Dignified death and euthanasia Dignified death is death with all adequate medical aid and all possible human consolation. Also called orthothanasia. Some try to identify it with death "on request", caused by the doctor, when life can no longer offer a minimum of comfort that would be essential; For these it would be death caused by euthanasia. Orthothanasia is death under good conditions, with relief from discomfort. Euthanasia is the action or omission by the doctor with the intention of causing the death of the patient out of compassion. Active euthanasia is euthanasia that through a positive action causes the death of the patient. Passive euthanasia is euthanasia that intentionally allows the patient to die by omitting necessary and reasonable care or treatment. This expression – passive euthanasia – is sometimes used inappropriately to refer, in good medical practice, to the omission of disproportionate, counterproductive, undesirable or very expensive treatments. In these cases we should not talk about any type of euthanasia, since it fuels ambiguity and contributes to blurring the boundaries between the correct practice of medicine and euthanasia. This is what supporters of this practice mean. It is appropriate, however, to maintain the expression and specific concept of passive euthanasia, since, sometimes, the patient's life is ended in this way, on medical indication: by denying him the care he desires. it is necessary and reasonable. Voluntary euthanasia: that which is carried out with the patient's consent. Involuntary euthanasia: practiced without the patient's consent. Therapeutic brutality (also obstinacy or therapeutic cruelty): is the application of unnecessary treatments; or, if they are useful, disproportionately annoying or expensive compared to the result expected from them: it is death in poor conditions, with pain, discomfort, suffering... It would be death with little treatment of pain, or associated with therapeutic rigor . Terminal sedation: it is the correct medical practice of inducing the patient to sleep, so that he does not feel pain, in the already very rare cases of pain that resists any treatment. Mild sedation combined with analgesics is highly recommended, as it enhances them while maintaining the patient's consciousness. Direct euthanasia: this is what we commonly mean by euthanasia; that is, the intentional death of the patient by the doctor, out of compassion. It can be active or passive.