Comments on: Living Wills

By: qwllp.com

qwllp.com — Wed, 21 Oct 2009 17:01:36 +0000

[...] to the forefront and generated interesting debate about how to best handle incapacity (see here and here). Absent planning in advance, nasty disputes often arise between family members regarding the [...]

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By: Florida Living Will » Blog Archive » Making a living will

Florida Living Will » Blog Archive » Making a living will — Mon, 07 Sep 2009 16:33:21 +0000

[...] Living Will News… [...]

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By: ghostbuck

ghostbuck — Sat, 29 Aug 2009 22:41:24 +0000

I am very lucky to have been in medicine for a number of years so the terms in Living Wills do not daunt me. I have had one since I was in my early 20's and watched my first patient suffering through a terminal illness and serving as a human experiment for med students because they did not have a Living Will and were kept as an animated science project. It was horrible.

Since that time I have explained the medical terminology to many family members and friends as they looked into a Living Will. I cannot imagine a lawyer would be able to explain the intricacies of inserting a feeding tube or would be able to explain that brain death is death despite the fact a respirator can you your body breathing and heart pumping for quite some time despite the fact you are dead and you aren't getting better. I have heard friends who are in the legal field as paralegals confuse brain death and coma and tell people that it is possible to "wake up" even if there is no brain activity.

No, a medical person should be consulted to learn the real extent of extreme measures that can be employed to prolong life and even prolong the appearance of life in our current medical settings.

I would disagree with Mudley that the doctor-patient relationship is based on one person assuming a air of authority. If that is the relationship he/she has with their physician, I strongly urge them to run quickly to a new healthcare provider. The proper relationship in the clinical setting is one of partnership where responsibility for the outcome is shared.

By: sethblink

sethblink — Sat, 29 Aug 2009 20:54:10 +0000

If a conscious person decides not to get a surgical procedure or to take medication that will presumably lengthen their life, nobody considers that suicide. It is a choice. And under the circumstances nothing could be more dignified than being given the opportunity to decide how to live out the final days of one's life.

All a living will is, is a document made while somebody is of sound mind and body, to let it be known how they would like to live out their final days just in case they are not able to communicate it themselves.

There is nothing in the health care legislation that encourages euthenasia or even living wills. All there is is the encouragement for health care professionals to explain these options to patients.

The arguments that are being made against this legislation are ludicrous.

By: Alz

Alz — Fri, 28 Aug 2009 00:34:28 +0000

The bureaucracy should not be involved in individual decisions about life. …a ginormous mistake.

By: uknowbetter

uknowbetter — Thu, 27 Aug 2009 16:55:00 +0000

Amusing that you trust the government to kill people in war, don't trust them to cause them discomfort or pain in war, and trust them to tell law-abiding citizens when they should die.

By: kaicito

kaicito — Thu, 27 Aug 2009 03:30:17 +0000

Categorically stating living wills are a mistake may have been a case of “comment in haste, regret at leisure”. My problem is with provisions we make in one time, place and health state for a very different time and health state, when we cannot know how much our perspective on illness and the value of life even at reduced levels of function may have changed. As you say, these provisions are for medical conditions of limited consciousness; we do not, however, know what neurological processes may be active even in such circumstances where you are in no position to change the will.
That said, a discussion of the conditions of ending life-extending interventions is legitimate and necessary

By: Will Wilkinson

Will Wilkinson — Wed, 26 Aug 2009 20:06:34 +0000

Thanks Kevin. That's really helpful.