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Not Dead, Not Dying? Ethical Categories and Persistent Vegetative State
Daniel Wikler offers a controversial analysis exploring alternative ways to support the conclusion that PVS patients should not be maintained. He finds the usual ethical justification for withdrawing treatment inadequate. ...
From Quinlan to Jobes: The Courts and the PVS Patient
Paul Armstrong and B.D. Colen address the issues of deciding whether to withhold life-sustaining treatment from patients in a persistent vegetative state in the courtroom. They deplore what they see as unnecessary recourse ...
Development of a Comprehensive Support Care Team for the Hopelessly Ill on a University Hospital Medical Service
The authors document the first 19 months of a service dedicated to the care of hopelessly ill patients in a teaching hospital. A comprehensive supportive care team (CSCT) was established to ensure a humane, uniform, ...
Paternalism, Family Duties, and My Aunt Maude
Using the case of his elderly great-aunt as an example, a physician raises the question of obligations toward elderly persons who refuse treatment that could improve the quality of their lives. Miles' aunt, blind, frail, ...
Science, Ethics, and the Making of Clinical Decisions
The scientific basis of treatment decisions is analyzed, using controversies about the treatment of mild hypertension to illustrate both the importance and limitations of using data obtained from clinical trials to guide ...
Artificial Feeding--Solid Ground, Not a Slippery Slope
The authors discuss state court decisions and statutes that address the refusal of artificial feeding by competent patients and the withholding of artificial feeding from incompetent patients. These decisions, the ...