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Article
January 13, 1989

Casebook on the Termination of Life-Sustaining Treatment and the Care of the Dying

Author Affiliations

Springfield, Mo

Springfield, Mo

JAMA. 1989;261(2):301. doi:10.1001/jama.1989.03420020157055

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Abstract

In this information age where a variety of methods are employed in teaching and education, it remains a truism that the best way to discuss aspects of clinical medicine remains in presentation of clinical case material. The Hastings Center, an institute devoted to the consideration of ethical issues, has published this Casebook on the Termination of Life-Sustaining Treatment and the Care of the Dying as a companion to the previously published Guidelines by the same name. Drawing from actual case material, the casebook discusses ethical dilemmas involving decision making in the use of life-sustaining treatment such as ventilators, antibiotics, blood transfusions, and tube feedings. The casebook also discusses declaration of death, decisions on "Do not resuscitate," patient-formulated advance directives, palliative care, economic issues in providing care, and involvement of ethics committees and institutional policies of admissions and transfers.

The cases are presented in a concise and interesting manner with commentary

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