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Die With Dignity
Dignified death, death with dignity, dying with dignity or dignity in dying is an ethical concept that refers to the end-of-life process avoiding suffering and maintaining control and autonomy. In general, it is usually treated as an extension of the concept of dignified life, in which people retain their dignity and freedom until the end of their existence. Although a dignified death can be natural and without any type of assistance, the concept is frequently associated with the right to die, as well as with the defense of the legalization of practices such as voluntary euthanasia, physician-assisted suicide, terminal sedation or the refusal of medical assistance. According to its defenders, the possibility of this type of practices would be what would guarantee a dignified death, keeping free decisions until the last moment and avoiding an unnecessary agony. See also * Death with dignity (other) * Right to die * Assisted dying (other) Assisted dying, assis ...
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Suffering
Suffering, or pain in a broad sense, may be an experience of unpleasantness or aversion, possibly associated with the perception of harm or threat of harm in an individual. Suffering is the basic element that makes up the negative valence of affective phenomena. The opposite of suffering is pleasure or happiness. Suffering is often categorized as physical or mental. It may come in all degrees of intensity, from mild to intolerable. Factors of duration and frequency of occurrence usually compound that of intensity. Attitudes toward suffering may vary widely, in the sufferer or other people, according to how much it is regarded as avoidable or unavoidable, useful or useless, deserved or undeserved. Suffering occurs in the lives of sentient beings in numerous manners, often dramatically. As a result, many fields of human activity are concerned with some aspects of suffering. These aspects may include the nature of suffering, its processes, its origin and causes, its meaning and ...
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Control (psychology)
In psychology, control is a person's ability or perception of their ability to affect themselves, others, their conditions, their environment or some other circumstance. Control over oneself or others can extend to the regulation of emotions, thoughts, actions, impulses, memory, attention or experiences. There are several types of control, including: * Perceived control (a person's perception of their own control and abilities to achieve outcomes) * Desired control (the amount of control one seeks within a relationship or other circumstance) * Cognitive control (the ability to select one's thoughts and actions) * Emotional control (the ability to regulate one's feelings or attitudes toward something) * Motivational control (one's ability to act on prescribed behaviors) * Inhibitory control (the ability to inhibit thoughts or actions in favor of others) * Social control (selecting one's environment for personal benefit) * Ego control (the attempt to regulate impulses or att ...
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Autonomy
In developmental psychology and moral, political, and bioethical philosophy, autonomy, from , ''autonomos'', from αὐτο- ''auto-'' "self" and νόμος ''nomos'', "law", hence when combined understood to mean "one who gives oneself one's own law" is the capacity to make an informed, uncoerced decision. Autonomous organizations or institutions are independent or self-governing. Autonomy can also be defined from a human resources perspective, where it denotes a (relatively high) level of discretion granted to an employee in his or her work. In such cases, autonomy is known to generally increase job satisfaction. Self-actualized individuals are thought to operate autonomously of external expectations. In a medical context, respect for a patient's personal autonomy is considered one of many fundamental ethical principles in medicine. Sociology In the sociology of knowledge, a controversy over the boundaries of autonomy inhibited analysis of any concept beyond relative ...
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Dignity
Dignity is the right of a person to be valued and respected for their own sake, and to be treated ethically. It is of significance in morality, ethics, law and politics as an extension of the Enlightenment-era concepts of inherent, inalienable rights. The term may also be used to describe personal conduct, as in "behaving with dignity". Etymology The English word "dignity", attested from the early 13th century, comes from Latin ''dignitas'' (worthiness) by way of French ''dignité''. Modern use English-speakers often use the word "dignity" in proscriptive and cautionary ways: for example, in politics it can be used to critique the treatment of oppressed and vulnerable groups and peoples, but it has also been applied to cultures and sub-cultures, to religious beliefs and ideals, and even to animals used for food or research. "Dignity" also has descriptive meanings pertaining to the ''worth'' of human beings. In general, the term has various functions and meanings depe ...
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Freedom
Freedom is understood as either having the ability to act or change without constraint or to possess the power and resources to fulfill one's purposes unhindered. Freedom is often associated with liberty and autonomy in the sense of "giving oneself their own laws", and with having rights and the civil liberties with which to exercise them without undue interference by the state. Frequently discussed kinds of political freedom include freedom of assembly, freedom of association, freedom of choice, and freedom of speech. In one definition, something is "free" if it can change easily and is not constrained in its present state. In philosophy and religion, freedom is sometimes associated with free will, without undue or unjust constraints on that will, such as enslavement. It is an idea closely tied with the concept of negative liberty. Charles Taylor resolves one of the issues that separate "positive" and "negative" theories of freedom, as these were initially distinguished i ...
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Natural Death
In many legal jurisdictions, the manner of death is a determination, typically made by the coroner, medical examiner, police, or similar officials, and recorded as a vital statistic. Within the United States and the United Kingdom, a distinction is made between the cause of death, which is a specific disease or injury, versus manner of death, which is primarily a legal determination versus the mechanism of death (also called the mode of death) which does not explain why the person died or the underlying cause of death and can include cardiac arrest or exsanguination. Different categories are used in different jurisdictions, but manner of death determinations include everything from very broad categories like "natural" and "homicide" to specific manners like "traffic accident" or "gunshot wound". In some cases an autopsy is performed, either due to general legal requirements, because the medical cause of death is uncertain, upon the request of family members or guardians, or be ...
