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Assited Suicide

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* Assisted Suicide * Jabarri Moore * COM/172
March 31, 2014
Cassandra Baker

Assisted Suicide

Patients suffering from debilitating diseases and living in agonizing pain should have the right to end their life without government interference because the constitution states that all American is entitled to life, liberty and the pursuit of happiness. The State Government and the Federal Government will end an individuals’ life if murder is committed to innocent children or to law enforcement personnel. Then when it comes to an individual who has not committed a violent crime and wants to end their life on their due to medical sufferance, the government chooses not to intervene on behalf of the person unless to punish the act in its entirety (Avila, 2000).

Individuals Right to End Own Life
Quality of Life According to Longmore (2005) the courts, the media, and different onlookers neglected to distinguish or disregarded the prejudicial components of open strategy, human services conveyance, and social administrations that make the lives of some individuals with handicaps terrible; specifically, by denying satisfactory financing for free living, by neglecting to offer fitting mental assessment and intercession, and by ignoring the points of view of inability rights development pioneers in these cases and on these issues. A quadriplegic patient in Detroit, Michigan injured while surfing thus breaking his neck and ultimately rendering the patient to a quadriplegic state dreamed of getting married, having a successful career, and raising a family. During this time, this patient applied for personal support to aid in the process of housekeeping and other daily essential task such as bathing, eating and getting dressed. This patient at that time received $300 a month, which is only $10 a day, and averages to a mere 41 cents an hour. Unable to work and unable to receive an adequate amount of financial or personal care support this patient who often felt as though life was a burden chose to seek physician assisted suicide.
Physicians Role All around the United States, doctor supported suicide; a methodology where the medical practitioner gives a deadly remedy to a critically ill patient who expects to end their life is illegal. If a physician chooses to take part in an act of this kind, that physician could face homicide charges or even a lesser charge of manslaughter. The problem that arises is that the physician is ultimately aiding in what society calls treatment, but the government views that a physician can only aid in the treatment of an ailment. There are measurements that can be taking as made by Oregan that can allow a physician to prepare for the lethal treatment, but cannot administer the treatment to the patient ultimately relinquishing the physician from any illegal acts and allowing the patient to make the final decision if the patient so chooses (Ziegler, 2005).
Patients Rights As stated by Penney (2001) in assisted suicide situation, a person has three rights that are an individual has a liberty right: the person is free to commit suicide and has no obligation to do so; the right to non-interference right: others have a duty to not interfere with an individuals' suicide, and positive or welfare right: individuals have the right to assist individuals with their suicide. A patient has basic rights, which include the right to accept or to refuse treatment if the patient can provide acknowledgment. Of course if the patient has been involved in a tragic accident, is unconscious and immediate life saving decisions, then that discretion is up to another person. In addition, the patient is entitled to the right to doctor-patient confidentiality but that right will be revoked in many of the assisted suicide cases in the United States and may other parts of the world. A person that willingly commits suicide will only suffer from the consequence of losing his or her own life but when a physician is involved then it becomes a crime.

Underlying Issues of Assisted Suicide
Moral Issues According to Zucker (1996), the basis of the United States government was set up on the foundation of religion and anything that goes against its principles is morally unjust. The United States see more and more cases where states are starting to legalize abortion in which a doctor in essence is potentially taking the life of another person. States are allowing this and society is more acceptable for abortions rather than assisting an individual left to endure a substandard quality of life. It is understood that taking the life of another person is wrong, that is why the Justice System has set irrefutable punishments regarding this action. When a patient is in a vegetative state and physicians have made exhausted all treatment options, it is acceptable for the family members to "pull the plug" after the patient has then endured long agonizing nights of pain but society nor the state will allow the person to make that decision prior to this on their own free will.

