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quality of life or merely prolong their

suffering.
ANDREA ROSE LUMAWIG
HANNAH MAE LUNAG 3. Allocation of resources: The resources used
FRANCIS ROBERT GECOBE to sustain a patient's life artificially could be
limited, such as hospital beds, medical
equipment, and healthcare personnel. When
these resources are allocated to patients who
DYSTHANASIA have little chance of recovery or
improvement, it can lead to a strain on
healthcare systems, prevent others from
 What is Dysthanasia? accessing necessary care, and raise ethical
 Moral Issue questions about resource allocation.

 Why is it a normal issue? Morally


4. Family and loved ones: Dysthanasia can also
permissible or not? impact the patient's family and loved ones. It
 Ethical Theories or Principles may prolong their emotional and
surrounding the issue psychological burden, as they witness the
suffering of their loved one without the hope
of recovery. Considering the impact on the
Dysthanasia, also known as "bad death" or patient's support network is an important
"non-beneficial prolongation of life," refers to aspect of the moral evaluation of
the practice of maintaining a patient's life dysthanasia.
artificially, often in situations where death is
imminent and there is little to no chance of 5. Professional integrity: Healthcare
recovery or improvement. This issue raises professionals often face ethical dilemmas
moral concerns due to several reasons: when it comes to providing care to patients in
end-of-life situations. Some medical
1. Autonomy and dignity: The principle of professionals may view dysthanasia as
autonomy asserts that individuals have the contrary to their professional obligations to
right to make decisions about their own lives do no harm and provide care in the best
and bodies. Dysthanasia can infringe upon a interest of the patient. It is important to note
person's autonomy by prolonging their that opinions on dysthanasia and end-of-life
suffering against their wishes. It may also care can vary depending on cultural,
undermine their dignity by subjecting them religious, and personal beliefs. The moral
to unnecessary medical interventions that issues surrounding dysthanasia are complex
offer little benefit. and require careful consideration of various
ethical principles and
2. Quality of life: Dysthanasia may result in a individual circumstances.
prolonged period of suffering, pain, and Dysthanasia, also known as "bad death" or
reduced quality of life for the patient. In such "aggressive medical intervention," refers to
cases, there is a moral obligation to consider the prolongation of the dying process
the patient's well-being and whether the through excessive or futile medical
interventions used actually improve their treatment. Ethical theories provide
frameworks for analyzing and evaluating the
ethical considerations associated with about whether to continue aggressive
dysthanasia. Here are some ethical theories medical treatment or shift towards palliative
relevant to the topic: care. Principlism: Principlism is an ethical
framework commonly used in bioethics,
Dysthanasia, also known as "bad death" or
which combines several ethical principles to
"aggressive medical intervention," refers to
guide decision-making. The four primary
the prolongation of the dying process
principles of principlism are autonomy,
through excessive or futile medical
beneficence, non-maleficence, and justice.
treatment. Ethical theories provide
When applied to dysthanasia, these
frameworks for analyzing and evaluating the
principles would be considered in the context
ethical considerations associated with
of the patient's wishes, the potential benefits
dysthanasia. Here are some ethical theories
and harms of treatment, and the fair
relevant to the topic:
distribution of resources.

