The document discusses physician-assisted suicide and euthanasia. It provides definitions for physician-assisted suicide as allowing a physician to provide a lethal dose of medication for a patient to end their life, while euthanasia is ending a patient's life to relieve suffering from a terminal illness. The document discusses the legal status of physician-assisted suicide and arguments from both supporters and opponents on relieving suffering, healthcare costs, and allowing death with dignity. It provides examples of suffering patients and families who wish they had the option of physician-assisted suicide.
Jack Iwashyna discusses his research into persistent critical illness in the ICU.
While much of resuscitation focuses on the dramatic early minutes to hours of critical illness, many patients stay for days or weeks in the ICU. Jack wants to know, why do patients get stuck in the ICU, and what might we do better to improve their care?
Jack became an ICU doctor because he loved drama. He wanted to find the golden hour. The golden hour describes the time to intervene, to make a difference, and to save people’s lives.
It is an extraordinary thing to be able to do this, and it is sometimes possible. However, sometimes, it is not. Sometimes the golden hour is not there.
Jack describes his experience with patients who would come into the ICU unwell. They would be treated aggressively and begin to get better. However, they would then take a turn for the worse. He describes this as a chronic critical illness. His patients were stably critically ill, and he could not work out why.
This led Jack on a sabbatical year where he was afforded the opportunity to try to make sense of these people. The first question he and his team answered was, among patients who spend a long time in the ICU, how common are new, late organ failures?
They discovered that in patients who are in the ICU longer than 14 days, there is an average of two new organ failures.
Subsequently, Jack developed the persistent critical illness hypothesis. This states that there is a point in the ICU stay beyond which the ICU admission diagnosis and severity of illness in the first 24 hours no longer differentiates patients regarding their probability of in-hospital death.
Put simply, the patient that you treat on Day 1 in ICU is different to the patient you are treating on Day 10. After Day 10 who the patient was before entering ICU matters more than what put there in the first place.
Therefore, persisting critical illness defines those patients whose current reason for being in the ICU is more related to their ongoing critical illness than their original illness that took them to the ICU.
Jack extrapolates his ideas surrounding persistent illness and critical care. In doing so, he raises thought provoking ideas regarding the long stay patients in the ICU.
For more like this, head to our podcast page. #CodaPodcast
Jack Iwashyna discusses his research into persistent critical illness in the ICU.
While much of resuscitation focuses on the dramatic early minutes to hours of critical illness, many patients stay for days or weeks in the ICU. Jack wants to know, why do patients get stuck in the ICU, and what might we do better to improve their care?
Jack became an ICU doctor because he loved drama. He wanted to find the golden hour. The golden hour describes the time to intervene, to make a difference, and to save people’s lives.
It is an extraordinary thing to be able to do this, and it is sometimes possible. However, sometimes, it is not. Sometimes the golden hour is not there.
Jack describes his experience with patients who would come into the ICU unwell. They would be treated aggressively and begin to get better. However, they would then take a turn for the worse. He describes this as a chronic critical illness. His patients were stably critically ill, and he could not work out why.
This led Jack on a sabbatical year where he was afforded the opportunity to try to make sense of these people. The first question he and his team answered was, among patients who spend a long time in the ICU, how common are new, late organ failures?
They discovered that in patients who are in the ICU longer than 14 days, there is an average of two new organ failures.
Subsequently, Jack developed the persistent critical illness hypothesis. This states that there is a point in the ICU stay beyond which the ICU admission diagnosis and severity of illness in the first 24 hours no longer differentiates patients regarding their probability of in-hospital death.
Put simply, the patient that you treat on Day 1 in ICU is different to the patient you are treating on Day 10. After Day 10 who the patient was before entering ICU matters more than what put there in the first place.
Therefore, persisting critical illness defines those patients whose current reason for being in the ICU is more related to their ongoing critical illness than their original illness that took them to the ICU.
Jack extrapolates his ideas surrounding persistent illness and critical care. In doing so, he raises thought provoking ideas regarding the long stay patients in the ICU.
