The fear of death is powerful; however, the fear of not dying or of living a life full of pointless suffering is even more powerful. Because of this fear, there is a belief that one should be the master of their own fate. This belief then brings about the concept of euthanasia. Sanders and Chaloner define euthanasia as “a deliberate intervention or omission with the express intention of hastening or ending an individual’s life, to relieve intractable pain or suffering” (2007, p). Euthanasia is associated with the act of mercifully ending the life of a suffering patient. Those who are terminally ill should have the choice and the right to die with dignity. Elisabeth Kubler-Ross has identified that grief is handled in stages. The stages of grief are denial, anger, bargaining, depression, and acceptance. Not everyone goes through each stage and the order may be different for each person. Although the stages are well established, will knowing the process and stages of death allow a more peaceful death? Purpose
The purpose of this study is to identify whether physician assisted suicide will decrease the anxieties of the terminally ill and allow a more peaceful death. Common themes of autonomy will be identified in regards to end of life options. Literature Review
Death and dying is an event that not one person can escape as it is inevitable. What is death? It has been defined as the stopping of the heartbeat and breathing. This definition is no longer true as CPR, defibrillation, and life support assist with sustaining life. With medical technology, death is defined as brain death. Brain death occurs when the electrical activity in the brain stops. Most people have their own idea of what constitutes a good death. It is the healthcare professional’s responsibility to educate and inform individuals concerning end of life issues and let them make an informative decision about their right to die (Cardozo, 2005). Euthanasia is a very sensitive topic and has become an increasing debate. In the debates and articles that have been published, the definition of euthanasia has not been forthcoming (Sanders & Chaloner, 2007). There are many types and definitions for euthanasia. Voluntary euthanasia is defined when an individual asks a physician to administer a drug or other type of agent which results in death (Sanders & Chaloner, 2007)(Schwarz, 2004)(Ersek, 2004). When a physician ends a patient’s life which he considers to be in the patient’s best interest and the patient has no knowledge, this is considered non-voluntary euthanasia (Sanders, & Chaloner, 2007)(Schwarz, 2004)(Ersek, 2004). Involuntary euthanasia is killing someone without any regard to what their views are about dying (Sanders & Chaloner 2007)(Schwarz, 2004)(Ersek, 2004). Active euthanasia is the act of ending someone’s life intentionally. An example of active euthanasia is giving a dose of medication that would be lethal such as barbiturates (Sanders & Chaloner, 2007)(Schwarz, 2004)(Ersek, 2004). Passive euthanasia is the act of deliberately letting someone die. An example of passive euthanasia is withholding treatment to an individual, such as a feeding tube (Sanders, K. and Chaloner, 2007)(Schwarz, 2004)(Ersek, 2004). “Euthanasia is a composite term derived from two Greek words-eu, meaning “well,” and thantos, meaning “death”- and means “good death” or “painless, happy death” (Begley, 1998, p.294)(Guo, 2006, p. 167). “Euthanasia is about the quality of dying and people who seek euthanasia are already dying; euthanasia assists a process that has begun, it does not in itself cause death” (Cordozo, 2005, p.1060).
Euthanasia has been a part of medical history for centuries. Hippocrates once told his colleagues not to give “deadly medicines” (Ersek, 2004, p. 49). Many of them ignored this request and gave the medication to their patients without regards to Hippocrates’ request. Quill wrote an article in 1991 in regards to assisting a woman to commit...
References: Retrieved January 29, 2008 from http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2009525049&site=ehost-live
Report, 22(2): 10. Retrieved March 18, 2008, from
Bruce, S., Hendrix, C., Gentry, J. (2006). Palliative Sedation in End-of-Life Care.
320-327. Retrieved January 29, 2008, from
Cara, C. (2003). A Pragmatic View of Jean Watson’s caring Theory. [Electronic
March 18, 2008, from http://dbprox.vinu.edu:2085/ehost/pdf?vid=4&hid=6&sid=dadfd5f4-5291-4518-83fe-5bd2ad90e766%40sessionmgr2
Version]. British Journal of Nursing, Vol 14, 20, p 1056-1060. Retrieved
February 7, 2008 from
Nursing, 16(22): 1435. Retrieved February 19, 2008 from
Colby, W. (2006). Unplugged Reclaiming Our Right To Die In America. New York:
American Management Association.
Doyal, L, Doyal, L (2001). Why active euthanasia and physician assisted suicide should
Retrieved February 7, 2008, from
Ersek, M. (2004). The Continuing Challenge of Assisted Death [Electronic version].
Journal of Hospice and Palliative Nursing, Vol. 6, 46-59. Retrieved
November 7, 2007 from http://web.ebscohost.com/ehost/pdf?vid=47&hid=108&sid=23225096-9d4e-4b8b-8bf5-7ae60fd8204a%40sessionmgr103
Garavaglia, B. (2006). Keeping an ethical perspective on end-of-life issues [Electronic
October 26, 2007 from
Goodhall, L. (1997). Tube feeding dilemmas: can artificial nutrition and hydration be
legally or ethically withheld or withdrawn? Journal of Advanced Nursing, 25,
217-222. Retrieved January 29, 2008, from
Gou, Fenglin. (2006). A Concept Analysis of Voluntary Active Euthanasia. [Electronic
Mackelprang, R. (2005). Historical and Contemporary Issues in End-of-Life Decisions:
Implications for Social Work [Electronic version]
Retrieved October 26, 2007 from http://web.ebscohost.com/ehost/pdf?vid=62&hid=108&sid=23225096-9d4e-4b8b-8bf5-7ae60fd8204a%40sessionmgr103
version]. Journal of Advanced Nursing, 28, 63-69. Retrieved January 29, 2008,
[Electronic version]. Nursing Standard, Vol. 21, 4-44. Retrieved October 26, 2007, from http://web.ebscohost.com/ehost/pdf?vid=6&hid=105&sid=8c466656-a739-44f6-afb6-4580a6fbbf85%40sessionmgr107
Todd, J., Baldwin, C. (2006). An opinion on death and dying: a picture worth painting
Retrieved November 7, 2007 from http://web.ebscohost.com/ehost/pdf?vid=12&hid=108&sid=23225096-9d4e-4b8b-8bf5-7ae60fd8204a%40sessionmgr103
Version]. Journal of Palliative Medicine, 10(1): 260-1. Retrieved October 26,
Bioethics, 21(2): 75-83. Retrieved February 19, 2008 from http://dbprox.vinu.edu:2085/ehost/pdf?vid=13&hid=6&sid=dadfd5f4-5291-4518-83fe-5bd2ad90e766%40sessionmgr2
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