Death is unnerving. However, to those fighting unwinnable battles death may seem to be the only way to escape the pain. For the patients in agonizing situations, nurses are there to provide comfort and care. The patient and nurse form a unique relationship and, therefore, the nurse is typically the first person a patient deliberates the topic of assisted suicide with (Maher, 2007). This issue has been strongly deliberated since 1997 when Oregon passed a law termed the Death With Dignity Act. In 2006 Washington, Montana, and Vermont also passed bills approving assisted suicide, and since 2014 twenty-eight additional states have considered implementing bills that would allow physicians to assist in patients ending their lives. Typically, assisted suicide has remained in the domain of physicians, however, in the scope of nursing practice, it is still an issue that has a prominent effect on nurses and weighs heavily on their minds. The ethical principles in regard to this topic are deeply intertwined creating an intricate ethical dilemma for nurses. The question has become where do nurses fit into the equation of assisted suicide. …show more content…
They are there to listen, console, and care for a patient, often receiving private and sensitive information, in a patient’s most vulnerable and desperate moment. This also means that they may be encountered with a patient’s request to end their life. Assisted suicide is an issue that directly contradicts nursing ethical principles and places the nurse in a compromising situation. Not allowing the patient this choice would oppose the patients right for autonomy, denying them the ultimate decision in their life. However, allowing them the decision would defy the nurse’s responsibility of caring in regards to beneficence, to do only good, and nonmaleficence, to do no harm (Maher,
Introduction People have moral and ethical values that assist them in making decisions about their healthcare on a daily basis. What if a person found out that they had a terminal illness and only had months to live? What if those few months would be filled with treatments, pain and suffering, tear filled family members, and high cost medical bills? Physician- assisted suicide remains a debated topic which causes physicians, nurses and those involved to take a look at what they value and what they are willing to do in order to carry out a patient’s wishes.
The concept and ideology behind Physician-Assisted Suicide within the contemporary generation has become an exceptionally sensitive and controversial issue as multiple factors conglomerate to define if Physician-Assisted Suicide is justifiable within the grounds of ethical understanding and moral principles. The idea concerning PAS is based on the grounds of rational and irrational thinking as in if death is a rational choice above all other alternatives (Wittwer 420).
Delbeke discusses how some people believe assisted suicide should not just be up to physicians to perform. Some people feel that, depending on the task, even nurses, social workers and clergy could perform the suicide. A benefit of this would be less responsibility and burden on the physician, but there are more bad factors. If it starts to become acceptable to let non-physicians perform assisted suicide then more people may become involved than necessary. Delbeke provides information that she thinks assisted suicide would become institutionalized and a certain routine would come about.
Running Header: Ethical Reasonings Ethical Reasonings for the Legalization of Physician Assisted Suicide The moral issue of whether or not Physician Assisted Suicide(PAS) should be allowed has been widely vocalized and debated throughout the world. Physician Assisted Suicide is an important issue because it concerns the fundamental morals of one 's life. There are a variety of opinions readily discussed about this issue. Most standpoints on this topic have to do with freedom.
This legislation has faced criticism from persons that warn of abuse, loss of integrity to the profession of medicine, and a lack of respect for the sanctity of life (Starks PhD). Supporters point out that the act of physician assisted suicide is one that happens far more than the general public cares to think about; legislation decriminalizing this act allows the opportunity for transparency ensuring safety checks along the process, autonomy and compassion for the patient, as well as help for mentally ill persons seeking physician assisted suicide (Starks
Physician-assisted suicide and euthanasia has been one of the most debated subjects in the past years. There are resilient advocates on both sides of the debate for and against physician-assisted suicide and euthanasia. Advocates of euthanasia and physician-assisted suicide believe it is a person ’s right to die when faced with terminal illness rather than suffer through to an unpleasant demise. Whereas, opponents contend that euthanasia and physician-assisted suicide is not only equivalent of murder, but it is ethically and morally incorrect.
