Patients in the Persistent Vegetative State: Problems in Their Long Term Management
BMJ (British Medical Journal). 1993 Jun 12; 306(6892): 1600-1602.
Physicians responsible for the long term management of patients in the persistent vegetative state face several problems. These include deciding whether tube feeding is treatment or nutritional care, whether withdrawal of tube feeding is an appropriate form of management, what clinical advantage there is in active treatment; at what level of awareness can a patient be said to have a quality of life; and who should determine a patient's right to die. These problems are determined more by social, legal, emotional, cultural, religious, and economic forces than by clinical facts.
Allowing to Die; Artificial Feeding; Decision Making; Euthanasia; Family Members; Goals; Involuntary Euthanasia; Legal Aspects; Life; Pain; Patient Care; Patients; Persistent Vegetative State; Physicians; Prognosis; Prolongation of Life; Quality of Life; Rehabilitation; Right to Die; Suffering; Terminal Care; Treatment Outcome; Tube Feeding; Value of Life; Values; Withholding Treatment;
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Andrews, Keith (1993-06-12)A retrospective review was made of the case notes of 43 consecutive patients admitted to a unit specialising in the rehabilitation of people in the persistent vegetative state. Eleven of these patients regained awareness four ...