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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: abercrombie_guy_38
No. I think God is killing this child.

Theology really is a neglected discipline in our schools.

201 posted on 12/10/2007 12:05:36 PM PST by wideawake (Why is it that so many self-proclaimed "Constitutionalists" know so little about the Constitution?)
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To: wideawake
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...

But I flatly stated over and over again that I am not. Her parents and her doctors have decided, and as a matter of fact I disagree. But that doesn't give me the right to make decisions for her family.

You, however, seem almost enthusiatic about being the ultimate arbiter when it comes to other people's decisions.

202 posted on 12/10/2007 12:07:28 PM PST by VirginiaConstitutionalist (Scary thought: Half of all people are dumber than the average person.)
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To: Anonymous Rex
School nurses will be allowed to use suction to ease Katie's breathing and give her oxygen with a mask. The child can be positioned in a way that makes it easier to breathe.

How big of them.

203 posted on 12/10/2007 12:08:16 PM PST by mware (Americans in arm chairs doing the work of the media.)
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To: najida

The fact that they are dying while at school does not make it right.

I maintain that children should not be dying in schools, they should be dying at home with their loved ones around them.


204 posted on 12/10/2007 12:08:42 PM PST by Anonymous Rex ( For Rent)
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To: wideawake

Show me scripture or catechism that requires the administration of defibrolators, intubations or CPR. The Catechism of the Catholic Churchs says that food, and water and reasonable care must be provided, but that extraordinary medical intervention is not mandated. I don’t know of any requirement in scripture.


205 posted on 12/10/2007 12:13:48 PM PST by ga medic
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To: najida
Force their situation? Explain please.....

If I am in the area of this child and the child starts choking and passes out. The parents are forcing me against my conscience to not help the child. Maybe I could clear their air tube, maybe I could prop her up, maybe I could do many other things that would bring about a resuscitation that doesn't involve CPR. That is how they are forcing, thru a court order, to try to coerce my conscience.

If they want this DNR order to be carried out then they should have the guts to be there and enforce it when it happens.

206 posted on 12/10/2007 12:14:02 PM PST by frogjerk
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To: VirginiaConstitutionalist
Her parents and her doctors have decided, and as a matter of fact I disagree.

For someone who disagrees, you are certainly striving mightily to argue that letting her die is for the best anyway and - even more contradictorily - that those who disagree should be legally forced to violate their own consciences.

You, however, seem almost enthusiatic about being the ultimate arbiter when it comes to other people's decisions.

I understand that you are willfully creating straw men and deliberately ignoring my very obvious point.

But for those entering the thread here, I'll explain again.

The issue is whether the parents of this child have the right to dtermine the decisions of other people - specifically whether tehse parents have the right to force other people to watch a human being die without helping that dying person.

Again, the parents have every legal right to stand idly by and watch their child die.

They have no right to tell other people to do the same.

They do not have power over my conscience or anyone else's.

207 posted on 12/10/2007 12:17:34 PM PST by wideawake (Why is it that so many self-proclaimed "Constitutionalists" know so little about the Constitution?)
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To: Politicalmom
So it is fine to force people to watch your child die without allowing them to do something? That is just outrageous. If someone wants their kid to be “allowed” to die, perhaps in great pain, then THEY should take the moral responsibility and be there for it themself, not pawn the responsibility on others. I guess the damage it might to do other children and the teachers is meaningless.

The parents are selfish jerks,if they force somebody else's kids to participate in this. then they should sued into poverty

208 posted on 12/10/2007 12:17:44 PM PST by Charlespg (Peace= When we trod the ruins of Mecca and Medina under our infidel boots.)
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To: SoftballMominVA; georgiagirl_pam; imjustme; najida

“As far as the parents ‘squeezing’ Uncle Sam for money...”

I believe it is Katie’s constitutional right, as opposed to the children of people who brought them here illegally or snuck in illegally to birth an anchor baby, to have ‘equal access’ to whatever level of education she can achieve.

I think it’s under the “life, liberty, and pursuit of happiness” clause...


209 posted on 12/10/2007 12:18:18 PM PST by Froufrou
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To: null and void

“Two words:

Federal funding”

School districts do NOT make money off educating severely handicapped children. It costs them money.


210 posted on 12/10/2007 12:18:26 PM PST by gracesdad
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To: frogjerk

It depends on the DNR...
Nothing you’ve described is heroic efforts.

If they don’t want simple comfort measures (like you described) then I agree, she should stay home.


211 posted on 12/10/2007 12:18:44 PM PST by najida (Will you dance at my birthday party?)
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To: Anonymous Rex
I have a problem with the parents sending her to school when her death is so imminent that they send her with a DNR.

Having a DNR doesn't mean death is imminent. Many parents in this situation have it just in case it is needed. We started discussing it concerning my daughter probably 5 or 6 years ago.

