...Analysis of an Ethical Dilemma Grand Canyon University Analysis of an Ethical Dilemma Euthanasia is considered “assisted suicide” (Ethical key issues- Euthanasia., 2011). Terminally ill, old age, and poor disease prognosis’s are some population of patients that research euthanasia. Euthanasia is currently illegal due to many ethical implications. Euthanasia is an ongoing ethical dilemma that affects nursing as a profession, has legal implications, and stirs up ethical debates over social values, morals, and norms. “Standard 7, under the heading “Standards of Professional Performance,” reiterates the moral obligation of the nurse to practice ethically and to provide care “in a manner that preserves and protects healthcare consumer autonomy, dignity, rights, values, and beliefs” and “assists healthcare consumers in self determination and informed decision-making”” (ANA position statement, 2013). Nurses in all healthcare related settings play a key role in patient care at end-of –life. Nurses’ care for the physical and spiritual needs of patients and their families while, also collaborating with all members of the interprofessional healthcare team. Nurses witness the devastating effects of life-threatening diseases. It is difficult to balance amongst saving a life and the enabling of a dignified death. Nurses need to keep their own feelings in check because they could have an influence on clinical decision making. “It is within the framework of the Code for Nurses and...
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...non-voluntary, patients unable to consent. Euthanasia can have great impact on the society. It affects everyone one way or another. Although a person has autonomy to make decisions about his end of life care doesn’t take away from the fact that their family and friends will be affected with guilt, anger and bitterness. Voluntary euthanasia can hamper efforts to advance medical research in finding cures for diseases (Saunders, 2011). As the nurse taking care of a terminally ill patient, the husband confides in you that he promised his dying wife that he would assist her in taking her own life when the pain became more than she could bear. The ethical dilemma for this nurse is does she keep this information to herself or does she report this to the correct authority. There are four fundamental principles that should be used to guide ethical judgments. These include...
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...Analysis of an Ethical Dilemma Part 1 Grand Canyon University April 26, 2013 Analysis of an Ethical Dilemma Part 1 Voluntary and assisted euthanasia have been and will continue to be one of the most controversial ethical debates in the medical field. Euthanasia stems from the Greek language: eu meaning good and thanatos meaning death. The practice of voluntary euthanasia is when the patient requests to die but someone else has to perform the act, for example removing the patient from all life-sustaining equipment or giving a lethal injection. Where as the definition of assisted suicide is a physician prescribes a lethal dose of medication and the patient on his or her own will have to perform the act of consuming the medication to cause death. There are many ethical implications that arise from either option. “In the balance are crucial issues: personal autonomy, dignity, compassion, ending suffering, protection of the vulnerable, promotion of good palliative care, and redefinition of the role of the physician in death and dying” (Van Norman, (2012). It is imperative for nurses to be conscious of their obligations professionally, educated on the laws surrounding the issue, who the stakeholders involved are, the impact on social values/morals, and the ethical theories and principals involved. Nursing Obligation According to the American Nurses Association nurses are never allowed to have any part in euthanasia, such actions would be a direct violation of the...
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...Seminar 5 First Draft – Physician Assisted Suicide INTRODUCTION In my term paper I am going to be answering the question is Physician-Assisted Suicide (PAS) ethically justified? The debate on Physician-Assisted Suicide has been a topic of debate for many years. Born and raised in Michigan I remember all of the news on Dr. Jack Kevorkian assisting terminally ill patients in their death and the controversy on it. The dilemma is whether or not a physician should be allowed to assist a person in ending their life even if they are terminally ill. According to a recent article on The New York Times website, New Mexico just legalized Physician-Assisted Suicide for terminally ill patients. This ruling would make New Mexico the fifth state to allow physicians to prescribe to their terminally ill patients a fatal dose of medications to end their life (Eckholm, 2014). Proponents of Physician-Assisted Suicide believe that terminally ill people should have the right to choose go to the doctors and ask for their help to end their lives and stop their suffering. Of course there would have to be certain steps taken to make sure they were making the right choice. Many supporters of Physician-Assisted Suicide believe that there should be some psychiatric evaluation to make sure that the patient is of a sound mind in their decision to end their life. Opponents of Physician-Assisted Suicide believe that a person does not have a right to end their own life and that it goes against...
