Holistic Approaches To End Of Life

Imagine laying in a hospital bed living everyday in extreme pain with no hope of getting better. This scenario explains what many people go through everyday, which is a living with a terminal illness. M. Lee, a science historian, and Alexander Stingl a sociologist, define terminal illness as “an illness from which the patient is not expected to recover even with treatment. As the illness progresses death is inevitable” (1). There are not many options for the terminally ill besides dying a slow and painful death, but assisted suicide could be best option for these patients. Assisted suicide is “any case in which a doctor gives a patient (usually someone with a terminal illness) the means to carry out their own suicide by using a lethal dose of medication” (Lee and Stingl 1). Some feel that assisted suicide is unnecessary because it is too great of a controversy and will only cause problems in society. However, assisted suicide should be legal in the United States as long as there are strict regulations to accompany it.

Euthanasia is the practice of ending the life of an individual for the purposes of relieving pain and suffering. Over the years, there has been a big debate about its merits and demerits, and the debate is not about to end anytime soon. However, no matter what side of the debate one supports, it is important to consider a few facts. One, the prolonged stay in hospital is bound to raise medical costs. Two, some medical complications bring suffering and pain to the patient without any possibility of getting back to one 's normal activities of daily living. However, ending the life of a person intentionally may be treated as a serious crime in some jurisdictions. Given these facts, it is evident that making a decision about euthanasia is bound to be a challenging task. Although not everyone might agree, euthanasia is a necessary procedure that relieves the pain and suffering of the patient and rids the family and the government of expensive medical costs that would not necessary improve the life of the patient.

There has been an increase in the interest of euthanasia and assisted suicide for the terminally ill in recent years (Williams 1997). The most obvious reason for someone wanting to end their life is to end the suffering they are going through once the illness goes beyond being bearable.

By using this article, it will provide reasons why a patient seeks assisted suicide when facing a terminal diagnosis, with 6 months or less to live. It offers the physician perspective on assisting terminal patients at the end of their life span. An explanation of the Death with Dignity Act provides an example of legislature in the United States addressing this controversial subject.

Suffering at the end of life stems from multiple sources, including unyielding pain, depression, loss of personal identity, loss of control and dignity, fear of death, and/or fear of being a burden on others (AAHPM, 2007). The overwhelming symptoms lead many terminally ill patients to ask their doctors to help them die (Gorman, 2015). According to Dr. R. Sean Morrison, professor of geriatrics and palliative care medicine at Mt. Sinai’s Icahn School of Medicine in New York, “their choice shouldn’t be an assisted death or living with intractable suffering” (as cited in Gorman, 2015). The American Academy of Hospice and Palliative Medicine (AAHPM) (2007) strongly recommends that medical practitioners

In almost every case of a terminal disease, pain is intolerable and seeing someone in such agony is heartbreaking. For example, Brittany Maynard, a 29 year old brain cancer patient who had to move to Oregon so she can avail of the Death with Dignity act. “Maynard knew that her form of brain cancer would be excruciating. She would endure swelling of the brain that would very likely cause seizures, painful headaches and the gradual loss of bodily function. Doctors know that for about 5 percent of the population, no amount of morphine can block the agonizing pain the terminally ill endure” (EDITORIAL: Dying with dignity). Palliative care can often be provided for the dying patients and alleviating pain to provide comfort for the dying has always been the priority. “Palliative care focuses on relieving the symptoms, particularly the pain, of incurable illness.” (Palliative Care) But, in relieving pain through the prescribed medications there are also side effects that are caused by the prescribed pain suppressors and two examples will be lethargy and it compromises breathing. In most cases the effectivity of the pain medication may no longer alleviate the pain. If a patient will be in such agony for the remaining days or weeks the quality of life is no longer present. The agony of pain prevents a patient from performing even just the bodily functions.

Physician-assisted suicide is one of the most controversial subjects in the medical field. Whether the debate is, “Should a doctor be allowed to assist in someone’s suicide?” or, “Is it the right thing to do for a dying patient?” Seeing a loved one in pain can possibly be one of the hardest things to do. But what if they were given the option to the stop the suffering? Knowing that death may be months, weeks, or days away comes along with a lot of time at hospitals, pain, and suffering. Giving terminally ill patients an option of physician-assisted suicide allows the patient to be in charge of ending all their pain and suffering they will go through as well as passing at the comfort of their family at home and not in a hospital bed.

