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Massachusetts Hospital Ethics Committee Recommendation - Forgoing or Discontinuing Life Sustaining Medical Treatment
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Massachusetts
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MA-JV-DSS-2
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FAQ
Withholding or withdrawing of life-sustaining therapy or life support is a process by which various medical interventions either are not given to or are taken away from patients with the expectation that they will die from their underlying illnesses.
Life-sustaining treatment may include, but is not limited to, mechanical ventilation, renal dialysis, chemotherapy, antibiotics, and artificial nutrition and hydration. There is no ethical distinction between withdrawing and withholding life-sustaining treatment.
In many cases the consent is not required in an emergency (see for example Guardianship Act 1987 (NSW) s 37). The common law says that a competent adult has the right to refuse treatment even if that means they will die.
Dismissals of the petition, declaring that absent an actual threat to prison security, a prisoner has a right to refuse life-sustaining medical treatment.
If a person is suffering from a mental illness that causes them to lack the ability to consent to medical treatments, the court system and law enforcement can force them to be treated by medical professionals.
A treatment that has been considered for a patient but not begun is said to have been withheld. One that was started and then discontinued was withdrawn. The term forgoing refers to the process of either withholding or withdrawing.
A decision to withhold or withdraw life-sustaining treatment is a common feature of medical practice when caring for people who are approaching the end of life. A person who has capacity can lawfully refuse treatment even if that treatment is needed to keep them alive.
Every competent adult has the right to refuse unwanted medical treatment. This is part of the right of every individual to choose what will be done to their own body, and it applies even when refusing treatment means that the person may die.
Life-sustaining treatment may include, but is not limited to, mechanical ventilation, renal dialysis, chemotherapy, antibiotics, and artificial nutrition and hydration. There is no ethical distinction between withdrawing and withholding life-sustaining treatment.
