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Medline ® Abstract for Reference 46

of 'Palliative care: Medically futile and potentially inappropriate therapies of questionable benefit'

The Texas Advance Directives Act--is it a good model?
Jacobs HC
Semin Perinatol. 2009 Dec;33(6):384-90.
The Texas Advance Directives Act was first passed in 1999 to help resolve conflicts between families and physicians when disagreements exist over continuing or halting treatments of patients. When the physician feels that continued treatment is ethically or morally unjustified and seeks to end life support for a patient against the wishes of the family, it establishes a specific path that must be followed to afford legal protection to the physician and institution. Its proponents believe that it reduces morally unjustifiable treatment of terminal patients, while its opponents argue that it places too much power in the hands of physicians and institutions. This review analyzes both sides of the argument, gives 2 examples of its application, and concludes that it is a good model but requires modification to correct some flaws.
Department of Pediatrics, Bridgeport Hospital, Bridgeport, CT 06610, USA. harris.jacobs@yale.edu