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EXAM QUESTIONS & ANSWERS LEGAL MEDICINE & MEDICAL ETHICS
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An elderly woman told her daughters that if she ever ended up with dementia she wouldn't want to live like that. Years later she developed senile dementia and her daughters had her move into a nursing home. Although she did not recognize family or friends, she enjoyed the company of others and the nursing home's cat. When she stopped eating, her daughters were asked whether she should receive a feeding tube.
A patient who has coronary artery disease and congestive heart failure shows his physician his advance directive that states he wants to receive cardiopulmonary resuscitation and other forms of life-sustaining treatment has deeply held beliefs that suggest that not trying to live is tantamount to committing suicide. What should the doctor do and say to the patient in response to this?
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1. An elderly woman told her daughters that if she ever ended up with
dementia she wouldn't want to live like that. Years later she
developed senile dementia and her daughters had her move into a
nursing home. Although she did not recognize family or friends, she
enjoyed the company of others and the nursing home's cat. When
she stopped eating, her daughters were asked whether she should
receive a feeding tube.1
a. The daughters may approve the insertion of a feeding
tube with the proviso that future triggers could lead to
its removal or nonuse.
b. The daughters should consider their mother’s
previously stated wishes as an advance directive and
must not place a feeding tube.
c. The...
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