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| | World Federation of Right to Die Societies: news |
 | | Terminal sedation should be used only in the most difficult cases, which are typically marked by intense discussion of the clinical and ethical issues on the part of the physician, the clinical team, the family, and the patient. | | | Terminal sedation is also distinct from the sedation that occasionally occurs as an unintended side effect of high-dose opioid therapy, which is used to relieve severe terminal pain (37). | | | In contrast, terminal sedation involves an explicit decision to render the patient unconscious to prevent or respond to otherwise unrelievable physical distress. |
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http://www.worldrtd.net/news/world?id=436
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| | Terminal sedation - definition of Terminal sedation in Encyclopedia |
| | Terminal sedation is the practice of inducing unconsciousness in a terminally ill person for the remainder of the person's life, usually by means of a continuous intravenous infusion of morphine or other opioid drugs. | | | In practice (though not by definition) this implies that the patient is not receiving any nutrition or other life-sustaining therapy while sedated. | | | American College of Physicians (http://www.acponline.org/ethics/quill.htm) and American Society of Internal Medicine consensus statement on terminal sedation |
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http://encyclopedia.laborlawtalk.com/Terminal_sedation
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| | Euthanasia Topics text 07 |
| | Although the death is unavoidable, the objective of terminal sedation is not to end the life of the patient but rather to mitigate pains and other symptoms. | | | Terminal sedation, on the other hand, forms a part of palliative care which is considered to be normal medical care. | | | On the other hand, there is also a view that the whole concept of terminal sedation is misunderstood, and Erwin Kompanje, medical ethics specialist at Erasmus Medical Center, seems to be its most vocal advocate. |
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http://home.tiscali.nl/~taudin/English/Euthanasia_in_the_netherlands/Euthanasia_Topics/Euthanasia_Topics_text/Euthanasia_Topics_07_text.html
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| | Ethics & Medicine: TERMINAL SEDATION, TERMINAL ELATION, AND MEDICAL PARSIMONY*[dagger] |
| | The patient is sedated to a desirable degree and for a specific length of time, towards the end of which his or her need for further sedation is reevaluated. | | | Sedation is a universal medical practice with no intrinsic connection to terminal care and to the dying process. | | | If the patient is willing to accept a mind-altering therapy in lieu of euthanasia, his or her death would seem a futile alternative, even a coerced one, for lack of choice. |
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http://www.findarticles.com/p/articles/mi_qa4004/is_200410/ai_n10297986
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| | Terminal Sedation |
| | Terminal sedation involves a conscious decision to render the individual unconscious to relieve the unbearable physical distress. | | | The sedation would relieve extremes of physical distress, with the medication rendering the person unconscious to alleviate suffering and not intentionally to end life. | | | This type of treatment is different from use of high-dose opiod treatment to relieve severe pain, but which usually does not induce sedation. |
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http://www.therubins.com/legal/terminal.htm
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| | [No title] |
| | The goal of sedation is to relieve obvious pain and suffering of the child by adding drugs to induce sleep, but does not intend to hasten death. | | | Presenting the option of sedation to a child and family requires a caring, open relationship between the treating health care professionals and the family. | | | If the child and family are opposed to sedation, they should be reassured that all efforts to gain control of pain and distress will continue. |
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http://www.childcancerpain.org/content.cfm?content=pharm25
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| | Terminal Sedation |
| | Irwin argues that the practice of terminal sedation amounts to euthanasia "because the comatose patient often dies from the combination of two intentional acts by a doctor - the induction of unconsciousness, and the withholding of food and water. | | | However very often some degree of sedation, chosen with skill and sensitivity, is essential for the patient s comfort. | | | Fainsinger and colleagues in a multicentre international study found that the "intent to sedate" in hospices in Israel, Durban, Cape Town and Madrid varied from 15% to 36%, sedation being defined as when the patient was made unresponsive in order to achieve comfort. |
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http://www.catholicdoctors.org.uk/CMQ/Feb_2002/terminal_sedation.htm
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| | The Right to Terminal Sedation |
| | Terminal sedation is the administration of barbiturates (often with opioids) deliberately to produce and continue unconsciousness. | | | But if the suffering dying are in fact routinely denied this relief (to which all conceded they were entitled at law), this seemingly negates the key condition on which she based her position that PAD is not necessary and thus not Constitutionally protected. | | | Recall that the American Nursing Association position statement on "The Promotion of Comfort and Relief of Pain in Dying Patients" (1991) declares: "Nurses should not hesitate to use full and effective doses of pain medication for the proper management of pain in the dying patient. |
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http://www.hemlocknj.org/term_sed.html
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| | Euthanasia |
