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
The fewer the drugs and the less of medicine we can do with in the
treatment of the dying, the better. Those above mentioned comprise
all I have had occasion for, and if judiciously used, they are equal
to the emergencies we are called upon to meet. I have no wish unduly
to limit the means at our command in aid of the Euthanasia; but when
the stage of existence contemplated in these pages has once been
reached, we dismiss all thought of cure, or of the prolongation of
life, and our efforts are limited to the relief of certain urgent
conditions, such as pain, exhaustion, dyspnœa, spasm, and the like;
for which the remedies mentioned above are to the full as efficient,
if not really more so, than any others as yet known. But no medicine
should be given without a distinct--I had almost written urgent--need
for it; and the physician should form a clear idea of the special
requirements of the case before him, and how, and by what means
they may be best accomplished. In very many cases there is no need
of medicines of any kind, and stimulants and light nourishment
_cautiously_ administered, meet every requirement. But often, and in
almost all cases, at a certain period of their course, the less even
of these that is given the better. “Medici plus interdum quiete, quam
movendo et agendo proficiunt,” writes Livy, and there are few dying
beds, where, just before the last, this precept does not find its
fitting application. “All that the dying person, then, requires is to
be left alone, and allowed to die in peace.”[64]
“Disturb him not--let him pass peaceably.”
“The physician,” writes Dr. Ferriar,[65] “will not torment his patient
with unavailing attempts to stimulate the dissolving system, from the
idle vanity of prolonging the flutter of the pulse for a few more
vibrations: if he cannot alleviate his situation, he will protect his
patient against every suffering which has not been attached to it by
nature.”
As the patient himself is wholly unable to explain what is needful in
his situation, the physician is bound to act for him in regulating the
economy of the bed-chamber. The temperature and ventilation of the
room--the amount of light to be admitted--the degree of quiet to be
maintained in it--must be determined according to the circumstances of
each particular case.
When the mode of dying is by the lung, and in the way of asphyxia, the
admission of fresh, cool air into the room seems to conduce to the
relief of dyspnœa, and greatly to the comfort of the sufferer.
The custom of excluding daylight as far as may be from the dying
chamber, and keeping it gloomy and dark, is in every respect a
mistake, and is to be opposed. If there is one thing about his
surroundings which more often than any other is complained of by the
dying, it is of failing sight--of a darkness gathering over him; and a
desire is expressed for more light.
Public-domain text, read in full here on John Shaqi.
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