Ethical Issues Doctor supported suicide and willful extermination have long been restricted by therapeutic codes of ethics. They have been seen as violations of the ethical statutes of non maleficence- the obligation to do no mischief to patients- and of beneficence- the commitment to do great and to act to the greatest advantage of the patient. Pronouncements against animated steps to scurry passing go over to the Hippocratic Oath and have structured the moral center for an expert resistance to those practices. Some, nonetheless, contend that the Hippocratic enunciation of qualities is versatile and takes into account differed translation. There has long been the understanding, however, that halting medication when patients are "overmastered via ailment" is moral and suitable. Today patients have the right to reject medication, including life-manage medicine. This is dependent upon a weighing of patient independence and determination toward oneself enthusiasm against societal investment. It is not, be that as it may, a "right to bite the dust" (Snyder, 2001).
Acceptable Conditions for Assisted Suicide
The main issue revolving the assisted suicide debate is when it is necessary to take such a drastic action. Assisted suicide should be a case-by-case basis and should be granted when such cases warrants it. Individuals who are diagnosed as clinically depressed or viewed as a less extreme case, should not be eligible for assisted suicide. This practice should only be available for patients suffering from extreme dementia and persons who have lost an acceptable quality of life as stated by (Frileux et al., 2003)
Patients Suffering From Life Threatening Illnesses By 2020, 2.5 million Americans age 65 and more seasoned will kick the bucket every year; 40% of passing will happen in nursing homes. The point when a patient whose personal satisfaction is constrained solicitations to rush demise, attendants may feel torn between respecting the patient is self-governing right to choose and to regard the holiness of life. Individuals with malignancy, and AIDS, an amyotrophic horizontal sclerosis (ALS), other propelled or terminal sickness, crudely oversaw agony, and several indications usually make demands for scurried passing. An investigation of patients in Oregon and Washington with ALS discovered sadness was a key variable in making a solicitation under the Oregon Death with Dignity Act. As stated by the 2007 State Health Division investigate Oregon's Death with Dignity Act, the most reported concerns were diminishing capability to take part in exercises that make life pleasant (86%), losing self-rule (100%), and losing pride (86%) (Oregon Department of Human Services, 2008). The explanations behind making a solicitation therefore are unpredictable, not primarily a matter of manifestation control (Lachman, 2010)
Patients Living with Agonizing Pain Each has a different level of pain tolerance. What one person defines as very painful a second person may find pleasure in. A tragic life incident will bring forth pain that no person will find comfort in. These individuals may suffer from a physical accident or even chronic disease. The pain that these individuals endure on a day-to-day basis can only be classified as intolerable and are often prescribed high doses of pain medication to help alleviate these pains temporarily (Jackson et al. 2005).

Legal Assisted Suicide

The United States Constitution The Fourteenth Amendment ensures that the Bill of Rights, which incorporates the initial 10 revisions, applies to the central government as well as to the states. This implies that no single state of the United States may deny a single person of life, freedom, or property without the due procedure of pulling out and a chance to be listened. The Due Process Clause places limits on the states to control ensured principal human rights. The Constitution has required procedural protections of notice and a hearing before life, freedom, or property might be limited or taken by the administration. This is expected methodology. A protected test emerges when one of the three real key human rights is debilitated by the administration. These essential rights incorporate the right to vote, the right to travel, and the right to security. The right to protection has six subsections best recalled by the mental helper CAMPER, which remains for the right to contraception, premature birth, marriage, multiplication, instruction (the right to instruct outside of state funded schools), and relations. The hardship of any of these essential rights summons a strict investigation test, where the load is on the administration to show that the law is fundamental, that there is no less prohibitive elective intends to a propelling administrative premium (Frank, 2011)