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...Assisted Suicide Letithia Terry PHI103: Informal Logic Kurt Mosser June 6, 2011 Assisted Suicide Assisted Suicide is when the physician provides the necessary means or information and the patient performs the act. Euthanasia is where the physician performs the intervention defined as the “act of bringing about the death of a hopelessly ill and suffering person in a relatively quick and painless way for reason of mercy (as cited in Mosser 2010). Physician Assisted Suicide has grown to be a controversial issue and one of the major disputes is; can an incurable ill patient be able to choose Physician assisted suicide? This phenomenal dilemma has risen debates on rather to legalize PAS or keep it illegal because of the different issues concerning the different religion, moral and ethical views people have on the topic. In this essay I will discuss issues of why many people and I believe assisted suicide should be legalized. There are different laws around the world concerning physician assisted suicide and only a few states that has legalized the procedure. In 2005, there were only four places in the world that open and legally authorize assistance in dying patients: “Oregon (since l997, physician-assisted suicide only); Switzerland (1941, physician and non-physician assisted suicide only); Belgium (2002, permits 'euthanasia' but does not define the method and the Netherlands (voluntary euthanasia and physician-assisted suicide...
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...Although the physician does not directly end the patient’s life, physician-assisted suicide (PAS) occurs when the physician provides the means (i.e. information or drugs) to commit suicide. Patients who request PAS from their doctors usually suffer from terminal illnesses, such as AIDS, cancer, or neurological disorders, in which death is inevitable, and it is estimated that 12% of physicians receive at least one request for PAS per year (Beck, Wallace, Starks & Pearlman, 1996). While some people believe that the ability to end life in those cases is critical for preserving human dignity, PAS is still a controversial topic because others do not consider assisted suicide moral. The main argument against PAS is that it is contradictory to traditional religious beliefs and philosophical systems. For example, suicide has been considered a sin by the Catholic Church because the people believed God was responsible for creating life and was therefore the only one who had the right to take it (New York State Task Force on Life and the Law [NYSTF], 1994). Although that belief cannot be proven in science, some social groups still consider that God is the only one with the right to take life, and their personal beliefs must be respected. In Ancient Greece, suicide had also been regarded as an abandonment of duty, but current trends are starting to favor individual well-being over compliance to social norms and expectations. Some physicians also believe that using anesthetics should...
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...Analysis of an Ethical Dilemma, Impact of Voluntary/Assisted Euthanasia Luellen Lawler, Soma Philip, Annamma Anto, and Janice Haddock Team Green, Grand Canyon University Ethical Decision Making in Health Care 437 V Dr. Ann Leslie Claesson September 01, 2012 Analysis of an Ethical Dilemma, Impact of Voluntary/Assisted Euthanasia There are several topics in the field of biomedical ethics that are controversial and by nature require careful examination of one’s own values and viewpoints. The purpose of this paper is to provide an analysis of voluntary or assisted euthanasia and the ethical implications it entails in relation to the profession of nursing. Nurses have the responsibility to act in their patient’s best interests. However, that may become difficult in the event that a patient asks for help in the task of ending his or her own life. There were two case scenarios provided for review concerning the topic of voluntary or assisted euthanasia. The common ethical implication among nurses involved in these particular cases seems to be the ambivalence they experience in relation to their level of involvement. Although nurses worldwide are confronted with euthanasia requests from patients, the views of nurses on their level of involvement in euthanasia remains unclear (Dierkx de Casterle, Verpoort, De Bal, & Gastmans, 2006). It stands to reason that palliative care nurses in particular, would have the highest frequency of experience with patients who are...
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...Similar to its violation of ancient teachings of the Bible, the assistance of a physician in medical suicide directly violates the ancient Hippocratic oath, and it is for this reason that many physicians refuse to support legalization of the practice. The Hippocratic oath is a promise, regarding the ethical standards of medicine, that all physicians swear to uphold. The classical oath asserts that “[the physician] will neither give a deadly drug to anybody who asked for it, nor will [the physician] make a suggestion to this effect]” (Ruggles). On these grounds the oath, developed in the late fifth century BC, directly prohibits the practice of physician-assisted suicide. It is for this reason that some physicians so vehemently oppose...
