The principles of this framework (see Figure 1) may be familiar and routine to most social workers. Nevertheless it is difficult to remember all of our professional theories and values during life and death crises. The Canadian Medical Association has drawn attention to the frequency with which physicians are reluctant to discuss with patients and families their advance directives for treatment at the end of life (Seely Mount, 1999; Tulsky et al., 1998; Health Law Institute, 2004b).
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