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CR was also told that her pulmonary function parameters were so compromised that she was unlikely to survive ventilator withdrawal for more than several minutes, if she chose ventilator withdrawal.
I was caring for CR and she wrote me to call her sister, TJ, who was her next of kin. CR's sister arrived and all treatment options were explained to her. CR had indicated her preference for ventilator withdrawal. She wrote, "I have lost nearly all ability to care for myself, I don't want to live any longer this way, especially on machines." TJ was not supportive about CR's choice.
The ethical issue in this case is whether or not the patient should make the autonomous decision to refuse a treatment or procedure that would prolong her life...
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