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Schools ponder role as child nears death
Chicago Tribune ^ | December 9, 2007 | Jeff Long

Posted on 12/10/2007 10:11:05 AM PST by Sopater

As the school bus rolled to a stop outside her Lake County home, Beth Jones adjusted the bright yellow document protruding from the pouch of her daughter's wheelchair, making sure it was clearly visible.

In bold letters it warned, "Do Not Resuscitate."

The DNR order goes everywhere with Katie, including her 2nd-grade classroom at Laremont School in Gages Lake. The school is part of the Special Education District of Lake County, where an emotional two-year discussion ended this summer when officials agreed to honor such directives.

Now, district officials find themselves in the unusual position of having planned the steps its staff will, or won't, take to permit a child to die on school grounds. Although DNR orders are common in hospitals and nursing homes, such life-and-death drama rarely plays out in schools, where officials realize how sensitive and traumatic the situation could be for nurses, teachers and students.

Katie's brain was deprived of oxygen before birth. She can't walk, talk or do anything for herself. She is fed through a tube in her stomach and has an increased susceptibility to infection. Violent choking and coughing spasms have signaled a turn for the worse in her condition.

A Do Not Resuscitate order is a doctor's directive, issued with the consent of the family, that cardiopulmonary resuscitation will not be used if the patient suffers from heart or breathing problems. It can also prohibit using such devices as a defibrillator or an intubation tube. The new DNR policy puts Katie's school district at the forefront of a growing national debate about severely disabled and chronically ill children whose lives have been extended by medical advances -- and whose parents must face heart-wrenching decisions about the future.

(Excerpt) Read more at chicagotribune.com ...


TOPICS: Culture/Society; News/Current Events; Philosophy
KEYWORDS: dnr; health
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To: VirginiaConstitutionalist

I guess we can see, when you cannot, that when the parents send her away for many hours each day, that others don’t want to see her die, suffocate slowly. It would be horrible and traumatic on the caregivers.


181 posted on 12/10/2007 11:50:26 AM PST by DeLaine (Santa--I can explain...)
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To: VirginiaConstitutionalist
What you are preaching, that you have a duty to make decisions for others because their actions offend you, is the very foundation of liberalism.

Again, I am talking about my personal duty to obey the dictates of my conscience.

I am not making decisions for the parents: if they want to watch their daughter die without helping her, that is their decision and they will have to live with it.

But they do not have the right to compel me to behave exactly as they do.

182 posted on 12/10/2007 11:51:34 AM PST by wideawake (Why is it that so many self-proclaimed "Constitutionalists" know so little about the Constitution?)
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To: najida
Very true. At the small school my daughter attended they did have deaths. It was very sad but a fact of life. Many of us parents would wonder which of our children would be next. Many die in their sleep.

The school choir (made up of mostly down syndrome children and adults) usually sing at the funerals.

I do not agree with putting a very profound/severe child in a normal school setting. When we lived in California that is the type of setting the 'experts' wanted.
That is not what is best for the 'normal' children or the 'severe' children.
183 posted on 12/10/2007 11:54:16 AM PST by imjustme
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To: georgiagirl_pam

Far be it for me to ever argue with an emotional woman intent on yelling. Nuff said.


184 posted on 12/10/2007 11:54:29 AM PST by Melas (Offending stupid people since 1963)
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To: wideawake

You are willfully ignoring the point. This is a child who is dying, painfully. You are freakishly obsessed with continuing her suffering, despite the wishes of her parents and her doctors.

And once again, YOU ARE NOT SAVING HER LIFE. She will not spring back with a full recovery.

The sense of self-fulfillment you get out of being the hero not trump the rights of her parents or the common decency to let her die naturally.

But Hillary appreciates the sentiment, using a sense of moral outrage to take decisions away from parents.

I’m sorry I don’t get the


185 posted on 12/10/2007 11:54:34 AM PST by VirginiaConstitutionalist (Scary thought: Half of all people are dumber than the average person.)
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To: imjustme

Yeah. I had a cousin is somewhat better shape who lasted into her 30’s.


186 posted on 12/10/2007 11:55:13 AM PST by null and void (No more Bushes/No more Clintons)
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To: Melas
I understand what you are asking

If a child went into a nursing home for long term care, who would pay that bill?

187 posted on 12/10/2007 11:56:51 AM PST by SoftballMominVA (Never wrestle with a pig; he wants to get dirty anyway.)
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To: ga medic
Why else would this little girl be dying if it wasn’t God’s will?

Was the last person who resuscitated her doing the work of the Devil?

Perhaps you can tell someone that it is God's will that he stand aside and watch a child die. But in his view, he may believe it to be God's will that he do something to help her in her hour of need.

Can you really pronounce him to be disobeying God's will?

I do understand your point of forcing these teachers to violate their conscience, but it doesn’t really apply.

The clear implication of circulating this legal document and displaying it so prominently is clear: If you do not collude with me in allowing my child to die, I will sue you.

188 posted on 12/10/2007 11:56:56 AM PST by wideawake (Why is it that so many self-proclaimed "Constitutionalists" know so little about the Constitution?)
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To: LukeL
The schools have become a way for parents to get a break from their kids.

Sad.

