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Part VI Some Hospice Care Providers Hasten Death
RFFM.org ^ | August 16, 2008 | Bill Beckman

Posted on 08/16/2008 11:01:26 AM PDT by Daniel T. Zanoza

Editor's Note: This is the sixth in a series of columns first posted on the Illinois Right to Life Committee's (IRLC) website [http://www.illinoisrighttolife.org/] written by Bill Beckman, IRLC's executive director. The column discusses hospice care. Beckman relates nightmarish, firsthand recollections regarding patients and their hospice providers. This series warns readers about end of life issues and the need to monitor the care given to loved ones. The IRLC director also describes what readers can do to protect themselves from the looming culture of death which permeates the thinking of many medical facilities in our nation.

Hospice has developed a good reputation for providing compassionate care for dying patients. A key principle of this care is: hospice neither artificially prolongs life nor hastens death.

Unfortunately, this principle is no longer consistently followed in hospice care (as discussed in the previous article in this series). This lack of consistency requires a “buyer beware” attitude when evaluating which hospice might be appropriate to provide truly compassionate end-of-life care.

Now that we have established that at least some hospices deviate from the original mission of hospice, some real life examples will clarify how hospices can act to hasten death, while justifying such actions as compassionate and caring...

(Excerpt) Read more at rffm.typepad.com ...


TOPICS: Health/Medicine; Society
KEYWORDS: billbeckman; euthanasia; healthcare; hospicecare; ilrighttolife; moralabsolutes; rtl

1 posted on 08/16/2008 11:01:27 AM PDT by Daniel T. Zanoza
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To: Daniel T. Zanoza
Typical un-named source anti-hospice materiel from a group that advocates prolonging life no matter how much pain the terminally ill patient is enduring.

Let them experience the pain for 24, or 2400 hours, then possibly re-evaluate their position.

2 posted on 08/16/2008 11:15:46 AM PDT by MindBender26 (Leftists stop arguing when they see your patriotism, your logic, your CAR-15 and your block of C4.)
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To: MindBender26

As some of who is prolife, this kind of thing is embarassing and counterproductive. I suppose one could make the argument that hospice speeds up a death by giving opiates. It slows down breathing. im sure there have been some folks who died that way. but not intentionally.

this kind of thing gives the pro choice side more ammo.


3 posted on 08/16/2008 11:43:55 AM PDT by se_ohio_young_conservative (We're expecting twins in December !)
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To: MindBender26

I will say this. The people who wrote this article have never been terminally ill.


4 posted on 08/16/2008 11:45:05 AM PDT by se_ohio_young_conservative (We're expecting twins in December !)
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To: Daniel T. Zanoza
It depends on the hospice. Would you want to be put into the hospice that “helped” Terri Schiavo. I've dealt with people in different hospices. Some are great. But some make Kevorkian look pro life.
5 posted on 08/16/2008 12:54:09 PM PDT by isrul (Harriet Quimby~1912~Hannah Reitsch ... A Coincidence?)
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To: isrul

Reimbursement for services unfortunately can enter the picture. Some insurance payors reimburse hospice on a per case basis, thus pressure to keep costs low on any one patient, thus opening up “temptation” to hasten the process. Just think what temptations migh exist under national healthcare reimbursement ?


6 posted on 08/16/2008 1:05:30 PM PDT by buckalfa (confused and bewildered)
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To: 8mmMauser; floriduh voter; Lesforlife; Sun; wagglebee

The deathbots have arrived.

Þ


7 posted on 08/16/2008 1:16:42 PM PDT by BykrBayb (We're a non Soros non lefitst supporting maverick Gang of 2, who won't be voting for McCain. ~ Þ)
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To: Daniel T. Zanoza; 230FMJ; 50mm; 69ConvertibleFirebird; Aleighanne; Alexander Rubin; ...
Moral Absolutes Ping!

Freepmail wagglebee to subscribe or unsubscribe from the moral absolutes ping list.

FreeRepublic moral absolutes keyword search
[ Add keyword moral absolutes to flag FR articles to this ping list ]


8 posted on 08/16/2008 1:18:16 PM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: buckalfa
It's frightening.
9 posted on 08/16/2008 1:18:26 PM PDT by isrul (Harriet Quimby~1912~Hannah Reitsch ... A Coincidence?)
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To: BykrBayb

You act surprised.


