Euthanasia;is morally acceptable?

Dear colleagues,before going through the topic can we question ourself that euthanasia is morally acceptable,i have no clue about other countries but in my country i.e Pakistan ,is not morally acceptable….because as a Muslim and medical professional i believe there is always some room for improvement and in my opinion euthanasia don’t have any moral implications but as i got through many articles describing  active and passive euthanasia,euthanasia suffers dignity of patients, i come to the point that euthanasia is OK when human efforts come to end and all should be left on God’s will.And i am of the opinion that let the patient decide their fate as there is a belief that since we haven’t the ability to choose the situation surrounding our birth, we should have the ability (as free individuals) to choose the situation (where possible) surrounding our death. Choosing not to suffer should be a right.I know i am going to write highly controversial thing that some patients wish to priorities their existence within society. I will explain it as while many people spend a lot of their living hours trying to improve their position in life, there is evidence that many of the old and/or chronically ill wish to ‘lower’ their position in an attempt to help others around them. An example of this is a sick and/or elderly person who knows that their death is inevitable, and is fully aware that the hospital system is not as good as it should be; if there is someone who is young and ill, and desperately in need of a hospital bed, someone older may feel that the youth has more of a right to life than someone who has already lived a full life. They may wish to ‘free up’ their place within the hospital for the youth, so that they may have a chance to live a life just as full. More over gives survivors of the deceased some comfort knowing their loved one did not suffer any more than was absolutely necessary and explanation is  families and friends of those who have suffered greatly likewise experience much trauma during the suffering itself, and often after their loved one has passed away. Frustration that they didn’t do something more to ease the suffering, along with anger at themselves and the medical staff surrounding the patient, can make it extremely painful for all involved – this is unlikely the legacy the deceased wanted to leave in their wake!I think and i believe that people want others to remember them fondly, not with memories steeped in grief.So in all above mentioned arguments i believe euthanasia is OK.


Dear colleagues ;after going through plenty of blogs and texts here,i can imagine how wast this topic is this.This topic have many dimensions and every dimension has its own perception.So i have chosen the interaction ways with tortured persons.I think there are five prerequisites for a good interaction with persons who have undergone torture were found: personal characteristics, professional and therapeutic competence and support, language factors, time, and frames. Five factors in the interaction situation were important for a good interaction: cultural factors, treatments tailored to the patient’s needs, to develop confidence and trust, religious factors, and capacity to handle negative emotions. All these factors have to be considered to improve the interaction between PTs and persons who have undergone torture.The goal of physical therapists is to jack up the strength and flexibility of patients who have reduced mobility because of an injury, illness or disability. This is a laudable goal for people who are in a “helping” profession. But often the patient can lose sight of this goal as their physical therapist goads him into doing “just one more leg” extension when the patient, who’s just endured a knee replacement, can’t think beyond the timing of his next pain pill.And it’s important that Physiotherapists love humanity and can’t think of anything better to do with their time than cheer their patients on. Physiotherapists are a lot like coaches — they’re there to encourage, motivate and spur on patients to tackle exercises that can be excruciatingly painful. This is a challenge in itself. The more pain they endure, the more patients remind themselves of what they used to be (usually healthier) and what they are now (physically impaired). This is not a recipe for good moods and happy campers. Often, patients yell not only at the exercise machine, but also at the hapless Physiotherapist who’s making them exercise in the first place. So it’s important for physiotherapists to be patient and compassionate and thick-skinned.This include cultural competencies as well.It is very well describe in the article below:The care needs of Pakistani families caring for disabled children: how relevant is cultural competence? Elizabeth J. Croot
Physiotherapy – December 2012 (Vol. 98, Issue 4, Pages 351-356, DOI: 10.1016/

The utility of the concept of cultural competence may be limited where it depends on concepts of ethnic groups as relatively fixed cultural groups with distinct and clearly defined sets of health beliefs and behaviors. Physiotherapists cannot prejudge health status and behavior from an individual’s ethnic status. Instead there is a need to actively seek the understandings that are relevant to practice. In addition Physiotherapist must develope and operate systems that ensure access, use and quality of care are the isame at the point of delivery regardless of patient ethnicity.I will close my blog on the saying “A man’s health can be judged by which he takes two at a time – pills or stairs. ~Joan Welsh”

Torture ; a strong depiction towards practice


Equality ; is high pitched lesson

Dear colleagues, equality in my opinion reflects all you have in practice…here in practice equality counts at every ground like no discrimination at race , gender,time, status and particularly at patient’s problem or disease. In my opinion every aspects should be properly address and negotiate the hindrances in getting or achieving goals.I think well groomed physiotherapist always looking forward to tackle these problems.In my opinion private practice or general job practice don’t make the difference… If a physiotherapist is trying to deliver at his/ her maximum , and he is putting forward equality…he/ she will surely be the best in practice… So no race, gender discrimination means a lot in practice… That shows your commitment towards your profession…Equality I think built integrity of our profession… So equality in all aspects enhances practice goals and achievements… So as a health care provider we should follow equality because our Creator creates us with no discrimination… That will surely be a nice lesson for all of us .


Morality;hard to define

dear colleagues,before going to explain morality we should understand exact defination of morality.I think morality stands on the pillars of attitude,education,environment and experience.Now if we see morality in the view of professionalism in physiotherapy practice,our attitude towards profession counts a lot which contribute toward how we are practicing and also depicts our education and experience with the environment in which we are delivering.So morality always comes first what ever we practicing because as a human being everyone of us want to deliver their best in profession and we are dealing with human beings.Ethics, too, are nothing but reverence for life. That is what gives me the fundamental principle of morality, namely, that good consists in maintaining, promoting, and enhancing life, and that destroying, injuring, and limiting life are evil.So Morality is herd instinct in the individual.And i think respect for ourselves guides our morals; respect for others guides our manners.I think if we respect ourself and moreover dignity of our profession ,this will guide us good manners.In my opinion Morality, like art, means drawing a line i will finish my opinion with the quote “Aim above morality. Be not simply good; be good for something.”So always aim above morality and go for the best ..try to deliver the best in practice.


Empathy…. The new ways to explore

Hi all my colleagues, friends … I thinks ethics in profession have plenty of room and empathy is on of it… Empathy empowers when physiotherapist knows professional boundaries,tackling the attitudes and the many small barriers like language, status and problem of patient. Basically empathy is unsaid relationship between two human… And we all are human first before physiotherapist and patient.Empathy is the feeling between human and here professional approach to manage the problem of patient with mild empathy gives you very positive results.Being a physiotherapist , I have experienced many times that your kind extra intensions to the problem / disease of any patient built patient’s trust on you and you can get maximum recovery out of that.Here I will also mention that a physiotherapist should percept well about the philosophy of patient during first encounter as patient , therapist. So in my opinion a physiotherapist must develope good psychological approach with strong perceptions and well understanding of patient’s gestures in first encounter… That will help physiotherapist to maintain and managing many unseen hurdles during treatment and results in better outputs.



My name is Hamza Bilal , and working as physiotherapist in 100 bedded hospital with all medical specialities.i have around 13 years of work experience in almost all the fields of physiotherapy.