How Doctors Die : Showing Others The Way

In “ How Doctor Die,” Ken Murry explains the choice of doctors when they have a terminal illness. From the beginning, Ken gives an example of an orthopedist who was diagnosed with stomach cancer. He quit his job and spent the rest of his day with his family. A doctor is a person who treats disease and saves patients; however, when they have an illness, they are also like other patients. They meet difficult situations with their patients but also feel for them. They tend to be fair because they know about medicine and its limits. They do not want to die. Surely, each doctor has the preparation for death, and they want to find a way to die in peace. On the other hand, some patients try to find a method to overcome their illness although they have to bear pain. What I take from Murray’s essay is that patients have a right to chose how they die . Every one dies, eventually, but I agree with Murray that the choice needs to be an informed decision.

Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely

They are there day in and day out and develop special relationships. They might not agree with the decision to end one’s life, based on religious aspects, but they still have to go through with the decision (Gielen et al, 2009). This also brings into question about the ethical dilemma faced by physicians to preserve life. Likewise, this ideology is published in numerous medicine journals across the world. More specifically, this quandary is outlined in the QJM: An international Journal of Medicine. Within this journal, it poses these very questions. Should the patient’s decision to end their life override the doctor’s moral and ethical duty to preserve life? “I believe there are practical as well as legal and moral reasons to adhere to the ancient Hippocratic dictum: when efficacious treatment is possible, the physician's duty is to the patient, and to no one else—not to the family, nor the community—to prevent suffering and preserve life for as long as you can” (Epstien,

In a Netherlands report it tells, “Many physicians who had practiced euthanasia [form of assisted suicide] mentioned that they would be most reluctant to do so again” (Stevens 189). Everyday these physicians are faced with decisions of how to best save their patient. Now they also, have to determine if they can come to terms with ending their lives. The impact on these physicians is tremendous. Kenneth R. Stevens the Vice President of Physicians for Compassionate Care concludes, “Doctors who have participated in euthanasia and/or PAS [Physician-Assisted Suicide] are adversely affected emotionally and psychologically by their experiences” (187). Physicians, who have made the decision to help, face the consequences of their actions. They have helped someone take a life, even if it their own. Death always leaves an impression. Imagine what it must be like to be directly involved with a death. Those men and women in time will have to come to terms with their participation in Physician-Assisted Suicide.

Part One: In the documentary "Being Mortal" by Atul Gawande talks about the death of patients and how it 's a surprise to a large amount of the patients. He also explains the fear in the medical field, and as a doctor your suppose to help people and cure them, that you 're supposed to give them a better shot and if it later doesn 't go they way you expected,the doctors start to tell themselves what went wrong or what happen everything was going so well. Gawande talks about how he wants to learn more about how to communicate with patients and telling them that they have a certain weeks, days or months left. For example, He talks about one of his patients that he had, her name was Sarah and had stage 4 lung cancer was young and just had a

Imagine a frail elderly woman laying in the nursing home in pain. This woman is 80 years old and has been diagnosed with terminal lung cancer and her heart cannot withstand treatment via radiation or chemotherapy. She has less than six months to live. Day in and day out you pass her room and hear her crying out from the immense pain. The pain medications are no longer working. She’s tired of fighting, tired of hurting, and tired of waiting to die. After consideration and discussions with her family she has decided to ask the doctor to help and end her life. The doctor feels remorse for the elderly lady and wants to help but cannot decide if it is the ethical thing to do because he knows that what he’s

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

A person who is dying of a terminal illness is faced with only one certainty; they will die from this disease. A doctor can say roughly the amount of time that a patient has, but they exact date and level of pain is hard to determine. Many may look to a physician for the answer on if they should/shouldn’t choose PAS, however, the only role a physician plays is giving the medical diagnosis and working with the patient to get what the patient feels is the best option. Therefore, the decision the patient makes doesn’t make the physician a moral guide, but rather a person doing their job. The last big decision people who are terminally ill have is when/how to die and it has to be their own and it has to be respected.

