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WLSTWebLogic Scripting Tool (command-line interface)
WLSTWithdrawal of Life-Sustaining Treatment (healthcare)
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Withdrawal of life-sustaining treatment (withdrawal of treatment; WLST) can be initiated when treatment is considered medically futile, in cases where there is negligible chance of recovery to an acceptable quality of life [1, 5, 6].
The Strasbourg court ruled that there was "no consensus among the Council of Europe member states in favour of permitting the withdrawal of life-sustaining treatment", and that states could therefore exercise discretion.
* The Texas Health and Safety Code [2] that disallows the withdrawal of life-sustaining treatment from pregnant patients does not apply to dead people or their fetuses.
But the family disagreed with the diagnosis and sought a court injunction to prevent the withdrawal of life-sustaining treatment.
Hospital officials have said they were bound by the Texas Advance Directives Act, which prohibits withdrawal of life-sustaining treatment from a pregnant patient.
The Chief Justice argues that the withdrawal of life-sustaining treatment falls under the definition of treatment in the HCCA because withdrawing such care typically requires physical interventions of various kinds.
Senate Bill 1887 also known as the "Natural Death Act" filed by Santiago provides that any person of legal age and sound mind may execute a written instruction, "directing the witholding or withdrawal of life-sustaining treatment in a terminal condition or permanent unconscious condition."
(3) Chief Justice McLachlin, speaking for a majority of the Court in Rasouli, found that the HCCA solely governed the issue of whether patient consent was required for the withdrawal of life-sustaining treatment. (4)
CACCN advocates that organizational processes and legal statutes provide clarity to what is now ambiguous, including the issue of consent, up to and including, when consent for treatment is needed (or not) from patients/families and specifically as it relates to the withdrawal of life-sustaining treatment. Further, that there be an appeal process such as a review board that is timely and is available to both patients/families and the health care team when there are disagreements about the plan of care.
The researchers also found hospital policies differ in the location of withdrawal of life-sustaining treatment. Sixty-eight policies (93%) specify the location, with the majority (54%) requiring withdrawal of treatment to occur in the operating room.
One bill now being considered in the California legislature would allow terminally ill patients to request information on the options available to them, including hospice care, palliative care, and refusal or withdrawal of life-sustaining treatment. Physicians who do not want to provide patients with this information are required to refer the patient elsewhere for it or tell the patient how to find another provider.
It is well established, both legally and ethically, that a competent patient has the right to refuse unwanted medical interventions, and in appropriate circumstances, a surrogate decision-maker can authorize withdrawal of life-sustaining treatment for a patient without capacity.