By Lois Shepherd"..Admitting that decisions relating to permanent vegetative states are different from those surrounding terminally ill or minimally conscious patients, Shepherd (law & public health sciences, Univ. of Virginia) considers some of the tough ethical and emotional considerations involved and how existing laws may be strengthened. Pointing out weaknesses related to living wills and offering suggestions on alternative ways to ensure that a patient's rights and wishes are respected, she also expresses concern for the need to respect patients' privacy and gives careful consideration to whether nutrition and hydration should be considered "basic care."
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