plant, hospice, and many other topics. The manual can be used for personal reading; it has been used for individual study and training development. The manual has been used in community residences for house or team meetings; families have also used it. Some clients have read the manual to obtain a greater understanding of death and dying.
There are a number of problems for the increasing population of people with mental retardation who are old and dying. The first step is to train caregivers to create comfortable and supportive environments; to offer the best medical care to meet the client's needs; and to deal honestly and compassionately with the client who is dying. Concurrently, the administration must provide a system of support and supervision for grieving caregivers. Then we can begin to offer a place to die in comfort and compassion. (See also Chapter 67)
LEGAL CONSIDERATIONS IN THE DECISION-MAKING PROCESS OF THE HOSPICE CARE PROVIDER
S. Charles Archuleta
Decision-making in the provision of hospice care inevitably presents issues that are not solely medical, but that present rather a hybrid of medical, ethical, and legal questions. 1 A determination of the purely legal standards and concepts within life-and-death decision-making is, at best, difficult, and must be recognized as a continually evolving process very much alive in the minds of academics, judges and juries, and hospice providers.
In order to provide hospice care, the provider must understand the legal parameters within which she is bound. While these boundaries