10 posted on 08/16/2008 1:19:00 PM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: buckalfa
Just remembered that I heard somewhere that medicare won't pay for a “live discharge”. That's disturbing.
11 posted on 08/16/2008 1:19:56 PM PDT by isrul (Harriet Quimby~1912~Hannah Reitsch ... A Coincidence?)
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To: wagglebee

Shocked! Shocked, I tells ya’!


12 posted on 08/16/2008 1:20:30 PM PDT by BykrBayb (We're a non Soros non lefitst supporting maverick Gang of 2, who won't be voting for McCain. ~ Þ)
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To: BykrBayb
Soylent Green comes to mind.
13 posted on 08/16/2008 1:40:57 PM PDT by wintertime (Good ideas win! Why? Because people are NOT stupid)
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To: wagglebee

The hospice checklist linked in the article looks like a useful resource in determining if a particular hospice adheres to the original intent of hospice’s founder. http://www.illinoisrighttolife.org/HospiceChecklist.htm .

“You matter to the last moment of your life, and we will do all we can, not only to help you die peacefully, but to live until you die.” ~ Dame Cicely Saunders (founder of the modern hospice movement)


14 posted on 08/16/2008 1:43:20 PM PDT by BykrBayb (We're a non Soros non lefitst supporting maverick Gang of 2, who won't be voting for McCain. ~ Þ)
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To: wintertime

And Logan’s Run:

http://corky.net/scripts/logansRun.html

VOICE
He’s lying. No Sandman ever ran.

2ND VOICE
You don’t run. You kill runners.
You have killed runners all your life. -

LOGAN
Yes I have.
(beat)
Now it’s my turn. And I want to
live.


15 posted on 08/16/2008 1:52:16 PM PDT by BykrBayb (We're a non Soros non lefitst supporting maverick Gang of 2, who won't be voting for McCain. ~ Þ)
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To: BykrBayb
“You matter to the last moment of your life, and we will do all we can, not only to help you die peacefully, but to live until you die.”

I think they started omitting the last phrase about the same time that doctors decided that the phrase, "I will keep them from harm and injustice" in the Hippocratic Oath doesn't REALLY mean what it says.

16 posted on 08/16/2008 1:54:31 PM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: wagglebee

You sound like one of those people who think words have meaning.


17 posted on 08/16/2008 1:56:19 PM PDT by BykrBayb (We're a non Soros non lefitst supporting maverick Gang of 2, who won't be voting for McCain. ~ Þ)
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To: BykrBayb

And as BJ Clinton proved back in 1998, the left prefers to redefine words to suit whatever their agenda is at the time.


18 posted on 08/16/2008 2:02:38 PM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: MindBender26
“Let them experience the pain for 24, or 2400 hours, then possibly re-evaluate their position.”

Agreed. When cancer is growing in your lungs and you have progressive air hunger you would hope that those taking care of you make sure you get what you need to dull the pain and quell the fear.

19 posted on 08/16/2008 2:14:33 PM PDT by pieceofthepuzzle
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To: wagglebee
You mean like the way an objective article that praises hospice and aims to protect it from destruction is now called anti-hospice materiel?

Refraining from actively killing someone is now called prolonging life.

Any objection to active involuntary euthanasia is now embarassing and counterproductive to the prolife movement.

20 posted on 08/16/2008 2:27:26 PM PDT by BykrBayb (We're a non Soros non lefitst supporting maverick Gang of 2, who won't be voting for McCain. ~ Þ)
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To: pieceofthepuzzle

And you have first-hand knowledge of what’s that’s like?


21 posted on 08/16/2008 2:28:28 PM PDT by BykrBayb (We're a non Soros non lefitst supporting maverick Gang of 2, who won't be voting for McCain. ~ Þ)
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To: wagglebee

And “appropriate pain relief” now means “just kill them all.”


22 posted on 08/16/2008 2:30:51 PM PDT by BykrBayb (We're a non Soros non lefitst supporting maverick Gang of 2, who won't be voting for McCain. ~ Þ)
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To: BykrBayb
Refraining from actively killing someone is now called prolonging life.

