The document discusses euthanasia and provides information on its history, types, laws, and religious views.
[1] Euthanasia refers to intentionally ending a life to relieve pain and suffering, and can be active, passive, voluntary, or involuntary. It was first discussed in ancient Greece but largely rejected throughout history.
[2] Currently, only the Netherlands and Belgium legally permit euthanasia under certain conditions like voluntary requests and consultation. Assisted suicide is legal in some places with restrictions.
[3] Most major religions disapprove of euthanasia due to beliefs that God gives and takes life, though some accept passive forms or withholding treatment. Views vary between faith
Euthanasia is the practice of causing the death of a patient for medical reasons, such as an incurable disease associated with suffering or unbearable pain.
Euthanasia is the practice of causing the death of a patient for medical reasons, such as an incurable disease associated with suffering or unbearable pain.
For our English presentation this semester, we (2nd year medical students) decided to do a research on euthanasia and its acceptance in different parts of the world.
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.
Euthanasia, derived from Greek words meaning "good death," is a complex and controversial ethical and legal issue revolving around the deliberate ending of a person's life to relieve suffering. It is often a topic of intense debate within medical, legal, religious, and ethical circles.
Types of Euthanasia:
Voluntary Euthanasia: This occurs when a competent person makes a voluntary and informed decision to end their life with the assistance of a medical professional or loved one.
Non-voluntary Euthanasia: In this scenario, the decision to end a person's life is made by someone other than the individual, typically when they are unable to make decisions for themselves due to being in a coma or having advanced dementia.
Involuntary Euthanasia: This is the termination of a person's life against their will or without their consent, often performed in situations where the person's suffering is deemed unbearable or where their quality of life is deemed too low by others.
Assisted Suicide: This involves providing a person with the means or information necessary to end their own life, such as prescribing lethal medication, while the individual ultimately carries out the act themselves.
Ethical Considerations:
Autonomy vs. Sanctity of Life: Supporters of euthanasia argue for individual autonomy and the right to die with dignity, while opponents often cite the sanctity of life and the potential for abuse or slippery slope arguments.
Quality of Life: Discussions often revolve around the subjective nature of suffering and the quality of life, with some arguing that euthanasia can alleviate unnecessary suffering, while others raise concerns about the potential devaluation of certain lives.
Medical Ethics: Euthanasia raises questions about the role of healthcare professionals in end-of-life care, the distinction between killing and allowing to die, and the obligations of physicians to relieve suffering while upholding ethical principles.
Legal Status:
The legality of euthanasia varies greatly around the world. Some countries, such as the Netherlands, Belgium, and Canada, have legalized certain forms of euthanasia under strict conditions, while others, including many U.S. states, maintain its illegality. In some regions, there are ongoing debates and court cases seeking to clarify or change existing laws.
Conclusion:
Euthanasia remains a deeply divisive and emotionally charged issue, touching on fundamental questions about life, death, autonomy, and suffering. As medical technology advances and societal attitudes evolve, discussions surrounding euthanasia are likely to persist, challenging individuals, communities, and policymakers to navigate the complexities of this sensitive topic with compassion and integrity.
For our English presentation this semester, we (2nd year medical students) decided to do a research on euthanasia and its acceptance in different parts of the world.
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.
Euthanasia, derived from Greek words meaning "good death," is a complex and controversial ethical and legal issue revolving around the deliberate ending of a person's life to relieve suffering. It is often a topic of intense debate within medical, legal, religious, and ethical circles.
Types of Euthanasia:
Voluntary Euthanasia: This occurs when a competent person makes a voluntary and informed decision to end their life with the assistance of a medical professional or loved one.
Non-voluntary Euthanasia: In this scenario, the decision to end a person's life is made by someone other than the individual, typically when they are unable to make decisions for themselves due to being in a coma or having advanced dementia.
Involuntary Euthanasia: This is the termination of a person's life against their will or without their consent, often performed in situations where the person's suffering is deemed unbearable or where their quality of life is deemed too low by others.
