The modern day advanced approaches

Running head: HEALTHCARE
HEALTHCARE
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HEALTHCARE1
Introduction
In various life-threatening conditions such as terminal cancer and other chronic and
acute terminal health conditions where the subject has no hope of complete recovery and
there exists no complete cure for the patient – various approaches such as end of life care,
pain and palliative care, humanistic and spiritual care, biopsychosoical model of care,
theories of expanding consciousness, theories of transcendal patient centered care are all
undertaken to ease the process of dying and various bioethical principles of nursing and
medical care comes to play (Li et al., 2017). However, it is important and also very critical to
note that in certain cases of pain and palliative care where the biomedical aspect of the
clinical care with heavy or rather strong analgesic medications is very painful for the patient
and the pain perception or the sensitivity to the pain increases after every administration of
the pain medication rendering the clinical condition very critical (Trachtenberg & Manns,
2017). Additionally, when there is no hope for recovery of the patient and the disease is
progressive – a clinical decision making from biomedical care to the end of life care is to be
done. But in cases, the pain and the agony of the patient cannot be controlled and the subject
who going through or rather bearing this unbearable clinical signs and symptoms – he or she
should be opting for an option which comes to be known as the medical assistance in dying
(MAiD) and it presents one of the most complex and complicated ethical implication in the
field of health care and medical science. In this study, the argumentation around the subject
of medical assistance in dying is explored from various perspectives. As per the Canadian
law, the medical assistance in dying can be practiced by the physicians chiefly and by the
nurses as well but only in the provinces where the laws and the regulations allow the same.
By definition, medical assistance in dying is a form of active euthanasia in which a
medication is administered to the patient by the patient himself or herself and the medication
is administered by the physician when the patient has put an application that fulfills the

HEALTHCARE2
requirement of the medical assistance in dying procedure (Rousseau et al., 2017). The drug
can be anesthetic, analgesic or a psychotropic or sedative medication. The argument for the
same that is medical assistance in dying should be allowed in the health care framework and
the counterargument again the application of the same is explored as well. The thesis
statement is medical assistance in dying should be allowed in the health care framework.
Argument
At first it is important to be understood that the right to decision making and right to
withdraw from a certain treatment and the right to autonomy are the most important patient
rights which are not only application in Australia but across the entire health care
organizations and system in the globe (Beuthin, Bruce & Scaia 2018). Hence, it is to be
critically noted that the right to choosing one’s own destiny freely is one’s fundamental
human right and in the cases where the subject is suffering from severe unbearable physical
pain or severe forms of the mental or emotional pain that has self-harm or more severe life
threatening progression, if the subject has a sound judgment and a normal cognitive
functioning to take the clinical decision of active euthanasia or medical assistance in dying –
it should be granted keeping in consideration – the continuous suffering of the subject and
there is no medical or surgical or any other intervention to change the course of the severe
disease progression. At the end, the autonomy of the patient is something that is to be
respected and kept intact, not violated and medical assistance in dying should be allowed
(Allard & Fortin, 2017).
Secondly, it is vital to consider that certain disease conditions can be severely
progressive, developmental and increase the complication of the suffering and put him or her
on the brink of more suffering and agony where the subject’s quality of life, understanding
and the perception of life can be more distorted, poorer and devastating as well (Trachtenberg