Hell, the deathbots consider EATING and DRINKING "prolonging life"!

23 posted on 08/16/2008 2:31:59 PM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: BykrBayb

Yes. I am a physician and have watched people in the terminal stages of their lives. I also watched a parent die in a hospice. It would be best, if possible, to be able to die at home, with dignity. This is not always possible, and can be hard on the family, but when it is right I think this is better than dying in a place you are unfamiliar with.


24 posted on 08/16/2008 2:33:26 PM PDT by pieceofthepuzzle
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To: BykrBayb

Giving someone enough morphine to manage pain: Cruel

Giving someone enough morphine to kill them: Compassionate


25 posted on 08/16/2008 2:33:33 PM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: MindBender26
Typical un-named source anti-hospice materiel from a group that advocates prolonging life no matter how much pain the terminally ill patient is enduring.

Let them experience the pain for 24, or 2400 hours, then possibly re-evaluate their position.


Well, it is wrong to hasten death, from what I understand when I listen to Art Bell and George Noory when this topic comes up, for some people, this is part of the life experience and even when this is cut short, it can affect the Afterlife. I can't prove it one way or another but I leave these things up to God. If I may borrow from another religion, there is a belief in Buddhism where "all life is suffering until one achieves Nirvana," a state of total bliss and lack of want. Again, perhaps this is part of the process. Coming back to Earth, bringing about death faster is a slipperly slope to promoting it in the future.
26 posted on 08/16/2008 3:35:37 PM PDT by Nowhere Man (Is Barak HUSSEIN Obama an Anti-Christ? - B.O. Stinks! (Robert Riddle))
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To: MindBender26
Typical un-named source anti-hospice materiel from a group that advocates prolonging life no matter how much pain the terminally ill patient is enduring.

Let them experience the pain for 24, or 2400 hours, then possibly re-evaluate their position.


Well, it is wrong to hasten death, from what I understand when I listen to Art Bell and George Noory when this topic comes up, for some people, this is part of the life experience and even when this is cut short, it can affect the Afterlife. I can't prove it one way or another but I leave these things up to God. If I may borrow from another religion, there is a belief in Buddhism where "all life is suffering until one achieves Nirvana," a state of total bliss and lack of want. Again, perhaps this is part of the process. Coming back to Earth, bringing about death faster is a slipperly slope to promoting it in the future.
27 posted on 08/16/2008 3:35:45 PM PDT by Nowhere Man (Is Barak HUSSEIN Obama an Anti-Christ? - B.O. Stinks! (Robert Riddle))
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To: buckalfa
Reimbursement for services unfortunately can enter the picture. Some insurance payors reimburse hospice on a per case basis, thus pressure to keep costs low on any one patient, thus opening up “temptation” to hasten the process. Just think what temptations migh exist under national healthcare reimbursement ?

I'd stay away from places that are county run, here in the Pittsburgh area, my aunt when there for hospice care and she died a few days later. We can't prove it but my mom and aunt, her sisters, always did believe they hastened her death. At the same place, recently, somebody died when their wheelchair went down the stairs, from family history, same place, my great-grandfather died that way in the same manner.
28 posted on 08/16/2008 3:38:43 PM PDT by Nowhere Man (Is Barak HUSSEIN Obama an Anti-Christ? - B.O. Stinks! (Robert Riddle))
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To: Daniel T. Zanoza

A hospice refused food and water to my terminally ill stepfather even though my mother was begging for them to give him food and liquids. When the nurse thought my mother was “sneaking” him water she screamed at my mother to stop. They lied to my mother and to my stepfather to get him in there, then everything changed.
Ny mother is ill now and she has made me promise no hospice, because she believes “they killed my husband”.


29 posted on 08/16/2008 7:12:58 PM PDT by kalee
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To: MindBender26
Typical un-named source anti-hospice materiel from a group that advocates prolonging life no matter how much pain the terminally ill patient is enduring.

Let them experience the pain for 24, or 2400 hours, then possibly re-evaluate their position.

If you're talking about starvation/dehydration (as done to Terri Shiavo) I say you need to grow a pair, look the patient in the eyes and drag a blade across their throat.

