A Death Of One 's Own

A Life or Death Situation, by Robin Marantz Henig, New York Times, July, 2013, is a review of the debate surrounding the right to a dignified death. It examines the purely philosophical view of the issue; as well as the heart wrenching reality of being faced with that question in one 's personal life. Does a person have a right to choose how he or she dies? How does that choice impact the people who care about about him or her? Should a person who cares about someone be required to cause or aide in his or her death? These questions weigh heavy on the minds of many people, who live

Every individual has to make choices in life; life can be seen as a plethora of crossroads veering off into different directions with every which way. Choices that can create or destroy life; in the blink of an eye a life could end, but in the same moment a new life could be brought into existence. The choice of physician-assisted suicide provides control, familiarity, and closure to the terminally ill patients. The patient is able to choose where he or she will be, when the time is right, and the ability to be surrounded around loved-ones and gain closure by saying goodbye in a timely-manner.

Many people have been faced with having to deal with hard truths of both life and death. One of these decisions that can be fronted to a person with a terminal illness may be what to do next. With what can be considered looming doom, one has to ingest the decisions of self, family and the pain that lies ahead. The debate over physician assisted suicide has been a long time argument wielding both positive and negative views exactly how a person should proceed once a decision has been made. Three questions are often asked in the attempt to argue the case for physician assisted suicide, that of legality, ethicalness, and morality. In the long run, the debate between the cause, effect and personal ideology that is social

Dying on your own terms is a very controversial topic. It seems that both sides of the argument feel very strongly about their position. In this paper, I will argue that physician assisted suicide should be an available and accessible option for patients that are opting to end their lives on their own terms. Choosing to utilize physician assisted suicide can decrease pain and suffering, allow a person to die with dignity and independence by not feeling that they are becoming a burden on their family, and prevent a person from dying alone. Some of the reasons people are against physician assisted suicide include their personal religious beliefs and the fear that it may get out of hand and target certain people in society, including being used on people with disabilities or certain races.

Imagine living with a terminal illness that causes immense pain and suffering. It’s likely that many of us have not given it much thought. It’s much easier to believe that it won’t happen to us. The reality, however, is that people are diagnosed with these terrible illnesses every day. So, what options do patients have? For many years’, members of the medical community have discussed the practice of physician assisted suicide. This would allow terminally ill patients, many of whom have cancer, to make the difficult decision to end their lives peacefully. Doctors are able to simply write their patient a prescription, designed to end a person’s life in a non-painful way. Doctors and medical personnel have struggled with this topic, exploring the various consequences and benefits that come with making assisted suicide legal. Currently, physician assisted suicide has been made legal across a handful of states in the U.S; however, many people continue to question the ethicality of this practice. There are many different arguments to explore for and against physician assisted suicide. Some believe that physician assisted suicide will lead to involuntary euthanasia, while others say patients should have the choice to live or die. While each individual conviction may seem vastly different, they do share something in common: Their concern for the well-being of others.

“The final moments of one’s life are difficult for everyone involved-the patient, loved ones, and even the healthcare provider” (Klein, 2005). If a patient’s final wishes regarding his/her care are undefined or not clear, then the situation could be worse or uncomfortable. During what should be a time of caring, mourning and supporting one another can quickly become overshadowed by ethical and legal battles. However, this can be prevented and avoided by the execution of advanced directives.

Physician assisted suicide is a controversy that has sparked heated debate and divide communities for over a hundred year. Groups such as medical professionals, religious leaders, and lawmakers have been divided on this issue; the question being not only “is physician assisted suicide acceptable?”, but “should physician assisted suicide be legalized?” There are two sides to this controversy, those for the legalization and those against. The sides are making arguments to support their claim for or against in hopes to convince not only lawmakers but also voters, and individuals that may not be as educated on this topic. This essay will discuss how this controversy has divided the end of life care community and the arguments being made by both

For many years, medical assisted death has been disagreed upon with the Canadian Quebec legislation, Bill 52, An Act respecting end-of-life care. Terminal ill patients have been fighting rights with their incurable conditions which caused them unbearable suffering. In many situations, death is always unacceptable since life was given for a reason. We all must pass away one day, although for some individuals, death can be measured by time due to tragic news that they have been informed about. In means of measuring time, we would all like to know when and how our death would be given. “Living is not good, but living is well. The wise man, therefore, lives as well as he should, not as long as he can...He will always think of life in terms of quality not quantity…Dying early or late is of no relevance, dying well or ill is…life is not to be bought at any cost. – The Stoic philosopher Seneca (4 B.C.- 69 A.D).” (Shneidman, 2001, p. 5). Sue Rodriguez, who was an advocate for medical assisted death, fought for legal rights in 1993. She was diagnosed with Amyotrophic lateral sclerosis (ALS) in 1991. In a video to the Parliament, she poured her heart out. “If I cannot give consent to my own death, whose body is this? Who owns my life?” (CBC Radio-Canada, 1993). She lost the battle against Supreme Court Canada to legalize assisted death under the Criminal Code of Canada. In 1994, Rodriguez was given a “constitutional exemption” which allowed assisted death under many conditions. In