When my daughter starts to choke on food I don't just stand there. I get the food out of her mouth. When her breathing stops during a seizure I don't walk away. I do everything I can to get her breathing and color back into her face.
But... if after I have done all I can there will be a day when it isn't enough. By the time I or anyone else realizes she isn't going to start breathing on her own it will be too late to try other means because she will have suffered more brain damage.

I remember one day at her school they clocked her at 45 seconds not breathing and that was just when they started the stop watch. They weren't sure exactly how long before that she wasn't breathing.

My daughter is 20 now and may live to be 90. The DNR is there if needed though. I won't have her suffer more with tubes and no quality of life.
212 posted on 12/10/2007 12:19:54 PM PST by imjustme
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To: Sopater
I wouldn't honor it.

I wouldn't either.

And I can't imagine having a DNR order for my child... just the thought makes my heart skip a beat...

213 posted on 12/10/2007 12:20:46 PM PST by pax_et_bonum (Always finish what you st)
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To: wideawake

No one stands ‘idly by’ when someone they love is dying. They’re in a special place that none know of unless they’ve been there. It’s extremely unpleasant and not one thing you do or don’t do is the right thing.


214 posted on 12/10/2007 12:22:26 PM PST by najida (Will you dance at my birthday party?)
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To: wideawake

And again that’s like arguing a parent’s rights disappear when the child goes out in public.

The parents and the doctors have issued a DNR order. I’m sorry you feel you’be been placed on the Earth to make decisions for others.


215 posted on 12/10/2007 12:23:43 PM PST by VirginiaConstitutionalist (Scary thought: Half of all people are dumber than the average person.)
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To: Froufrou
It's called IDEA - and this child and every other child in this country has a right to a free and appropriate education until the year in which they turn 22 or until they have earned a high school diploma, whichever comes first.

For those that don't like it, complain to your congress member.

216 posted on 12/10/2007 12:23:58 PM PST by SoftballMominVA (Never wrestle with a pig; he wants to get dirty anyway.)
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To: Melas
A DNR is often more moral than resuscitation at any cost.

I agree with you.But this kid belongs in hospice or a in hospital, other children should not forced to participate in this.
No one has the right to traumatize other peoples kids

217 posted on 12/10/2007 12:24:09 PM PST by Charlespg (Peace= When we trod the ruins of Mecca and Medina under our infidel boots.)
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To: Charlespg

I would hazard a guess based on the picture above and the fact that this is a ‘special school’ she is not the only one in a critical or delicate physical condition


218 posted on 12/10/2007 12:25:19 PM PST by SoftballMominVA (Never wrestle with a pig; he wants to get dirty anyway.)
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To: ga medic
Show me scripture or catechism that requires the administration of defibrolators, intubations or CPR.

Let's break it down:

(1) There is no moral requirement to use extraordinary means to keep someone alive. Neither Scripture nor the Catechism specifically address defibrillators, intubations or CPR as belonging in the category of extraordinary means - but I would argue that the use of defibrillators and CPR at the very least are not extraordinary means in the current context, but rather very ordinary means.

I would think that a ventilator would be extraordinary in the case of an individual who simply cannot breathe on their own. Typically a person who is defibrillated or receives CPR can breathe on their own as soon as they are stabilized.

(2) Whether or not these qualify as extraordinary means is immaterial, because the real question at hand is: is it moral to prevent someone else from helping a dying person?

It is clear from Scripture and the Catechism that coming to the aid of those in distress is not morally prohibited.

(3) And so the moral issue is: do the parents have the moral right to stop a classroom aide from performing CPR on their child? And the answer is: they do not.

219 posted on 12/10/2007 12:29:05 PM PST by wideawake (Why is it that so many self-proclaimed "Constitutionalists" know so little about the Constitution?)
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To: Charlespg
From the website for Laremont School

Mary Sowers, Principal

Laremont School serves students exhibiting severe to profound mental impairment and/or multiple disabilities. Laremont presents an educational option for students with acute medical needs, requiring extensive support services, best delivered at a centralized site. Feeding, personal care and positioning these students are very labor-intensive activities, which occur daily at Laremont. A comprehensive program of physical, occupational, and speech and language therapy as well as nursing services and concentrated supervision and care are cornerstones of the total Laremont program.

The school's curriculum emphasizes the teaching of functional skills, with particular emphasis placed upon communication, activities of daily living (ADL’s), recreation/leisure skills and vocational skills.

Whenever feasible, instruction is delivered in "natural" settings, including frequent excursions into the community.

Therapy and instructional goals are developed in a collaborative effort, by each student's team, led by the classroom teacher. Therapy services are provided in an integrated manner, with specific enabling activities incorporated into the classroom routine.

Laremont School encourages the community and parents to participate in the provision of quality educational services, by becoming involved with parent support groups, the Parent-Teacher Federation (PTF), or by attending the many informational programs offered throughout the school year.

Laremont’s mission, as with all of the Special Education District of Lake County, is to provide “Exceptional Service for Exceptional Students”.

220 posted on 12/10/2007 12:29:10 PM PST by SoftballMominVA (Never wrestle with a pig; he wants to get dirty anyway.)
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