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

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

Edited by Cynthia B. Cohen
Distribution: World
Publication date: 6/1/1988
ISBN: 978-0-253-11362-7
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Description

“The cases are presented in a concise and interesting manner . . . highlights the emerging consciousness of the importance of the contractual arrangement between physician and patient . . . ” —Journal of the American Medical Association

“The cases presented are interesting ones, and the commentaries are uniformly lucid. . . . Highly recommended . . . ” —Religious Studies Review

“Cohen contributes a well-selected collection of cases and commentaries which are presented in a crisp style . . . it is likely to have a real impact.” —Ethics

Twenty-six reports based on actual cases with expert commentary that illuminate the ethical, medical, legal, and psychological contours of dilemmas surrounding termination of treatment decisions. Cases involve patients, families, physicians, nurses, lawyers, and health care administrators. A companion volume to the Hastings Center’s Guidelines.


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Table of Contents

Preface
Contributors
Introduction

PART ONE: MAKING TREATMENT DECISIONS-THE DECISIONMAKING PROCESS

1. Whose Decision? The Case of Roy Gantos
Susan M. Wolf

2. A Question of Capacity: The Case of Megan O’Rourke
Dan W. Brock

PART TWO: SPECIFIC TREATMENT MODALITIES
A. LONG-TERM LIFE-SUPPORTING TECHNOLOGY-VENTILATORS AND DIALYSIS

3. Communication Problems: The Case of Horace Berlin
Eric J. Cassell

4. Ethics or the Law? The Case of Susan Pagari
Harold Edgar

5. Pirate’s Beer: The Case of Richard Fallon
Bruce Jennings

6. But He Never Told Me Not To: The Case of Jim Adams
Eric J. Cassell

B. EMERGENCY INTERVENTIONS-CARDIOPULMONARY RESUSCITATION AND LIFE-THREATENING BLEEDING

7.Was She Ready to Die? The Case of Grandmother Chang
Ruth Oratz

8. The Patient as Stranger: The Case of Mr. Jaworski
David H. Miller

9. I’ve Lived Long Enough: The Case of Sarah Green
Paul Homer and Harry R. Moody

10. Life Versus Religious Liberty: The Case of Jamal Burke
Susan M. Wolf

C. MEDICAL PROCEDURES FOR SUPPLYING NUTRITION AND HYDRATION

11. Too Sick to Eat: The Case of Joseph
Daniel Callahan

12. No Patient of Mine Will Ever Starve to Death!: The Case of Mrs. Franklin
Lois K. Evans

D. ANTIBIOTICS AND OTHER LIFE-SUSTAINING TREATMENT

13. Shadows from the Holocaust: The Case of Rachel and David
Bruce Jennings

14. The Old Man’s Friend: The Case of Carl Jurgen
Ellen Olson

E. PALLATIVE CARE AND THE RELIEF OF PAIN

15. Gambling on Palliation: The Case of Doris Van Cleve
Ruth Oratz

16. Morpheus or Death: The Case of Nicholas Miklovich
Joanne Lynn

PART THREE: PROSPECTIVE PLANNING: ADVANCE DIRECTIVES

17. Poetic License: The Case of Theo
Cynthia B. Cohen

18. Macho Man: The Case of Antonio Ruiz

PART FOUR: DECLARING DEATH

19. Crossing Over: The Case of Mrs. Larson
Ronald E. Cranford

20. The Long Dying: The Case of Flip Harrow
Robert M. Veatch

PART FIVE: POLICY CONSIDERATIONS
A. ETHICS COMMITTEES

21. By What Authority? The Case of Mario Costanza
Cynthai B. Cohen

22. Too Terrible to Accept: The Case of Maisie Wedmore
Ronald E. Cranford

B. INSTITUTIONAL POLICIES FOR PATIENT ADMISSIONS AND TRANSFERS

23. No Place Else to Go: The Case of Ernest Brown
Joanne Lynn

24. Trapped in the System: The Case of Sam Jones
Mathy Mezey

C. THE USE OF ECONOMIC CONSIDERATIONS IN DECISIONS CONCERNING LIFE-SUSTAINING TREATMENTS

25. The Costs of Addiction: The Case of Rita Anderson
Robert M. Veatch

26. When Is Patient Care Not Costworthy? The Case of Gertrude Handel
Dan W. Brock

Bibliography
Index