Assisted Suicide

 

“Ethics at the end of life”  ASSISTED SUICIDE

GUILLERMO, JANINA LARUMBE, JOVET AMA, ARIELLE

JUAN, LIEZ JAVIER, JUAN MALABANAN,

 

ASSISTED SUICIDE: Assisted suicide is a suicide coitted !it" t"e aid o# a$ot"e% &e%so$, ost o# tie a &"'sicia$( T"e te% is o#te$ used i$te%c"a$)ea*+' !it" P"'sicia$-assisted suicide .PAS/0, !"ic" i$1o+1es a docto% “knowingly and intentionally providing a person with knowledge or

means or both required to commit suicide" i$c+udi$ cou$se+i$ a*out +et"a+

 

suicide  i  i$ $c+udi$

cou$se+i$

a*out +et"a+

 T2PES ASSISTED SUICIDE: Eut"a$asia “Mercy killing”  •

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Pai$+ess 3i++i$) o# t"e &atie$t #%o a$ i$cu%a*+e o% &ai$#u+ disease( Vo+u$ta%' %e4uest o% #%o t"e &atie$t to !it"d%a! +i#e( t"e t%eate$t P"'sicia$ o$e5s &%esc%i*es P"'sicia$ di%ect+' adi$iste%s

t"e

t%eate$t to t"e &atie$t t"at %esu+ts to t"e atie$t5s deat"(

 

 T2PES ASSISTED SUICIDE: P"'sicia$ Assisted Suicide .P . PAS/ •

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Vo+u$ta%' %e4uest o% #%o t"e &atie$t to !it"d%a! o$e5s +i#e( P"'sicia$ &%esc%i*es t"e t%eate$t( PATIENT adi$ist adi$iste%s e%s t"e t "e t%eate$t( t %eate$t( P"'sicia$ DOES NOT &a%tici&ate adi$iste%i$) t"e t%e t%eate$t( ate$t(

i$

 

6ISTOR 6ISTOR2 2 AND LEGALI LEGALIT2 T2 I$ 7889,toO%e)o$ e$acted t"edose %st o# +a! i$ t"e cou$t%' &%esc%i*e a +et"a+ #ede%a++' co$t%o++ed d%u)s to te%i$a++' i++ &atie$ts !"o !is"ed to coit suicide( T"e Deat" !it" Di)$it' Act !as i$te$ded to &%o1ide &atie$ts !it" a$ o&tio$ to e;&e%ie$ce !"at soe see as a o%e "ua$e !a' to die(

 

6ISTOR 6ISTOR2 2 AND LEGAL LEGALIT2 IT2 Acco%di$) to t"e +a!, a docto% ca$$ot Acco%di$) i$<ect t"e d%u)s i$to a &atie$t, *ut t"e &atie$t a' use t"e &%esc%i&tio$ to &%i1ate+' e$d t"ei% +i#e( T"e +a! !as &assed i$ 7889, a$d si$ce t"e$, =>? &eo&+e i$ O%e)o$ "a1e coitted d%u)-

 

6ISTOR 6ISTOR2 2 AND LEGAL LEGALIT2 IT2 I$ =@@7, Atto%$e' Ge$e%a+ Jo"$ As"c%o#t t"%eate$ed to &u$is" a$' docto% !"o &%esc%i*ed a +et"a+ dose o# d%u)s #o% t"e &u%&ose o# d%u)-assisted suicide( 6e a%)ued t"at t"e +a! 1io+ated t"e ede%a+ Co$t%o++ed Su*sta$ces Act .CSA/ o# 7897( 7897( U$de% t"e CSA, it !ou+d *e i++e)a+ to &%esc%i*e co$t%o++ed su*sta$ces to e$d a &atie$t5s +i#e

 

6ISTOR 6ISTOR2 2 AND LEGAL LEGALIT2 IT2 I$ =@@7, Atto%$e' Ge$e%a+ Jo"$ As"c%o#t t"%eate$ed to &u$is" a$' docto% !"o &%esc%i*ed a +et"a+ dose o# d%u)s #o% t"e &u%&ose o# d%u)-assisted suicide( 6e a%)ued t"at t"e +a! 1io+ated t"e ede%a+ Co$t%o++ed Su*sta$ces Act .CSA/ o# 7897( 7897( U$de% t"e CSA, it !ou+d *e i++e)a+ to &%esc%i*e co$t%o++ed su*sta$ces to e$d a &atie$t5s +i#e

