Sunday, April 4, 2010

Assisted suicide - the right to die with dignity.

A lot of deaths are already technically assisted suicides. Its done by the Physician when they make decisions regarding end of life care, and there is some risk to them of a lawsuit if its "done incorrectly." Most Physicians will recommend everyone have a Living Will in place which will help with these decisions and remove some of the possible guilt the family members experience when going through end of life issues with a loved one.

However, many times people don't know the reality of the services they are denying themselves. IV's, antibiotics, oxygen, feeding tubes and morphene are all things that can turn a life around at times and the person recovers a few good years after a crisis, even at an advanced age.

Hospice care has progressed considerably over the last 20 years, and they can provide help both with the ethical decision-making and the pallitive care that can ensure that the end of life is approached with minimal pain, suffering, fear and guilt, and with the highest quality of life possible for the remaining time.

Everyone should have a financial Will and a Living Will, and a medical power of attorney chosen. Look into hospice care at least 6 months to a year before it seems necessary--you can actually recover from the extra care and attention hospice provides and then return to it later when it is needed again.

Hospice can be provided in a nursing home, extended care setting, a hospice facility or at home. In each case it extends the amount and type of care to consider ultimate death and the quality of life until death happens.

We have such good pain medications now available that no one should suffer with great pain. We have anti-depressants, and counselling to deal with the fear and anxiety. We now know how to include the family with dignity and not to isolate the dying from their loved ones.

There are many assistive technologies, medical devices, and proceedures that help the non-dying disabled which can help a dying person to be more comfortable, functional and participatory than ever before. These have to sometimes be advocated and even fought for, particularly with the elderly, but they can make a huge difference in someone's life at the passage to the end of life.

For instance, special padding and dressings for prevention of bed sores, communication devices for those with limited movement, automated controls so the person can control the environment in their room, such as to turn on and off a TV, phone, lights, temperature, etc. specialized wheelchair seating to improve lung capacity, a vest that helps someone to cough easily with less effort.

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