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

  title={Threats to "informed" advance directives for the severely physically challenged?},
  author={John R Bach},
  journal={Archives of physical medicine and rehabilitation},
  volume={84 4 Suppl 2},
  • John R Bach
  • Published 2003 in Archives of physical medicine and rehabilitation
The neuromuscular diseases, such as infantile spinal muscular atrophy, Duchenne's muscular dystrophy, and amyotrophic lateral sclerosis, are widely considered to be terminal illnesses. However, as with many neuromuscular and neurologic diseases, morbidity and mortality are caused by dysfunction of inspiratory, expiratory, and bulbar musculature. This article will discuss how inspiratory and expiratory musculature can be supported by simple, noninvasive means that are rarely considered when, as… CONTINUE READING
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