For more like this, head to our podcast page. #CodaPodcast
Euthanasia - Types, Arguments For and AgainstTejas Shah
Euthanasia, its types, ethical and moral dilemma, arguments for and against, religious views, philosophical arguments and legal validity in different countries.
>> Discover the Simple “Phyto Hack” that REVERSED George Reilly’s Diabetes Ty...Anupsharma825947
A Grandpa’s life was recently SAVED from type 2 diabetes…
And it’s all thanks to an odd 1 minute “diet hack” that slashed 61 year old George Reilly’s deadly high blood sugar…
Here it is…
Euthanasia is the painless killing of a patient suffering from an incurable and painful disease or in an irreversible coma. There are different types of Euthanasia voluntary or involuntary.
Nobody Thinks They’re Going To Have A Limb Amputated, Drop Into A Diabetic Coma Or Go Blind…
But that’s what this disease does to people like us…
Learn More : http://bit.ly/diabetes-freedom-help
First do no harm pp presentation for general usegranny_annie1953
This is a PowerPoint presentation summarizing the unethical, immoral and illegal acts of the power-hungry hiererarchy at the Burntwood Regional Health Authority in Northern Manitoba.
Euthanasia - Types, Arguments For and AgainstTejas Shah
Euthanasia, its types, ethical and moral dilemma, arguments for and against, religious views, philosophical arguments and legal validity in different countries.
>> Discover the Simple “Phyto Hack” that REVERSED George Reilly’s Diabetes Ty...Anupsharma825947
A Grandpa’s life was recently SAVED from type 2 diabetes…
And it’s all thanks to an odd 1 minute “diet hack” that slashed 61 year old George Reilly’s deadly high blood sugar…
Here it is…
Euthanasia is the painless killing of a patient suffering from an incurable and painful disease or in an irreversible coma. There are different types of Euthanasia voluntary or involuntary.
Nobody Thinks They’re Going To Have A Limb Amputated, Drop Into A Diabetic Coma Or Go Blind…
But that’s what this disease does to people like us…
Learn More : http://bit.ly/diabetes-freedom-help
First do no harm pp presentation for general usegranny_annie1953
This is a PowerPoint presentation summarizing the unethical, immoral and illegal acts of the power-hungry hiererarchy at the Burntwood Regional Health Authority in Northern Manitoba.
2011 Audi A5S5 brochure provided by Audi of Nashua located in Nashua, NH. Find the 2011 Audi A5S5 for sale in New Hampshire; call about our current sales and incentives at 603-595-1700. http://www.audinashua.com/
Roebuck 1 Brittany Roebuck Professor Bertsch ENG.docxhealdkathaleen
Roebuck 1
Brittany Roebuck
Professor Bertsch
ENGL 1100
8 April 2018
Should Physician-Assisted Suicide Be Legal?
In 1997, Oregon became the first state to enact the Death with Dignity Act (DWDA).
This act allows a person with a terminal illness to make the decision to end their own life with a
lethal medication prescribed by a physician. Since then, only four other states have legalized
physician-assisted suicide. I’m interested in this topic for two reasons. The first being I am
currently making a career change and going back to school for nursing. I ultimately want to
become a hospice nurse. I believe this is a very relevant topic in the field of providing comfort
care to terminally ill patients. The second reason is because my grandpa died of lung cancer and I
spent the majority of his last three months taking care of him. His time between diagnosis and
when he passed was very quick but also very painful. I can’t imagine if he had lived for another
year or more how difficult it would have been for him, myself, and my family. We never
discussed the option of physician-assisted suicide because it is not an option in the state of Ohio.
My grandpa had a passion for life and living it to the fullest. Knowing him well, I think if the
option had been available, it would have been something he would have considered. I wanted to
dive into this topic and find out why in the past eleven years this law has only been passed in five
states. So, I decided to do some research of my own to find out the answer to my question:
Should physician-assisted suicide be legal in every state?
