If a patient does not have the ability to exercise the right-to-die, hospice is a really good option for them to control the pain and pass peacefully. “Hospice care is specialized care designed to provide support to a person and their loved ones during an advanced illness, it focuses on comfort and quality of life rather than a cure.”(Hospice, 2015) Hospice is really the only option for people who live in states that do not support the right-to-die; it strives to give the patient the highest possible quality of life and make them comfortable, so they can live their final days to the fullest. Hospice is offered in the home, in long-term care facilities, and hospice will do about anything to keep the patient comfortable. They help prepare their patients and their families for the approaching death, and they offer bereavement services to the family after the death for up to three months. Hospice is a great resource for people who are ready to stop fighting and be comfortable, but it still does not provide the freedom that the right-to-die laws can, like allowing people to make their own choices about their life.
Right-to-die laws are state mandated in only four states: Oregon, California, Washington, and Vermont. State mandated means that if a person meets the requirements to exercise their right-to-die, and he can find a physician that will write their prescription, he is free to do as he pleases. In Montana, right-to-die is mandated by court ruling, which means you must go to
Hospice is a process to end-of-life care and a kind of support facility for terminally ill patients. It provides comforting care, patient-centered care and related services. Comforting care relieves discomfort without improving the patient’s condition or curing his illness. Hospice is extended in a healthcare facility or at home. Its objective is to provide compassionate, emotional, and spiritual care for the dying patient.
There are currently three states that have adopted legislation supporting “Death with Dignity”, also known as physician-assisted suicide. Oregon, Washington, and Vermont have each enacted laws that enable a terminally ill, mentally competent, adult to decide and dictate end of life decisions up to and including the time of their death. Oregon was the first United States (U.S.) to enact legislation and other states in the union have followed suit.
In the United States today, only several states legally recognize physician-assisted suicide as an option for families and terminally ill patients hoping to embrace a death with dignity. Although there is a growing movement to promote access to physician-assisted suicide, the topic is still widely regarded as taboo. As of 2016, the states of Washington, Oregon, Vermont, Colorado, New Jersey, and California are the only states to allow full and legal access to physician-assisted suicide. Alongside those states are Montana and New Mexico, which legally offer “aid in dying,” meaning the state allows for physicians to assist in alleviating the longevity of the dying process.
Many terminally-ill patients give up hope when treatments are no longer available to help them and hospice care is given to them as an option. However, hospice care has proven itself to provide the best quality care for the last six months of the dying. The purpose of hospice is to provide the best care for terminally-ill patients at the end stage of their lives. Hospice offer services to support too many aspects a patient’s life such as medical, legal, spiritual care. Hospice includes art therapists, music therapists, and certified chaplains on the palliative team.
Care designed to give supportive care to people in the final phase of a terminal illness and focus on comfort and quality of life, rather than cure. The goal is to enable patients to be comfortable and free of pain, so that they live each day as fully as possible. Aggressive methods of pain control may be used. Hospice programs generally are home-based, but they sometimes provide services away from home in freestanding facilities, in nursing homes, or within hospitals. The philosophy of hospice is to provide support for the patient's
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.
