall, watching her mother slowly die is a painful memory. Marshal remembers watching her mother live her last 3 weeks alive full of embarrassment and no control over her own life. In their situation, home care nurses were around daily, helping her mother do everyday tasks for her. She no longer could bathe or feed herself, and would sob how sorry she was when she soiled herself. Her mother would often yell “What’s happening to me?” becoming extremely confused from the increase of her anxiety and delirium. Her medications were pumped so high that she was soon unresponsive for most of the time (Marshall, 2015). After recalling horrific memories of her mother, Marshall stated (2015), “I was never convinced she was being kept comfortable . . . medications had little or no effect in the last days. She was helpless and, if given a choice, would never have wanted to die like that.” An action should be made to help patients like Sue Rodriguez and Reese Marshall’s mother. An individual who wants to end his or her life safely and painlessly, when terminally ill, should have the right since it is their body. States should not make terminally ill patients suffer through depression, anxiety, or delirium when they only have six months or fewer to live. Not only are the states affecting the patients, but the families who are involved. The family can only sit back and watch as the person suffers through side effect that they do not even want to go through. If the United States is killing off criminals who do not want to be killed, then why is the United States not allowing terminally ill patients who are ready to go do the means safely? Euthanasia should be legalized to ensure that terminally ill and brain damaged individuals do not have to suffer the short months they have left, but let them fall asleep peacefully.
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 will be called physician assisted suicide or “active” euthanasia. The definition of “active” euthanasia is ending one’s life yourself or with 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. (Leo & Lein, 2010, The Value of a Planned Death)
Currently, in the United States, 12% of states including Vermont, Oregon, and California have legalized the Right to Die. This ongoing debate whether or not to assist in death with patients who have terminal illness has been and is still far from over. Before continuing, the definition of Right to Die is, “an individual who has been certified by a physician as having an illness or physical condition which can be reasonably be expected to result in death in 24 months or less after the date of the certification” (Terminally Ill Law & Legal Definition 1). With this definition, the Right to die ought to be available to any person that is determined terminally ill by a professional, upon this; with the request of Right to Die, euthanasia must be
Euthanasia - Pro and Con & nbsp; Abstract & nbsp; This paper will define Euthanasia and assisted suicide. Euthanasia is often confused with and associated with assisted suicide, definitions of the two are. required. Two perspectives shall be presented in this paper. The first perspective favor euthanasia or the "right to die," the second perspective. favor antieuthanasia, or the "right to live". Each perspective shall. endeavor to clarify the legal, moral and ethical ramifications or aspects of euthanasia. & nbsp; Thesis Statement & nbsp; Euthanasia, also mercy killing, is the practice of ending a life so as to.
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.
Death remains as one of the greatest mysteries today. Even though dying is a natural part of existence, American culture is unique in the extent to which death is viewed as a taboo topic. Rather than having open discussions, we tend to view death as a feared enemy that can and should be defeated by modern medicine and machines. Many people fear their end of life care, dying, and what will come after death. Society has become institutionalized, therefore most people die in a place with many health professionals. One main controversy over the last few decades are whether or not people should be able to choose when they die with assistance from a physician. Physician assisted suicide is the voluntary termination of one's own life by administration of a lethal substance with the direct or indirect assistance of a physician. Physician-assisted suicide is the practice of providing a competent patient with a prescription for medication for the patient to use with the primary intention of ending his or her own life. There are some people that are strong advocates and others that do not agree at all.
“Michael Manning, MD, in his 1998 book Euthanasia and Physician-Assisted Suicide: Killing or Caring?, traced the history of the word euthanasia: ‘The term euthanasia.originally meant only 'good death,'but in modern society it has come to mean a death free of any anxiety and pain, often brought about through the use of medication.” It seems there has always been some confusion and questions from our society about the legal and moral questions regarding the new science of euthanasia. “Most recently, it has come to mean'mercy killing' — deliberately putting an end to someone’s life in order to spare the individual’s suffering.’” I would like to emphasize the words “to spare the individual’s suffering”.
Euthanasia is one of the most complicated issues in the medical field due to the debate of whether or not it is morally right. Today, the lives of many patients can be saved with the latest discoveries in medicine and technology. But we are still unable to find cures to all illnesses, and patients have to go through extremely painful treatments only to live a little bit longer. These patients struggle with physical and psychological pain. Dr. Martin Luther King Jr. discusses the topic of just and unjust laws in his “Letter from Birmingham Jail” which brings into question whether it is just to kill a patient who is suffering or unjust to take that person’s life even if that person is suffering. In my opinion people should have the right, with certain restrictions, to end their lives in the way they see fit if they are suffering from endless pain.
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.
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
The debate on whether voluntary euthanasia should be legalized has been a controversial topic. Euthanasia is defined as ‘a deliberate intervention undertaken with the express intention of ending a life, to relieve intractable suffering’ [1]. Voluntary euthanasia refers to the patients who understand the terms in the consent and sign up under consciousness, while involuntary euthanasia is performed against patient's wishes and some people may regard it as a murder [1].
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.
Although there are different forms, the practice of euthanasia is the process of ending an individual’s life. The different forms of euthanasia are Active and Passive euthanasia. There are also different ways that a physician may perform this type of procedure. This course of action may be taken in situations for speeding up the death, typically for medical patients who are severely ill. Some people, depending on their personal views may define it as putting someone out of their misery, where others would refer to euthanasia as being an assisted suicide. All forms of euthanasia are continuously spawning a wide variety of deviating ethical affairs. Issues pertaining to euthanasia include the legitimacy debate of assisted suicide, especially in the state of California.
Euthanasia is one of the most recent and controversial debates today (Brogden, 2001). As per the Canadian Medical Association, euthanasia refers to the process of purposely and intentionally performing an act that is overtly anticipated to end the person’s life (CMA, 1998)
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
The world is full of people, some of which are suffering every day from pain. Even with the advancements that have been made with medicine, it’s not enough to cure many diseases or to heal a person’s pain. Euthanasia is commonly referred to as a “mercy killing”. It is the intentional act of putting a person to death quietly and painlessly who has an incurable or painful disease, it is intended to be an act of mercy. According to (ANA, 2013), Euthanasia is the act of putting to death someone suffering from a painful and prolonged illness or injury.