Should Physician-Assisted Suicide be Encouraged? For several years, physicians and patients have argued that a legal form of suicide should be legalized. Many of the patients who support this idea are in critical condition and for many of the physicians, this is their last resort. While some support this idea, others argue that this is not a logical stance to take. The concept that has swept and divided the nation is perceived as “Assisted Suicide”.
“Be smart, be strong, live honorably and with dignity, and just hold on” (Fray). Physician assisted suicide or better known as Death with Dignity isn’t your everyday topic or thought, but for the terminally ill it’s a constant want. The Death with Dignity isn’t something that all people or religions are in favor of and nor is the act passed in all states in the United States. Only three states in the U.S. today, Oregon, Vermont, and Washington offer their residents the option to have aid in dying as long as all the requirements are met. Death with Dignity doesn’t effect just the terminally ill person, but as well as family and friends around them creating many conflicting thoughts when opinion if Death with Dignity is truly moral and a choice
The ethical issues of physician-assisted suicide is equal parts emotional and debatable. People fight over whether it is ethically acceptable for a dying person who has chosen to avoid the unimaginable suffering at the end of their precious life. Additionally, it is also the physician’s duty to ease the patient 's suffering, which may justify providing aid-in-dying depending on the case. This becomes a huge issue not on ethically but politically for the doctors because studies have shown that the doctors are often divided on if they feel that physician assisted suicide should be legalized. If it does in fact become legalized it will force hundreds of thousands of doctors to help kill someone when they take the hippocratic oath to help someone
Some nurses can argue in this act in bring “compassionate and merciful”. Not every nurse will have the same beliefs or values on this subject but it still is important for them to be aware of it in case they’re faced with dealing with someone that wants to go for the option of assisted suicide. There are certain criteria’s that you must meet in order to get approve for assisted suicide, which include, getting examined by two professionals and have them conclude
If a patient’s doctor says no to the assisted suicide, it is easy for the patient to find another doctor who will allow it. This is corrupting medical practice. To show true compassion, we need to tell them they are not alone, and offer them help and kindness. Permitting assisted suicide is not compassionate because it generally is not the patient’s choice. Doctors can be wrong, and it is better to offer a patient help than to let them die.
An Integrative Review. JAN Journal of Advanced Nursing, 1744. Karlsson, M. B.-F. (2015). A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care. International Journal for Human Caring, 40-48.
Physician assisted suicide is morally and ethically wrong due to the Hippocratic oath doctors take at the beginning of their term, and unlike euthanasia, it is therefore the patient that triggers the death and not a third party. Our culture subscribes to the notion of the “absolute sanctity of life”, Western religions do not plainly forbid suicide, and assisted suicide would result in overall no harm on the society. The physician-assisted suicide controversy surrounds the idea that assisted suicide rests on the difference between dying with dignity and dying suffering. The ethical issues of physician-assisted suicide are both emotional and controversial. It is ethically permissible for a dying person who has chosen to escape the unbearable
Assisted suicide is a rather controversial issue in contemporary society. When a terminally ill patient formally requests to be euthanized by a board certified physician, an ethical dilemma arises. Can someone ethically end the life of another human being, even if the patient will die in less than six months? Unlike traditional suicide, euthanasia included multiple individuals including the patient, doctor, and witnesses, where each party involved has a set of legal responsibilities. In order to understand this quandary and eventually reach a conclusion, each party involved must have their responsibilities analyzed and the underlying guidelines of moral ethics must be investigated.
In this case, healthcare professionals actively participate in the patient death. According to ethical principles, healthcare professionals should do good and do no harm for patients. Therefore, assisting in her death violates the principle of nonmaleficence. In addition, active euthanasia defines as an intentional act of ending patients lives, whether or not the dying patients request. Four states, Oregon, Washington, Vermont, and Montana have approved laws of the practice of physician-assisted suicide.