189 posted on 12/10/2007 11:57:16 AM PST by MEGoody (Ye shall know the truth, and the truth shall make you free.)
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To: Melas

The first appropriate, non-knee jerk response on this thread. Thanks for posting! I agree completely.

Granted, I am not a young child but if I have a DNR order, I fully expect it to be followed and respected. To me, it does not come down to morality or anything else along those lines. It comes down to freedom and the choice I can make.


190 posted on 12/10/2007 11:57:30 AM PST by abercrombie_guy_38
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To: najida

Nowhere in the article does it say the school is for the severly to profoundly disabled. It says it’s part of a special education district.

Regardless, a school is not a place children should be dying.

Being used to caring for or teaching sick kids does not equate to children dying in class as going with the territory.


191 posted on 12/10/2007 11:57:36 AM PST by Anonymous Rex ( For Rent)
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To: imjustme

Thank you for your informative post. God bless you, your daughter, and your family.

Not that it matters one way or another, but, I don’t disagree with your decisions under your particular circumstances.

Of course, no two cases are exactly the same, and, this article unfortunately doesn’t provide enough information for anything much more than conjecture. It raises more questions than it answers.


192 posted on 12/10/2007 11:57:38 AM PST by LucyJo
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To: Anonymous Rex

Look at the picture at the top - there are other kids in wheelchairs and it is a “special school” I can guarantee you it is a school that works with severe and profound, perhaps in addition to other severe disabilities


193 posted on 12/10/2007 11:58:58 AM PST by SoftballMominVA (Never wrestle with a pig; he wants to get dirty anyway.)
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To: wideawake

How can they ‘help’ her?

CPR and maybe a vent and that’s about it....
A vent isn’t pleasant and it gets clogged, a lot.
Plus once she’s on it, the odds are she won’t come off of it.....so she’s stuck on a machine that keeps her alive.

Then there’s a tube feeding, IV’s etc.

Geez, enough machines she can be kept alive a long time.

However, she won’t be living.


194 posted on 12/10/2007 12:00:26 PM PST by najida (Will you dance at my birthday party?)
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To: GovernmentShrinker
But I do have a problem with public schools having children in this condition attending in the first place.

Yes, I agree. The purpose of school is to get kids to the point of self-sufficiency and prepare for adulthood. They do that by providing education. This seems more a case of baby-sitting, all at the taxpayer's expense. I take care of a child who is neurologically devastated. Every year, he takes a test mandated by the state, and a result of No Child Left Behind. One test consists of him identifying colors. Since he is "taught" in the home, and he can't take a written test, the teacher brings a video camera, sets up various colored objects, tells him to "put his hand on the orange ball", takes his hand and places it over the orange ball, and thus, he "passes".

This child is almost 14 years old, a victim of his father (shaken baby syndrome), and wasn't supposed to have lived past 1 year of age. Due to excellent care, he has lived much longer, but has deteriorating brain matter, and could go at any time. He is a DNR as well (in my opinion, this is appropriate).

195 posted on 12/10/2007 12:00:39 PM PST by Born Conservative (Chronic Positivity - http://jsher.livejournal.com/)
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To: wideawake

No. I think God is killing this child.


196 posted on 12/10/2007 12:02:07 PM PST by abercrombie_guy_38
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To: Melas
Wow, and why do you think I am emotional about this? And if my husband were here to read this, do you think that he would be emotional? When you live it everyday, get back to me. Some of the comments here are an embarrassment to the human race, much less conservatives. And again, I am not commenting on the DNR.
197 posted on 12/10/2007 12:02:07 PM PST by georgiagirl_pam
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To: Anonymous Rex

See post 183.


198 posted on 12/10/2007 12:03:16 PM PST by najida (Will you dance at my birthday party?)
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To: VirginiaConstitutionalist
She will not spring back with a full recovery.

So the moral calculus of saving someone's life is based on whether the resuscitation will "take"? Interesting standard.

The sense of self-fulfillment you get out of being the hero not trump the rights of her parents or the common decency to let her die naturally. But Hillary appreciates the sentiment, using a sense of moral outrage to take decisions away from parents.

If you really enjoy repeating this silly rhetoric over and over, be my guest. But don't imagine that it lends any strength to your arguments.

Also, it really is a matter of your opinion that she sees her continued existence as suffering. Even her parents admit that she experiences happy or joyful emotions when she is at school - so your opinion doesn't seem to be exactly definitive.

Rather than have you, VC, as the ultimate arbiter of who does or who does not have the quality of life morally necessary for survival, I would prefer to have human beings remain free moral agents answerable to their consciences and their Creator.

199 posted on 12/10/2007 12:04:28 PM PST by wideawake (Why is it that so many self-proclaimed "Constitutionalists" know so little about the Constitution?)
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To: imjustme
I don’t have a problem with the parents sending her to school, I have a problem with the parents sending her to school when her death is so imminent that they send her with a DNR.

That child should be able to die at home with her family around her not while being wheeled down the hall to a nurse’s office, or in a classroom or anywhere else where her parents may not be.

If her mother was willing to go to school with her that would be fine as well but to send the child off not knowing if you’ll ever see her alive again is not acceptable.

200 posted on 12/10/2007 12:04:41 PM PST by Anonymous Rex ( For Rent)
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