Assisted Suicide: This involves providing a person with the means or information necessary to end their own life, such as prescribing lethal medication, while the individual ultimately carries out the act themselves.
Ethical Considerations:
Autonomy vs. Sanctity of Life: Supporters of euthanasia argue for individual autonomy and the right to die with dignity, while opponents often cite the sanctity of life and the potential for abuse or slippery slope arguments.
Quality of Life: Discussions often revolve around the subjective nature of suffering and the quality of life, with some arguing that euthanasia can alleviate unnecessary suffering, while others raise concerns about the potential devaluation of certain lives.
Medical Ethics: Euthanasia raises questions about the role of healthcare professionals in end-of-life care, the distinction between killing and allowing to die, and the obligations of physicians to relieve suffering while upholding ethical principles.
Legal Status:
The legality of euthanasia varies greatly around the world. Some countries, such as the Netherlands, Belgium, and Canada, have legalized certain forms of euthanasia under strict conditions, while others, including many U.S. states, maintain its illegality. In some regions, there are ongoing debates and court cases seeking to clarify or change existing laws.
Conclusion:
Euthanasia remains a deeply divisive and emotionally charged issue, touching on fundamental questions about life, death, autonomy, and suffering. As medical technology advances and societal attitudes evolve, discussions surrounding euthanasia are likely to persist, challenging individuals, communities, and policymakers to navigate the complexities of this sensitive topic with compassion and integrity.
The term “euthanasia” is derived from Greek, literally meaning “good death”. Taken in its common usage however, euthanasia refers to the termination of a person’s life, to end their suffering, usually from an incurable or terminal condition. It is for this reason that euthanasia was also coined the name “mercy killing”.
Acts of euthanasia are further categorised as “voluntary”, “involuntary” and “non-voluntary.” Voluntary euthanasia refers to euthanasia performed at the request of the patient. Involuntary euthanasia is the term used to describe the situation where euthanasia is performed when the patient does not request it, with the intent of relieving their suffering – which, in effect, amounts to murder. Non-voluntary euthanasia relates to a situation where euthanasia is performed when the patient is incapable of consenting. The term that is relevant to the euthanasia debate is “active voluntary euthanasia”, which collectively refers to the deliberate act to end an incurable or terminally ill patient’s life, usually through the administration of lethal drugs at his or her request. The main difference between active voluntary euthanasia and assisted suicide is that in assisted suicide and physician-assisted suicide, the patient performs the killing act. Assisted suicide is when a person intentionally assists a patient, at their request, to terminate his or her life. Physician-assisted suicide refers to a situation where a physician intentionally assists a patient, at their request, to end his or her life, for example, by the provision of information and drugs.
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Euthanasia: The practice of intentionally ending a life in order to relieve pain and suffering. The word "euthanasia" comes straight out of the Greek -- "eu", goodly or well + "thanatos", death = the good death.
Euthanasiafrom Gale Encyclopedia of Nursing and Allied HealthD.docxhumphrieskalyn
Euthanasia
from Gale Encyclopedia of Nursing and Allied Health
Definition
Euthanasia is the act of putting a person (or animal) to death painlessly, or allowing a person (or animal) to die by withholding medical treatment in cases of incurable disease. The word “euthanasia” comes from two Greek words that mean “good death.” Euthanasia is sometimes called “mercy killing.”
Description
Terms and categories
It is important to distinguish euthanasia from “assisted suicide,” which is sometimes used loosely as a synonym for euthanasia. Assisted suicide, which is often called “self-deliverance” in Britain, refers to a person's bringing about his or her own death with the help of another person. When the other person is a physician, the act is called “doctor-assisted suicide.” As of 2017, assisted suicide was permitted by law in California, Colorado, Washington, D.C., Montana, Oregon, Vermont, and Washington. Oregon legalized assisted suicide in 1994. The other states that permitted assisted suicide had passed laws between 2008 and 2016. Laws prohibited the practice in 37 states, three states prohibited it by common law, and four states did not specify.