If you're going to murder someone, then murder them.

30 posted on 08/16/2008 8:04:32 PM PDT by Grizzled Bear ("Does not play well with others.")
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To: Nowhere Man
>>>> I leave these things up to God.

I think a human being in the horrible pain of terminal bone cancer should get to decide.

A few years ago, a brilliant surgeon I knew was diagnosed with such a cancer. The pain reached a point where no drugs could control it. She invited everyone to her own wake. She had an incredibly wonderful party. We all got to say those benevolent things we usually reserve for someone's epitaph, but in this case, she got to hear them while she was alive.

That night, she took an overdose and passed away peacefully, avoiding about a month of intractable pain.

Is suicide wrong? Sure... but in this case, which is NOT a typical hospice case, who knows?

31 posted on 08/16/2008 8:19:56 PM PDT by MindBender26 (Leftists stop arguing when they see your patriotism, your logic, your CAR-15 and your block of C4.)
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To: Grizzled Bear
>>>> If you're talking about starvation/dehydration (as done to Terri Shiavo)

Anyone who thinks this is what Hospice care is like should go have a good talk with minister their local Hospice, and learn the facts.

BTW, ministerial care is an active part of Hospice care.

32 posted on 08/16/2008 8:21:55 PM PDT by MindBender26 (Leftists stop arguing when they see your patriotism, your logic, your CAR-15 and your block of C4.)
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To: Grizzled Bear
>>>> If you're talking about starvation/dehydration (as done to Terri Shiavo)

Anyone who thinks this is what Hospice care is like should go have a good talk with minister at their local Hospice, and learn the facts.

BTW, ministerial care is an active part of Hospice care.

33 posted on 08/16/2008 8:22:21 PM PDT by MindBender26 (Leftists stop arguing when they see your patriotism, your logic, your CAR-15 and your block of C4.)
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To: MindBender26
I think a human being in the horrible pain of terminal bone cancer should get to decide.

A few years ago, a brilliant surgeon I knew was diagnosed with such a cancer. The pain reached a point where no drugs could control it. She invited everyone to her own wake. She had an incredibly wonderful party. We all got to say those benevolent things we usually reserve for someone's epitaph, but in this case, she got to hear them while she was alive.

That night, she took an overdose and passed away peacefully, avoiding about a month of intractable pain.

Is suicide wrong? Sure... but in this case, which is NOT a typical hospice case, who knows?


Well, my grandmother, she was a "fire and brimstone" type always told me that committing suicide is a ticket to Hell. Myself, I really don't believe that but I do believe that it does mess up your karma that will have effects in the Afterlife. Still your situation is a bit different, although I do believe in stopping suicides if one knows about it, it is like comparing Aunt Bessie taking her 1964 Lincoln and driving it into the river vs. a doctor or healthcare worker assisting and even promoting euthanasia.
34 posted on 08/16/2008 9:02:20 PM PDT by Nowhere Man (Is Barak HUSSEIN Obama an Anti-Christ? - B.O. Stinks! (Robert Riddle))
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To: Nowhere Man

In the case of Dr. Donna, would you have stopped her?


35 posted on 08/16/2008 9:11:36 PM PDT by MindBender26 (Leftists stop arguing when they see your patriotism, your logic, your CAR-15 and your block of C4.)
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To: MindBender26
In the case of Dr. Donna, would you have stopped her?

Well, if I had known, yes. I'd call the cops.
36 posted on 08/16/2008 9:46:10 PM PDT by Nowhere Man (Is Barak HUSSEIN Obama an Anti-Christ? - B.O. Stinks! (Robert Riddle))
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To: Nowhere Man

We all knew, and accepted her decision.


37 posted on 08/17/2008 4:01:35 AM PDT by MindBender26 (Leftists stop arguing when they see your patriotism, your logic, your CAR-15 and your block of C4.)
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To: Daniel T. Zanoza; BykrBayb
Pinged from Terri Dailies

8mm


38 posted on 08/17/2008 4:31:23 AM PDT by 8mmMauser (Jezu ufam tobie...Jesus I trust in Thee)
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To: pieceofthepuzzle

I agree with that. If you can have the proper care and have Hospice come to your home to administer...it is much friendlier for the patient to be in his/her own environment with loving family and friends there with them.


