artificial feeding-Terri Schiavo - page 32

I posted this here becaue I think this subject is something that we as nurses deal with on a regular basis.....Many many people state that they have a big problem with the feeding being stopped... Read More

  1. by   Tweety
    Quote from TheCommuter
    Aren't nurses supposed to behave nonjudgmentally? Hmmm.... :stone

    It seems as if everyone has passed judgment in this heartbreaking saga.

    It's important for us to behave nonjudgementally when we nurse and leave our judgements at the door and treat everyone with dignity and equality. I think nurses do a fantastic job of that.

    We're human, though and we're going to make judgements, but we gotta leave it at the door.
  2. by   Kyriaka
    Quote from TNnurse05
    She has a brother-in-law who says she expressed to him the wish to not be kept alive artificially. There are other witnesses
    Yeah. Her brother in law is Michael Schiavo's sisters husband.

    The other witnesses are all relatives of the husband.
  3. by   Kyriaka
    Quote from TheCommuter
    Aren't nurses supposed to behave nonjudgmentally? Hmmm.... :stone

    It seems as if everyone has passed judgment in this heartbreaking saga.
    I didnt know I was required to leave my humanity at the door.

    If I saw a man raping a woman, am I supposed to sit there and watch? I wouldnt want to judge or anything.

    If I saw a person strangling a child, am I supposed to sit there and watch? I wouldnt want to judge or anything.
  4. by   ayndim
    Quote from TheCommuter
    In the early '90s, Michael Schiavo testified tearfully in front of a jury that he needed a lot of money to keep his wife alive. They sided with him.

    Now he wants her dead....

    I'd want to die rather than live in a vegetative state; however, his motives are questionable.
    Could it be in the early 90's he still had hope that she might recover?
  5. by   beckymcrn
    Here is what I thnk about this whole thing.

    I do not know what her husbands motives are, but her parents want to take care of her. They will completely take her care out of his hands all he has to do is divorce her and go on with his life. (Which he obviously has already done). Problem is Terri never left a living will so we do not know what she may have wanted in this battle. I do not for a minute think that a feeding tube is a heroic measure. I have patients who have feeding tubes for years and years. The mere fact that she has lived this long with only a feeding tube tells me she has the will to live. So who am I to say we should starve her of food and water.
    So I would have to say I am on the parents side.
  6. by   beckymcrn
    Quote from Tweety
    It's important for us to behave nonjudgementally when we nurse and leave our judgements at the door and treat everyone with dignity and equality. I think nurses do a fantastic job of that.

    We're human, though and we're going to make judgements, but we gotta leave it at the door.

    I couldn't have said it better my self!!!!
  7. by   Chad_KY_SRNA
    The emergency injunction to reinsert Terri Schiavo's feeding tube has been denied. After her mothers national pleas stating that Terri was fading fast last evening the federal panel in Atlanta refused to order the reinsertion of the feeding tube.
  8. by   begalli
    No winners in this case.

    I wish only peace for this poor unfortunate woman.
  9. by   BBFRN
    Quote from jeepgirl

    Edited to add: I've seen conflicting stuff saying that he's an RN or a repiratory therapist.

    According to that Choicetrust website, there is a Michael R. Schiavo, RN in Clearwater, FL.
  10. by   Kyriaka
    Well, well, well. An intersting tidbit today. The neurologist picked by Michael Shiavo is a member of the HEMLOCK SOCIETY (now called the Choice In Dying Society). Ah...

    Dr. Ronald Cranford

    The neurologist chosen by Michael Schiavo to examine his estranged wife, Terri, is a right-to-die activist who has been a featured speaker for the pro-euthanasia Hemlock Society.

    Dr. Ronald Cranford testified in the court cases before county court Judge George Greer that Terri Schiavo was in a persistent vegetative state with no hope of recovery.

    "I've seen her," he told CNN. "There's no doubt in my mind, whatsoever, she's in a permanent vegetative state. Her CAT scan shows extremely severe atrophy to the brain. And her EEG is flat. It doesn't show any electrical activity at all."

    His diagnosis has been disputed by Dr. William Hammesfahr, who said, "I spent about 10 hours across about three months and the woman is very aware of her surroundings. She's very aware. She's alert. She's not in a coma. She's not in PVS."

    Hammesfahr added, "With proper therapy, she will have a tremendous improvement. I think, personally, that she'll be able to walk, eventually, and she will be able to use at least one of her arms."

    "There's no way," responded Cranford. "That's totally bogus."

    Cranford is a member of the board of directors of the Choice in Dying Society, which promotes doctor-assisted suicide and euthanasia.

