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Deciding to Forego Life-Sustaining Treatment: A Report on the Ethical, Medical, and Legal Issues in Treatment Decisions

机译:决定放弃维持生命的治疗:治疗决策中的道德,医疗和法律问题报告

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The Report addresses a broad range of problems and patient situations. Serious questions about whether life should be sustained through a particular treatment usually arise when a patient is suffering from a known disease likely to prove fatal in the near future rather than in an unanticipated emergency (where any decisionmaking would necessarily have to be truncated). Life-sustaining treatment, as used here, encom passes all health care interventions that have the effect of increasing the life span of the patient. Although the term includes respirators, kidney machines, and all the paraphernalia of modern medicine, it also includes home physical therapy, nursing support for activities of daily living, and special feeding procedures, provided that one of the effects of the treatment is to prolong a patient's life. The issues addressed in this Report are complex and their resolution depends not only on the context of particular decisions but also on their relationship to other values and principles. Thus, it is exceptionally difficult to summarize the Commission's conclusions on this subject.

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