I will start my talk with an actual case. JW, 74, the father of a Catholic physician, who is also an ethicist in a Catholic hospital, suffered a massive stroke that left him paralyzed with receptive and expressive aphasia. His advance directive stated that he did not want mechanical ventilation, nutrition, or hydration if he were to end up in a terminal state. He is now paralyzed and has expressive aphasia, but he is not terminal. He is somewhat conscious. His caregivers decided to insert a g-tube and start feeding. When he lapsed into a coma after 150 days, it was decided to stop the feeding and allow him to die peacefully at home under hospice care. Both his wishes were ful-filled, and all care was provided. The patient should have access to information, and his privacy and right
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Shahid Athar (2012) studied this question.
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