This paper will explore what would entail “A good Death”. I will discuss Pain Control, No Excessive Treatment, Retention Of Decision Making By The Patient, Support For The Dying Patient And His/Her Family And Friends, Communication Among All Parties And Acts Done Out Of Love That Make Dying More Difficult.

This is recognized to be an issue, and throughout the article the authors provided an understanding of how palliative care and end-of-life care are provided too late for a patient and should be provided at an earlier time in order to bring more comfort to the patients. The authors suggest that when and how end-of-life care is provided should be altered, with nursing ethics in mind, so that patients and nurses may feel better about the care they receive. This source will help my research by providing information on how changing the policies of end-of-life care and palliative care can result in the patient feeling a relief from their suffering and ultimately feeling more comfortable. This will also help my argument in how altering the current policies and focusing on providing better end-of-life care can lead to the diminishment of physician-assisted

In Being Mortal, Atul Gawande uses his experiences as a surgeon, professor and public health professional to discuss many facets of Western end-of-life care and the process of growing old in a modern age. Overall, I have found that three overpowering themes in this novel are security versus autonomy, a need for pragmatism surrounding the concept of death, and our medicalized society’s devaluation of hospice and palliative care. Regarding these themes, I have chosen to reflect on my grandparents, death in the West and social role valorization, respectively.

Modern medicine has been fighting death and whether that is good or bad remains unknown. In the essay “On The Fear Of Dying,” Elisabeth Kübler-Ross dissects modern medicines effects on living and examines the mental and emotional toll it has taken on people. In the essay she talks about how regardless of modern medicine’s benefits, has allowed us to become more wary of acknowledging death and accepting it. The author explains that despite the advantages of these new advancements, medical advancements have lead to more emotional and mental problems regarding death. While Kübler-Ross takes a rather grim outlook on modern medicine, I agree with her; modern medicine has increased the average lifespan but has not changed the fearful ways we view death, has destroyed how we cope with death and dying, and has made dying an unpleasant experience.

Our society finds it difficult to talk about dying and euphemisms are the norm. It is typical for both doctors and patients to be hesitant to initiate a discussion on dying. Focus instead is often more often placed on interventions and actions for managing symptoms. This avoidance can leave patients and their families unprepared for the inevitable death. (Schapira, 2010) It also often results in requests for therapies which may be excessive, costly and even painful in the hopes for a cure. One study demonstrates that when patients are aware that they are terminally ill, the majority are able to reach a state of peacefulness and also exhibit lower levels of distress. (Ray, Block, Friedlander, Zhang, Maciejewski & Prigerson, 2006) It is also important that family members are willing to discuss end-of-life options with their loved ones. According to elderly patients, they are most often the ones who initiate these conversations with their

The case study based on the palliative patient Mrs. Mavis looks at issues both the family and the patient are dealing with in regards to the end of life treatment Mrs. Mavis is receiving. Mrs. Mavis is a palliative patient, currently unconscious, who is dying and only wants comfort measures within her nursing care. This was made clear through her advanced care directive, which was made weeks before beginning to receive her end of life care. Mrs. Mavis’ comfort measures include pain relief, hygiene and keeping her comfortable. Mrs. Mavis’ family want her to have fluids and medications to help improve her health. They also want oxygen and pain relief to help with her breathing. Issues such as educating and supporting the family, pain management, the effectiveness of having an advanced care directive and pain assessment will be evaluated to determine the best effective interventions for Mrs. Mavis and her families care. Interventions that will be discussed through-out this essay include the use of analgesia medication, the use of subcutaneous injections and syringe drivers, emotional support for the family, effective communication, educating the family on Mrs. Mavis’ wishes and the importance of having an advanced care directive. These interventions will be evaluated to ensure they are the best practice for Mrs. Mavis’ care.

The debate over the use of euthanasia is ever growing. This is due to the fact of constant increases in medical advances. Medical advances are growing the number of medicines one can be given before palliative care is an option. The main concern of the debate is whether trying new treatments and medicines are necessary before palliative care is given. Two articles will be analyzed using the Aristotelian method. Both articles are valid, but the New York Times article written by Haider Javed Warraich offers a complete perspective using all three persuasive appeals compared to the article written by Terry Pratchett for The Guardian, which the majority is written on emotion.