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...End of Life: Assisted Suicide PHI208: Ethics and Moral Reasoning Instructor: Shawn Lorenzen September 29, 2014 Moral and ethical debates attempted to resolves controversial issues but never seem to end with everyone agreeing. Often these ethical and moral debates are complex, involve opinions persuaded by religion or customs, and have legal implications to consider. Physician assisted death is one of these very complex and controversial issues that all people will never agree on. Many questions arise in the debate of physician assisted death such as patients’ rights, physicians controlling the right if someone lives or dies, a patience’s mental state, a family member’s rights, religious beliefs of the parties involved and the law. Philosophers attempt to explain the different theories that people will use to argue their belief systems in terms of logic and reasoning. For example, some people may take the position of a deontologist who would argue that it is our moral duty to support and sustain life therefore assisted suicide should not be allowed. Unfortunately, this very emotional thought provoking debate is not a “black and white issue,” as most ethical arguments are not. In the situation of physician-assisted death, I disagree with the deontologist point of view that it is immoral for a physician to assist a patient in suicide. I believe as some relativist due, that as long as the patient is fully capable of making this decision and the patient is in a constant state...
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...decided to write my paper on Euthanasia as the topic elicits all types of opinions and conversion on the matter. It is definitely a hot button topic when it comes to Ethical dilemmas, theories, principles, and how society should precede with this in application of law and legislation. I believe that allowing for Euthanasia globally and nationally will begin to further erode the very moral and ethical fiber that separates man from animal. I further support my stand with the example of abortion, and even though opinion hasn’t changed much in the 40 years since Roe vs. Wade allowed for abortion to take place, still millions of babies have been killed despite to negative opinions about it. My hypothesis on this issue is that if nationally legalized it would lead to an untold amount of elderly, handicapped, ill, poor, and lonely people vulnerable to being put to death against their wishes and before their time. The aim of this paper it too show that indeed legalizing “Euthanasia” or “Patient Assisted Suicide” would indeed lead us down the “slippery slope. This first step for me in this paper would be to talk about the theories and principles behind not being pro-euthanasia. There are a number of ethical principles that are deontological in nature, are part of the natural moral law, and relevant to the kinds of dilemmas that occur in euthanasia cases.Four of them are as follows: 1. The Principle of Autonomy. A competent person has the right to determine his or her own course of medical...
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...of Ethics and Social Responsibility David Strand September 24, 2012 Ethical/Personal Issues of Physician Assisted Suicide Physician assisted suicide is a very passionate topic for me. I totally agree that it should be legalized and used when a terminally ill patient has totally used every possible avenue of treatment and there is nothing left to do. As a Utilitarian you definitely want the right thing to be done. Then what is right is right and wrong is wrong. I am sure that in egoism there would be a problem because they would only want to be the hero so to speak and do what is correct of the family and everyone else’s needs. As we go through the issue you will see different views and feelings involving all providers involved which are doctors, nurses, patients, friends, and family members. What is physician assisted suicide? For the lack of a better term physician assisted suicide will be addressed as “euthanasia”. Euthanasia is defined broadly as “the mercy killing of the hopelessly ill, injured or incapacitated” (Pozgar, 2010). Euthanasia is a Greek word meaning “good death” or “easy death” (Pozgar, 2010). As a healthcare worker/provider for many years I have come to have great feelings on passive euthanasia as well as many other healthcare individuals have. We must discuss the fine lines of legal issues as well as ethical issues. Is there a right or a wrong, when it comes to the end of life for an individual? Who really...
