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Guidelines on the Termination of Life-Sustaining Treatment and the Care of the Dying.

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A report by the Hastings Center. . 159 pages. The Hastings Center; , New York: , 1987.. $14.50 (paperback).

Ann Intern Med. 1988;108(1):162. doi:10.7326/0003-4819-108-1-162_1
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The withdrawal of treatment from patients is of great concern not only to health care providers, but to the public at large. The competing forces of technology advancement, cost containment, liability concerns, as well as moral and ethical factors make policy decisions on termination of care difficult. The Hastings Center has attempted to provide a framework for resolving some of these difficult ethical issues.

Substantive and procedural decision making is covered, with a focus on specific treatments such as renal dialysis, mechanical ventilation, nutrition, and hydration. The text is easily readable and succinct. The references list numerous sources, but direct


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