39 posted on 08/17/2008 6:32:11 PM PDT by cubreporter
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To: kalee
They lied to my mother and to my stepfather to get him in there, then everything changed. Ny mother is ill now and she has made me promise no hospice, because she believes “they killed my husband”.

My mother says the same about my father, and she's right. Doctors and hospital staff committed errors and then lied and twisted their stories to cover up. Then they tried pushing him into hospice. We refused. He pleaded with them to treat him. We finally found doctors who would, but then another doctor interrupted his treatment with a narcotic he wasn't supposed to receive, and while he was suffering from that, a nurse overheard him telling me to give up on him. Right away, the so-called "ethics committee" was called in and tried to stop treatment altogether. Meanwhile, the hospice doctor was always waiting in the wings. We did manage to hold the hospice doctor off until my father's final hours.

40 posted on 08/17/2008 8:36:30 PM PDT by Tired of Taxes (Dad, I will always think of you.)
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To: MindBender26; Daniel T. Zanoza
Typical un-named source anti-hospice materiel from a group that advocates prolonging life no matter how much pain the terminally ill patient is enduring. Let them experience the pain for 24, or 2400 hours, then possibly re-evaluate their position.

In my family's experience, even if you have no pain, hospitals will try to push you into hospice and deny treatment if they deem you "too old" or "too far along." If you as a perfectly coherent patient refuse it and plead for treatment, they will refuse to help you. They push those narcotics because they hasten your demise. Many people in our family have battled cancer, and this is what we have witnessed firsthand.

41 posted on 08/17/2008 8:52:34 PM PDT by Tired of Taxes (Dad, I will always think of you.)
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To: Tired of Taxes
In my family's experience, even if you have no pain, hospitals will try to push you into hospice and deny treatment if they deem you "too old" or "too far along."

If a patient is beyond a point of reasonable expectation of recovery, hospice care, not the hospital is the place to be. A hospital is a great place if you are going to get well. It is a horrible place to die.

If you as a perfectly coherent patient refuse it and plead for treatment, they will refuse to help you. They push those narcotics because they hasten your demise.

When there is a treatment with a reasonable expectation of cure, even a very slight one, hospitals offer it, even encourage it. When there is no viable curative treatment, they suggest Hospice for palliative care.

One of the saddest thing to see in a hospital is a patient who knows they have led a full live, one who realizes that death is part of their life process, who is ready to go, being pushed into painful "treatments" by family members. It's often a child who ignored an elderly parent for decades who now wants to "save them."

The morphine is not intended to hasten death. It makes it much less painful. That is what a dying person wants.

42 posted on 08/18/2008 2:53:32 AM PDT by MindBender26 (Leftists stop arguing when they see your patriotism, your logic, your CAR-15 and your block of C4.)
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To: MindBender26
A hospital is a great place if you are going to get well. It is a horrible place to die.

It sure is, because they make it so. They punish you for fighting on. The right answer would be for the hospital to take an open-access hospice approach. Instead, it's all or nothing. You either accept the comforts of hospice without treatment, or they punish you with the discomforts for seeking treatment. Fortunately, a couple of insurance companies now offer an open-access hospice option, and hopefully more will do the same.

One of the saddest thing to see in a hospital is a patient who knows they have led a full live, one who realizes that death is part of their life process, who is ready to go, being pushed into painful "treatments" by family members.

What's sad is when a patient himself/herself wants to continue to fight, and the doctors and hospital staff are trying to push the patient to give up, especially when the doctors made mistakes they're trying to cover up.

The morphine is not intended to hasten death. It makes it much less painful. That is what a dying person wants.

Unfortunately, as it turns out, morphine does not have the wonderful qualities you describe. If your liver is compromised, it will have a terrible effect on you. But, if you're not in pain, the good news is, there's no reason to have a narcotic. The bad news is, everyone has been conditioned to believe every patient with cancer has pain and that narcotics are necessary. If you're not in pain, narcotics make matters worse, as doctors of internal medicine know.

43 posted on 08/18/2008 8:50:40 AM PDT by Tired of Taxes (Dad, I will always think of you.)
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