 

6ISTOR2 2 AND LEGAL LEGALIT2 IT2 6ISTOR  T"e case !as a&&ea+ed a&&ea+ed to"ea%d t"e Su&%ee Su&% ee Cou%t( Go$a+es 1s( O%e)o$ !as i$ =@@ It !as u&"e+d i$ t"e Su&%ee Cou%t a$d sti++ is i$tact toda'(

 

6ISTOR2 2 AND LEGAL LEGALIT2 IT2 6ISTOR As o# toda', Assisted Suicide o% PAS is +e)a+ i$ 1e cou$t%ies o$+': Net"e%+a$ds, Ca$ada, Lu; Lu;e*ou%), e*ou%), S!ite%+a$d a$d U$ited States o# Ae%ica( Ae%ica( But i$ U(S( it is o$+' +e)a+ i$ ce%tai$ states, !"ic" a%e t"e #o++o!i$): as"i$)to$, O%e)o$, Ve%o$t a$d

 

Mo$ta$a(

6o! does Assisted Suicide 1. FORM FORM! ! OR! R#$%& R#$%&''  T"e &atie$t ust ust as3 #o% it it t"%ee !o%3F ties( Acco%di$) to t"e O%e)o$5s “Death with Dignity” o$+' ce%tai$ &eo&+e ca$ as3 +et"a+ edicatio$ #%o t"ei% docto%(

#uali(cations'

a( A)e 7 a$d o+de% Co&ete$t Co&ete$t .a*+e to a3 a3e e a$d cou$icate a$ i$#o%ed decisio$ to "ea+t" ca%e &%o1ide%s/ *( T e%i$a++' i++cause .i$cu%a*+e, disease as e;&ected e;&ecte d to deat"i%%e1e%si*+e !it"i$ si; o$t"s,

 

6o! does Assisted Suicide #uali(cations' !o%3F c. A*+e to 1o+u$ta%i+' e;&%ess "is o% "e% !is" to die Assu%e t"at it is a$ i$#o%ed i$#o%ed decisio$, !"ic" ea$s t"e &atie$t "as a$ a&&%eciatio$ o# t"e %e+e1a$t #acts, a#te% *ei$) #u++' i$#o%ed a*out t"e #o++o!i$): Medica+ dia)$osis •

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P%o)$osis Pote$tia+ %is3s associated !it" ta3i$) t"e &%esc%i*ed edicatio$

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P%o*a*+e o# ta3i$) t"e &%esc%i*ed edicatio$  easi*+e %esu+t a+te%$ati1es i$c+udi$), *ut $ot +iited to, co#o%t

 

6o! does Assisted Suicide ). F*!*+, OF -R*&&+ R#$%& !o%3F  T"e &atie$t ust ust *e e$ta++' co&ete$t co&ete$t t"%ou)"out t"%ou)"out t"is a$d t"e%e ust *e t!o&atie$t !it$esses i$ t"e +i$)&%ocess a$d si)$i$) o# %e4uest o# t"e to t"e docto%( I# t"e docto% o% t"e &atie$t5s #ai+' su))ests t"at t"e &atie$t is suHe%i$) #%o a &s'c"o+o)ica+ diso%de% o% e$ta+ &%essu%e, "e o% s"e ust u$de%)o %e-e1a+uatio$ a$d t%eate$t(

 

6o! does Assisted Suicide . %/O+0 !$&*O+ !o%3F B' +a!, a seco$d &"'sicia$ MUST %e1ie! t"e &atie$t5s case a$d si)$ oH o$ t"e %st docto%5s dia)$osis( E1a+uate t"e &atie$ts %e4uest: Assess %easo$s, E;&+o%e a$d %ecoe$d a+te%$ati1es .&a++iati1e ca%e, "os&ice, &ai$s'&to a$a)ee$t, &s'c"osocia+ a$do% s&i%itua+ cou$se+i$), &a++iati1e sedatio$/(

 