Rights-based ethics: Rights-based ethics


Utilitarianism: Utilitarianism focuses on focuses on protecting and respecting
maximizing overall happiness or well-being individual rights. In the context of
for the greatest number of people. In the dysthanasia, the patient's right to autonomy
context of dysthanasia, utilitarianism would and self-determination would be central. This
consider the consequences of aggressive perspective would emphasize the importance
medical intervention and weigh them against of allowing patients to make decisions about
the potential benefits. If the treatment their own end-of-life care, including the
causes unnecessary suffering and has little choice to refuse aggressive medical
chance of improving the patient's quality of intervention.
life, a utilitarian perspective might argue
against prolonging the dying process.
Dysthanasia, or aggressive and futile medical
Deontology: Deontological ethics, often
intervention that prolongs the dying process,
associated with philosophers like Immanuel
is considered a moral issue for several
Kant, emphasizes the inherent value of
reasons:
certain moral principles or duties. From a
deontological standpoint, the focus is on the
ethical rules or duties involved in dysthanasia.
Respect for Autonomy: Dysthanasia raises
For example, a deontologist might argue that
questions about the patient's right to
it is a moral duty to respect the autonomy
autonomy and self-determination.
and dignity of the patient, and therefore,
Individuals have the right to make decisions
excessive medical intervention should be
about their own bodies and medical
avoided if it violates these principles.
treatments. When aggressive medical
Virtue ethics: Virtue ethics places importance intervention is imposed on a dying patient
on the character and virtues of individuals without their consent or against their wishes,
rather than specific rules or consequences. In it can be seen as a violation of their
the context of dysthanasia, virtue ethics autonomy.
would consider the moral virtues that guide
Quality of Life: Dysthanasia can result in
healthcare professionals' actions. For
unnecessary suffering and a decreased
example, virtues such as compassion,
quality of life for the dying patient. Prolonging
empathy, and integrity may guide decisions
the dying process through aggressive medical Dysthanasia as Morally Impermissible:
intervention can subject the individual to
Those who argue against dysthanasia often
physical and emotional pain, invasive
emphasize the following points:
procedures, and a diminished ability to
engage in meaningful activities or maintain a. Respect for Autonomy: Advocates for
relationships. Ethical concerns arise when the patient autonomy argue that individuals have
burden of treatment outweighs the potential the right to make decisions about their own
benefits and fails to respect the patient's bodies and medical care, including the choice
dignity. to refuse or withdraw futile treatments.
Forcing aggressive medical intervention on a
Allocation of Resources: Aggressive medical
dying patient without their consent can be
intervention consumes valuable healthcare
seen as a violation of their autonomy.
resources, including financial, technological,
and human resources. When these resources
are devoted to futile treatments, it can limit
b. Minimizing Suffering: Dysthanasia can
the availability of resources for other patients
prolong suffering and diminish the quality of
who could benefit from them. The ethical
life for the dying patient. Advocates for
question arises about the just distribution of
minimizing suffering argue that it is ethically
limited resources and the potential harm
preferable to prioritize palliative care and
caused by diverting them towards
comfort measures rather than subjecting
interventions with little chance of success.
patients to unnecessary and futile medical
Professional Integrity: For healthcare interventions.
professionals, dysthanasia can present ethical
challenges related to their professional duties
and integrity. Physicians and other healthcare c. Resource Allocation: Given the limitations
providers have an obligation to act in the best of healthcare resources, allocating them to
interests of their patients and promote their futile treatments can be seen as wasteful and
well-being. When medical interventions unfair to other patients who could benefit
become futile and only serve to prolong from those resources. From a utilitarian
suffering, healthcare professionals may face perspective, it may be more morally
moral distress and ethical dilemmas justifiable to allocate resources to
regarding their duty to do no harm and interventions that have a higher likelihood of
provide compassionate care. success or that provide greater overall
benefit to patients.
Cultural and Religious Perspectives:
Dysthanasia raises moral concerns that are
influenced by cultural and religious beliefs.
Dysthanasia as Morally Permissible:
Different cultures and religions have varying
views on end-of-life care, the sanctity of life, On the other hand, proponents of
and the acceptability of aggressive medical dysthanasia may present the following
intervention. Moral debates surrounding arguments:
dysthanasia often reflect diverse perspectives
a. Sanctity of Life: Some individuals and
on the value of life, the meaning of suffering,
cultures emphasize the inherent value and
and the role of medical intervention in the
sanctity of life, believing that every effort
dying process.
should be made to preserve life, even if the
chance of recovery is minimal. From this
perspective, aggressive medical intervention
may be seen as a moral duty, if it respects the
patient's wishes and does not cause undue
harm.

b. Hope and Uncertainty: Supporters of


dysthanasia argue that there is always a
degree of uncertainty in predicting medical
outcomes, and there have been cases where
patients have unexpectedly recovered
despite a grim prognosis. They assert that as
long as there is any possibility, however small,
of a positive outcome, it is morally justifiable
to pursue aggressive medical intervention.

c. Cultural and Religious Beliefs: Cultural and


religious beliefs can influence moral
perspectives on end-of-life care. Some
cultures and religions may prioritize the
preservation of life and view aggressive
medical intervention as a moral imperative.
These beliefs may shape the moral
permissibility of dysthanasia within specific
cultural or religious contexts.

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