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End-of-Life Legal Issues

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Do Not Resuscitate (DNR) Orders

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A legal order to withhold cardiopulmonary resuscitation (CPR) or advanced cardiac life support (ACLS) in case of cardiac or respiratory arrest

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Withholding vs. Withdrawing Treatment

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Legal and ethical considerations in not starting treatment versus stopping treatment once it has begun

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Artificial Nutrition and Hydration

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The provision of nutrients and fluids by a medical device when a patient is unable to take them by mouth

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Euthanasia

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The practice of intentionally ending a life to relieve pain and suffering; illegal in most jurisdictions

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Surrogate Decision-Making

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Legal authorization for someone to make medical decisions on behalf of another person who is unable to do so

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Medical Futility

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The concept that occurs when the treating health care team believes further medical treatment is ineffective in achieving a beneficial outcome

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Informed Consent

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A process by which a patient learns about and understands the purpose, benefits, and potential risks of a medical or surgical intervention

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Palliative Care

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Focuses on providing relief from the symptoms and stress of a serious illness, with a goal of improving quality of life

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Capacity and Competence

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Legal terms related to a person's ability to understand the nature and consequences of health care decisions

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Physician-Assisted Suicide (PAS)

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Legal in some jurisdictions where a physician can prescribe a lethal dose of medication for the patient to self-administer

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Right to Refuse Treatment

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Patients have the right to decline medical treatment, even if it results in death

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Advance Directives

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Documents detailing a person's wishes regarding medical treatment in situations where they are no longer able to express informed consent

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Hospice Care

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Provides comfort and support for persons in the last phases of incurable disease so that they may live as fully and comfortably as possible

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Pain Management and Control

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Legal right to adequate pain relief, sometimes including the use of controlled substances

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Terminal Sedation

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The use of medications to keep a terminally ill patient unconscious until death as a way of managing intractable symptoms at the end of life

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