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1. It is difficult to decide when to withhold life-prolonging treatment for patients with dementia because dementia is not a terminal disease and it is not possible to determine when death is near. True False

2. Patients with end-stage dementia have lost what most individuals would consider acceptable quality of life and would rarely desire life-prolonging treatment. True False

3. In the United States, only individuals with legal brain death (a flat EEG) can be living donors of vital organs. True False

4. In patients in a persistent vegetative state, medical futility may be especially difficult for families to understand because the individual typically displays random movements and open, wandering eyes which may be misconstrued as “consciousness.” True False

5. Following attempted CPR for out of hospital cardiac arrest, only 5% of all patients and 1-2% of elderly, nursing home patients leave the hospital with intact brain function. True False

6. Physicians may be reluctant to give adequate analgesia and sedation at end-of-life due to personal bias, concern about addiction, or fear of being accused of euthanasia if medication intended to alleviate suffering also hastens death. True False

7. A major obstacle to futility-based cardio-pulmonary resuscitation decisions is failure of hospitals to heed professional guidelines for the appropriate use of CPR. True False

8. It is illegal and unethical to remove a feeding tube in a patient who cannot eat or drink once it has been surgically placed. True False

9. It is extremely important to educate families that patients with persistent vegetative state, coma, and end-stage dementia cannot experience hunger and thirst or “starve” (which implies suffering). True False

10. Withholding or withdrawing feeding tubes in individuals in whom death is imminent or treatment would provide no therapeutic or curative benefit is appropriate, and may prevent harmful effects of tube feeding, including prolongation of dying, increased pulmonary congestion, increased edema, increased aspiration, increased urination/incontinence, and decreased endorphin levels. True False

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Program Evaluation Summary The purposes of this form include 1) course evaluation 2) assist in identifying topics for future programs 3) fulfilling requirements for AMA PRA Category 1 Credit^TM.
This Program:
This Program:	Do not agree	agree	Strongly agree
Helped me maintain current abilities and/or knowledge
Helped keep me abreast of new developments
Developed new professional skills and/or knowledge
Enhanced my confidence in my professional situation
Will help me be more effective/productive
Met my expectations
Used effective methods of information transfer
Was well-conceived/organized/produced
Met its stated goal
Please list a personal fundamental concept or behavioral technique that you feel will change as a result of this program: Suggestions/Remarks concerning this program: Suggestions for future programs: