The maladaptation of Miranda to advance directives: a critique of the implementation of the Patient Self-Determination Act.
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Although the responsibility to obtain informed consent typically rests with physicians, nurse managers need to understand their role as caregivers and members of the health care team.
In Part 1, the author explained that although the responsibility to obtain informed consent typically rests with physicians, nurse managers need to understand their role as caregivers and members of the health care team. This month, read about informed consent issues such as the verbal contract, emergency procedures, and the patient's competence to consent.
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This Article focuses on the legality of the aggressive use of analgesics and deep sedation for terminally ill patients. The author analyzes the 1997 Supreme Court decisions on physician-assisted suicide, examines the tension between controversial palliative care practices and the traditional legal framework, and explores the contours of an emerging constitutional right to avoid suffering at the end of life. In addition, the author argues that deep sedation together with withholding of artificial nutrition and hydration should be an option for dying patients suffering from severe physical or emotional pain.
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