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...Nicole Spates HLT-305 Magdeline Chornick 2 -11- 2015 Dear Mrs. Johnson , During your last visit we discussed the prognosis for your advanced breast cancer diagnosis and the reality that all treatment options have been exhausted. During our discussion your major concern was that you felt your pain is no longer completely controlled and you were only living to die. At that time you expressed a desire to travel to Holland and participate in its physician- assisted suicide program. As your primary care doctor and oncologist for the past fifteen years I am very empathetic and very concerned not only with your physical health but your emotional health and experiences as well. Even though we have exhausted all therapeutic treatment options; I would really like for you consider hospice care here in the United States. Because I truly believe that hospice care can provide comfort and support to you, family, and friends. Hospice care is designed for those who are nearing the end of life. All care services are provided by a team of health care professionals who maximize comfort for a terminally ill patients by reducing pain and addressing physical, psychological, social and spiritual needs. To help families, hospice care also provides counseling, respite care and practical support. You are considering traveling to another country to end your life but if decide to stay here hospice gives you the option to receive this care in your home. In addition to hospice care...
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...Anusha Garimella PHIL 114 The Ethics of Euthanasia The ethical nature of euthanasia, or assisted suicide, in the United States has been contested for decades, which brings about the proliferation of biomedical morality. According to the New Health Guide, as of June 2015, euthanasia is legal in the Netherlands, Belgium, Colombia and Luxembourg. Assisted suicide is legal in Switzerland, Germany, Japan, Albania and in American states of Washington, Oregon, Vermont, New Mexico and Montana. Because euthanasia is not legal throughout the United States, there is a divisive public controversy over the moral, ethical, and legal ramifications. In order to establish a clear understanding of these issues, I will define the terms in question and provide an all-encompassing interpretation. There are only slight differences between euthanasia and assisted suicide, and that is a disparity in the degree of involvement and behavior. Assisted suicide entails making the lethal mechanism available to the patient to be used at a time of the patient’s own choosing. By contrast, euthanasia entails the physician taking an active role in carrying out the patient’s request, and usually involves endovenous, or within a vein, delivery of a lethal substance. For the sake of this paper, I will consider both of them equal issues in the bioethical paradigm, and use them interchangeably. The objective of this paper is to outline two ethical theories, utilitarianism and Kantianism, in regards to the concept...
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...Euthanasia and Death with Dignity Euthanasia is an ethical decision making dilemma that borders on the philosophical and shakes the foundations of nursing beliefs in patient autonomy, beneficence, non-maleficence. It is an ugly concept for which many cringe and shy away from. It must be differentiated between the concepts of willfully causing death versus restraint from aggressive medical treatment when such procedures would cause no change in the outcome of the illness. This is sometimes referred to as death with dignity or palliative care, which is the “relief from pain and other distressing symptoms…” and “intends neither to hasten nor postpone death” (World Health Organization, 2011). This is the premise we intend to deconstruct. Euthantos, Greek for “good death”, translated as euthanasia in modern terms (Zerwekh, 2005), is commonly mistaken as the willful cause of death in persons unable to make decisions such as those with mental illness or defect. In actuality, there are different types of euthanasia; passive euthanasia, the hastening death by an act, or lack thereof, and voluntary/active euthanasia, known as physician assisted suicide. The nursing code of ethics forces us to take no part in actively ending a life, but where is the line drawn in accepting a patients wish to refrain from live saving measurements? Patients who wish to die with dignity should be afforded the right to determine their course of treatment and practitioners, at the very least, should respect...
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...Advance Directives Irene was a 78-year-old female getting ready to leave for an appointment with her daughter. The nursing home staff assisted Irene out to her daughter’s car but then Irene collapsed. Concerned, the staff dialed 911 per facility protocol and made Irene comfortable, waiting with Irene’s daughter, for the ambulance to arrive. The ambulance personnel arrived to the scene and immediately proceeded with performing cardiopulmonary resuscitation (CPR). Do Not Resuscitate (DNR) Ethical Dilemma Irene’s daughter and nurse instantly stated that Irene was a DNR resident of the facility. Emergency personnel stated that they would have to view the DNR documents and would continue procedures until they examined the required paperwork. Irene’s nurse ran into the facility to grab her record; however, by her return the emergency personnel had already resuscitated Irene. There are many scenarios where ball dropping can occur in healthcare and it is at those times when ethical legal decision-making dilemmas appear. Marjorie is a 91-year-old female residing in a long-term care facility (Kase, 2013). Marjorie’s daughter filed a lawsuit against the long-term care facility and the hospital for attempting to resuscitate Marjorie and perform multiple and painful interventions to sustain her...
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