Threats to "informed" advance directives for the severely physically challenged?

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Article discusses issues concerning advance directives for patients with neuromuscular weakness. Advance directives contain guidelines for withholding or withdrawing life-sustaining treatment for terminal conditions. Author discusses the need for proper patient counseling regarding the availability of noninvasive respiratory muscle aids, life satisfaction versus quality of life, and utilization of patient-directed personal assistance services for patients considering advance directives.

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