The use of a form of Advance directives dates back as far as 1914, in where case law established the requirement to obtain a patients’ consent for invasive medical procedures, based on the right of self-determination (U.S. Department of Health and Human Services, 2008). It was not until the late 1960’s that Advance directives began to be developed in the United States. Patient and consumer rights movements sought legal measures through state and federal actions to alleviate the use of aggressive and ineffective life-sustaining treatment with the living will, the known as the earliest form of an advance directive (U.S. Department of Health and Human Services, 2008). In 1976, the Natural Death Act in California, “was the first law to give

Earlier in 2015, this issue received nation attention when a 29 year old terminally ill women made the chose to die on her own terms. Having no cure for the disease, a disease that would continue to cause her great pain and discomfort as the disease progressed, she along with the help of her family made the decision that when the time came she would take her life under medical supervision. She argued that it would be unfair and devastating for her family to watch her suffer while medicine prolonged her life. She argued that it was unfair of laws in the state she resided that would require she suffer and endure pain instead of supporting assisted suicide. “Advances

End of life decisions are very important because in some cases people lose the ability to provide informed consent for their medical treatment. If someone was unable to make his or her own health care decisions it becomes the responsibility of his or her designated surrogate. For example when someone is pronounced in a persistent vegetative state their health care surrogate would determine what kind of life prolonging procedures should be provided. During some point throughout a person’s lifetime it’s significant they make a Living Will that lists all of their intentions that will be respected by their family, friends and physicians. I chose to write about this topic because I recently created my own Living Will and had it signed by witnesses and documented incase I become incapacitated to express what treatment I want.

Death and dying has changed drastically in the past hundred years. In the past, most deaths occurred without warning mostly due to infectious diseases. Back then, medicine could do little to cure illness or extend life (NCBI, 1997). Most deaths occurred in the home surrounded by family. Today, death usually happens to older people following a long-term illness. The dying patient is usually in a hospital or heath care institution of some kind (Carr, 2003). The dying process is now more controlled by the ill patient and their family (Carr, 2003). “The Patient Self Determination Act, passed by Congress in 1990, requires all government-funded health providers to give patients the opportunity to formally articulate their end of life treatment

The end of life care can be a stressful and heart wrenching experience that is far too often exacerbated by uncertainty in end of life care. However, with the right preparations, end of life care can be provided with confidence that the grantor’s wishes will be followed. Advance directives are the legally binding instructions a grantor imposes to designate their preferred management of health care (Cherry & Jacob, 2014). Commonly, advance directives are in the form of a living will or a medical power of attorney (Tennessee Health Care Decisions Act, 2004). According to Cherry and Jacob (2014), a living will is a document that sets legal precedent on the level of care a competent adult wishes to be given in the event they become incompetent.

Advance Directives are our wishes when we are at end of life stages of life that give specific direction of how, who, and when to treat us in our final days and hours. We can have documents drawn up to say what we want in the event we are in a state where we cannot voice our wishes aloud. These documents have legal and ethical basis, and they should be followed unless the legally or ethically unable to do so.

Having spent the greater part of my life in Nigeria, I grew up in a culture where issues about dying or death were considered sacred and not to be freely discussed. It is a shame that in some parts of Africa, religious leaders are considered “experts” in palliative care and are given much more freedom to discuss end of life issues than qualified healthcare professionals. Some people pay exorbitant amount of money to have these clerics visit their dying relatives at home. Throughout the years I worked as a healthcare provider in Nigeria, I never used an advanced directive in the care of patients. After relocating to the United States some years ago, I came across people among whom some are my friends who talked about their advanced care plan with me and I was really surprised, but at the same time I became more curious and sought for more information about it. I realized that it is not only culturally acceptable in the U.S., but people are more proactive about their healthcare preferences. Therefore, I was very excited learning about it in great detail in my medical ethics class, and involving my spouse while working on this assignment provided an eye-opening experience on our values, beliefs, goals, priorities, and healthcare wishes as a family.