6o! does Assisted Suicide . %/O+0 !$&*O+ !o%3F Re#e% to a co$su+ti$) &"'sicia$, !"o %e1ie!s t"e edica+ %eco%da$d a$dco$% i$te%1ie!s t"e dia)$osis, t"att"e t"e&atie$t &atie$ttoisco$% co&ete$t a$d is a3i$) a 1o+u$ta%' %e4uest( %e4uest( Re#e% to a cou$se+o% i# co$ce%$ed a*out a &s'c"iat%ic o% &s'c"o+o)ica+ diso%de% o% de&%essio$ causi$) i&ai%ed  <ud)e$t(

 

6o! does Assisted Suicide 2. 3R%/R*3&*O+ +0 !,! 0O/$M+&&*O+ !o%3F o%3 !it" &"a%acists to &%esc%i*e)et edicatio$s( Docue$t a++ ste&s i$ t"e edica+ %eco%d(

 

6o! does Assisted Suicide 4. 0M*+*%&R&*O+ OF &5 0R$, !o%3F = da's a#te% t"e %e4uest "ad *ee$ si)$ed, t"e docto% !i++ &%esc%i*ed t"e d%u)s u$de% $o ci%custa$ces, t"e +et"a+ &atie$t a'a$d a+%ead' adi$iste% it(  T"e state5s assT6E assisted istedDRUG suicide +a! a$dates +a! t"atis t"at T6E  T6E PATIENT TAKE 6IMSEL( Most+' t"is do$e *' t"e &atie$t at "oe *' ta3i$) o$e o# t"e t!o 3i$ds o# *a%*itu%ates(

 

LET6AL DRUGS 1. %/O+!  +et"a+ at 7@@ )%as a$d ust *e *%o3e$ do!$ i$ &o!de% to &%oduce t"%ee ta*+es&oo$s( Costs 7=( It is coo$+' i;ed !it" !ate% to c%eate a *itte% d%i$3 o% sti%%ed i$to &uddi$) o%a$ a&&+esauce to'ou "idea%e t"e#at, taste( Deat" !i++ *e coi$) to "a+# "ou%, *ut i# deat" ca$ *e de+a'ed u& to > "ou%s(

). +M6$&!  coes i$ o%e co$1e$ie$t +i4uid #o%, cost 7@@@(

 

6o! does Assisted Suicide 7. 0&5 !o%3F Si)$ t"e deat" ce%ticate( List t"e u$de%+'i$) te%i$a+ disease as t"e cause o# deat"( Se$d a co&' o# t"e dis&e$si$) %eco%d to DO6 !it"i$ @ da's(

 

REASONS 62 PATIENTS CONSIDER ASSISTED SUICIDEF .Statistics *ased o$ U(S *et!ee$ 788> to =@@? i$ O%e)o$, as"i$)to$ a$d Mo$ta$a/ •

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Dec%easi$) a*i+it' to &a%tici&ate i$ acti1ities t"at Dec%easi$) ade +i#e e$<o'a*+e Loss o# auto$o' a$d +oss o# di)$it' Se1e%e disco#o%t ea% o# u$co$t%o++a*+e s'&tos Actua+ &ai$  se1e%e &ai$ #%o a disease  t%eate$t Loss o# ea$i$)

 T"e #ee+i$) o# o# *ei$) a *u%de$ *u%de$ (  

ET6ICAL ISSUES ON ASSISTED SUICIDE: •

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Res&o$si*i+it' o# t"e &"'sicia$ to &%ese%1e +i#e, $ot e$d it( P"'sicia$5s code o# &%o# &%o#essio$a+ essio$a+ *e"a1io% dea$d a&&+icatio$ o# a++ et"od to &%ese%1e &%ese%1e +i#e( Deat" is a $a+ a$d i%%e1oca*+e decisio$: Li#e is +ost( Deat" s"ou+d *e a+!a's i$ a $atu%a+ &%ocess( &%ocess( A+!a's "o&e #o% t"e &ossi*i+it' o# t"e disco1e%' o#

cu%e to ce%tai$ diseases( PAS %est%icts t"e  

ET6ICAL ISSUES ON ASSISTED SUICIDE: • •

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Suicide is $e1e% a$t"e o&tio$( I$co&ati*+e !it" "ea+i$) )oa+s o# edici$e( A %e4uest #o% deat" $eeds &s'c"o+o)ica+ ca%e( Peo&+e a' &%e<udice t"e #ate o# o+d, c%i&&+ed a$d !ea3(

 

