The Ethical Dilemma of Assisted Suicide for Nurses

Ethical practice is another component of the social contract of nursing which is a reflection of the values, beliefs and moral principles of the nursing profession. The American Nurses Association (ANA) has established the “Code of Ethics for Nurses” which serves as a “guideline” for the nursing profession in which clinical judgements and

Assisted suicide is a topic that has ignited a severe debate due to the controversy that surrounds its implementation. Assisted suicide occurs when a patients expresses their intention to die and request a physician to assist them in the process. Some countries like Oregon, Canada, and Belgium have legalized the process terming it as an alternative to prolonged suffering for patients who are bound to die. Unlike euthanasia where a physician administers the process, assisted suicide requires that the patient voluntarily initiates and executes the process. Although there exists concession such a process is important to assist patients die without much suffering, there has emerged criticism on its risk of abuse and as an expression of medical

A nurse is given an opportunity to help patients, either if its by helping them through a very serious sickness or just helping a patient get to the bathroom on time, or a time when happiness is overfilling the room and a child is being born. Registered nurses provide a wide variety of patient care services (Mitchell, p.12). A Nurse must always know where to begin and where to stop, as any other career in the health field there is always something that cannot be done by everyone but only the certified person, a nurse must always remain inside her scope of practice to prevent any misunderstandings. A nurse must also follow a code of ethics , the code of ethics of the American Association of Medical Assistants states that a nurse should at all times render service with full respect and dignity of humanity, respect confidential information obtained by a patients file, uphold the honor and high principles the profession and accept its discipline, and last but not least always want to improve her services to better serve the health and well being of the community. (Mitchell, p.65).

Thesis: When it comes to the topic of physician-assisted suicide (PAS), some experts believe that an individual should have the option of ending their life in the event that they have been given six months to live with a terminal illness or when the quality of their life has been vastly changed. Where this argument usually ends, however, is on the question whether physician-assisted suicide is medically ethical, would be overly abused to the point where doctors might start killing patients without their consent. Whereas some experts are convinced that just improving palliative care would decrease the need for someone to want to end their life before it happened naturally.

In today’s society, suicide, and more controversially, physician assisted suicide, is a hotly debated topic amongst both every day citizens and members of the medical community. The controversial nature of the subject opens up the conversation to scrutinizing the ethics involved. Who can draw the line between morality and immorality on such a delicate subject, between lessening the suffering of a loved one and murder? Is there a moral dissimilarity between letting someone die under your care and killing them? Assuming that PAS suicide is legal under certain circumstances, how stringent need be these circumstances? The patient must be terminally ill to qualify for voluntary physician-assisted suicide, but in the eyes of the non-terminal patients with no physical means to end their life, the ending of their pain through PAS may be worth their death; at what point is the medical staff disregarding a patient’s autonomy? Due to the variability of answers to these questions, the debate over physician-assisted suicide is far from over. However, real life occurrences happen every day outside the realm of debate and rhetoric, and decisions need to be made.

When people hear the word suicide it invokes controversy. Although it is a taboo subject; if a loved one was faced with a terminal illness becoming extremely critical this would pose a moral question. Could a person be willing to accept the fact their family member intended to use medical assisted suicide? Very few individuals would agree with this, but in the same instance should a human being want their relative to be in unbearable pain? According to the author, “Indeed, physician-assisted suicide implies not a resistance to but an extension of medical power over life and death” (Salem). There are various reasons as to why medical assisted suicide could be viewed as wrong, but it should be the patient’s choice on how they want to

Another aspect of physician assisted suicide is this procedure devalues the lives of those who are disabled. A family may feel that it would ease their financial burden if their loved one committed suicide and desired to aid them in the process. However, if those are not the true wishes of the individual, how can we put a price on a person's life, the only chance we will ever have to partake in this experience? For a medical doctor, there is a sense of obligation to the individual to ease their suffering. The conflicting problem is that the assisted suicides cannot be effectively and properly regulated; the lines are too fuzzy as to where we can draw the limitations.

