EM Discussion 1 One of the quotes that has remained firmly imprinted in my mind form the subject of the-beginning- of- life is: “It’s good that you exist in this world; it’s important that you are in this world” (Meilander, Bioethics: Chapter 5 – Prenatal Screening, p. 50). From my perspective, this quote opens a significant concept, particularly when discussing end-of-life matters. Not only addressing terminal illnesses, palliative care, euthanasia, advanced care planning, and the right to die with dignity or enjoy short life with happiness. In my view, it is undeniably difficult to let go of those we love or hold dear, whether it be a child, parents, or a close friend. The end of life marks the conclusion of a unique existence, and we all must inevitably face death as a part of the human experience. As someone who works as a nurse and CNA, dealing with death can be an emotionally sensitive topic, especially when communicating with family members using palliative or hospice services. The article by Penn, David, PhD, titled “Reflections of End-of-Life Issues,” highlights the distinction between suicide and euthanasia. Suicide is often associated with mental illness, while euthanasia is about ending suffering. This topic becomes particularly controversial when religion is involved, as seeking death may be considered a sin for some religious beliefs. The ethical dilemmas surrounding assisted suicide are among the most contentious issues in this context. I find myself questioning whether my thoughts on euthanasia a sin are, as I believe it should be an available option for those in need. I believe that euthanasia not only addresses the pain of the individual but also eases the suffering of our loved ones. HP Discussion 2 A quote from Cahill’s book stuck with me: “I feel the duty to reaffirm strongly that the intrinsic value and personal dignity of every human do not change, no matter what the concrete circumstance of his or her life. Every sick person still has the “right to basic health care.” (Cahill, 2005) This was a quote that John Paull II had said at a conference regarding people in persistent vegetative states (PVS). Although I agree with the quote, that everyone should still be treated with dignity regardless of their situation, I do feel as though there is a certain point at which we can still care for someone. It becomes so hard for loved ones to see someone in a state like this, but just because someone may not be conscious and have feelings doesn’t mean they are not suffering. I think the personal principle of veracity comes into play a lot when it comes to end-of-life discussions. This principle is about full transparency between patients and healthcare providers, and in end-of-life topics, this is crucial. An open and honest dialogue should happen when issues like these arise so that families and the patient aren’t left in the dark or even hoping for something that may never happen. With honest talks, it might make it just a little bit easier to have that discussion on what to do with say a terminally-ill patient who may not have much longer to live. At the end of the day, I do believe the patient, if conscious, should have the autonomy to choose what they would like to do. For instance, if a person is given x amount of weeks to live, but they are suffering and full of pain, I think the decision should rely on them if they want to end their life or not. As Penn states “Being able to choose the time and manner of one’s death, without regard to what is chosen, is presented as the ultimate freedom.” (Penn, “Reflections on End-of-Life Issues”), I too believe this as the ultimate freedom as it gives the person the authority and control to preserve their own dignity even through pain or suffering.
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