MEC6ANI MEC6ANICS CS O T6E DEBA DEBATE TE 7( Eac" )%o )%ou& u& !i++ d%a! d%a! +ots #o% #o% t"ei% t"ei% side to #o% #o% t!o t!o teas teas Co$  $e)atio$ a$d P%o - a%atio$( =( T"e Co$ )%ou& S6OULD e;&%ess e;&%ess NEGA NEGATION TION a*out a*out t"e &%i$ci&+es &%i$ci&+es a$d &%actice o# ASSISTED SUICIDE !it"out stati$) additio$a+ #acts o% ci%custa$ces to t"e situatio$ o# t"e case o% t"e statee$t, sae %u+es a%e e;&ected #o% t"e PRO )%ou&( ( o% o% eac" case, case, eac" )%ou& !i++ *e )i1e$  i$utes to stud' a$d a$a+'e t"e case( A+so, !it"i$ t"e  i$utes &%e&a%atio$, eac" )%ou& a%e e;&ected to c"oose  e*e%s !"o !i++ %e&%ese$t t"ei% )%ou& #o% t"e )i1e$ case( Du%i$) t"e De*ate, $o e*e% is a++o!ed to )o *ac3 to "is"e% tea, *ut discussio$  %e&%ese$tati1es a++o!ed(  T"e c"ose$ e*e%s a%e $ot !it"i$ a++o!edt"e to %e&%ese$t %e&%ese$ t t"e $e;t a%e case u$+ess

t"e )%ou& is i$sucie$t i$ $u*e%, "e$ce o$e o% t!o is a++o!ed to  

MEC6ANI MEC6ANICS CS O T6E DEBA DEBATE TE >( Du%i$) t"e de*ate, eac" e*e% !i++ *e )i1e$ 7 i$ute a$d @ seco$ds to de#e$d t"e case i$ #a1o% o# t"ei% sta$d as &%o o% co$( Deductio$ !i++ *e )i1e$ to t"e )%ou& !"e$ t"e e*e% %e#uses to sto&, *ut $is"i$) ea%+' is $e( ( Eac" tea is )i1e$ o$+' t"%ee ties to &%ese$t o% de#e$d t"ei% side( ?( A$' 4uestio$ o% c+a%icatio$ #o% t"e case s"ou+d *e %aised &%o&e%+' *e#o%e t"e actua+ de*ate sta%ts( 9( Eac" tea !i++ *e <ud)ed *ased o$ t"e #o++o!i$) c%ite%ia:  K$o!+ed)e o# t"e to&ic  et"ica+ issue  @ &ts(  ide+it' to t"e side &%ese$ted  =@&ts(   T"e use o# &%i$ci&+es &%i$ci&+es o# et"ics to de#e$d de#e$d t"e case case  7 &ts(



C+a%it' a$d %e+atio$ o# t"e &%ese$ted ideas to t"e to&ic

7 &ts(

 

CASE STUD2

 

CASE 7 B%itta$' Ma'$a%d, a =8 'ea% o+d, !as dia)$osed !it" )%ade = ast%oc'toa a #o% o# *%ai$ ca$ce% a$d "ad a &a%tia+ c%a$ioto' a$d a &a%tia+ %esectio$ o# "e% te&o%a+ +o*e o$ Ja$ua%' 7, =@7>( T"e ca$ce% %etu%$ed i$ A&%i+ =@7>, a$d "e% dia)$osis !as t"e$ e+e1ated to )%ade > ast%oc'toa, a+so 3$o!$ as )+io*+astoa, !it" a &%o)$ ast%oc'toa, &%o)$osis osis o# si; o$t"s to +i1e( No t%eate$t e;isted t"at !ou+d sa1e "e% +i#e, a$d %ecoe$ded ca%e !ou+d, i$ eHect, dest%o' t"e 4ua+it' o# t"e +i#e s"e "ad +e#t( A#te% uc" %esea%c", s"e cae to t"e co$c+usio$ t"at Deat" !it" Di)$it' !as "e% *est o&tio$( S"e *e+ie1ed s"e "ad t"e %i)"t to "a1e t"e o&tio$ to die *e#o%e "e% disease cou+d 3i++ "e%( Ma'$a%d e$ded "e% +i#e o$ No1e*e% =, =@7> !it" d%u)s &%esc%i*ed *' "e% docto%, s"e out+i1ed "e% docto%s =@7> &%o)$osis s"e "ad %tatement' 0eath with A&%i+ 0ignity was thet"at best si; o$t"s to +i1e( option 8or 6ritanny Maynard. 