| | The law permits euthanasia when the patient has asked repeatedly, when the patient's suffering is unbearable with no prospect of improvement, and when the doctor has prior to the act consulted a colleague. | | | Euthanasia in a wider sense includes assisting someone to commit suicide, in particular physician-assisted suicide (PAS); some also extend it to the practice of not interfering with suicide, such as allowing a patient to decline vital medication or treatment or honoring a patient's Do Not Resuscitate directive. | | | Philosopher Peter Singer has been one of the most outspoken proponents of euthanasia, arguing from a utilitarian philosophical point of view. |
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http://www.sciencedaily.com/encyclopedia/euthanasia
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| | Dutch Doctors See Terminal Sedation as Alternative to Euthanasia |
| | With terminal sedation, a patient is medicated in order to achieve an unconscious state. | | | For ethicists, where sedation is concerned, the issue becomes whether the physician's goal is to relieve pain or to hasten death. | | | That is different from starving and dehydrating someone in order to bring about death, and then sedating the patient to avoid the pain associated with this rather terrible way to die," Balch added. |
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http://www.lifenews.com/bio323.html
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| | The Center for Bioethics and Culture Network :. Article Display |
| | Even though the court decisions on the two babies indicate that there is little risk for physicians to be prosecuted after ending the life of a severely handicapped baby under certain conditions, very few, if any, such cases have been officially reported since then. | | | The under minister of health care has asked the Royal Dutch Medical Association to formulate a protocol for applying terminal sedation as distinct from a form of euthanasia. | | | A discussion point in this context is whether the patients should or should not receive tube feeding. |
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http://www.thecbc.org/redesigned/research_display.php?id=155
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| | [No title] |
| | The perversion of "terminal sedation" being one of the most commonly practiced techniques. | | | Families call in from all across the USA to Hospice Patients Alliance complaining that their loved one was sedated into death and did not die a natural death. | | | However, that basic tenet of hospice has been replaced in many hospices by a willingness, even an eagerness to play God and hasten the patient's death through various means. |
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http://www.chninternational.com/terminal_sedation_1.htm
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| | Terminal Sedation |
| | By distorting both the practice of sedating patients and the principle of double effect, assisted suicide advocates are attempting to persuade the public that it is unreasonable to continue to prohibit such deaths. | | | (88) And sedation to the point of unconsciousness may even slightly prolong the life of a dying patient.) | | | Its advocates give solemn assurances that Oregon’s Death with Dignity law is tightly written; is limited to specifically qualified, terminally ill patients; has stringent safeguards; and is carefully monitored to prevent any possibility of abuse. |
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http://www.valdosta.edu/~jmmcgahe/article2.htm
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| | yaledailynews.com - Study finds religion shapes views of terminal sedation |
| | He said analgesics such as morphine and sedatives like valium are typical treatments for pain relief used for terminal sedation. | | | While the U.S. Supreme Court does not object to a medical practice that places a higher priority on alleviating pain than maintaining a patient's life, whether individual doctors do can vary by their religion, according to a recent study. | | | According to Kaldjian's study, 96 percent of physicians interviewed agreed with the use of morphine for pain relief, but only 78 percent of the physicians would employ morphine for terminal sedation. |
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http://www.yaledailynews.com/articlefunctions/Printerfriendly.asp?AID=27655
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| | Dutch doctors choose sedation rather than euthanasia -- Sheldon 329 (7462): 368 -- BMJ |
| | Euthanasia, in which drugs are given to specifically end the patient’s life, was discussed with the patient in more than a third of cases but rejected. | | | It argued the involvement of the legal profession in a normal medical practice was a frightening prospect. | | | The Dutch Medical Association, however, instead emphasised the need for clear professional guidelines to define terminal sedation and how doctors should act. |
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http://bmj.bmjjournals.com/cgi/content/full/329/7462/368-e
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| | Doctors Prefer Terminal Sedation to Assisted Suicide |
| | Among the ACP physicians, 78 percent of respondents supported the use of terminal sedation, while among the residents, 66 percent agreed with the practice. | | | The ACP study also showed that the more frequently a doctor attended religious services, the more likely he or she was to disagree with assisted suicide, as shown by these disagreement rates: 30 percent for non-attendees, 33 percent for less-than-monthly attendees, 52 percent for monthly attendees and 76 percent for weekly attendees. | | | While general attitudes toward end-of-life care were similar among doctors in training and doctors who had been in practice, the ACP study revealed more about the roles that palliative care experience and religious involvement play in physicians' views. |
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http://www.seniorjournal.com/NEWS/Eldercare/4-12-06TerminalSedation.htm
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| | HealthBoards - Terminal Sedation |
| | Basically she received the typical hospice service, the only difference was her morphine dosage was increased to the point that she was asleep like you would be if you were to have surgery. | | | I think it was also easier on my family knowing that she never experienced any pain. | | | I will pray for your mother's physical pain to be eased and for your strength to get through this very emotional time. |
