Dignity in care is paramount... thestar.my/Opinion/Letters/2014/12/13/Dignity-in-care-is-paramount/ I REFER to the article “Dying with dignity” (The Star, Dec 8) as well as several other articles on euthanasia published the last few months in The Star. Whilst the term euthanasia comes from the Greek word that suggests “good death”, the modern practice actually means the intentional ending of a life when requested by a patient not necessarily terminally ill, in some countries. Although the practice and the associated practice of physician-assisted suicide is legal in a few countries, it is illegal in the vast majority of countries worldwide. Generally though, it is a grossly misunderstood term by the majority of the public and a significant number in the medical community. The sentiments expressed in the article are worrying as they suggest the benefits of euthanasia without a real understanding of the evidence and understanding of the issues that are affected by such a stand. However, it is vital that questions about the issues surrounding care at the end of life and its associated options such as advance medical directives are highlighted by the media. When such questions are posed, they cannot truly be answered without an understanding of the situation, perceptions and expectations of those involved, and the possible interventions to achieve a purpose. We also need to appreciate the limits of medicine at the end of life in weighing benefits and harm and prognostication. Rather than Malaysia addressing the issue of whether euthanasia might be a useful option in dealing with suffering, it would be more pertinent firstly to address the issues of care currently experienced by patients. These should include whether patients understand their illness, options and whether consent had been given. Many patients are never told their diagnosis and did not properly consent to treatment or are denied treatment. Patients should be free of pain and have their wishes and hopes expressed and understood by those providing care for them. In May 2014, Malaysia joined other countries in sponsoring a resolution by the World Health Assembly for the provision of palliative care. Other countries in the region also have legislation providing the rights of patients to receive good care and symptom relief. The coverage of palliative care in Malaysia is still low and education in both pain and symptom control and discussion of advance care plans are still limited. Life is precious and to be valued, whilst providing dignity in care is paramount. No one requests for euthanasia if life is worth living regardless of their disabilities. Before we even start discussing euthanasia, we should first look at whether we are receiving the best care we desire in our country. DR EDNIN HAMZAH CEO / Medical Director Hospis Malaysia
Posted on: Sun, 14 Dec 2014 08:18:04 +0000
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