     A code of ethics focuses on the morals and ideals of the profession and provides a working framework for nursing practice. Nurses can use the code of ethics as a guide for

Physician assisted suicide should be morally permissible. Patients who are in constant suffering and pain have the right to end their misery at their own discretion. This paper will explore my thesis, open the floor to counter arguments, explain my objections to the counter arguments, and finally end with my conclusion. I agree with Brock when he states that the two ethical values, self-determination and individual well-being, are the focal points for the argument of the ethical permissibility of voluntary active euthanasia (or physician assisted suicide). These two values are what drives the acceptability of physician assisted suicide because it is the patients who choose their treatment options and how they want to be medically treated. Patients are physically and emotionally aware when they are dying and in severe pain, therefore they can make the decision to end the suffering through the option of physician assisted suicide.

It is my belief that assisted suicide is completely ethical and therefore should be made legal. Throughout the mainstream media over the last twelve months, the topic of assisted suicide, which was once taboo, has been mentioned more times than nought. The number of people taking their lives by assisted suicide in 2014, alone, was 792 people. This figure jumped to a whopping 1,004 the following year in the Netherlands alone. While the state of Oregon has seen a 26% increase in assisted suicide in the years from 2011-2015.

The ongoing disagreements within the legalization of Assisted Suicide are never ending. In the modern healthcare field, assisted suicide has many problems faced upon the unsafe environments and the abuse within the laws provided. As we live on a day to day basis, new and improved technologies shape the medical field. It is the professional 's job to be up to date on what is going on whether it is the physical issues or world matters. Most see assisted suicide as a terrible form to go about taking a human’s life, no matter which side to ethics one may stand.

Code of Ethics in nursing it is important to make sure the staff and patients are being respected and treated with dignity. The study of ethics has lead to basic concept such as justice and fidelity, autonomy, beneficence and nonmaleficence. It is very important to understand these concepts, because they assist the nurse with making decisions during difficult situations (ANA, 2001, p 6).

Codes of ethics contain a coherent set of normative principles underlying a nurse’s purpose and associated values (Vanlaere and Gastmans, 2007). Two perspectives of ethics are the ethics of justice and the ethics of care (Botes, 2000). The ethics of justice constitutes an ethical perspective in terms of which ethical decisions are made on the basis of universal principles and rules, and in an impartial and verifiable manner with a view to ensuring the fair and equitable treatment of all people (Botes, 2000). The ethics of care, on the other hand, constitutes an ethical approach in terms of which involvement, harmonious relations and the needs of others play an important part in ethical decision making in each ethical situation (Botes, 2000).

     Once having a mere glimpse into the lives of the terminally ill or disabled, some are able to understand their plight; but usually most are not. In most cases, these people are able to take what they've been given and deal with it. However, in some cases, some simply can not tolerate their lives as they are. They feel that the only solution to their problem is to end their lives. Unfortunately, in some cases, the terminally ill or disabled are not capable of accomplishing this task by themselves, and are left trapped in a life that they do not want. In these cases, when one wishes to end his life and is terminally ill, disabled, or otherwise unable to do so independently, he should have the right to die by assisted suicide. Although most people that are terminally ill or disabled do not wish to end their lives, there are still those few who do. While examining the issue of assisted suicide, three facets of the controversy must be considered: the political, the moral, and the human or compassionate views. By supporting their decision, we support their right to choose and decide what they want to do with their bodies and their lives, we do not

The American Nurses Association regards active euthanasia inconsistent with the Code for Nurses and is considered ethically unacceptable. It has been the role of a nurse to promote, preserve, and protect human life. As members of the profession, nurses are obligated to offer end of life care, which includes the promotion of comfort for pain and suffering, and foregoing life sustaining treatments. Care does not include deliberately terminating life.