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http://www.healthboards.com/boards/showthread.php?t=315496&page=2
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| | Hemlock Society of New Jersey. |
| | We discourage irrational suicide for any emotional reasons in the absence of a terminal illness, and we support the work of suicide prevention organizations. | | | We also support the use, upon request, of a sufficient quantity of medications to alleviate pain, even if such quantity may hasten death. | | | We endorse home-care and hospice programs which offer compassionate medical, nursing and social work services to dying patients. |
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http://www.hemlocknj.org
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| | Dutch Doctor Prescribes "Terminal Sedation": Euthanasia by Another Name |
| | Terminal sedation, the inducing of a permanent state of unconsciousness, is a viable means of dealing with severe pain and is managable in palliatve care situations. | | | AMSTERDAM, May 31, 2004 (LifeSiteNews.com) - A pain control expert at the Netherlands Nijmegen University, is surveying the opinions of 1500 doctors in Holland who are finding that sedation is the preferable method of dealing with intractable pain. | | | Dutch Doctor Prescribes "Terminal Sedation": Euthanasia by Another Name |
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http://www.lifesite.net/ldn/2004/may/04053109.html
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| | Euthanasia / Assisted Suicide :: Fears over 'unregulated euthanasia' |
| | The researchers — who published their work in the academic periodical Annals of Internal Medicine on Tuesday — based their findings on the third large study into medical decisions around the ending of life. | | | Researchers from the Erasmus Medical Centre and the Free University medical Centre in Amsterdam said some of these deaths verge on euthanasia and should possibly come into consideration for assessment as such. | | | In contrast to euthanasia, terminal sedation is not aimed at ending a patient's life but the administering of drugs is often part of palliative care to combat pain, fear and distress. |
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http://www.religionnewsblog.com/8165-Fears_over__unregulated_euthanasia_.html
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| | On Our Own Terms: Moyers on Dying - Choosing Death: The Debate |
| | In such circumstances, it is not only acceptable, it is probably requisite that we offer it and, unless patients refuse it, sedation ought to be made readily available. | | | Whereas in physician-assisted suicide, you arguably could say it is the patient who ultimately must take or not take the medication. | | | Technically, terminal sedation is using aggressive medical means to help the patient escape from the suffering by being sedated, and often withdrawing any life-sustaining devises such as a ventilator or intravenous feeding. |
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http://www.pbs.org/wnet/onourownterms/final/debate/difference.html
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| | Terminal - Wikipedia, the free encyclopedia |
| | Terminal sedation, the practice of inducing unconsciousness in a terminally ill person for the remainder of the person's life | | | Terminal illness, a progressive disease that is expected to cause death | | | Terminal is a synonym for the following concepts: |
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http://en.wikipedia.org/wiki/Terminal
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| | Terminal Sedation from Salon.com |
| | Terminal sedation is practiced openly and without much controversy, and it does not seem to carry a high incidence of complication. | | | The furthest reach of palliative care is terminal sedation: drugging a patient into unconsciousness and keeping him that way until he dies, usually days or weeks later. | | | Nevertheless, one would expect that a physician who was so inclined -- who wanted, for example, to give a terminally ill patient a prescription for a painless and peaceful death -- could readily use the modern pharmacopeia to bring a swift, sure end to life. |
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http://www.hospicepatients.org/saloncom-04-19-00-terminalsedation.html
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| | [No title] |
| | The terms "palliative treatment" or 4 "palliative care" include but are not limited to comfort care, 5 hospice care, and pain management techniques and protocols. | | | If it is the opinion of the 12 attending or the consulting physician that a patient's judgment 13 may be impaired as a consequence of the patient's terminal 14 carcinomatous condition, resulting in depression or a psychiatric 15 or psychological disorder, either physician shall refer the 16 patient for counseling. | | | No medication to end a patient's life 17 shall be prescribed until the person performing the counseling 18 determines that the patient is not suffering from a psychiatric 19 or psychological disorder, or depression causing impaired 20 judgment. |
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http://www.capitol.hawaii.gov/session1999/Bills/HB418_.htm
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| | Table 2. Medications Used for Terminal Sedation |
| | Once desired level of sedation is achieved, infusion is usually maintained at that level as long as the patient seems comfortable. | | | Goal of treatment is to relieve suffering by inducing sedation. | | | Individual patients may require lower or higher doses to achieve the desired goal. |
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http://www.acponline.org/ethics/quilltb2.htm
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| | Moral and Legal Issues Surrounding Terminal Sedation and Physician Assisted Suicide - Storming Media |
| | First, he or she can choose being heavily medicated, which alleviates pain but significantly reduces awareness. | | | Currently, a terminally ill patient has three options in dealing with the extreme physical pain of his or her illness. | | | This is because patients who suffer from terminal illnesses are forced to make difficult choices at the end of their lives. |
