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Introduction: The Ultimate Human Right | 1 | |
1 | The Natural Death Act | 5 |
Background | 5 | |
Terminal Condition | 11 | |
Life-Sustaining Procedures | 18 | |
Competence | 24 | |
Nursing Homes | 31 | |
Conclusion | 34 | |
2 | Brain Death Legislation | 35 |
Background | 36 | |
The Report of the Harvard Committee on Brain Death | 39 | |
Implications of the Harvard Report | 43 | |
Brain Death Legislation in the Seventies | 46 | |
Texas Brain Death Legislation | 48 | |
The Uniform Determination of Death Act | 49 | |
Guidelines for Reforming the Texas Act | 50 | |
Conclusion | 53 | |
3 | The Anatomical Gift Act | 54 |
Background: Transplantation Developments | 55 | |
Heart Transplantation | 55 | |
Experimental Transplantation | 58 | |
Corneal Transplantation | 59 | |
Kidney Transplantation | 59 | |
End Stage Renal Disease Program | 61 | |
The Texas Anatomical Gift Act (TAGA) | 65 | |
Alternatives for Increasing the Supply of Organs | 70 | |
Presumed Consent | 70 | |
Presumed Consent and Limited Option Prior Consent | 72 | |
The Sale of Human Cadaver Organs | 74 | |
Conclusion | 78 | |
4 | The Hospice Approach To Dying | 80 |
Traditional Institutions and the Needs of the Terminally Ill | 81 | |
Medical Model | 83 | |
Hospice | 85 | |
A Case Study | 85 | |
The Hospice Concept | 86 | |
Patient Autonomy | 87 | |
Patient and Family as the Unit of Care | 90 | |
Pain Management | 92 | |
Other Holistic Characteristics | 95 | |
Conclusion | 96 | |
5 | Hospice And The Critics | 102 |
Euthanasia as Mercy Killing | 103 | |
Suicide | 110 | |
Allocation of Resources | 114 | |
6 | Hospice And The Mexican American | 121 |
The Presence of Death | 122 | |
The Family | 132 | |
Relevance of Hospice | 135 | |
Conclusion | 139 | |
Afterword | 142 | |
Appendix A Texas Natural Death Act, Directive to Physicians | 147 | |
Appendix B Texas Anatomical Gift Act | 149 | |
Appendix C The Living Bank: Registration Form | 153 | |
Appendix D Hospice Resources in Texas | 156 | |
Appendix E Summary of Hospice Section of Public Law 97-248, September 3, 1982 | 161 | |
Notes | 165 | |
Index | 178 |
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