For those of us in the Hospice and Palliative Care field, the wrenching decisions asked of patients and families by modern medicine are a daily reality. On our consultation service, as I know happens on many others, we are often asked to become involved in determining the plan of care for those patients who have been or will be ventilator-dependent. On any week, we may round on a patient and family who are looking at the uncertain future of a percutaneous gastrostomy with tracheostomy and a long-term acute care attemp
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