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http://www.stormingmedia.us/42/4286/A428604-226-19t.html
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| | Article 8 |
| | What would be a short 5-10 minute “script”(mini-didactic), which might address key teaching points regarding TS such as under what conditions sedation might be appropriate and what necessary steps would be indicated if sedation were to be utilized? | | | In this article I considered the ethics of TS relative to two, rather extreme hypothetical cases - an imminently dying patient and a patient with spinal cord injury not overtly dying. | | | Terminal sedation (TS) was (and still too often is) treated as a ‘football’ between pro and anti physician assisted suicide advocates. |
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http://www.hospice.va.gov/JOURNALCLUB/Article8_Terminal_sedation.htm
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| | Proper Pain Medication Is Not Illegal |
| | Terminal sedation is available for patients whose pain or other symptoms cannot be relieved without sedation or, in some cases, for patients who simply do not want to experience the last days of their lives. | | | Terminal sedation is a consciously induced coma during which feeding and nutrition are foregone by the patient. | | | Competent patients have a well-established constitutional right to give up painful or exhausting treatments, whether or not refusing treatment will hasten death. |
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http://www.mywhatever.com/cifwriter/library/39/baz967.html
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| | Terminal - Open Encyclopedia |
| | With regard to a disease or patient: death is approaching, no treatment aimed at curing is available, just palliative care. | | | May also refer to the points where power is applied to the system such as a battery terminal. | | | The term Terminal can be used in several way and includes various topics: |
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http://open-encyclopedia.com/Terminal
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| | The Ethics Special Interest Group: Cases of Terminal Sedation and the Judgmental Pharmacist |
| | Kronenberg reviewed the definition of terminal sedation, the bioethical principle of Double Effect, the American Academy of Hospice and Palliative Medicine& position statement on sedation at the end of life, the view of opponents, and the existing consensus guidelines on sedation of ICU patients. | | | Robert Kronenberg, PharmD, clinical pharmacist, Yavapi Regional Medical Center, Prescott, AZ, presented “Terminal Sedation: Ethically and Morally Sound Medical Intervention or Slow Euthanasia?&; His discussion focused on the desirability of developing guidelines for terminal sedation use in hospice settings. | | | The second group discussion was prompted by a series of e-mail messages on the ethics list serve about patients who were refused prescriptions by pharmacists who had reservations about doses that were potentially “too high” or allegations of medication abuse (in one case, the pharmacist called the police, who later arrested the patient). |
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http://www.ampainsoc.org/pub/bulletin/sep03/sig1.htm
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| | Age Management: Terminal sedation common in the Netherlands - Medaus Pharmacy and Compounding Center |
| | New research suggests over half of Dutch doctors say they have hastened a patient's death by administered sedating medications while witholding hydration and nutrition, a practice known as 'terminal sedation'... | | | The date when a clinical page was last modified will be clearly displayed. | | | Please Note: The preceding article was not authored by Medaus. |
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http://www.medaus.com/p/210,5718,,240.html
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| | Terminal Sedation - Pro Life |
| | Terminal Sedation is a group of ordinary, everyday people who care deeply about deaths of the preborn children of this world. | | | Click on the above picture and hear Brahams Lulaby |
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http://www.msnusers.com/TerminalSedation-ProLife/welcome.msnw
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| | Terminal Sedation - Pro Life |
| | The studies contends that if a pregnancy is terminated by induced abortion before these undifferentiated cells become milk-producing cells, they are vulnerable to the effects of carcinogens, which can give rise to cancerous tumors later in life. | | | If a woman therefore has gone through some weeks of pregnancy, she is left with more of these cancer-vulnerable cells than she had in her breasts before she was pregnant. | | | Once these cells have been exposed to enough estradiol during expectancy, they become milk-producing cells. |
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http://groups.msn.com/TerminalSedation-ProLife/breastcancer.msnw
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| | Bioethics, Inc. Services |
| | Bioethics, Inc. assists individual health institutions, state and federal policy-makers to construct useful and readable policies in such areas as the withholding and withdrawal of life-sustaining treatments, DNR, Patient Rights, Terminal Sedation, Informed Consent and Advance Directives. | | | Corsino and staff provide service to Ethics Committees in review of their policies and practice. | | | Euthanasia, Physician-Assisted Suicide, Terminal Sedation and Other End-of-Life Maneuvers |
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http://www.bioethicsinc.com/services.html
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| | TERMINAL SEDATION |
| | GOAL OF MEDICINE: RELIEF OF PAIN AND SUFFERING CAUSED BY MALADIES | | | TERMINAL SEDATION A FORM OF OR ALTERNATIVE TO EUTHANASIA? | | | RIGHT TO CONSENT TO OR REFUSE TREATMENTS [PSDA] |
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http://academic.udayton.edu/LawrenceUlrich/1_PPTpresentationsME/ENDOFLIFEissues/sld014.htm
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