Euthanasia In Physician Assisted Suicide

What is physician-assisted suicide? “Suicide is the act of taking one's own life. In assisted suicide, the means to end a patient’s life is provided to the patient (i.e. medication or a weapon) with knowledge of the patient's intention” (American Nurses Association). Physician-assisted suicide is known by many names such as death with dignity, right to die, and of course, euthanasia. Euthanasia is a much more in-depth term concerning the patient and the type of suicide.

There are multiple types of physician assisted suicide. Collectively, they fall under the categories: active or passive euthanasia. Active euthanasia is when someone steps in and deliberately ends a life. An example of this would be a physician administering a lethal dose of muscle relaxants to end the life of a patient. Passive euthanasia is best described as when a patient withdraws from a life preserving treatment. Euthanasia in general can also be classified as either voluntary, non-voluntary, and involuntary. Voluntary euthanasia is when a person makes the conscious decision to end his or her life. Non-voluntary euthanasia is when a person is unable to give their consent, and another person makes this decision on their behalf. This usually is the case for patients who are in a coma who have previously expressed this wish. Involuntary euthanasia is when a person is killed against their wishes. Involuntary euthanasia is almost always considered

Physician-assisted suicide and voluntary euthanasia is still under scrutiny for a number of reasons. “In spring, 1996, the Ninth and Second Circuits were the first circuit courts in the country to find a constitutional prohibition against laws which make physician-assisted suicide a crime” (Martyn & Bourguignon, 1997). New York was one of the states that followed this prohibition. Eventually, The Ninth and Second Circuit, “allow physician-assisted suicide while attempting to protect individuals from unacceptable harms, such as involuntary euthanasia” (Martyn & Bourguignon, 1997). An assumption can be made, that euthanasia involves a licensed physician to play an active role in this partaking, and it’s where the patient prepares to die at.

1. (problem – PAS): In today’s society, Physician Assisted Suicide is one of the most questionable and debatable issues. Many people feel that it is wrong for people to ask their doctor to help them end their life; while others feel it is their right to choose between the right to life and the right to death. “Suffering has always been a part of human existence.” (PAS) “Physicians have no similar duty to provide actions, such as assistance in suicide, simply because they have been requested by patients. In deciding how to respond to patients ' requests, physicians should use their judgment about the medical appropriateness of the request.” (Bernat, JL) Physician Assisted Suicide differs from withholding or discontinuing medical treatment, it consists of doctors providing a competent patient with a prescription for medication to aid in the use to end their life.

Death is a touchy enough subject for people; add in the idea of assisted suicides and there’s an uproar in society. Euthanasia or physician assisted suicide is a very controversial topic in our society today. Physician assisted suicide by definition is “suicide by a patient facilitated by means (as a drug prescription) or information (as an indication of a lethal dosage) provided by a physician aware of the patient’s intent (Merriam-Webster). There are two modes of looking at assisted suicides; either it’s seen as an absurd immoral decision to take away the life of someone or it’s seen as a logical and peaceful release from pain and misery. There’s this idea that asking a healthcare provider to help you end your life is unfair and unnecessary, no matter how much a person is suffering suicide is not justified. People fear patients changing their minds, physicians being severely impacted by this, and families not agreeing with the decision making it hard to cope. On the other side people believe that it’s freedom of choice to choose to be medically assisted with a suicide; this is a right the patient has. Some believe if you’re in pain and dying why should you be forced to stay in a painful state of life. Freedom of choice versus life isn’t ours to take away. If you were in a terminally ill patients position, what would you do?

Being able to decide the fate of your own life is not an easy decision to make, and is not something to be toyed with. However, when someone is in a desperate situation, and must choose before they lose their mind (quite literally), death may be more appealing, instead of living, and being forced to suffer. By legalizing euthanasia and physician-assisted suicide, we would provide “vulnerable” patients with better overall protection and health care, give patients (who are excruciatingly suffering and have no chance of recovery) the option to end their lives before they ever needed to go through such an ordeal and giving them peace of mind, and spare the families of the patients the emotional pain of watching their loved one slowly and painfully passing away. For these reasons, I believe that euthanasia and Physician-Assisted Suicide should be legalized in Canada.