States that Acknowledges Assisted Suicide
Oregon. The Oregon Death with Dignity Act permits critically ill state occupants to get remedies for self-regulated deadly pharmaceuticals from their physicians. It does not allow killing, in which a medical practitioner or another person straightforwardly manages a pharmaceutical to a patient to end his or her life. To acquire a medicine for a deadly drug, the law obliges that the patient be a grown-up occupant of Oregon who is "able" (ready to settle on and impart choices about his or her medicinal services) and who has an ailment that is relied upon to prompt demise inside six months. The patient must make one composed and two oral solicitations to his or her medical practitioner. The two oral solicitations must be differentiated by no less than 15 days. The patient's necessary doctor and an advisor are required to affirm the conclusion of a terminal condition and the anticipation, establish that the patient is competent, and elude the patient for advising, if either accepts that the patient's judgment is impeded by gloom or some other psychiatric or mental problem. The necessary physician should likewise update the patient of all possible options, for example, solace mind, hospice mind, and agony control alternatives. To follow the law, medical practitioners must report all solutions that they compose for deadly prescriptions to the Oregon Health Division. Reporting is not required if patients start the procedure of asking for a solution, however, do not get it. Medical practitioners and patients who stick to the necessities of the demonstration are secured from criminal indictment (Chin et al., 1999) Vermont. State administrators in Vermont, USA, have passed a bill to sanction medical practitioner helped suicide for at death's door patients. After approbation from the Governor, the state will turn into the third in the USA and the first on the east drift to permit aided suicide. Physicians will have the ability to recommend deadly measurements of a pill to those standards to live for less than 6 months (May 25-31, 2013).
Washington. As in Oregon, the Washington activity obliges that a going to medical practitioner and a counseling doctor autonomously establish that a patient is qualified to start a composed solicitation for a solution for a deadly prescription - a resolution that incorporates check that the person is skilled, is acting voluntarily and has settled on an educated decision. Drugs should not be recommended to a patient "experiencing a psychiatric or mental problem or discouragement bringing about debilitated judgment"(Steinbrook, 2008, p. 2513). If such issues are suspected, the patient must be eluded to a specialist or analyst for directing, a determination of whether the patient's judgment is weakened, and conceivable medication (Steinbrook, 2008)
Montana. On December 31, 2009, the Montana Supreme Court governed in a 4-2 decision that nothing in state law keeps patients from looking for doctor aided suicide, preparing for the system. A year at one time, a Montana State District Court judge decided that the state's sacred rights to security and poise ensure the right of critically ill Montanans to get the medications needed to kick the bucket gently. Anyway the backers have said a decision from the state Supreme Court was required before a medical doctor. The medicinal group might grasp supported suicide. The Supreme Court differ that the Montana Constitution ensures the right. At the same time, it said in a presumption, "we don't discover anything in Montana Supreme Court point of reference or Montana statutes showing that doctors help in biting the dust is against open arrangement"(Robinson, 2010, p. 15). Late in 2010, it is likely that the Montana lawmaking body will wrangle about the issue and vote whether to annulment the law. To date, Montana laws has no guidelines and rules for the methodology like those in Oregon and Washington (Robinson, 2010)

Conclusion
More than 30 000 individuals carry out suicide every year in the United States.' None of them perpetrates a wrongdoing. Their passing is not celebrated as articulations of singular opportunity, nevertheless. Suicide is a real open health issue because such a large number of suicides are unnecessary, the consequence of dysfunctional behavior, misery, and at times even coercion. The suicide "problem" that has pulled in the most open consideration is not that there is an excess of suicides yet that are excessively few, in any event around terminal patients. The proposed result has been to insurance at death's door patients who need to submit suicide a protected right to a medical practitioner's aid in completing so. Patients are allowed to choose which medications to take or to refuse, are allowed to conduct a living will, are allowed to pick out burial plots, and even preplan their funeral but they should also have a say in how their death should occur (Snyder, 2001)

