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\nLovingPeopleCPR,Artificial Feeding,Comfort Measures Onlyand the Elderly PatientBy Hank Dunn  \n# The Libraryof\n\nClaremontSchool ofTheology  \n1325 North College AvenueClaremont,CA 91711-3199(909)447-2589  \n一  \n35194Hard  \nChoicesFor  \n# LovingPeople\n\nThird Edition  \n## CPR,Artificial Feeding,Comfort Measures Onlyand the Elderly Patient\n\nBy Hank Dunn  \nChaplain  \nHospice of Northern VirginiaLeesburg,Virginia  \nCopyright ◎1994 by Hank DunnPrinting History  \nPublished by Fairfax Nursing Center,Inc.  \nFirst Edition  \nSeptember,1990-1,000  \nDecember,1990-2,000  \nMarch,1991-4,000  \nMay,1991-30,300  \nSeptember,1991-8,200  \nNovember,1991-27,900  \nJanuary,1992-20,579  \nRevised Edition  \nApril,1992-30,850  \nAugust,1992-31,600  \nJanuary,1993-37,750  \nPublished by A&A Publishers,Inc.July,1993-12,500October,1993-21,000April,1994-5,000June,1995-5,000January,1996-5,000Third EditionJuly,1994-29,000October,1994-30,100December,1994-30,450June,1995-37,245January,1996-37,250June,1996-30,000December,1996-27,400  \nWe gratefully acknowledge the use of quotations from the following books:  \nExcerpts from Further Along The Road Less Traveled COPYRIGHT C1993 by M.Scott Peck,and The Troubled Dream of Life COPYRIGHT◎1993 by Daniel Callahan areboth reprinted by permission of Simon &Schuster,Inc.  \nEXCERPTS from The Tibetan Book of Living and Dying by SOGYAL RINPOCHE.Copyright ◎1993 by Rigpa Fellowship.Reprinted by permission of HarperCollinsPublishers,Inc.  \nThis booklet is published by:A&A Publishers,Inc.P.O.Box 1098Herndon,VA 20172-1098  \nWrite for information on purchasing bulk copies.  \n# Table of Contents\n\nIntroduction  \n## Chapter One—Cardiopulmonary Resuscitation\n\nSurvival Rates With CPR..Burdens of CPR…CPRand theFrail Elderly Patient...CPR Is the Standard Order  \n## Chapter Two—Artificial Hydration and Nutrition\n\nIntravenous(IV)Artificial Hydration...The Burdens ofArtificial Feeding...Words Can Be Loaded...The Cases Forand Against Artificial Feeding...Would Withholding orWithdrawing Artificial Feeding Cause a Painful Death?...TheDifference Between Withholdingand Withdrawing…ArtificialFeedingand the Dementia Patient…Consider SeveralTreatmentOptions  \n## Chapter Three—Cure Sometimes-Comfort Always:Hospice and the \"Comfort Measures Only\"Order\n\nThree Possible Goals of Medical Treatment…Hospice….WhatAre Comfort Measures?...Which Medical Treatments AreOptional?...Which Patients Are Candidates for Hospice orComfort Measures Only?When Is the Right Time?...End-Stage Dementia and Comfort Measures Only...Turning FromCure to Comfort Care Only  \n## Chapter Four—Making End-of-Life Decisions\n\nWhat To Do...Hospitalization and the Do Not HospitalizeOrder….Consider an Advance Directive…Questions To HelpMake a Decision...Getting Help With End-of-Life Decisions  \n## Chapter Five—The Journey to Letting Go\n\nThe Four Treatment Decisions-CPR,Artificial Feeding,Hospitalization and Hospice/Comfort Measures Only.·.Changing the Treatment Plan...The Emotional Nature of theStruggle…CanILet Go?….ALifetime of Letting Go….SomeReligious Questions...The Spiritual Nature of the Struggle...Giving Upand Letting Go..Fatal Isn't the Worst Outcome  \n5  \n7  \n12  \n25  \n31  \n# Acknowledgments\n\nlamgreatly indebted to those who took the time to review my manuscriptand make valuable comments.Their suggestions came in by mail,fax,e-mailon the Internet and through personal discussions.At times i felt like we werehaving a coast-to-coast dialogue on how best to say what we wanted tocommunicate.In addition to those listed here,I must acknowledge the staffresidents and families of Fairfax Nursing Center,who,for twelve and one-halfyears,taught me more thanlever could have gathered from books.From themIhave learned it is possible to live a life of grace even as one faces the end oflife.  \nThose who read and commented on Hard Choices:Kathryn Baugus,LMSW","cbCaikJz8QmWUdox","https://ap.wps.com/l/cbCaikJz8QmWUdox","pdf",3757404,56,"English","# Table of Contents\n## Chapter One—Cardiopulmonary Resuscitation\n## Chapter Two—Artificial Hydration and Nutrition\n## Chapter Three—Cure Sometimes-Comfort Always: Hospice and the \"Comfort Measures Only\" Order\n## Chapter Four—Making End-of-Life Decisions\n## Chapter Five—The Journey to Letting Go\n# Acknowledgments\n# About the Author","[{\"question\":\"What decision areas does the book address for elderly patients near the end of life?\",\"answer\":\"It addresses CPR, artificial feeding, hospitalization choices, and hospice/comfort measures only, then frames how to change the treatment plan as needs evolve.\"},{\"question\":\"How does the book explain the difference between withholding and withdrawing artificial feeding?\",\"answer\":\"It includes a dedicated discussion on the case for and against artificial feeding and asks whether withholding or withdrawing artificial feeding would cause a painful death.\"},{\"question\":\"What guidance is offered for choosing hospice or comfort measures only?\",\"answer\":\"The text outlines possible goals of medical treatment, explains what comfort measures are, lists which treatments are optional, and helps identify candidates and the right time for hospice or comfort measures only.\"}]","Hard Choices For - CPR, Artificial Feeding, Comfort Measures Only and the Elderly Patient - Third Edition | PDF",1791879354,141]