Advance Directives, Preemptive Suicide, and Emergency Medicine Decision Making Richard L. Heinrich, Marshall T. Morgan, Steven J. Rottman Abstract: As the United States population ages, there is a growing group of aging, elderly, individuals who may consider "preemptive suicide"(Prado, 1998). Healthy aging patients who preemptively attempt to end their life by suicide and who have clearly expressed a desire not to have life -sustaining treatment present a clinical and public policy challenge. We describe the clinical, ethical, and medical-legal decision making issues that were raised in such a case that presented to an academic emergency department. We also review and evaluate a decision making process that emergency physicians confront when faced with such a challenging and unusual situation. What could the medical team have done prior to providing treatment in order to clarify their patient’s DNR wishes?

Understanding Health Insurance: A Guide to Billing and Reimbursement
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Advance Directives, Preemptive Suicide, and Emergency Medicine Decision Making Richard L. Heinrich, Marshall T. Morgan, Steven J. Rottman Abstract: As the United States population ages, there is a growing group of aging, elderly, individuals who may consider "preemptive suicide"(Prado, 1998). Healthy aging patients who preemptively attempt to end their life by suicide and who have clearly expressed a desire not to have life -sustaining treatment present a clinical and public policy challenge. We describe the clinical, ethical, and medical-legal decision making issues that were raised in such a case that presented to an academic emergency department. We also review and evaluate a decision making process that emergency physicians confront when faced with such a challenging and unusual situation. What could the medical team have done prior to providing treatment in order to clarify their patient’s DNR wishes?
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