Presence of Christ changes the nature of dying

By Bill Armstrong

REGINA — If we did a better job of explaining what palliative care is about and delivering it to the dying and their families when it’s needed, there would be less need to participate in the debate over euthanasia.

That was one of the basic messages delivered by Jeff Christiansen, executive director of Regina Palliative Care, which provides end-of-life care to the sick and dying and bereavement support to families.

Speaking May 19 on the topic, Euthanasia: No Way to End, at Holy Trinity Church in Regina, Christiansen said the call for euthanasia might quiet down if society did a better job of palliative care.

“It’s not so much what stance to take toward euthanasia,” he said, “but what stance to take in providing people with palliative care.”

One of the hurdles blocking a balanced discussion about euthanasia and palliative care is our culture’s “dominant, rationalist ethos and the belief that we can solve any problem. We talk about life, liberty and the pursuit of happiness, but we avoid talking about death. But ‘life and death are brothers who dwell with each other,’ ” he said, quoting a Jewish saying.

Christiansen identified two main forces behind the growing interest in euthanasia: the patients’ rights movements that sprang up about 40 years ago, and extended life expectancy in the developed world, where significant pain and suffering at the end is almost always the reality.

“The debate over euthanasia is a debate in the developed world,” he observed. “We have the luxury of not having to deal with death every day.”
There are four dominant factors that lead people to think of euthanasia as an alterative: pain and suffering, the desire not to be a burden, the need to have control over one’s body, and the experience of depression and stress.

“In the absence of good palliative care, people will ask for something else,” Christiansen said, describing good palliative care as life-affirming, healing-centred rather than disease-centred care. Good palliative care, he added, changes the horizon of the death experience so that the person dying and their family and friends can look around. Good spiritual care, he noted, enables people to see even beyond the horizon.

“The presence of Christ changes the nature of our living and our dying,” Christiansen said. “The life and death of Christ changes the horizon of how we see life and death. We can choose to live as though death no longer has power over us. Every moment of life is an opportunity to give life meaning.”

In closing, Christiansen urged his listeners to be informed about the debate over euthanasia, and to advocate for more accessible and better palliative care.

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