S Ratnakumar’s Argument about Palliative Care and Euthanasia

Running head: NURSING ASSIGNMENT
S RATNAKUMAR’S ARGUMENT ABOUT PALLIATIVE CARE AND EUTHANASIA
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Introduction
Patient dignity is a universal need which is involved in the care service throughout the
world and requires the healthcare professionals to include this in the multidimensional concept of
care service (Vehling & Mehnert, 2014). In terminally ill patients, dignity becomes the highest
priority as Juliao et al. (2014) mentioned that majority of the terminally ill patient prefer to die
with dignity. This was the primary thesis of S. Ratnakumar, when he mentioned that palliative
care or euthanasia both serves the same purpose, of providing the patient with dignity, however,
uses two different approaches. This section will discuss about the idea provided by S.
Ratnakumar and then will be argued by assertions. Further the strengths and weaknesses of the
ideas provided by S. Ratnakumar will be discussed.
Argument by S. Ratnakumar
Argument provided by S. Ratnakumar was based on the struggles faced by a terminally
ill patient with untreatable illness and unbearable pain within the healthcare facilities. He
mentioned that without euthanasia or palliative care in such situation, patients are not provided
with sedations so that they could lead to a ‘good end’ of their life. He mentioned instances of
dehydration, lack of will, inability to consume food, severe pain and others which could be
decreased by providing such terminally ill patients with palliative care or euthanasia. Further, he
also mentioned the example of Belgium, where palliative care is provided with integrated
euthanasia to the patients with untreatable diseases and hence, mentioned about patient integrity
and dignity. Further, his argument completely supported the application of palliative care and
euthanasia in spite of palliative care or euthanasia as he preferred these two approaches for

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providing the terminally ill patients with quality life at the end and hence, supported the
application of these in care services.
Own assertions about the ideas
Patient dignity and integrity is important to comply with and as per Radbruch et al.
(2016) euthanasia and palliative care are care processes that stops all the interventions and
provide the patient with sedations so that they can end their life with comfort and dignity.
However, as per Banović and Turanjanin (2014), medical interventions should be applied to
provide patients to improve their health condition, and not to end their life. As per Radbruch et
al. (2016), euthanasia should not be legalized around the world because there is a probability that
it would increase the euthanasia associated tourism and hence, the ethical right of autonomy
would be misused. On the other hand, palliative care is the care process in which compassionate
and creative healthcare could develop a way using which it becomes easier to comfort the patient
by decreasing their pain and associated complications (De Lima et al., 2017). Hence, I would
support the application of palliative care in the care process instead of euthanasia as it violates
the medical ethics of supportive=ng and improving patient condition in adverse health
conditions.
In the argument provided by S Ratnakumar, I would disagree with the concept of
palliative care and euthanasia as there are several patients who are disabled and are unable to live
their life on their own and perform the activities of daily life (Gamondi et al., 2014). Therefore,
allowing terminally ill patients with assisted euthanasia and palliative care could increase the
chances of such disables and elderly people to utilize such medical approach to end their life.
Hence, this approach could not be generally applied in society as it would be harmful for