Terminal wean (
Legal and consent must be obtained from health care proxy or specified in living will)
n. the intentional reduction of medical life-support, especially mechanical or supplemental respiration, that permits a patient to die
Palliative sedation (also known as terminal sedation, continuous deep sedation, or sedation for intractable distress in the dying/of a dying patient) (
Legal and consent must be obtained from health care proxy or specified in living will)
is the palliative practice of relieving distress in a terminally ill person in the last hours or days of a dying patient's life, usually by means of a continuous intravenous or subcutaneous infusion of a sedative drug.
Physician-assisted suicide (
Illegal)
: The voluntary termination of one's own life by administration of a lethal substance with the direct or indirect assistance of a physician. Physician-assisted suicide is the practice of providing a competent patient with a prescription for medication for the patient to use with the primary intention of ending his or her own life.
Euthanasia (
Illegal)
noun
1. Also called mercy killing. the act of putting to death painlessly or allowing to die, as by withholding extreme medical measures, a person or animal suffering from an incurable, especially a painful, disease or condition.
2. painless death.
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All those medically termed definitions in my opinion have one thing in common; they all “permit” a person to die.
When all else fails and the family has reached their end point of an emotional battle dealing with the critical state of a family member they gather together and decide what is best for their loved one.
The decision to " pull the plug" or terminally wean a loved one may indeed be one of the most heart breaking decisions a family has to make , especially when it is an unexpected circumstance.
What are the determining factors that lead up to this decision? All that can be done has been done and still -the outcome will not be a positive one? That the reality is there is no cure or the damage is irreversible? The persons quality if life will be minimal next to none? How about the embedded guilt that you don't want to see that person suffer anymore.... that they wouldn't want to be dependent on a respirator for breathing, tubes for feeding and an entire staff of people dressing, bathing and ambulating them.
Some may look at it as giving up yet others see it as a state of peace and relief. Now if someone can choose to put another out of suffering why can we choose to do the same for ourselves. Do people look forward to the road of endless test, procedures, pain, and deterioration? Probably not. When the future is guaranteed and it's not the way you'd expect it to turn out, why not be able to depart on your own terms where people can remember you before the suffering sets in?
For this once aspiring fashion major my 9-5 job isn't set in this lavish building off of 5th ave in NYC, but in an Intensive care unit where death and sadness surrounds me. My belief in the legalization of Physician assisted suicide and Euthanasia is an acquired interest. I see the families making the decisions for their loved ones and i wish i could say everyone always agrees but the reality is the mixture of emotions between strong willed people don't always make it an easy decision.
I see families fight and cry....then fight and cry some more, yet once the decision is made and palliative care is administered some families sit around the patient and fill the room with laughter and talk about memories overflowing with love. Granted death results from the underlying medical condition but the way they exit is made by a single choice.
If that patient knew that their future would include days or even weeks on life support at the peak of their illness, before getting to that point where the decision gets put on everyone other then the patient,would it be that bad if we were given the option of a physician assisted suicide?
http://www.medterms.com/script/main/art.asp?articlekey=32841
http://en.wikipedia.org/wiki/Palliative_sedation -yeah I know not the best be I like the definition.
http://dictionary.reference.com/browse/euthanasia