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an institutional ethics committee were likely to be able to resolve these conflicts because of lack of clarity about what constitutes the best interest of impaired nursing home patients. P.882 In an analysis of 96 outcome events (hospitalization or death in the nursing home care was consistent with previously expressed wishes 75 percent of the time; however, the presence of the written advance directive in the medical record did not facilitate consistency. GP calls for changes in the laws on euthanasia. Forty-five per cent were in favour of legalisation of active euthanasia under certain circumstances. Veatch (Boston: Jones and Bartlett Publishers 1989. Following the Cruzan decision, the state legislative laboratories became increasingly active. Although present practices regarding the use of living wills may go on despite the failure to justify their employment philosophically, such failure would mean that the consensus was forged on a fictitious account of self-determination. We live today in a world where individual choice is highly rated. P.313: "Many clinicians, lawyers and ethicists believe that traditional advance directive forms are largely ineffective in providing sufficient information on values, preferences, and guidance for medical intervention.
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P.2.since they living wills are written on the Voluntary Euthanasia Society's headed notepaper, they often alarm doctors who receive them. "Both killing by omission and killing by commission can be intentional.". The Limits of Proxy Decision Making: Overtreatment. Barr A, Biggar J, Dalgleish A, Stevens H (1994) Living Wills, in: Drafting Wills in Scotland. What Do Apple Pie and Motherhood Have to Do With Feeding Tubes and Caring for the Patient? Meier D, Cassel. Cogen R, Patterson B, Chavin S.
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