When I started researching this topic, I found a lot of opposition. There are many reasons
people are against physician-assisted suicide. One being religious reasons. Religious
Roebuck 2
organizations argue that human life is sacred and someone ending their own life, no matter the
circumstances, is morally and spiritually wrong (“Right to Die” 2). The American Medical
Association also objects to physician-assisted suicide. They argue that physicians are meant to
heal not kill (2). Another argument states that allowing physician-assisted suicide would leave
people with mental and physical disabilities open to being coerced into ending their own lives. If
someone believes they may be a financial or physical burden on their family, they may be
tempted to consider physician-assisted suicide simply to relieve that burden. Some people think
instead of helping people die, doctors and policy makers should be working on improving end-
of-life care (2). There is also an argument that minorities have less access to health care and
receive less treatment as a result. This may make a pill to end their lives feel like the only option
for them. (2)
As far as support for this movement, well, there’s less of it. Supporters argue that if a
person has the right to refuse medical treatment, they should also have the rig ...
Being confronted by our own mortality can bring up a lot of feelings: fear, anger, sadness, helplessness, and few experiences bring us face to face with our own death like a cancer diagnosis. But facing mortality can also be an opportunity to find meaning, live in the moment, and contemplate the mark you want to leave on this world. Attend this program to explore how to acknowledge the inevitable while still allowing yourself to truly live a full life and experience hope.
This presentation is in collaboration with NYU Langone Health.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
for beginners, providing thorough training in areas such as SEO, digital communication marketing, and PPC training in Noida. After finishing the program, students receive the certifications recognised by top different universitie, setting a strong foundation for a successful career in digital marketing.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Pride Month Slides 2024 David Douglas School District
Assisted Suicide/Euthinasia
1.
2.
3. Physician Assisted Suicide - The practice in which the physician provides a patient with a lethal dose of medication upon the patients request, which the patient intends to use to end their life Physician Assisted Suicide - The practice in which the physician provides a patient with a lethal dose of medication upon the patients request, which the patient intends to use to end their life Vs. Euthanasia – The practice of ending the life of an individual suffering from a terminal illness or an incurable condition, as by lethal injection or the suspension of extraordinary medical treatment Euthanasia – The practice of ending the life of an individual suffering from a terminal illness or an incurable condition, as by lethal injection or the suspension of extraordinary medical treatment
4. Between 1994 and 2006, there were 75 legislative bills to legalize PAS in 21 states and all of them failed. Currently PAS is legal in only 3 states; Oregon, Washington, and Montana
5. The right to die should be a fundamental freedom for everyone
6. Doctors/Caretakers are able to withhold care from a patient to hasten death, but not actually give you Meds in order to end your life in a pain free, humane way? Why is it legal to let a human suffer, yet to do this to an animal is cruel and inhumane?
7. Imagine what it would be like to spend six months vomiting, coughing, enduring pain spasms, losing control of excretory functions, etc. Then you must consider the psychological suffering; i.e. the knowledge that a patient knows he's definitely going to die and the pain is only going to get worse. Tremendous Pain and Suffering of patients can be saved Wouldn't it be more humane to give the patient the option to say when he's had enough?
8. Vomit, drool, urine, feces must be attended to by nursing assistants. Alzheimer's patients suffer from progressively worse dementia that causes memory loss and incoherent rambling. Death With Dignity Virtually all people want others' last memory of them to be how they once were, not what they ended up being
9. Consider the huge cost of keeping a dying patient alive for several months. You must pay for x-rays, lab tests, drugs, hospital overhead, medical staff salaries, etc. Medical costs can equal to $50,000-100,000 to keep some patients alive. Health care costs can be reduced Is this the best way to spend our money when the patient would like to die?
10. It's emotionally and physically draining to have the stress drawn out for so long of waiting for someone you love to die. When the patient does eventually die, it's often sudden or it follows a period when the patient has lost consciousness Pain and anguish of the patient's family and friends can be lessened Wouldn’t it be better to allow people to be able to say their goodbyes and lessen the stress on peoples families?