life by physician-assisted suicide or euthanasia. One of the reasons why states have concerns and interests in these two forms of suicide is because, “the state has an interest in the preservation of human life, and that far too many lives are lost prematurely” (Wellman, 2003). A great number of people that are elderly and dying will go to hospice. Hospice is where people go to die. It involves not giving food, fluids, or medicine to their patients. However, if their patients are starving and dehydrated then that is a form of suicide by not giving them the proper nutrition. Individuals would have closure with families, friends, and be able to make proper arrangements for their assets, if physician-assisted suicide and voluntary euthanasia were

Millions of people suffer from terminal illnesses and diseases everyday. Many of those people, especially those living in uncomfortable facilities and those deteriorating, have a strong desire to die with dignity. The subject of physician assisted suicide goes hand in hand with self induced suicide and euthanasia. The issue with physician assisted suicide is that society is not willing to help the issue because a majority of society views it as unethical and morally wrong. The subject is more so focused on the practice of the doctor rather than the pain and the suffering of the

There are occasions when medicine is not your friend and the effects of the treatment will only prolong the suffering of the patient. Healthcare professionals must be objective and ask will the end result be changed. We must know when it is appropriate to discuss end of life options and when it is not. According to Adams (2015), most desire to die at home, but less than half are allowed to do so (p. 13). Our responsibility is to allow the client to make an educated decision about all the available service and treatments.

Hippocrates said it best when he stated that “wherever the art of medicine is loved, there is also a love of humanity.” Throughout history, the purpose of practicing medicine was to alleviate ailments, treat diseases, and cure illnesses. Palliative care is a field of medicine that focuses on treating patients with advanced, often untreatable illnesses. As such, palliative care is designed to relieve pain and maintain a good quality of life for patients nearing the end of their lives. There are treatments available that provide pain suppression for the comfortability of the patient. However, there are illnesses that do more than just causing pain. Terminal illnesses such as Huntington’s disease can cause one to lose control of their body and ultimately the loss of personal autonomy. Often times, patients reach a vegetative state, which is a loss of all cognitive functions. Loss of autonomy has a detrimental effect on quality of life, and that is why there is an option for physician assisted suicide (PAS). Physician assisted suicide involves the physician writing a prescription for medication in which the patient takes with the purpose of overdosing (Dees et al). Currently, PAS is legal in Colorado, California, Oregon, Washington, and Vermont (Death with Dignity). PAS allows for patients with terminal illnesses to choose when they want to pass. As such, PAS is referred to as the Death with Dignity Act (Death with Dignity), because it allows the patients to demonstrate their

When people imagine their death, most people desire a good death, peaceful and painless which occurring in a house bed and surrounded by loved ones like their family members or friends. However in real life, only few deaths are like that. Others are died painfully in hospital because of diseases. Last decades, large numbers of people demand physician-assisted suicide to satisfy their expectations of last good night.

Individuals with a terminal illness will typically go through the seven emotional stages of while coming to terms with their condition; shock, denial, bargaining, guilt, anger, depression, and acceptance. Acceptance varies by the individual and has many different meanings. Some individuals try to make the time they have left last as long as possible while others focus on completing goals previously set in their life time. Some will seek forgiveness whether it be from their god(s) or from family and friends. But for a select few, acceptance means that they will try to take control of when they will pass away. To take control of something so trivial, they may look to family, friends, or even their physician. The act of voluntary termination of one’s life with the assistance of a medical care personal is referred to as physician assisted suicide, physician assisted death, or euthanasia. Physician assisted suicide allows patients to take control of what happens before and after death. It allows the patient to enjoy the dwindling life they have left and can be regulated by the government.

I have always believed that health cannot be optimized through the treatment of disease only. Rather, health should be addressed on a biological, physical, psychological, social, and spiritual continuum. Palliative care addresses an often-overlooked aspect of the patient experience, which is symptom management of their chronic illnesses. Health care professionals tend to treat acute episodes of

Most adults diagnosed with cancer undergo years of treatment in attempts to cure that cancer. However, sometimes these treatments may not work, or the cancer is found too late in a patient to be stopped, and a patient’s cancer can be determined terminal, which means that the cancer can not be cured and will lead to death. If cancer is determined terminal, end-of-life care can be administered patients to control lasting pains, including shortness of breath, nausea, and constipation. However, this treatment does not cure the cancer, and will not prevent death in a terminally ill cancer patient. In some cases, patients decide that receiving end-of-life treatment is not worth it if the treatment does not prevent death. Terminally ill cancer patients may also continue to experience unbearable suffering, despite end-of-life treatments, as it is not always effective. These factors may push some terminally ill cancer patients to request to be actively euthanized. Active euthanasia is the merciful ending of a patient’s life through a single act, such as an injection. Terminally ill cancer patients should have the right to determine if they are actively euthanized. However, only patients who consider their suffering unbearable should have the right to be euthanized.