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The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life: Revised and Expanded Second Edition

Nancy Berlinger, Bruce Jennings, and Susan M. Wolf


Decisions about life-sustaining treatment are often ethically challenging for patients, surrogate decision-makers, and health care professionals. Providing safe, effective, and compassionate care near the end of life is a priority for health care organizations. In times of uncertainty, crisis, or reflection, and in efforts to improve health care for seriously ill patients, guidelines can help. This is an expanded and updating version of The Hastings Center's 1987 Guidelines on the Termination of Life-Sustaining Treatment and Care of the Dying, which shaped the ethical and legal framework for d ... More

Keywords: life-sustaining treatment, end of life, decision-making, health care systems, care planning, care transitions, death

Bibliographic Information

Print publication date: 2013 Print ISBN-13: 9780199974566
Published to Oxford Scholarship Online: September 2013 DOI:10.1093/acprof:oso/9780199974566.001.0001


Affiliations are at time of print publication.

Nancy Berlinger, author
Hastings Center

Bruce Jennings, author
Center for Humans and Nature

Susan M. Wolf, author
University of Minnesota

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Part One Framework and Context

Part Two Guidelines on Care Planning and Decision-Making

Part Three Communication Supporting Decision-Making and Care