References
Avila, D. (2000). Assisted suicide and the inalienable right to life. Issues in Law & Medicine, 16(2), 111-41. Retrieved from http://search.proquest.com/docview/215291553?accountid=35812
Chin, A. E., M.D., Hedberg, Katrina,M.D., M.P.H., Higginson, Grant K,M.D., M.P.H., & Fleming, D. W., M.D. (1999). Legalized physician-assisted suicide in Oregon--the first year's experience. The New England Journal of Medicine, 340(7), 577-583. Retrieved from http://search.proquest.com/docview/223947283?accountid=35812
Frank, R., & Anselmi, K. K. (2011). Washington v. glucksberg: Patient autonomy v. cultural mores in physician-assisted suicide. Journal of Nursing Law, 14(1), 11-16. Retrieved from http://search.proquest.com/docview/867911842?accountid=35812
Frileux, S., Lelievre, C., Munoz Sastre,,M.T., Mullet, E., & Sorum, P. C. (2003). When is physician assisted suicide or euthanasia acceptable? Journal of Medical Ethics, 29(6), 330-6. Retrieved from http://search.proquest.com/docview/216359076?accountid=35812
Jackson, T., Pope, L., Nagasaka, T., Fritch, A., & al, e. (2005). The impact of threatening information about pain on coping and pain tolerance. British Journal of Health Psychology, 10, 441-51. Retrieved from http://search.proquest.com/docview/215245278?accountid=35812
Lachman, V. (2010). Physician-assisted suicide: Compassionate liberation or murder? Medsurg Nursing, 19(2), 121-5. Retrieved from http://search.proquest.com/docview/230522384?accountid=35812
Longmore, P. K. (2005). Policy, prejudice, and reality: Two case studies of physician-assisted suicide. Journal of Disability Policy Studies, 16(1), 38-45. Retrieved from http://search.proquest.com/docview/211254420?accountid=35812 May 25-31, 2013. (2013). The Lancet, 381(9880) doi:http://dx.doi.org/10.1016/S0140-6736(13)61101-0
Oregon Department of Human Services. (2008). Tenth annual report on the Oregon Death with Dignity Act. Retrieved from http:// oregon.gov/DHS/ph/pas/docs/year10.pdf
Penney, L. (2001). Rights discourse and assisted suicide. American Journal of Law and Medicine, 27(1), 45-99. Retrieved from http://search.proquest.com/docview/274665807?accountid=35812
Robinson, J. (2010). Baxter and the return of physician-assisted suicide. The Hastings Center Report, 40(6), 15-7. Retrieved from http://search.proquest.com/docview/811397741?accountid=35812
Snyder, L. (2001). Bioethics assisted suicide, and the "right to die." Annals of Clinical Psychiatry, 13(1), 13. Retrieved from http://search.proquest.com/docview/211884344?accountid=35812
Steinbrook, R., M.D. (2008). Physician-assisted death -- from Oregon to Washington state. The New England Journal of Medicine, 359(24), 2513-5. doi:http://dx.doi.org/10.1056/NEJMp0809394
Ziegler, S. J. (2005). Physician-assisted suicide and criminal prosecution: Are physicians at risk? The Journal of Law, Medicine & Ethics, 33(2), 349-58. Retrieved from http://search.proquest.com/docview/223498010?accountid=35812
Zucker, A. (1996). Assisted suicide. Death Studies, 20(6), 627-630. Retrieved from http://search.proquest.com/docview/231379610?accountid=35812

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...respecting theirs and others capacities as rational beings. One of Kant’s main arguments is that suicide is using yourself as a means to an end. By using your own capabilities to end your life, you are not treating yourself as an end. The means is ending your life and the end, in the case of terminal illness, is ending pain and suffering. However, if you read Kant’s humanity formula, you see it says that you cannot use someone as merely a means (Timmons, pg. 16). Merely is using them as nothing else than for your own ends and disregarding the ends they have themselves. The Stanford Encyclopedia of Philosophy states that we can’t avoid using people as a means, but it is acceptable as long as they are “at the same time being treated as an end in itself” (Johnson, SEP). In this way, the patient considering euthanasia is both a means and an end, but not merely a means. Though they are using themselves as a means, they are also pursuing their own ends and treating themselves as an ends. The humanity formulation also says that humanity, not humans, should be treated as an end. Humanity is defined in an article from the Journal of Medicine and Philosophy as “ the capacity for autonomous action” (Gentzler, p. 462). A person with autonomy makes decisions and imposes laws on themselves, as does a dying patient who wishes to end their life. In the case of the terminally ill, it could be said that suicide is not a disrespectful act to humanity because they are using their human capabilities to...

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Nursing Care Study

... Serena is an 82-year old woman who lives in her north inner city Dublin home with her husband Dan. They have four sons who now have families of their own but are all supportive and are still very much present in their lives. Her only sister, Blair, lives in a nearby county but visits her twice a week. Her relationship with her family is identified as her main support system. Serena is known to the psychiatric services due to her long history of Bipolar Affective Disorder and previous suicide attempts, resulting to numerous psychiatric admissions. She was on lithium for approximately 18 years, which now resulted for her thyroid to become toxic and her kidneys to completely stop functioning. She has been recently diagnosed of End Stage Renal Failure (ESRF). This recent diagnosis has left her more anxious and depressed. As her family and the Community Mental Health Team (CMHT) from the POA unit had worrying concerns regarding her increasing inability to cope at home and recent suicide attempt, they have decided to refer her to Golden Living Centre (GLC) for respite. GLC is a nursing home where I did my 8-week specialist placement. The CMHT from the POA unit visits Serena on a weekly basis ensuring continuity of care. The community mental health nurse (CMHN) comes in to the nursing...

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