Euthanasia strictly speaking means that a physician or other person is the one who performs the last act that causes death; in other words, the physician or other person kills the patient. For example, if a physician injects a patient with a lethal overdose of a pain-killing medication, he or she is performing euthanasia. If the physician leaves the patient with a loaded syringe and the patient injects himself or herself with it, the act is an assisted suicide. Euthanasia of animals is a common practice in veterinary medicine. Euthanasia of humans is illegal throughout the United States, prohibited as a type of homicide.
Euthanasia is usually categorized as either active or passive, and as either voluntary or involuntary. The first set of categories refers to the means of ending life, and the second set of categories refers to the agent of the decision. Active euthanasia involves putting a patient to death for merciful reasons. Passive euthanasia involves withholding medical care, or not doing something to prevent death. In voluntary euthanasia, the patient is the one who wishes to die and has usually requested either active or passive euthanasia. In involuntary euthanasia, someone else makes the decision to terminate the patient's life, usually because the patient is in a coma or otherwise unable to make an informed request to die.
Another important term to understand is the socalled doctrine of double effect. This is a legal term that has been underscored by the United States Supreme Court in one of its decisions. The doctrine of double effect states that a medical treatment intended to relieve pain that incidentally hastens the patient's death is still appropriate and legally acceptable. In other words, a doctor who gives a dying patient high doses of morphine to prevent pain, knowing that such high.
Disciplined Entrepreneurship (24 Steps to a Successful Startup) - TUMS Entrepreneurship Olympiad 7th Workshop - 22 Dec 2019
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According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
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Growing Prevalence of Lifestyle Diseases
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Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
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Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
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The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
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VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
3. Introduction
Euthanasia comes from the Greek words: Eu (good) and Thanatosis (death) and
it means “Good Death”, “Gentle and Easy Death”. This word has come to be
used for “mercy killing”.
It is the act or practice of ending a life of a person either by a lethal injection or
suspension of medical treatment.
The word “Euthanasia” was first used in a medical context by Francis Bacon in
the 17th century, to refer to an easy, painless, happy death, during which it was
a “physician’s responsibility to alleviate the “physical sufferings” of the body.
3
5. Active euthanasia
• It is when death is brought by an act for example taking a
high dose of drugs
• To end a person’s life by the use of drugs, either by oneself
or by the aid of a physician.
5
6. Passive euthanasia
• When death is brought by an omission eg:
When someone lets the person die, this can be done by
withdrawing or withholding treatment.
Withdrawing treatment: For example switching off a
machine that keeps the person alive.
Withholding treatment: For example not carrying out a
surgery that will extend life of the patient for a short time.
6
7. Voluntary euthanasia
• Is committed with the willing or autonomous cooperation of
the subject. This means that the subject is free from direct
or indirect pressure from others.
7
8. Non voluntary euthanasia
• Occurs when the patient is unconscious or unable to make a
meaningful choice between living and dying, and an
appropriate person takes that decision for him/her.
• This is usually called murder, but it is possible to imagine
cases where the killing would count as a favor for the
patient.
8
9. Assisted suicide
• This usually refers to cases where the persons who are going
to die need help to kill themselves and ask for it.
• It may be something as simple as getting drugs for the
person, and putting those drugs within their reach.
9
10. Indirect euthanasia
• This means providing treatments –mainly to reduce pain-
that has a side effect of shortening the patient’s life.
• Since the primary intent wasn’t to kill, it is morally accepted
by some people.
10
11. History
It is believed that euthanasia started in ancient Greece
and Rome around the fifth century B.C.
Some did this by abortions, and every now and then
performed a mercy killing even though doctors were
supposed to follow the Hippocratic Oath:
“I will give no deadly medicine to any one if asked, nor
suggest any such counsel.”
11
12. History
During the middle ages, euthanasia was pretty much out of question.
If one committed suicide, the law in Europe was for the body to be
dragged through the streets or nailed to a barrel and left to drift
downriver.
