A major debate currently rages over whether legalised euthanasia should be introduced for those with 'life-limiting' illnesses (other than life itself, that is!)It strikes me as quite shocking that what should be a last resort is blatantly being advocated as a first resort, in view of the fact that at least half the country has no access to proper palliative care, let alone in the speciality of geriatrics (a vastly understaffed field to begin with). Therefore the majority of patients in extreme pain have no effective means of pain management in order to gain the mental equilibrium necessary to arrive at such an irreversible decision. Still others are simply depressed and may not realise it, so this too needs to be ruled out as a factor in their decision making, particularly if treatable.
And no one in the country seems to have access to such a thing as cognitive therapy specialising in the treatment of those with dementia (many of whom couldn't give their consent in any case, even if the highly vocal author Terry Pratchett is choosing to give his ahead of time.) But if there is such a thing as the Peto Institute in Hungary to aid neurologically-impaired children into becoming more functional using conductive education, why not an equivalent rehabilitation system for dementia utilising this, perhaps combined with cognitive therapy? And why are drugs such as Aricept costing only £2.50 per day - considerably cheaper than 24/7 nursing care if it retards or plateaus the condition - being stinted on or outright refused to save money because the patient 'is not yet ill enough'?
Now we hear that for every £144 spent on cancer research, a mere £12 is spent on dementia research, no matter that dementia actually costs the nation a great deal more in care costs. Furthermore 60% of dementia has actually been linked to vitamin deficiency if an older person suffers from mild to severe malnutrition owing to their diet narrowing and liquid intake falling due to an inability to cook once widowed or lack of appetite owing to pre-existing medical conditions. Even long term hospitalisation where nursing care is inadequate is proven to leave patients malnourished, which means dementia could theoretically be a temporary and reversible condition for many sufferers, not least those who go into hospital with their marbles and come out without.
And even if a patient has had the luxury of being able to exhaust every alternative there is and has met every last legal and good practice criteria decided upon to be passed fit for assisted suicide, what right does he or she have to ask of a medic trained to heal rather than harm, to become a killer? There is no right to die, merely a perception that there is. Although not religious myself I still acknowledge that life is a gift and therefore not necessarily mine to take, however dire it may become.
My father (although not malnourished) has dementia but is lucky enough to live in Northern Ireland where you basically get whatever you ask for when you enter a Doctor's surgery and they don't seem to have heard of drug budgets. My mother requested Aricept for him and within the day was holding his first prescription of the stuff. It is early days in terms of knowing whether it is doing anything yet, but at least he has been given the chance and has not suffered any adverse side-effects. Meanwhile I have sent my mother a hypnosis CD on developing a better memory which I have suggested she tries playing softly under the bed as he sleeps and have also found a book optimistically entitled The Alzheimers Prevention Plan, which looks like it might be quite useful for people of any age. Though having been a bit of a late developer in life, I'm rather hoping I will be a late developer re my diseases as well!
Though just in case you thought life was becoming a little too disposable, at the opposite end of the spectrum you can always take this,solving all your health problems and living to 100 at a stroke.