These states include Oregon, New Mexico, Montana, Vermont, and Washington that allow the help of a doctor to take away the life of the patient that decide to end their life and the pain that is causing the patient. For example, pharmacist and doctors instruct the patient how to take the dosage of the prescribed drug. So. if in a case that patient don’t know how to take the drug and need help the patient can do it with the help of a professional health care. Physician assisted suicide is similar to assisted suicide because both are taking the life away, but the main the difference is it may be held or not held responsible of the action. Since most of the states don’t allow this, people actually move to those states that do allow it to end their painful lives and not having to suffer anymore. In the states that do allow it have certain requirements to be met in order to be qualified to take this action and additional requirements. In most states, the law of physician assisted suicide are similar and have the same requirements that need to be adhered. These requirements include, patient must be 18 years or older, resident of that state in which they live in, patient must be capable of doing this action, diagnosed with a terminal disease that is within the months to live. Some states may have other requirements to do this action and the time in which the patient will live. Oregon for
A woman is thrashing in bed and crying from the pain her illness is causing her to feel. Her family rushes to find a nurse nearby to administer pain relieving medication. A nurse comes by to give palliative care to the woman that’s in agony. However, the strongest medication that’s at hand cannot relieve the pain without overdosing the patient. The terminally ill patient now has to live with intractable pain for the remaining days of her life. Physician Assisted Death is sometimes necessary in case state-of-the-art palliative care no longer works on the cancer patient. Terminal patients should have the option to control the circumstances surrounding their inevitable deaths with Physician Assisted Death to treat the pain.
When a patient is expected to live six months or less is when hospice is referred. Although many hospice patients have cancer as their primary diagnosis, hospice provides care to patients of all ages who are dealing with any potentially life-limiting illness, including Alzheimer’s, congestive heart failure, chronic obstructive pulmonary disease (COPD), dementia, and emphysema. Once the patient has been diagnosed and chooses hospice care, this can generally take place at home or as in-patient care. Hospice neither prolongs life nor hastens death, but controls pain and discomfort allowing a person to live as fully and comfortably as possible during life’s final journey (“Career”).
Suppose your a doctor have given you only six months to live, due to a terminal illness. Your doctor has given you a two options. The first option is to continue harsh treatments and provide you with all life support needs. The treatments are very risky, the doctors are skeptical that they will even work, and you the patient could die even faster than expected. Your second choice is to go home, allowing hospice to maintain your pain level, allow you to be comfortable, and allow you to maintain your quality of life. The relationship between hospice care and the dying patient is critical because it allows the dying patient to receive treatment that
Although each state has their own fine print policies, the overall purpose and requirements of the bills from each state remains the same. In each of the three states (Oregon, Washington, and Vermont) the requirements for death with dignity are as
When it comes to terminal illness, more people are turning to hospice care to be as comfortable as possible in their remaining time (Hospice Foundation of America, 2017). Many factors go into hospice care, also known as end of life care. Numerous services are offered to both they dying and their family (National Health Service, n.d.). Hospice care has shown to improve the quality of life for both the dying and their caregivers (Office of Disease Prevention and Health Promotion, n.d.). While many argue that hospice care can work for almost anyone, many cultural influences affect whether or not terminally ill patients opt for end of life care (Johnson, Kuchibhatla, & Tulsky, 2008).
Hospice care provides services including but not limited to, pain management, medical care, emotional and spiritual support that fits the patient’s individual needs and wishes. The compassionate care provided by the care providers alongside the support of loved ones, goes a long way to help the patients facing a life-limited illness.
As Americans we have the right to choose what we want because of our democracy. If someone commits a serious crime it is punishable by death. Living in the United States people have the right to choose where they would want to live, what to do for a living, who to vote for, where to attend school, to have children or terminate pregnancy. As a terminally ill patient you do not have the right to die. It is not necessary or people to have to sit and suffer while their body deteriorate. It should be the patient’s choice of how he or she dies. There are many patients suffering from what may seem a little time to us a long painful death from being terminally ill. We need to fix this problem by education and educating the patient’s family.
Currently, voluntary euthanasia is only legal in five states: California, Oregon, Washington, Vermont, and Montana (Galewitz, "Aid-in-Dying Advocacy Group Girds for Battles After California Victory"). These states all have their own individual laws deciding who can or can’t be euthanized. For example, Oregon’s Death with Dignity Act restricts anyone without a terminal illness that can cause death within 6 months and anyone under 18 from using euthanasia (“Death With Dignity Act”). Rules like these prevent irresponsible use of euthanasia, and give physicians a general guideline to administering the drugs. Outside of the listed states, any form of euthanasia is considered a