During the Seventeenth and Eighteenth centuries euthanasia was a
topic of discussion. However, people continued to reject euthanasia
and assisted suicide.
1478-1535: Sir Thomas More is often quoted as being the first
prominent Christian to recommend euthanasia in his book Utopia,
where the Utopian priests encourage euthanasia when a patient was
terminally ill and suffering pain.
12
13. History
1828: The first law against assisted killing, known as anti-euthanasia was passed in new
York.
1870: The use of morphine and analgesic medications for assisting quick and painless death
was suggested.
1885: The American Medical Association strongly denied the use of analgesic for
euthanasia.
1994: Netherlands become the 1st country where euthanasia has been allowed.
2001: The euthanasia law was adopted in Belgium –this law defines conditions for doctors
to avoid penal punishment.
2008: U.S. state of Washington legalizes assisted suicide.
13
14. Laws
In Europe, euthanasia is only legal in Netherlands and Belgium, provided
certain conditions are met.
For example, the patient’s request must be voluntary and well considered; the
patient must be suffering unbearable physical or mental suffering, with no
prospect of relief the patient must be informed about their situation and
prospects; at least one other, independent, doctor must be consulted.
However, in Netherlands euthanasia is allowed for children aged between 12
and 16 years of age, with the consent of their parents/guardians and for
individuals aged 16 years and over.
14
15. Laws
Assisted suicide is legal in the Netherlands, Switzerland and the state of
Oregon in the US but have certain conditions eg : the patient must be
considered competent and aware of their situation.
In Japan: Only “passive” euthanasia is permitted for patients who have
been in a Coma for more than 3 months.
While in Egypt, or in Islamic countries in general, the popular Egyptian’s
Scholar Sheikh, recently issued a fatwa. Equating euthanasia with murder
but allowing the with-holding of treatment that is deemed useless.
15
17. Religions
Those in favor of euthanasia argue that a civilized society should allow
people to die in dignity and without pain.
They add that as suicide is not a crime, euthanasia should not be a crime.
Most religions disapproved of euthanasia for number of reasons:
1. God has forbidden it (that says “You must not kill”)
2. Human life is sacred.
3. Human beings are made in God’s image.
4. God gives people life, so only God has the right to take it away.
17
18. Religious views on euthanasia
Islam
Muslims are against euthanasia. We believe that all human life is sacred because
it is given by Allah, and the Allah chooses how long each person will live. IMANA
(the Islamic Medical Association of America) say that turning off life support for
deemed to be in a persistent vegetative state is permissible. This is because they
consider all mechanical life support procedures as temporary measures.
Christianity
Christians are mostly against euthanasia. The arguments are usually based on
the beliefs that life is given by God, and that human beings are made in God’s
image. Some churches also emphasize the importance of not interfering with the
natural process of death. Life is a gift from God; Christianity requires us to
respect every human being.
18
19. Religious views on euthanasia
Judaism
Jewish medical ethics have become divided, over euthanasia and end of life
treatment since the 1970s. Generally, Jewish thinkers oppose voluntary
eythanasia, often vigorously passive euthanasia in limited circumstances.
Shinto
In Japan, where the dominant religion is Shinto, 69% of the religious
organizations agree with the act of voluntary passive euthanasia. In Shinto, the
prolongation of life using artificial means is a disgraceful act against life.
19
20. Religious views on euthanasia
Buddhism
An important value of Buddhism teaching is compassion. Compassion is used by
some Buddhists as a justification for euthanasia because the person suffering is
relieved of pain.
However, it is still immoral “to embark on any course of action whose aim is to
destroy human life, irrespective of the quality of the individual’s motive.”
20
22. Review
Definition of euthanasia
It is the practice of intentionally ending a life in order to relieve pain and
suffering.
Rules of euthanasia
It’s not possible to regulate euthanasia.
Religions
Islam, Christianity, Judaism, Shinto and Buddhism.
22