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Search by topic:   13587. WITHHOLDING AND/OR WITHDRAWING TREATMENT: PATIENT SELF DETERMINATION VS. MEDICAL GOALS. This report provides an overview and analysis of the ethical, legal, and practical issues surrounding the debate over providing, withholding and/or withdrawing treatment and its intersection with patients' rights to self-determination within the context of the medical futility dilemma. The analysis begins with a background discussion of the Patient Self Determination Act (PSDA) of 1990 and an identification of the major stakeholders in the decision to withhold, withdraw or provide treatment which may be deemed 'medically futile.' The next sections consider the legal and ethical issues surrounding the decision to withhold/withdraw treatment. Following this, the analysis looks at the evidence concerning the outcomes of the Patient Self Determination Act and considers some of the major problems and barriers in implementing the patient's right to act as the chief decision-maker in these decisions. 22 pages, 42 footnotes, 25 bibliographic sources.   $133 Copyright 2002 Academic Research Papers Associate Term Paper Sites: Academic Research Papers Academic-Research-Papers Research Central Term Paper Assistance