Create a questionnaire that lists 15 interview questions you would ask your patients or their family members regarding Death with Dignity and end of life/palliative care for the patient. Ask your questions to a friend or family member, and document their answers in a Word document in question/answer format.

Be sure to include this question: Do you agree with the Death with Dignity Act, why or why not?

questionnaire:

1- do you think that to die intubated is to die in an unworthy way?

2- would you allow a family member to decide about your life in case you have not previously authorized it in writing in an affidavit?

3- to what extent do you consider that intensive therapy treatment is worthy?

4- Are you willing to collaborate with organ donations to make the lives of other people continue in a dignified way?

5- would a relative of more than three months be admitted in a vegetative state?

6- Would you be hospitalized in a vegetative state for more than three months?

7- Would you allow the use of your living organism as study material or trial and error of drugs in terminal stages?

8- Would you allow to see a member of your family suffer from severe pain for more than a year?

9- Would you accompany a family member strictly during the entire intensive care hospitalization every day of your therapy so that you have more hope of improvement?

10-Could I leave it up to medical professionals to decide when it is a decent life or not?

11- What is decent health for you?

12-Until what pain threshold do you consider worthy to bear?

13-Could I endure inactive treatments for more than two years?

14- Could it withstand extreme isolation in cases of immunosuppression? if true, indicate for how long

15- Do you agree with the Death with Dignity Act, why or why not?

Explanation:

34-year-old questioned person, female, name: Catalina

 the questionnaire was answered as follows:

1- yes

2- no

3- until the day the death occurs

4- no

5- yes, if he asked me or clarified previously. Otherwise not.

6- yes

7- yes

8- no

9- yes

10- yes, but before taking into account the professional experience of the doctor

11- That it respects all the main human rights

12- up to intense stabbing pain, approximately level 7

13-yes

14- yes

15- Yes, since I consider death to be the end of our lives and we must withdraw from this world with dignity respecting human rights

it's false.

"every person has their limitations which prevent us from accomplishing something. some are better than mathematics for example and some are worse. those people who are worse might never be able to become mathematicians, but that does not mean that they would not be great at doing something else."

a progressive heart disease that affects pumping action of the heart muscles.