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
Sometimes brandy answers better than any wine, especially if the
stomach is irritable and there is nausea or vomiting. As a mere
stimulant it is best administered with yolk of egg and sugar, as
is Sir Henry Halford’s celebrated mixture--the Mistura Spiritus
Vini Gallici of the Pharmacopœia. If brandy is used for its special
tranquillizing influence on an irritable stomach, it may be given
neat, in drachm doses, or in double that quantity in a little simple,
or in one of the aërated, waters. The wish of the patient for any
particular form of stimulant is almost always a correct indication for
its use.
The dry and parched condition of the tongue and mouth so common in the
dying, and the inextinguishable thirst that attends some forms of it,
need constant attention. A spoonful of iced-water repeated frequently
will be a great comfort. So, too, is a small bit of ice allowed to
dissolve in the mouth--or lemonade--or weak black tea without milk,
and slightly acidulated with a slice of lemon.
In the case of nutriment and stimulants as of mere diluents, it is to
be understood--supposing there is nothing to forbid--that so long as
the lips close upon them, and an act of swallowing follows _promptly_,
they may be continued: but when liquids seem merely to trickle down
the throat, and after a time, only to excite a faint effort of
swallowing, they should no longer be persisted in. The sensibility
of the parts is so diminished that the patient is insensible to the
stimulus of the liquid, and we infer _a fortiori_ to the dry and
parched state of the mouth and fauces. If, after rubbing the lips
gently with the spoon, or with the spout of the feeding vessel, no
evident and distinct act of swallowing follows, it is useless, and
it may be cruel to persist; the liquid will but clog the mouth and
fauces, add to the impediment to breathing, and by so much, if any
consciousness remains, to the sufferings of the dying.
* * * * *
Next in value to stimulants in the treatment of the dying is opium.
It is a tradition that John Hunter used often to exclaim, “Thank God
for opium,”[52] and under no circumstances are we bound to be more
thankful for it then when ministering at the bedside of the dying.
Opium is here worth all the rest of the materia medica. Its object and
action must however be clearly understood. Opium is administered to
the dying, as an anodyne to relieve pain; or as a cardiac and cordial
to allay that sinking and anguish about the stomach and heart, which
is so frequent in the dying, and is often worse to bear than pain,
however severe. Opium should rarely be administered to the dying as a
mere hypnotic, or with a view to enforce sleep. To do so would be to
risk throwing the patient into a sleep from which he may not awake.
But opium often induces sleep indirectly, and in the kindest way, by
the relief of pain,[53] or sinking that had hitherto rendered sleep
impossible.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account