Feb 28, 2013

"I Thirst!"--A Case Against Euthanasia

This is my great-grandmother, Evelyn. She has since gone to Jesus, but look how beautiful she was for my cousin’s wedding, ten years ago.  It was quite an event: at the reception, she was choking on some roast beef, and I happened to be there to perform the Heimlich maneuver and save her life. Anyone else could have done it, but God put me there at that particular place and time.

People called me a hero, but that wasn't heroic virtue. Heroic virtue is what was called for a year later, when Evelyn was in hospice. Perhaps you have a parent or grandparent who needs more and more help. You may soon be called upon by God to practice heroic virtue. As any good Boy Scout would tell you, "Be prepared."

Do not forget that a moderate amount of nutrition and hydration will keep a person comfortable, and it should be considered ordinary, "everyday" care. The nursing staff will refer to this as "activities of daily living," or "ADLs." To deprive someone of nutrition and hydration when they are nearing the end of their life could actually become the cause of their death, and if it is done deliberately, it would be  "euthanasia." (CCC 2277)

We should be quick to forgive, and slow to judge mistakes in this area, even if this means forgiving ourselves for past mistakes when our conscience becomes better informed. But let us be honest and open to dialogue, because the Truth will set us freeIf the Truth convicts us, let us remember that Jesus Christ is Himself the Truth, and He will show us mercy when we seek Him and acknowledge that we have done wrong.

I am ashamed to say that Evelyn was deprived of nutrition and hydration for the last 6 days of her life. [Up to that point, there were many things going wrong in her body. Drinking was difficult for her, because she would easily inhale it into her lungs. This fluid build-up in her lungs, made worse by her congestive heart failure, resulted in a few bouts of pneumonia. Eventually, she became septic, meaning that the infection had spread to her bloodstream. The septic shock caused vital organs to began to "shut down:" the digestive system was not working properly, the liver was removing less toxin from the bloodstream, and the kidneys were reduced in functioning, although there was still urine output until the last day. However, despite the septic shock and the danger of dehydration, no I-V was given. Perhaps the technology for regulating hydration just wasn't as readily available then as it is today.]  I knew that withholding nutrition and hydration was wrong, but I did not know how to give it to her at the time, and neither, it seems, did anyone else in my family. However, I still wish that I would have pressed the doctor further to address the question of just how much hydration (even if it were just a few drops) that her body would have been able to assimilate, because a week without water is long enough to kill a person.

As we fast during Lent, we are painfully reminded that being dehydrated and malnourished is not a comfortable feeling. As one continues in such a state, the impulses of hunger and thirst may disappear, but they were only the first indications that the body is in need of water and energy. These needs will naturally arise as time progresses, but of course we must honestly address the question, “Is the body capable of assimilating that nutrition/hydration?”

Hydration can be easily given by an I-V, and the flow rate can be monitored very precisely, so that it does not cause fluid build-up in a way that could be harmful or uncomfortable. Also, methods of dialysis can easily remove excess hydration from the bloodstream. We are morally obligated to provide hydration, in whatever small amounts that can be safely assimilated by the body. This issue has caused a lot of people a lot of grief, including myself. But think of the rich man Jesus tells us about who had died, and as he was suffering from the heat of the flames, asked for Lazarus to be sent to dip just the tip of his finger in water, and bring him relief.

Nutrition, also, can technically be delivered directly into the bloodstream. But the last I heard, the current technology for regulating the blood-sugar levels of such a situation is not precise enough for this to be considered safe in all circumstances. If it is true that this is a risky procedure, you are not morally obligated to do it. However, as long as the intestines are functioning well, a feeding tube would be an easy way to provide nutrition, and would be morally obligatory if the person cannot eat for a long period of time.

Also, beware of the DNR and the Living Will, because they can be used to deny care to a person in the case of an emergency. It is best not to sign them at all, or to find some other advance directive forms that are morally acceptable. It is best to set something down in writing to designate friends and family who have good moral judgment, who could be there to help take care of you in an emergency.

Please pray for the people making these decisions:  It is not easyThat's why the struggle to care for our grandparents with an informed conscience should be called "heroic."

When God places you in the position to be present to human suffering, it is best to focus on the positive—consider that it is Jesus Himself who is crying out in thirst, mystically present in the person who suffers. For example, Mother Teresa became a saint because she recognized Christ's voice in that cry of thirst, and she followed after Him: