Euthanasia and Assisted Suicide

Abstract

Whether or not the practices of euthanasia and assisted suicide are viable as societal options presents a challenging dilemma for social workers in health care settings. Social workers should prepare to discuss possible requests for information about these practices in the context of patient and family decision making in end-of-life situations. Along with awareness of definitions, current debate, federal, state, professional policies, other health care professionals' attitudes and practices, social workers must examine their own values, attitudes, and practices in this highly controversial area so that the profession may continue to enhance quality of life and protect vulnerable populations, such as the elderly. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-342-9678.Social workers have long dealt with ethical issues in the health care setting, but perhaps none are as challenging as euthanasia and assisted suicide. Media attention to the practices of Dr. Jack Kevorkian and the recent U.S. Supreme Court decisions that upheld the constitutionality of two states' laws, New York and Washington, prohibiting physicianassisted suicide has expanded public awareness of the ethical dilemmas inherent in the consideration of end-of-life-issues. The fact that 80 percent of patients who die do so in health care institutions adds to

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