There are several ethical and legal issues that are raised by the majority concerning the legalization of physician assisted suicide and the role of nurses in the process. Assisted suicide is a legal act of assisting those who are suffering from a deadly illness in ending their lives by providing them the means to do it (Griffith, 2014). Netherland was the first country to legalize physician assisted suicide. In 1994, Oregon became the first state to legalize physician assisted suicide by passing a bill called “death with dignity” followed by Washington and Montana. The law states that in order to be eligible for gaining access to assisted suicide, the patient must be left with 6 months to live, signed by two physicians and mentally stable enough to make decisions. Euthanasia is an alternative term used to describe the act of putting an end to a life in order to spare the individual’s suffering from an incurable or a painful disease process. It is classified to passive, active, involuntary and voluntary euthanasia. Active euthanasia is an act that is actively done to terminate life, while passive is when treatment is stopped in order to shorten the patient’s life. Involuntary euthanasia refers to a decision that is made by the health care providers without the patient knowledge and voluntary refers to patients that knowingly request to end their lives (Levy et al, 2013).

Physician-assisted suicide is one of the most controversial topics in the United States and other parts of the world today. Assisted death allows mentally proficient, terminally-ill adult patients to request access to life-ending medication from their physician. This type of assisted death is promoted by organizations such as the Death with Dignity National Center, who advocate for countrywide advances in end-of-life care and extended options for individuals near death. Although there are various arguments that state it is both immoral and unethical, physician-assisted suicide is a viable and honorable method to provide end-of-life options to the terminally-ill and to provide better support, relief, and comfort to dying patients. This topic

Terrence Jr., Londyn, and Kennedy's father (Terrence's) smoke marijuana in the home. Terrence's girlfriend (Jasmine) smokes marijuana in the home as well. Jasmine has two children (Dallas and Salyha) in the home as well. Both adults sell and manufactured the marijuana in the home. The children have access to the marijuana. Terrence Sr. and Jasmine has unlocked guns in the home. The guns are out in plain view. Terrence sleeps with a gun underneath his pillow. Terrence’s has a gun in his truck. Jasmine’s has a gun in her truck.

The thing that kept Steven going was the thought that Jeffrey having cancer was going to be a mistake. During Jeffrey’s stay at the Philadelphia Children's hospital Steven was kept unnotified of how Jeffrey was doing. Apart of that he was getting no attention whatsoever from either of his parents. Steven felt forgotten and this brought anger. Through journals from Miss Palma’s class he wrote about how nobody had thought about how he was feeling about this situation. However when Jeffrey and his mother returned from Philadelphia Steven learned that the thoughts he had was wrong.

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” (MedicineNet.com, 2004). Many times this ethical issue arises when a terminally-ill patient with and incurable illness, whom is given little time to live, usually less than six-months, has requested a physician’s assistance in terminating one’s life. This practice with the terminally ill is known as euthanasia. Physician-assisted suicide and euthanasia is a controversial topic

Thesis: When it comes to the topic of physician-assisted suicide (PAS), some experts believe that an individual should have the option of ending their life in the event that they have been given six months to live with a terminal illness or when the quality of their life has been vastly changed. Where this argument usually ends, however, is on the question whether physician-assisted suicide is medically ethical, would be overly abused to the point where doctors might start killing patients without their consent. Whereas some experts are convinced that just improving palliative care would decrease the need for someone to want to end their life before it happened naturally.

Personally, I see physician assisted suicide as a possibility for people who are terminally ill, or have an incurable disease to have the right to choose the time and the means of their own death. However, what role should mental health professionals assume in end-of-life decisions?

The topic that my group chose for the AP Capstone group project was Physician Assisted Suicide and Euthanasia, as we all thought that it would be a topic that would be interesting to write about. Additionally, my group was curious about the topic, and personally, I have aspirations to have some sort of career in the medical field one day. Another member in our group was very interested in law, and the other was curious about the topic, so we decided to go with the topic of physician assisted suicide and euthanasia. However, we originally thought that the group paper would be a very easy assignment as we, as a group had worked on other papers together before, but having our papers flow together and editing down repeated or unnecessary information was way harder than I

Active euthanasia is commonly confused with physician assisted suicide. Physician-assisted suicide is performed “when a physician, at a rational request of an adequately informed, competent patient who plans to commit suicide, knowingly provides that patient with the medical means…and the patient uses those means to commit suicide” (Gert). Through this method, a physician does not “actively” kill the person, but simply provides the person with the means to end their own life. For example, a doctor gives a patient an injection of a morphine that is sufficient to cause their death, but does not administer it. In the other hand, a physician “actively” kills a patient to end his or her suffering in active euthanasia. For instance, a physician either overdoses the patient with pain-killers or sleeping pills. Although they are done differently, they both have the same purpose of ending a person’s suffering and pain.