Is a “good death” a viable option

Two weeks ago, I spoke to about twenty people at the regular weekly meeting of the Ethical Society of Austin (Texas).  The topic was the seven choices available to a person who becomes afflicted with dementia.  I began by asking what, for them, are the characteristics of a "good death."  In about ten minutes, the group offered ideas that suggest a "good death" is a viable option, with some universal characteristics, in spite of some voices to the contrary. (Continue reading ...)

Options near the end of life–Exploring Parkinson’s

My wife and I had occasion to visit some old friends in California recently.  We have known one member of the couple since 1962, when we started college together.  We last saw them almost three years ago and have stayed in touch through email and phone calls.  David has Parkinson's Disease (PD), so we knew that we would likely find him in worse shape than the last time we saw him, when his main symptom was a slight tremor in his hands and a shuffling gait when he walked.  Lois had given us reports that he was working on therapies to counter the effects of the Parkinson's. (Continue reading ...)

Strategy for a Care Giver’s Survival

For the last several years of his wife Jackie's fatal illness–Frontotemporal Degeneration (FTD)–Lew Lorton was her caregiver and maintained a blog he titled "Just A Guy Muddling Through" about his experiences and thoughts. In this post, he explains some guidelines he developed to help himself through the experience. (Continue reading ...)

Refusing unwanted medical treatment–Part 5: Physician liability, continued

This is the final post of the series reviewing Professor Thaddeus Pope's analysis of why clinicians perceive that not following a patient's preferences about end-of-life care carries little risk for them. Additional legal remedies (causes of action available against clinicians who ignore patient choices), along with administrative penalties, and possible criminal liability for clinicians in some jurisdictions are discussed. (Continue reading ...)
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