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Essay text:
A 1991 law called The Patient Self Determination Act (PSDA) requires hospitals and nursing homes to tell patients about their right to refuse medical treatment. People can put anything in their advance directives.
Some people list every medical intervention they do not want, while others want to make clear their request for heroic measures at any cost. It is a way to spell out personal wishes. Advance directives are seen as a way to protect one's legal rights for refusal of treatment. But are advance directives effective in achieving the aim intended? There is evidence both on the Internet, in case study books and magazines to indicate that
advance directives alone fall far short of their objective...
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