Death, dying, and funerals · Question 4

To respect life, do we have to try every possible treatment to the very end?

Watercolor of lambs setting down an excessive treatment while water, warmth, and care continue

The question: “Isn't taking someone off a machine, or stopping treatment, the same thing as euthanasia?”

The Church's answer: The Church does not accept euthanasia or assisted suicide, which directly intend death and bring it about. But discontinuing medical procedures that are burdensome, dangerous, extraordinary, or disproportionate to the outcome expected can be something quite different from an act meant to cause death. In that case death is not being made the goal; what is accepted is a human limit that treatment can no longer hold back, and what is refused is an over-zealous prolonging of life.

That is not abandoning the person or cutting off all care. The care that is needed has to continue: pain control, hygiene, keeping the body warm, appropriate help toward comfortable breathing, and human, psychological, and spiritual company. Nutrition and hydration, too, are to be given as basic care as long as they actually achieve their purpose of nourishing and hydrating the patient and do not cause harm or unbearable suffering; where the body can no longer absorb or metabolize them and they bring no benefit, they may be discontinued.

If they press further: “Can I decide which treatment is ‘disproportionate’ just from reading this page?” — no. The benefit, the burden, the risk, the patient's overall condition, and the patient's reasonable wishes all have to be examined concretely, so the judgment is made with the treating medical team and the patient or the legal proxy, and, where it helps, with hospital ethics support and a pastor. These pages are not medical instructions.

In one sentence: “Respecting life doesn't mean piling on treatments that no longer work. You may stop a disproportionate treatment without intending death, but you never abandon the patient, and the care that is needed continues to the end.”