By No Extraordinary Means: The Choice to Forgo Life-sustaining Food and Water

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Joanne Lynn
Indiana University Press, 1986 - Artificial feeding - 323 pages
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..". compelling.... This book might have been called 'No Easy Answers.' Each of the contributors writes with undisguised urgency.... [W]e should face up to these issues now. By No Extraordinary Means will serve as an impetus and guide." -- New York Times Book Review "This fine new book... thoughtfully written... well edited and cohesively integrated... will be valuable for physicians, nurses, nutritionists, attorneys, members of the clergy, policy makers, and members of the general public." -- New England Journal of Medicine
 

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Contents

Law and Public Perceptions
11
The Medical Procedures for Providing Food
21
Indications and Effects David Major
29
Cancer Patients Phyllis Schmitz and Merry OBrien
39
Must Patients Always Be Given Food and Water?
47
Public Policy and the Cessation of Nutrition
61
When Is It Morally Justifiable to Discontinue
67
The Symbolic Significance of Giving to Eat
84
Elderly Residents of LongTerm Care Facilities
163
Patients with Permanent Loss of Consciousness
186
Caring for the Permanently Unconscious Patient
195
The Competent Patient Who Decides
202
Those Who Provide Medical Care Joanne Lynn
216
History and Setting of the Case
227
Two Contrasting
236
State Supreme Court Robert C Cassidy
245

Perspectives of a Jewish Physician
99
An Appeal
108
for Caution Alan J Weisbard and Mark Siegler
117
Emerging
135
Legal Rules Ron M Landsman
150
Role of the Public Advocate
256
Update since Conroy 19851988
267
Selected Bibliography
308
Copyright

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About the author (1986)

Joanne Lynn is Director of The Washington Home Center for Palliative Care Studies, Senior Scientist at the RAND Corporation, and President of Americans for Better Care of the Dying. She is the coauthor of "Improving Care for the End of Life: A Sourcebook for Health Care Managers and Clinicians "(2000) and "Handbook for Mortals: Guidance for People Facing Serious Illness "(1999), among other books. She has coedited several books, including "A Good Dying: Shaping Health Care for the Last Months of Life "(1998) and "By No Extraordinary Means: The Choice to Forgo Life-Sustaining Food and Water "(1986). She has also been a physician serving people living out the end of life in hospices, nursing homes, home care, and hospitals.

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