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Volumn 197, Issue 2, 2003, Pages 323-330

Legal considerations for palliative care in surgical practice

Author keywords

[No Author keywords available]

Indexed keywords

FENTANYL; HYDROCODONE BITARTRATE PLUS PARACETAMOL; MORPHINE; PETHIDINE;

EID: 0043167942     PISSN: 10727515     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1072-7515(03)00537-4     Document Type: Article
Times cited : (4)

References (49)
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    • 755 Illinois Legislative Code § 35-2(h). An example taken from the Illinois statute defines a "terminal condition" as an incurable and irreversible condition, which is such that death is imminent and the application of death-delaying procedures serves only to prolong the dying process
    • 755 Illinois Legislative Code § 35-2(h). An example taken from the Illinois statute defines a "terminal condition" as an incurable and irreversible condition, which is such that death is imminent and the application of death-delaying procedures serves only to prolong the dying process.
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    • Knight et al v. Beverly Health Care Bay Manor Health Care Center (AL 2001). This case upholds implementation of living will on the basis of physician determination that the patient was in a vegetative state. The case also applies the general rule that if such decisions are contested, they must be resolved by "clear and convincing evidence," which is a higher standard than usually applied in civil law
    • Knight et al v. Beverly Health Care Bay Manor Health Care Center (AL 2001). This case upholds implementation of living will on the basis of physician determination that the patient was in a vegetative state. The case also applies the general rule that if such decisions are contested, they must be resolved by "clear and convincing evidence," which is a higher standard than usually applied in civil law.
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    • 755 Illinois Legislative Code Service §7. For example: "No physician, health care provider or employee thereof who in good faith and pursuant to reasonable medical standards causes or participates in the withholding or withdrawing of death delaying procedures from a qualified patient pursuant to a declaration which purports to have been made in accordance with this Act shall as a result thereof, be subject to criminal or civil liability, or be found to have committed an act of unprofessional conduct."
    • 755 Illinois Legislative Code Service §7. For example: "No physician, health care provider or employee thereof who in good faith and pursuant to reasonable medical standards causes or participates in the withholding or withdrawing of death delaying procedures from a qualified patient pursuant to a declaration which purports to have been made in accordance with this Act shall as a result thereof, be subject to criminal or civil liability, or be found to have committed an act of unprofessional conduct."
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    • Mo. Ann. Stat. 459.055(3) (2000). In Missouri, even an advance directive may not authorize withdrawal of feeding tubes or artificial hydration. This restriction and, in fact, the more common restriction on removal of feeding and nutrition where the patient did not authorize its withdrawal in an advance directive or power of attorney, is likely a violation of both federal and state constitutions
    • Mo. Ann. Stat. 459.055(3) (2000). In Missouri, even an advance directive may not authorize withdrawal of feeding tubes or artificial hydration. This restriction and, in fact, the more common restriction on removal of feeding and nutrition where the patient did not authorize its withdrawal in an advance directive or power of attorney, is likely a violation of both federal and state constitutions.
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    • In Re Guardianship of Browning, 568 So. 2d 4 (Fla. 1990). Courts have consistently held that artificial feeding and nutrition is a form of medical treatment and that the rights to forego treatment are not different for different kinds of medical care
    • In Re Guardianship of Browning, 568 So. 2d 4 (Fla. 1990). Courts have consistently held that artificial feeding and nutrition is a form of medical treatment and that the rights to forego treatment are not different for different kinds of medical care.
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    • 755 Illinois Stat. 35/9(c). Typical of such prohibitions: "No physician, health care facility, or other health care provider ... [or insurer] shall require any person to execute a declaration as a condition for being insured for, or receiving, health care services.
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    • Vol. 1985 U.S. News and Administrative Service, page 1956. The legislative history of Medicare/Medicaid shows the importance Congress placed on a physician's certification that the care given is necessary: "The physician is to be the key figure in determining utilization of health services ... It is a physician who is to decide upon admission to a hospital, order tests, drugs and treatments, and determine the length of stay. For this reason the [Medicare statute] would require that payment could be made only if a physician certifies to the medical necessity of the services furnished.".
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    • Cal. Welfare & Institutions Code § 15600 et seq
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    • See, eg, Ten. St. § 71-6-120 (2000) (punitive damages applicable if the defendant is a physician or other health care provider or institution)
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