Of all the decisions a person has to make in his lifetime, one of the most difficult is when he is acting as power of attorney (poa) for loved ones. For aging parents, this responsibility often falls on their grown children. It is never easy when the parents have an illness or accident and become unable to decide for themselves, and the children have to decide whether to resuscitate and approve aggressive treatment for the parents. Although I have no medical knowledge, sometimes church members would seek my advice as their pastor in family meetings. Accordingly I would like to suggest a few thoughts for consideration.
While most of the attention will be focused on the physical condition of the patient, I believe one crucial factor is the spiritual state, “Is the parent saved?” Physical life is valuable, but it’s also transient. The life expectancy at birth in Canada is 79 for men, and 83 for women. At age 65, it’s a further 19 years for men, 22 years for women. Although life expectancies had climbed slowly over the years due to medical advances, life is still short. But the next life is eternal, and so where the parents will spend eternity is of paramount importance.
Some families have waited till the last moments before calling their pastor to share the gospel with their parents. Although hearing is one of the last faculties to go, and you can still witness to patients on their death-bed by speaking into their ears, it shouldn’t have to wait so late. Every Christian should make it a priority to share the gospel with their family members. You never know how much time a person has, so do it sooner rather than later. If your parents aren’t saved yet, choose resuscitation to give them an opportunity to hear the gospel before they pass into eternity, other things being equal.
If the salvation of the parents is already assured, then their age and physical condition become pivotal. Here we are weighing the duration or quantity of physical life against the quality. If they are relatively young (say in their 80’s), in reasonable health overall and therefore able to sustain surgery with good recovery, and lengthy, difficult-to-bear treatments such as chemotherapy is not required, then by all means take the operation.
If, however, they are senile and in poor health, suffering from other ailments and not enjoying life with dignity, then it may not be in their best interests to undergo surgery or other aggressive treatment to prolong their stay. It is better to let nature runs its course, and not intervene when it’s time for them to go. Having said that, no aggressive treatment does not mean “do not treat”. It simply means no invasive surgery or other drastic means to prolong life as much as possible. The medical staff would still treat pains, fevers, hydration, hunger, warmth etc., making the patient as comfortable as possible while allowing nature to take over.
The hard cases are the in-between ones, and each family has to wrestle with what’s best for the patient, not its own convenience. The best is to discuss with the parents while they are in good health, as to what their wishes are when such calamities come. This lifts the burden from the children’s shoulders, and allows them to execute the decisions the parents made for themselves. Hope this helps.