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The Ethical Arguments Concerning the Artificial Ventilation of Patients With Motor Neurone Disease
This paper focuses on the ethical dilemmas created by advanced technology that would allow patients with motor neurone disease to be sustained by artificial ventilation. The author attempts to support the patient's right ...
Tube Feeding the Demented Nursing Home Resident
Despite the many complications and minimal benefits associated with long-term enteral nutrition in patients with advanced dementia, it is, nevertheless, a widespread practice in nursing homes throughout the United States. ...
Resolving the Clinical and Ethical Dilemma Involved in Fetal-Maternal Conflicts
A serious ethical dilemma occurs when a pregnant woman refuses a medically indicated intervention. Should respect for her autonomy preclude any approach other than to accept her decision? Should the caregivers have recourse ...
Life-Sustaining Treatment Decisions by Spouses of Patients With Alzheimer's Disease
OBJECTIVE: To examine the anticipated decisions to consent to or to forgo life-sustaining treatment by spouses of patients with Alzheimer's disease and to describe the relationship of spouse and patient characteristics to ...
Another Peep Behind the Veil
Harris argues that if QALYs are used only 50% of the population will be eligible for survival, whereas if random methods of allocation are used 100% will be eligible. We argue that this involves an equivocation in the ...
Still Troubled: In Re Martin
Is Economic Hardship on the Families of the Seriously Ill Associated With Patient and Surrogate Care Preferences?
BACKGROUND: Serious illness often causes economic hardship for patients' families. However, it is not known whether this hardship is associated with a preference for the goal of care to focus on maximizing comfort instead ...
Patients' Willingness to Accept Life-Sustaining Treatment When the Expected Outcome Is a Diminished Mental Health State: An Exploratory Study
OBJECTIVE: To assess patients' willingness to accept life-sustaining treatment when the expected outcome is a diminished mental health state. DESIGN: Structured interviews with a consecutive series of patients. SETTING: A ...