This major new work updates and significantly expands The Hastings Center's 1987 _Guidelines on the Termination of Life-Sustaining Treatment and Care of the Dying_. Like its predecessor, this second edition will shape the ethical and legal framework for decision-making on treatment and end-of-life care in the United States.This groundbreaking work incorporates 25 years of research and innovation in clinical care, law, and policy. It is written for physicians, nurses, and other health care professionals and is structured for easy reference in difficult clinical situations. It supports the work of clinical ethicists, ethics committee members, health lawyers, clinical educators, scholars, and policymakers. It includes extensive practical recommendations.Health care reform places a new set of challenges on decision-making and care near the end of life. _The Hastings Center Guidelines_ are an essential resource.