 

CASE = M%s( SR is a >=-'ea%-o+d a%%ied !oa$ !"o is t"e ot"e% o# a$  'ea%o+d so$( M%s( SR suHe%s #%o a'ot%o&"ic +ate%a+ sc+e%osis .ALS/, coo$+' 3$o!$ as Lou Ge"%i)5s disease( 6e% +i#e e;&ecta$c' is *et!ee$ = a$d 7> o$t"s, a$d "e% co$ditio$ is %a&id+' dete%io%ati$)( Ve%' soo$ s"e !i++ +ose t"e a*i+it' to s!a++o!, s&ea3, !a+3, a$d o1e "e% *od' !it"out assista$ce( T"e%ea#te% s"e !i++ *e co$$ed to "e% *ed, u$a*+e to *%eat"e !it"out a %es&i%ato% a$d u$a*+e to eat u$+ess a )ast%osto' tu*e is i$se%ted i$to "e% stoac"( M%s( SR u$de%sta$ds "e% co$ditio$( S"e is a!a%e o# t"e t%a<ecto%' o# "e% i++$ess a$d t"e i$e1ita*i+it' o# "e% deat"( 6e% !is" is to co$t%o+ t"e ci%custa$ces, tii$), a$d a$$e% i$ !"ic" s"e dies( M%s( SR does $ot !is" to die so +o$) as s"e sti++ "as t"e ca&acit' to e$<o' +i#e( 6o!e1e%, *' t"e tie s"e $o +o$)e% is a*+e to e$<o' +i#e, s"e !i++ *e &"'sica++' u$a*+e to te%i$ate

"e% +i#e !it"out assista$ce( M%s( SR !a$ts a 4ua+ied edica+  

CASE = %tatement' %hould the medical practitioner be allowed to 8acilitate Ms. %R9s wish to determine the time o8 her death:

 

CASE  Ste1e C%oss+e' is a ?-'ea%-o+d e$)i$ee% +i1i$) i$ G%a$d Ra&ids, Mic"i)a$( A#te% a 1i)o%ous &%o#essio$a+ +i#e, "e "as *ee$ +oo3i$) #o%!a%d to %eti%ee$t(  Just si; !ee3s a)o, a)o, "e *e)a$ *e)a$ to $otice t"at "e is +osi$) !ei)"t( 6is a&&etite a&&etite "as deceased, a$d "e $o! "as )%o!i$) &ai$ i$ "is +o!e% *ac3( Ste1e !e$t to see "is #ai+' &"'sicia$, !"o !as !o%%ied e$ou)" to se$d "i to a s&ecia+ist( No!, a#te% = Q !ee3s o# testi$), Ste1e 3$o!s t"e t%ut"( A$d a*doi$a+ CT sca$ %e1ea+ed a ass i$ "is &a$c%eas( T"e dia)$osis: i$cu%a*+e ca$ce% o# t"e &a$c%eas( Ste1e "as a+!a's *ee$ a$ acti1e a$, a$d t"e &%os&ect o# c"eot"e%a&' !it" a++ o# its it s co&+icatio$s a$d side eHects does $ot a&&ea+ a&&ea+ to "i( Besides, "e is a &%a)atist a$d 3$o!s !"e$ it is "is tie to )o( 6e is $ot su%e !"at +ies *e'o$d t"e )%a1e, *ut "e does $ot !is" to suHe% t"e se1e%e &ai$ t"at "is cu%%e$t dia)$osis oHe%s( Ste1e5s !i#e +e#t "i 1e 'ea%s a)o( 6is t!o dau)"te%s a%e )%o!$, !it" acti1e +i1es o# t"ei% o!$( T"e' "a1e $e1e% *ee$

 

c+ose c+o se to t"e t"ei% i% #at #at"e "e%%( ust t"i t"is s o o%$ %$i$ i$

Ste1e Ste 1e e ett !it !it" " D% D%(( ac ac3 3 a$

CASE  %tatement' 6eing diagnosed with a terminal disease is ;usti(able to consider assisted suicide as the solution to eliminate pain and waiting.