    He was also a featured speaker at the 1992 national conference of the Hemlock Society. The group recently changed its name to End of Life Choices.

    In 1997, Cranford wrote an opinion piece in the Minneapolis Star Tribune titled: "When a feeding tube borders on barbaric."

    "Just a few decades ago cases of brain death, vegetative state, and locked-in syndrome were rare," he wrote. "These days, medicine's 'therapeutic triumphs' have made these neurologic conditions rather frequent. For all its power to restore life and health, we now realize, modern medicine also has great potential for prolonging a dehumanizing existence for the patient."

    He explained that while landmark legal cases like those of Karen Ann Quinlan and Nancy Cruzan demonstrated it was "sensible to stop treatment in patients lingering in permanent vegetative states," it was now time to look beyond those cases.

    "The United States has thousands or tens of thousands of patients in vegetative states; nobody knows for sure exactly how many," he wrote. "But before long, this country will have several million patients with Alzheimer's dementia. The challenges and costs of maintaining vegetative state patients will pale in comparison to the problems presented by Alzheimer's disease."

    The answer, he suggested, was physician-assisted suicide.

    "So much in medicine today is driving the public towards physician-assisted suicide," he wrote. "Many onlookers are dismayed by doctors' fear of giving families responsibility in these cases; our failure to appreciate that families suffer a great deal too in making decisions; our archaic responses to pain and suffering; our failure to accept death as a reality and an inevitable outcome of life; our inability to be realistic and humane in treating irreversibly ill people. All of this has shaken the public's confidence in the medical profession."

    He blamed "right-to-lifers" and "disability groups" for discouraging families from making the choice for euthanasia. He applauded European values that embrace euthanasia.

    "But here in the United States, many caregivers wouldn't consider not placing a feeding tube in the same patients," he wrote. "It's hard to understand why. If we want our loved ones to live and die in dignity, we ought to think twice before suspending them in the last stage of irreversible dementia. At it is, it seems that we're not thinking at all."
  11. by   riern
    This is a very touchy subject and I personally would not want to live as Terri is living right now. I believe in looking at the quality of life, not quantity. I know her family loves her and as a mother I pray I'm never in that situation. However, chances are that she hasn't had any water or any po intake since the tube was placed, so she isn't thirsty as her mother is thinking and with her brain injury she probably isn't feeling hunger as we do either. In my opinion she's been suffering for a very long time either way you look at it.

    My 10 year old was watching the news with me and looked at me and my husband and said, "what would you want me to do mama?" My children, my husband and my parents all know what I would or wouldn't want. That's the best thing for all of us to do is to talk to our families and make sure they are never put in this position.

    Is the husband guilty of the things he's accused of, only he and God know. I feel certain that if he is he'll have to answer for that one day.

    That's just my 2 cents!
  12. by   Katydidit34
    I believe that this is a quality of life issue as well as a right to die issue. I can understand the level of denial that her family is operating with. However, I don't understand how they would want her to continue the life she is currently living. Terri has no life in her current condition. What life are they trying to save? Just because she has breath doesn't mean that she is alive and living. I had to let my dad go almost two years ago. It is the absolute most painful thing I have EVER had to endure, but I had to dig DEEP within myself and decide what was the right thing to do for HIM. I understand the family's heartbreak, my heart breaks for them, but Terri has been in this condition for 15 years. That's a long time to be stuck between life and death. Does anyone know why seven years passed before the legal battles started? It seems to me that if her husband knew that she didn't want to live this way that he would have let her go within a year or so of her heart attack. Just curious.
  13. by   NRSKarenRN
    Quote from kyriaka
    well, well, well. an intersting tidbit today. the neurologist picked by michael shiavo is a member of the hemlock society (now called the choice in dying society). ah...

    dr. ronald cranford
    professor of neurology, university of minnesota medical school; associate physician, department of neurology, hennepin county medical center

    dr. cranford has specialized in the field of clinical ethics since the early 1970s. during this time, he served as a consultant to several national commissions on right-to-die issues. these included the president's commission for the study of ethical problems in medicine and biomedical and behavioral research, primarily the reports on "defining death" and "deciding to forego life-sustaining treatment" and the national conference of commissioners on uniform state laws on the uniform determination of death act and the uniform rights of the terminally ill act. he was a member of the panel that formulated the hastings center's "guidelines on termination of treatment and the care of the dying" and the project consultant to the national center of state courts' project on "guidelines for state court decision making in authorizing or withholding life-sustaining medical treatment." recently, he was co-chairman of the multisociety task force on medical aspects of the persistent vegetative state.

    this physician must be well thought of in his profession if he was appointed to a presidential commission.