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Expanding the Paradigm of the Physician's Role in Surrogate Decision-Making: An Empirically Derived Framework
BACKGROUND: Little is known about what role physicians take in the decision-making process about life support in intensive care units. OBJECTIVE: To determine how responsibility is balanced between physicians and surrogates ...
Clinical Decisions to Limit Treatment
How Do Medical Residents Discuss Resuscitation With Patients?
OBJECTIVE: To describe how medical residents discuss do-not-resuscitate (DNR) orders with patients. DESIGN: Prospective observational study. SETTING: Inpatient medical wards of one university tertiary care center, one urban ...
Preferences of Homosexual Men With AIDS for Life-Sustaining Treatment
Questionnaires completed at two San Francisco health facilities by 118 male homosexuals with AIDS (acquired immunodeficiency syndrome) revealed that, while the majority had thought about life-sustaining treatment and choice ...
The Supreme Court Addresses Physician Assisted Suicide
In June 1997, the US Supreme Court unanimously decided that competent, terminally ill patients have no general constitutional right to commit suicide or to obtain assistance in committing suicide. Thus, the broad prohibitions ...
Resuscitating Advance Directives
Advance directives have not fulfilled their promise of facilitating decisions about end-of-life care for incompetent patients. Many legal requirements and restrictions concerning advance directives are counterproductive. ...
Palliative Options at the End of Life
Guiding the Hand That Feeds: Caring for the Demented Elderly
The dilemmas confronting physicians and family members when elderly, demented patients refuse to eat are discussed. Lo and Dornbrand outline the arguments for and against tube feeding for those who will neither feed themselves ...