11. We have long waiting lists for hearts, kidneys, livers, and other organs that are necessary to save the lives of people who can be saved. Assisted suicide allows physicians to preserve vital organs that can be donated to others. Vital organs can be saved, allowing doctors to save the lives of others By allowing someone to chose to end their life, its possible to save someone else’s.
12. Which is better - controlled physician assisted suicide or clumsy attempts like taking sleeping pills, jumping off a building, or firing a bullet into one's head? If you were a family member, which would be more traumatic--saying goodbye to a loved one at the hospital or coming home to see their brains splattered against the wall from a bullet, or having to identify a body? Unfortunately, if people truly want to die, nothing is going to stop them. If that is the case, let’s give them a more humane alternative Without physician assistance, people may commit suicide in a messy, horrifying, and traumatic way
13. “Watching my mom die of cancer & the excruciating pain she was in for the last week or so of her life, I WISH she could have chosen Physician Assisted Suicide - NO amount of morphine dulled it for her! That was the most horrible thing in the world (I chose not to spend time with my mother in her final days because I could NOT handle seeing her suffer without breaking down in front of her…which only made it worse)” -Lissa, Illinois “Watching my mom die of cancer & the excruciating pain she was in for the last week or so of her life, I WISH she could have chosen Physician Assisted Suicide - NO amount of morphine dulled it for her! That was the most horrible thing in the world (I chose not to spend time with my mother in her final days because I could NOT handle seeing her suffer without breaking down in front of her…which only made it worse)” -Lissa, Illinois “My great-grandma is 84 years old... and has just been wasting away the past 5 years or so. She has had multiple strokes, lung cancer, lung and heart disease, and back in November she lost sight in her right eye, and a couple of days ago she lost the eye completely (before she could see shadows).I have heard her say that she is done. she is ready to die. I know she is not happy, and she hates having to rely on other family to take care of her.I was able to put my horse to sleep when she was no longer comfortable. She was blind, had bad hips, and definitely wasn't happy. I was able to remove her pain, and stop her suffering. Why shouldn't we be able to do this for people when they are ready to leave? My Great-grandma is definitely suffering. and if she could, i know she would choose assisted suicide, and i would be happy for her.” -Amanda Kern, California “My step father had a massive stroke. His mind was gone but his body fought on. They stopped fluids and IV's (in July) and still it took 7 days for his body to dehydrate enough to go into shock and shutdown. Dehydration is painful. He moaned and fought but never regained enough consciousness to say good bye. My mother sat by his bed watching the man she loved suffer completely helpless. Instead, the doctors could have made the diagnosis and with a single overdose of anesthetic put him at peace. I have been with my dogs when their time came... it was peaceful and stress free. They simply closed their eyes and within a few seconds they were gone. Sure beats waiting 7 days” -DAX, HGS Forum “My step father had a massive stroke. His mind was gone but his body fought on. They stopped fluids and IV's (in July) and still it took 7 days for his body to dehydrate enough to go into shock and shutdown. Dehydration is painful. He moaned and fought but never regained enough consciousness to say good bye. My mother sat by his bed watching the man she loved suffer completely helpless. Instead, the doctors could have made the diagnosis and with a single overdose of anesthetic put him at peace. I have been with my dogs when their time came... it was peaceful and stress free. They simply closed their eyes and within a few seconds they were gone. Sure beats waiting 7 days” -DAX, HGS Forum
14. August 2, 1950 – February 12, 1994 “If I cannot give consent to my own death, whose body is this? Who owns my life?” -Sue Rodriguez
15. November 15th 1958 - May 11th, 2002 “It’s not life, I’m already dead” -Diane Pretty
16. January 28, 1955 – March 19, 2008 “One would not allow an animal to go through what I have endured” -Chantal Sebire
17. “My intent was to carry out my duty as a doctor, to end their suffering. Unfortunately, that entailed, in their cases, ending of the life.” -Dr. Jack Kevorkian