Death. Mortality. End of Life. Something inevitable, yet rarely discussed and a source of intense discomfort for most. When mentioned, it is considered inauspicious and rude in many cultures. Death is an integral part of the workday for a Critical Care Physician like me. But it was never a topic of discussion in Medical School or training.
Jewish law states the dying are to be considered, for legal purposes, “like one who is alive for every purpose”, capable of wielding the same power over their lives until their very last moments, as they did in their days of health.
Most view dementia as a person leaving them. But they’re not. They’re evolving into a new person, similar but not exact. Their capacity to perform tasks and retain memory of recent events doesn’t disqualify them from continuing to be loved and treated with dignity and respect, especially when the end is near.
When determining an ethical standard of discussing physician aid in dying (PAD) during medical decision-making, it is important to begin with the caveat that physicians are not ethically obligated to assist a patient in ending his or her life, even if the physician informs the patient of the right to do so.
As more states legalize PAD and the practice becomes more ethically accepted, it is important to determine a standard of care to guide physicians.
Don’t wait until you’re at death’s door to explore your passions, deepen your relationships and find your posse.
If you’re a for-profit business in the hospice business, where is your profit coming from?
For many families, making hospice work at home means hiring extra help — out of your own pocket.
“Imagine if you’re the caregiver, and that you’re in the house. It’s in the middle of the night, 2 o’clock in the morning, and all of a sudden, your family member has a grand mal seizure.”
Advocates, supporters, and champions (of MAiD) need to decide if it is better to have a law that is less than ideal … or have no law at all? Is something better than nothing?