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Assisted Suicide
Assisted suicide is suicide undertaken with the aid of another person. The term usually refers to physician-assisted suicide (PAS), which is suicide that is assisted by a physician or other healthcare provider. Once it is determined that the person's situation qualifies under the physician-assisted suicide laws for that place, the physician's assistance is usually limited to writing a prescription for a lethal dose of drugs. In many jurisdictions, helping a person die by suicide is a crime. People who support legalizing physician-assisted suicide want the people who assist in a voluntary death to be exempt from criminal prosecution for manslaughter or similar crimes. Physician-assisted suicide is legal in some countries, under certain circumstances, including Austria, Belgium, Canada, Germany, Luxembourg, the Netherlands, New Zealand, Spain, Switzerland, parts of the United States and all six states of Australia. The constitutional courts of Colombia, Germany and Italy lega ...
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Right To Die
The right to die is a concept based on the opinion that human beings are entitled to end their life or undergo voluntary euthanasia. Possession of this right is often understood that a person with a terminal illness, incurable pain, or without the will to continue living, should be allowed to end their own life, use assisted suicide, or to decline life-prolonging treatment. The question of who, if anyone, may be empowered to make this decision is often subject of debate. Religious views on suicide vary from the Hindu and Jain practices of non-violent suicide through fasting ( Prayopavesa and '' Santhara'', respectively) to considering it a grave sin, as in Catholicism. Ethics The preservation and value of life have led to many medical advancements when it comes to treating patients. New devices and the development of palliative care have allowed humans to live longer than before. Prior to these medical advancements and care, the lifespans of those who were unconscious, minim ...
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Voluntary Euthanasia
Voluntary euthanasia (VE) is the ending of a person's life at their request in order to relieve them of suffering. Voluntary euthanasia and physician-assisted suicide (PAS) have been the focus of intense debate in recent years. Some forms of voluntary euthanasia are legal in Australia, Belgium, Canada, Colombia, Luxembourg, the Netherlands, New Zealand and Spain. Definition Voluntary refusal of food and fluids (VRFF) (also called voluntarily stopping eating and drinking, or VSED) or Patient Refusal of Nutrition and Hydration (PRNH) is bordering on euthanasia. Some authors classify it as a form of passive euthanasia, while others treat it separately because it is treated differently from legal point of view and often perceived as a more ethical option. VRFF is sometimes suggested as a legal alternative to euthanasia in jurisdictions disallowing euthanasia. Assisted suicide Assisted suicide is a practice in which a person receives assistance in bringing about their de ...
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Physician-assisted Suicide
Assisted suicide is suicide undertaken with the aid of another person. The term usually refers to physician-assisted suicide (PAS), which is suicide that is assisted by a physician or other healthcare provider. Once it is determined that the person's situation qualifies under the physician-assisted suicide laws for that place, the physician's assistance is usually limited to writing a prescription for a lethal dose of drugs. In many jurisdictions, helping a person die by suicide is a crime. People who support legalizing physician-assisted suicide want the people who assist in a voluntary death to be exempt from criminal prosecution for manslaughter or similar crimes. Physician-assisted suicide is legal in some countries, under certain circumstances, including Austria, Belgium, Canada, Germany, Luxembourg, the Netherlands, New Zealand, Spain, Switzerland, parts of the United States and all six states of Australia. The constitutional courts of Colombia, Germany and Italy lega ...
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Terminal Sedation
In medicine, specifically in end-of-life care, palliative sedation (also known as terminal sedation, continuous deep sedation, or sedation for intractable distress of a dying patient) is the palliative practice of relieving distress in a terminally ill person in the last hours or days of a dying person's life, usually by means of a continuous intravenous or subcutaneous infusion of a sedative drug, or by means of a specialized catheter designed to provide comfortable and discreet administration of ongoing medications via the rectal route. As of 2013, approximately tens of millions of people a year were unable to resolve their needs of physical, psychological, or spiritual suffering at their time of death. Considering the amount of intolerable pain a person may face, palliative care is important. Palliative sedation can provide a more peaceful and ethical solution for such people. Palliative sedation is an option of last resort for the people whose symptoms cannot be controlled ...
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Refusal Of Medical Assistance
In emergency medical services such as an ambulance squad, a refusal of medical assistance is the term for when a patient refuses any or all parts of medical treatment. Background The refusal of medical assistance, or RMA, ensures the continuum of care that ambulance squads have a responsibility towards. In a typical emergency call, the ambulance service will assess and transport the patient to an appropriate facility. The ambulance squad's duty towards the patient begins with patient contact and generally ends with transfer to the emergency department of the receiving hospital. The call can terminate in other ways; for example an ambulance service may cancel their own services if the patient becomes violent (scene safety), if they are canceled by on-scene personnel (such as the police or, in the case of a MICU service, the on-scene BLS EMT), or at the discretion of the dispatcher (if another ambulance is better positioned to take the call). In general, once patient contact has ...
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