The Role Of Critical Care Nurses In Euthanasia And Assisted Suicide

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.

Today, there is a large debate over the situation and consequences of euthanasia. Euthanasia is the act of ending a human’s life by lethal injection or the stoppage of medication, or medical treatment. It has been denied by most of today’s population and is illegal in the fifty states of the United States. Usually, those who undergo this treatment have a disease or an “unbearable” pain somewhere in the body or the mind. Since there are ways, other than ending life, to stop pain caused by illness or depression, euthanasia is immoral, a disgrace to humanity, according to the Hippocratic Oath, and should be illegal throughout the United States.

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.

Euthanasia is a controversial topic regarding whether or not physician-assisted suicide should be further legalized. Euthanasia is the act of a medical doctor injecting a poison into a patient 's body in order to kill them. Some argue that euthanasia should be legalized to put people out of pain and misery. However, others argue that some people with terminal illnesses would do anything to live longer and believe that it is a selfish and cowardly act. Euthanasia is disputable because of the various ethical issues, including, but not limited to: murder and suicide illegality, the Hippocratic Oath, and medical alternatives. As someone who has had many traumatic experiences and who wants to become a doctor, I am very passionate about the well-being of my future patients and the responsibility to do no harm to them. For these lawful, logical, and personal reasons, euthanasia should not be legalized.

Euthanasia, as defined by Merriam-Webster Dictionary, is considered to be, “the act or practice of killing someone who is very sick or injured in order to prevent any more suffering” (2015).Within this can be found different methods of euthanasia including passive or indirect euthanasia which requires withholding of basic life-saving measures such as oxygen, nutrition, hydration, or resuscitation. Another form is direct euthanasia which can be caused by administered drugs, injections, or suffocation. In its entirety, euthanasia has been debated as an ethical issue through its many forms and reasoning (Methods of euthanasia, 2011).

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).

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.

The values and priorities in healthcare are constantly changing and we need to ensure that our practice and our laws are evolving with these changes. Medically assisted death is a controversial topic worldwide and especially in Canada right now, as there will be a gap between legislations leaving a grey-area for healthcare providers, as the ban will be lifted June 6th, 2016 and there is no current bill or legislation in place currently. The forum I will be attending is called, “DEMOCRACY TALKS Medical Assistance in Dying” on Tuesday, 24 May 2016 from 7:00 PM to 8:30 PM at Memorial Library located at 1950 Marine Drive, in West Vancouver. The link to the forum is: https://www.eventbrite.ca/e/democracy-talks-medical-assistance-in-dying-tickets-24972236632?aff=ebrowse.

First, nurses are not formed or trained to participate in assisted suicide despite their competence and their compassion in giving care to their patients. On the daily basis, they save so many lives and they also face different kind of ethical dilemmas, but assisted suicide is a very difficult, treacherous and complicated issue that can be challenging and hard for them to kill their patients with their own hands. Plus, Nurses can experience moral distress and conflict of conscience in these situations in answering to terminally diseased patients demand for assisted suicide death. In nursing schools, they are trained to heal, save lives, prevent illnesses and alleviate pain, they never signed up or trained to kill patients. They were always

The American Nurses Association (ANA) does not support active euthanasia, they believe that nurses are obligated to be there supporting the patient till the end of their life, regardless if they are terminally ill or not. On the other-hand, Provision 1.4 in The Guide to the Code of Ethics for Nurses talks about the right to self-determination which supports my argument for pro-nurse active euthanasia. It is based off of the fact that the patient makes autonomous decisions and even if they state their decision and it is not agreed with by others, it still remains an autonomous decision regardless. They state how by being a nurse they have an ethical duty to abide by the autonomous decision of

Active euthanasia should be permitted as a medical treatment to allow people the right to die with dignity without pain and in peace. Euthanasia, also known as assisted suicide or mercy killing, takes on many different forms. When most Americans think of euthanasia, they think of a specific form that is referred to as “active euthanasia” which means to actively do something that will end a patient’s life with or without that individual’s consent. When euthanasia is performed in an involuntary manner it is usually because the patient is comatose, unconscious, or otherwise unable to communicate whether or not they want to have their life prolonged through artificial means. In such cases, the physician makes an

Many nurses are regularly confronted with the hopelessness and exhaustion of patients and their families making it difficult for them to find balance between the preservation of life and the enablement of a dignified death. Nurses must acknowledge their own feelings of sorrow, fear, dismay and helplessness and recognize the impact of these emotions in clinical decision making. These distressing pressures may cause a nurse to contemplate intentionally assist in ending a patient's life as a humane and compassionate answer, however; the conventional goals and standards of the nursing profession mitigate against it.

The American Nurses Association regards active euthanasia inconsistent with the Code for Nurses and is considered ethically unacceptable. It has been the role of a nurse to promote, preserve, and protect human life. As members of the profession, nurses are obligated to offer end of life care, which includes the promotion of comfort for pain and suffering, and foregoing life sustaining treatments. Care does not include deliberately terminating life.

Euthanasia is a controversial issue. Many different opinions have been formed. From doctors and nurses to family members dealing with loved ones in the hospital, all of them have different ideas for the way they wish to die. However, there are many different issues affecting the legislation and beliefs of legalizing euthanasia. Taking the following aspects into mind, many may get a different understanding as to why legalization of euthanasia is necessary. Some of these include: misunderstanding of what euthanasia really is, doctors and nurses code of ethics, legal cases and laws, religious and personal beliefs, and economics in end-of-life care.

In cases where an individual's quality of life is irreparably diminished by terminal illness, one may seek to end their life with the help of a doctor. This has been a solution for patient suffering in neighboring countries, but there are ethical and legal issues that make it an impractical solution for American healthcare. Considering the results of negative potential of euthanasia practices exposes its flaws, and sheds light on better alternatives. Therefore active euthanasia, not to be confused with physician assisted suicide, should not be legalized in the United States.