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, ...

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, ...

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 ...

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 ...

The authors analyze a retrospective study of the outcome of cardiopulmonary resuscitation (CPR) in 49 very low birth weight (less than 1500 g) newborns admitted to the neonatal intensive care unit of the University of ...