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There is a lack of consistency in ethical decision-making with regard to forgoing life-support, which demands increased efforts to improve clinical competence in end-of-life care, e.g. by proactive ethics consultation or early exploration and documentation of the patient's wishes and preferences. Another current ethical issue is the allocation of limited resources; recent guidelines provide a useful framework for bedside practitioners and health policy makers.
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Prien et al. (1999) studied this question.
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