Euthanasia : $b or, Medical treatment in aid of an easy death — John Shaqi
Euthanasia : $b or, Medical treatment in aid of an easy deathMunk, William
Philosophy
Euthanasia : $b or, Medical treatment in aid of an easy death
Munk, William
Death; Euthanasia; Terminal care
Much discretion is needed in fixing on the kind and quantity of food
to be given. Something will depend on the character of the disease
under which the patient is sinking; and something on the length of
time he is likely to survive. If the act of dying is likely to be
protracted, as it often is in cancer and some cases of consumption,
where death is brought about by slowly progressive exhaustion, the
food should be supporting and in somewhat larger quantity. I have
long doubted whether strong beef tea and meat extracts are as a rule
of much use, or are appropriate when the act of dying has really
commenced. Milk, cream, beaten eggs, and the farinacea are far better.
They are, too, the best vehicles for wine and spirits; and they have
less tendency than soups to become offensive in the stomach.
Alcohol in its fermented or distilled forms is of special use in
the treatment of the dying. Owing to its high diffusive power it
passes readily into the blood. It stimulates the failing heart, and
thus promotes the circulation through the lungs, which is one of
its most valuable properties in the dying. It may perhaps increase
the secretion of the gastric juice; it more probably stimulates
the peristaltic movements of the stomach, and by so much, aids the
digestive process, and supports the patient in the best and most
natural manner. Stimulants and nutriment should as a rule be given
together for they mutually influence each other.
The quantity of wine or spirit which is needed varies exceedingly,
and no definite rule can be laid down on this point. They should be
given in small quantities at a time and repeated at short intervals
before the effects upon the heart and pulse of the previous dose have
subsided.
Of wines, sherry is perhaps the most useful. Port, if preferred
by the patient, may be substituted, but I have not found it, as a
rule, to agree as well as sherry. Madeira from its slight acidity is
specially agreeable to the palate, and is besides the most sustaining
and cordial of wines. But tokay is often more acceptable than any
other wine, especially to those sinking from exhausting diseases, as
hemorrhage, profuse suppuration, and the like. It is best given with
cream. The stimulus of these wines is longer maintained than is that
of other forms of alcohol. Champagne is most refreshing and is often
eagerly taken; but its effects are evanescent and it needs repeating
at shorter intervals than other wines. A teaspoonful of brandy, or of
some liqueur may sometimes be advantageously added to it.
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