The End Of Life Decisions

A person’s life can end at any age. They can depart quickly or slowly. End of life care, also known as palliative care, is the care of patients that are not only in their final hours or days but the patients with a terminal illness that has become incurable. End of life care takes into mind what the patient desires so it is recommended that they consider an advanced care plan also known as an advance directive and living will. These documents allow the patient to formulate decisions on the future of their care if, at any point, they cannot vocally express themselves.

Have you ever been forced to watch someone that you love dearly fall victim to a terminal illness that diminishes their quality of life a bit more with each day that passes? The illness not only wreaks havoc on the person who is suffering from it, but it also destroys the life of the caregiver. As cruel as it may sound, sometimes the best option is the termination of the poor life that is withering away.

There is a lot of controversy surrounding the issue of people’s autonomy when it comes to the end of their lives. Why somebody would want to end their life prematurely is a question that puzzles people. So therefore is hard to comprehend why people should have autonomy over such a thing.

Since all diseases are not curable, a lot of people are living in severe pain that is unbearable. Assisted suicide, also known as mercy killing, is the act of bringing the death of a hopelessly ill and suffering person in a relatively quick and painless way. Indeed, it is one of the effective solutions for people who are suffering in pain from terminal illness and especially for children who are not able to choose for their own lives. Even though assisted suicide is not legalized globally, there are few countries and six states in America including Washington State that allow such action. Many people are still against an assisted suicide system. However, since America is the country of freedom, people should have choices

In addition to advance directives, there are other decisions involving end of life care that people should think about and discuss with their loved ones. These are decisions are around the ‘how’ and ‘where’ that people wish to die. These types of measures may be touched on in one’s advance directives, but may not go into great detail. If diagnosed with a terminal disease or if the end of life is imminent, one should decide on the type and amount of treatment they receive. With death as a certainty, most people turn toward either palliative care or hospice

If a patient can come to a decision when it is time to stop treatment for their terminal illness, then they should also be allowed to choose when to bring death. End of life care has become just as important of an issue to physicians as well as the patients. If physician-assisted deaths were permitted in all 50 states, physicians could openly discuss end of life wishes with their patients. The term “Terminally ill”, Is a terminal condition that is a disease or process that will result eventually in a patient's death, no matter what treatment is given. Of course, this could

By giving a terminally ill patient the right to end their misery, it can be beneficial to the lives of others. A patient who ends their life by a physician-assisted death can save their remaining organs and the lives of others who are in need of a transplant. By doing this, the patient is given the opportunity to determine how they would like their organs to be donated and the warmth of knowing they are saving the lives of others. Even though their life may be ending, their life will be honored by the ones they saved.

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.

Life is a delicate subject to address, especially when it comes to the end thereof. Oftentimes, talking about death is a sensitive and therefore controversial subject. In America, citizens are allowed to hold and express their personal ideologies and beliefs, which has created a lot of discussion about whether or not it should be legal for doctors to help terminally ill patients peacefully end their lives. This is commonly referred to as Aid-In-Dying. The human experience is filled with many difficulties and sufferings. In the dreadful circumstance that someone is diagnosed as terminally ill, why would anyone want him or her to continue to suffer? When a human being is dying and experiencing excruciating pain, they absolutely should have

It is very important that each individual, if possible has a say in his or her own dying and death. Facing death is hard for everyone and there are specific issues to be talked about in advance. A living will or a Physician Order for Life-Sustaining Treatment (POLST) is extremely useful. The POLST is designed for people with serious or life-threatening illnesses. “This is a standardized form that describes a patient’s wishes and is signed by his or her physician, providing both summary of an individual’s advance directive decision and the physician’s order. It can be used to inform emergency personnel about a patient’s wishes for life sustaining procedures, such as CPR. “

Coming to the end of your life is already filled with so many ailments, the last thing a dying person needs is to make those final decisions. Most of the time when a person is at the point of needing end of life care they do not have the capacity to make crucial decisions. It’s best to know what your choices will be and have those in writing so when your time comes those who care for you will know that you have chosen hospice care or hospital care. However, sometimes you don’t get to make that choice, as it depends a lot on what care is available and how close you are actually dying.

A patient choosing to terminate their treatment leads to letting life take its course and letting the terminal disease invade their body until they are no longer able to function and die naturally. Patients often choose to this option so that they are able to enjoy what portion of their life they have left through spending time with their family members and loved ones, traveling, or pursuing something they enjoy as opposed to spending their remaining days in a hospital receiving treatment when at that point it's often likely that they will pass away soon anyways.

They were the subjects of public disputes with family members, court systems, medical professionals, the media, and society at large. Terri Schiavo, Nancy Cruzan and Karen Ann Quinlan; their names are synonymous with permanent vegetative state (PVS). The amazing technological advancements in modern medicine has been credited with keeping persons alive who in times past would have died, therefore this is remarkable for countless families. In the cases of the Quinlan’s, the Cruzan’s and many like them, families members find it unbearable to witness loved ones who linger indefinitely in PVS with little or no chance for recovery. There are many like Terri Schiavo’s parents, who value the lives of their love ones no matter how limited their

As patients come closer to the end of their lives, certain organs stop performing as well as they use to. People are unable to do simple tasks like putting on clothes, going to the restroom without assistance, eat on our own, and sometimes even breathe without the help of a machine. Needing to depend on someone for everything suddenly brings feelings of helplessness much like an infant feels. It is easy to see why some patients with terminal illnesses would seek any type of relief from this hardship, even if that relief is suicide. Euthanasia or assisted suicide is where a physician would give a patient an aid in dying. “Assisted suicide is a controversial medical and ethical issue based on the question of whether, in certain situations,

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.