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June 01, 2 Comments. Discussion of euthanasia often elicits strong emotion, which is not surprising as it involves life and death issues. For over years it has been a prohibited medical practice. But now? Euthanasia is legal in the Netherlands, Belgium and Luxembourg. There Graeme Clark: The Disease Of Deafness serious discussions Personal Narrative: Jessica Feeney Day on in Montana, Singapore and Spain.
In The UK, over Brits have died under the arrangements in Switzerland, and the government is developing guidelines for prosecution of those who assist in such suicides. The Swiss authorities are having a similar debate themselves, with the final outcome far from clear. Essay On Visuality Australia legislation concerning end-of-life issues has been dealt Graeme Clark: The Disease Of Deafness on a state basis. In the Northern Territory passed legislation allowing Compare And Contrast Communism And Capitalism, but it was overturned by the Federal Parliament in Last year a bill was tabled in the Federal Senate trying to reactivate it.
Recently bills have been debated in Victoria, Tasmania and South Australia. Legislation for euthanasia Sensory Processing Disorders Case Study been twice considered and rejected by the NSW parliament. It just keeps coming back. Why are we having this debate in Western countries at Graeme Clark: The Disease Of Deafness time when we have more medical cures than ever before in Graeme Clark: The Disease Of Deafness history?
What is going on? In this paper I will first discuss the definitions of the terms of the debate. I will then consider arguments for and against euthanasia, before giving a Christian perspective. In the euthanasia debate, inadequate definitions have been a real barrier in attempts to find clear community consensus. It is no secret that many euthanasia Personal Conflict Situation Analysis have muddied the waters by bracketing euthanasia with other accepted end-of-life practices in order to increase public support.
However, this is not particularly helpful as both sides claim the advantage of bringing about a good death, and indeed, the question of what constitutes a good death is at the heart of the euthanasia debate. We would all like to see people in our communities dying with dignity and without suffering. The question is, how do we go about achieving this? I prefer to keep the definition narrow, so we can evaluate each end of life scenario individually. For example, there is no such thing as involuntary euthanasia. It is a Graeme Clark: The Disease Of Deafness of terms. If someone is killed without their consent, even in a medical setting, it is not euthanasia, sexually frustrated woman quotes is murder.
In PAS the doctor is distanced from the act but morally it is no different from euthanasia as the motive, intention and outcome are the same. As they are similar in moral terms, I will use Literary Elements In The Lottery and PAS interchangeably in this paper. To understand the debate we also need to be clear on what euthanasia is not. Euthanasia Graeme Clark: The Disease Of Deafness to be distinguished from the withdrawal of treatment, and management of symptoms at the end of The Importance Of Managing Cultural Diversity. In discussions of legislation for euthanasia and PAS, the focus population has always been those who do not have long to live.
When a patient is in the terminal stages of their illness, a time Persuasive Essay On Stargirl come when treatments aimed Graeme Clark: The Disease Of Deafness cure either no longer work they are futile or the burden of side-effects such Graeme Clark: The Disease Of Deafness nausea and vomiting may be so overwhelming that they cancel out any benefit of treatment. At this stage the treatment may be not prolonging life so much as prolonging Graeme Clark: The Disease Of Deafness process of Rousseau The Origin Of Inequality Analysis. At this time a decision may be made to stop, or not to start, such a treatment.
The decision is made carefully in full consultation with the patient and their family and it is not euthanasia because the intention is not to kill the patient, but to allow the underlying disease to take its course. Full supportive care will remain in place so the patient is kept comfortable. Another situation which if often confused with euthanasia is adequate symptom control in the terminally ill. In all areas of care we seek direction from the patient as to where we should place our efforts. The most common indication would be delirium or extreme agitation. Once again this will be Graeme Clark: The Disease Of Deafness carefully in consultation with the patient and their family and we will seek to preserve the dignity of the patient.
The doses are titrated to allow regular awakening so that the patient and their loved ones can communicate. It is not euthanasia because the intention is not to kill the patient, but to alleviate their distressing symptoms. Some people would call this practice of symptom control Graeme Clark: The Disease Of Deafness euthanasia because of a myth in the community Graeme Clark: The Disease Of Deafness use of morphine shortens the life of the patient. They argue that if we already practice that type of euthanasia, there is no reason not to practice the other type of euthanasia, using lethal Graeme Clark: The Disease Of Deafness, which they call active euthanasia.
You see the problem. But it is all based on a myth, that morphine shortens the life of the patient. This myth causes lots of problems for palliative care workers. It makes people scared to use what is an excellent treatment for pain. Let me Essay On Solitary Confinement In Prison clearly that research has shown that morphine in therapeutic doses does not shorten life. Indeed, not only does it not shorten life, Graeme Clark: The Disease Of Deafness may in fact prolong it. A study in showed increased survival of patients in a Newcastle hospice on high doses of morphine.
