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PubMed · 3614656

The Brophy case: whose life is it?

Abstract

A Massachusetts court recently authorized withdrawal of nutrition from an adult in a chronic vegetative state where he had, while healthy, stated that he would not want his life sustained if he were permanently unconscious. The court rejected the view that a decision to withdraw life-supporting treatment could be made on the basis of "quality of life" determinations by persons other than the patient. In this respect, the decision should not be perceived as a step toward arranged deaths for those who lack the capacity to enjoy someone else's version of life or who are seen by others as social burdens.

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BibTeXRIS

H R Beresford. 1987. The Brophy case: whose life is it?. https://doi.org/10.1212/wnl.37.8.1357

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[Diagnosis of vegetative state as a basis for medical treatment on the borderline between life and death].

The term 'vegetative state' is most appropriate for the state which develops when patients open their eyes after a comatose phase, without regaining consciousness. The definition and the diagnostic criteria from the Multi Society Task Force on Persistent Vegetative State are usable for the clinical practice in the Netherlands. The vegetative state must be differentiated from coma, locked-in syndrome and minimally conscious state. A systematic, multidisciplinary approach under the direction of a physician is key to diagnosing vegetative state. To this end, a clinical assessment is recommended with reassessment and verification of the diagnosis at appropriate moments. Careful observation remains the fundamental to the diagnosis.

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