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The PSDA: A Long-Term Care View
Conclusion: The PSDA [Patient Self-Determination Act] is a welcome development for nursing facilities, as well as residents and families. For years, many residents, families, and facilities have not confronted the issue of ...
An Outcomes Model of Medical Decision Making
In the traditional 'fix-it' model of medical decision making, the identified problem is typically characterized by a diagnosis that indicates a deviation from normalcy. When a medical problem is multifaceted and the available ...
Impact of the Cruzan Case on Medical Practice
...In this paper we will limit our focus to how the decision in Cruzan is likely to affect the doctor-patient relationship, especially in the critical activities surrounding decision-making about the use of life sustaining ...
The Authority of Families to Make Medical Decisions for Incompetent Patients After the Cruzan Decision
...I suggest that making formal, written plans based on individual preferences apart from our families is a white, middle-class approach to life planning that is at odds with how many people actually lead their lives, ...
Priority Setting: Lessons From Oregon
The state of Oregon has developed a unique method to set priorities for health services. The method is based on a cost-utility formula but also incorporates public attitudes and values. Using an explicit process, the Oregon ...
Life and Death Choices After
Medical practitioners often feel obligated to use all available procedures to sustain patients' lives. A review of case law indicates, however, that practitioners who abate treatment that is contrary to people's known ...