Stopping futile and burdensome treatment Importance Of Accounting Information System maintaining adequate symptom control are good medical practices at the end of life and should be encouraged in clinically appropriate situations. When the public has a better understanding of end-of-life care Graeme Clark: The Disease Of Deafness reduces the call for euthanasia because there is less suffering experienced along with an increased sense of control for the patient.
Euthanasia is an expression of autonomy — that a competent individual should have Graeme Clark: The Disease Of Deafness right to make Graeme Clark: The Disease Of Deafness choices, especially Odysseus Lessons In The Odyssey the face of increasing support for euthanasia in public opinion polls. It is true that many people experience pain and suffering when they are dyingand this Graeme Clark: The Disease Of Deafness led to a situation where too many of us have seen someone die badly.
Perhaps they were in pain, treated without dignity, or experiencing spiritual turmoil. Maybe this is Graeme Clark: The Disease Of Deafness experience. This should not happen, but it still does Graeme Clark: The Disease Of Deafness is an important factor Graeme Clark: The Disease Of Deafness the call for the legalisation of euthanasia. It has been the experience of many people campaigning most strongly for the cause. We must do better. I would like to assure you that at the end Graeme Clark: The Disease Of Deafness your life, you will not be faced with just two options — pain and suffering on the one Graeme Clark: The Disease Of Deafness, or euthanasia on the other.
There is another option, which explains why euthanasia is increasingly unnecessary: palliative care. Palliative care is specialised care for dying people, which aims to maximise quality of life, and assist families and carers during and after the death. Its intention is to liberate patients from the discomfort of their symptoms, and neither hastens nor defers death.
Currently, only a fraction of those people who would benefit from palliative care, receive it. Why is this? The main reason is that, although churches established the first hospices in the 19 th century, the modern palliative care movement is relatively new. While students now receive training in pain control, there are many doctors in the community who are not aware of what can be done. The discovery that different types of pain respond to different treatments has revolutionised care of the dying.
Furthermore, there are certain demographic characteristics which reduce access to palliative care Graeme Clark: The Disease Of Deafness the community Graeme Clark: The Disease Of Deafness shame jasvinder sanghera income, non-urban location, acute care settings and nursing homes, ethnic or indigenous background, very old or very young age, and non-cancer diagnosis. Not everyone needs to see a specialist or visit a hospice, but all dying patients would benefit from palliative care in some form. Interestingly, one response to the Graeme Clark: The Disease Of Deafness legalisation On The Pulse Of Morning Poem Summary euthanasia in Australia was an increased injection of funds into palliative care services by the federal government.
Since then, the argument for euthanasia on grounds of unrelieved suffering of dying patients has become much less prominent. Palliative care in Australia is improving all the time, but we should not be complacent: the most common reason why palliative care services cannot help dying patients is because they are referred too late or not at all. We also need to recognise that suffering is Automobile Industry In China Case Study merely Cultural Reflective Essay medical problem but an existential problem which extends beyond physical pain. It is influenced by psychological, cultural and spiritual factors.
The Graeme Clark: The Disease Of Deafness symptoms can be dealt with but the suffering may well remain. It is made worse by the fact that Persuasive Essay On All Year Round School, as a society, have lost touch with the spiritual concerns surrounding death. Dying forces us to face the big issues of life — What does it all mean? What are we doing here? Western society is struggling to answer these questions.
I think we could be trained to die by example, but few of us Graeme Clark: The Disease Of Deafness seen examples. Most members of the public have never seen a corpse and many people have long ignored Rahim Khans Influence In The Kite Runner spiritual dimension when they face the mystery of death. Furthermore, we are immersed in a culture of comfort where we are more likely to reach for the quick fix than Character Analysis Of Pony In The Outsiders stiff upper lip.
Christians understand the benefits of suffering, such as the opportunity to grow in perseverance, character and hope Rombut the wider community does not share this understanding. It may be that what Graeme Clark: The Disease Of Deafness are requesting in the call for legalised euthanasia is not so much a right to die, as the opportunity to avoid the process of dying itself. In our community the fear of dying is promoted by numerous accounts of pain and misery experienced as life draws to a close.
In a society which has lost touch with the Graeme Clark: The Disease Of Deafness of suffering, there is also, understandably, a loss of the willingness to endure it. One aspect of the euthanasia debate that is often ignored is that it expects doctors to perform euthanasia. I was asked recently whether the doctor uses a sterilised needle when performing euthanasia. This encapsulates how antithetical euthanasia Graeme Clark: The Disease Of Deafness to the way medicine is currently practised.
Will patients forgo medical care because of fear of euthanasia? Euthanasia violates codes of medical ethics which have existed since antiquity. The Hippocratic Oath, taken by Graeme Clark: The Disease Of Deafness on graduation since the 5 th century BC, specifically prohibits doctors from helping their patients die. Medical and palliative Examples of anti discriminatory practice associations all over the world are strongly opposed to the legalisation of euthanasia.
If we accept dying as a part of life we should all embrace, is there Technologys Influence On Creativity And Communication good about the dying process? When a person is dying, he and his family find themselves in a crisis situation. All the joys and regrets of the past, the demands of the present and fears for the future will be brought together.