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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: bigfootbob; Amelia

How much do you think residential or day placement costs? If you aren’t sure, let me clue you in - thousands, as in hundreds of thousands a year. Amelia posted a link a while ago about a child who cost the district over $400,000 EVERY year and would continue to cost that until the year in which he turns 22


41 posted on 12/10/2007 10:34:25 AM PST by SoftballMominVA (Never wrestle with a pig; he wants to get dirty anyway.)
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To: rockabyebaby

I’m betting they spent several years doing that. So I don’t want to fault the parents too much. At some point “waiting for death” just becomes too draining. How many years can you wait for that death?

I’m not excusing them, just saying that I will not join in castigating them for what appears to be a hopeless situation.

I thank God I’ve never had to deal directly with such a situation.


42 posted on 12/10/2007 10:34:31 AM PST by CharlesWayneCT
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To: najida

OK, fine, then her mom should stay with her.


43 posted on 12/10/2007 10:34:44 AM PST by cyclotic (Support Scouting-Raising boys to be men, and politically incorrect at the same time.)
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To: GovernmentShrinker
According to the email I received from "EdNews.org" -
Chicago Public Schools is to ignore such orders and do everything possible to save a child's life, officials said.
This does seem to conflict with the info in the article:
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. But they will not perform cardiopulmonary resuscitation or use a defibrillator. Nor will they intubate her, a procedure that puts a flexible plastic tube down the patient's throat to provide ventilation.
So, I was agreeing with the info in my email from EdNews.org. Thanks for pointing out the intentions of the school.
44 posted on 12/10/2007 10:35:05 AM PST by Sopater (A wise man's heart inclines him to the right, but a fool's heart to the left. ~ Ecclesiastes 10:2)
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To: Sopater

It’s a decision that disgusts me, but parent’s rights trump all. If the parents and doctors decide on a DNR order, their will should be honored.

Kind of funny how some “conservatives” love to rail in favor of parental rights...until other parents reach a decision they don’t agree with. Then they become Hillary.


45 posted on 12/10/2007 10:35:45 AM PST by VirginiaConstitutionalist (Scary thought: Half of all people are dumber than the average person.)
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To: Politicalmom

I don’t think she should be in school at all, as I said. However, the government-run school has no right to subject this terminally ill child to the trauma of emergency resuscitation measures, when the child’s doctors and parents have determined that it would be pointless and cruel, and courts routinely uphold DNR orders for patients of any age who are this sort of condition.


46 posted on 12/10/2007 10:36:44 AM PST by GovernmentShrinker
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To: SoftballMominVA

So? What about the costs of a lost education to the other 20+ kids in the class with this child?


47 posted on 12/10/2007 10:36:47 AM PST by bigfootbob
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To: frogjerk
How did we get to the point in this country where a DNR order can infringe on the moral conscience of everyday Americans?

A DNR is often more moral than resuscitation at any cost.

48 posted on 12/10/2007 10:36:51 AM PST by Melas (Offending stupid people since 1963)
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To: cyclotic

Mom stay with her the classroom?

Sure, that makes sense.


49 posted on 12/10/2007 10:37:17 AM PST by najida (Will you dance at my birthday party?)
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To: Melas

Thank you!

We forget that often we are going against the will of God by keeping people alive when they are dying.


50 posted on 12/10/2007 10:38:06 AM PST by najida (Will you dance at my birthday party?)
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To: Sopater
I posted a DNR order when it became clear my father's condition could not improve if he was revived. I saw no point to prolonging his suffering if extending his life would not improve the quality of his existence. I was prepared to authorize all measures to keep him alive in every other circumstance but I also realized that life and death are ultimately in God's hands and if He wanted to heal my father He would have but He decided it was time for him to come home.
51 posted on 12/10/2007 10:38:14 AM PST by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives In My Heart Forever)
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To: Melas
sometimes a natural death is kinder than artificial life

What kind of "artificial life" is provided at public schools?
52 posted on 12/10/2007 10:38:22 AM PST by Sopater (A wise man's heart inclines him to the right, but a fool's heart to the left. ~ Ecclesiastes 10:2)
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To: cyclotic

Exactly ! Probably free babysitting for the parents.


53 posted on 12/10/2007 10:38:25 AM PST by cinives (On some planets what I do is considered normal.)
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To: najida

Agree with you about the CPR - I’ve seen two CPRs with defibrillation and at least temporary revival now that looked like they turned easy deaths into harder ones, and I haven’t been doing this very long (EMS and nursing school)

The child isn’t a good candidate for CPR, as she would might have to endure it multiple times, but trach and/or ventilator, maybe?


54 posted on 12/10/2007 10:39:12 AM PST by heartwood
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To: bigfootbob
What about the costs? The cost of this one child and others like her are averaged out over the whole. That's why schools can end up with outrageous 'costs per average student' if they have a large severe and profound population.

It's the law and a civil law at that. You don't like it? Don't complain to the choir, call your congresscritter and get IDEA changed

55 posted on 12/10/2007 10:39:41 AM PST by SoftballMominVA (Never wrestle with a pig; he wants to get dirty anyway.)
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To: Sopater

Asking a by-stander not to act in the event the by-stander witnesses this child’s body struggle to live in the event of breathing or heart failure is cruel.

There are a lot of points about this situation that are cruel, for everyone...the child, the parents, the students, the teachers, the by-standers.


56 posted on 12/10/2007 10:39:56 AM PST by hoe_cake
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To: bigfootbob

There is another side....
we live in a super shallow society,
most kids rarely see a sick person,
the eldery much less a child.

To be in a room with a child like her may have
greater benefits and losses....

I mean, they’re learning a lot about life,
and maybe their compassion muscles are getting a
workout.


57 posted on 12/10/2007 10:40:05 AM PST by najida (Will you dance at my birthday party?)
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To: SoftballMominVA
The child is at a public school because she has a right to be there.

Women have abortions in this country because they have a legal right to one too. We have a lot of preposterous rights in this country, and the right of those incapable of an education to an education is but one of them. Anyone with an ounce of common sense knows that we educate our youth so they can go on to lead productive adult lives. There is no sound reason to place this girl in school.

Besides, what you you do with her? Put her in the boiler room like schools used to do and pretend they don't exist?

She should be either in the care of the parents or a care facility of their choosing. Not in school.

58 posted on 12/10/2007 10:41:01 AM PST by Melas (Offending stupid people since 1963)
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To: Froufrou; Yaelle; wideawake; MEGoody; Sopater
From the article: "On a recent morning, Beth Jones could readily see how keenly her daughter enjoyed her trips to school. The little girl was beaming up at her from her wheelchair as they waited for the bus."

How does the mother know that the daughter 'keenly enjoys' her trips to school? How does she know the child isn't beaming up at her because she loves her mother?

If the child enjoys taking a ride, take her for a ride in the car. She doesn't belong in school, especially when she is so near death.

59 posted on 12/10/2007 10:41:13 AM PST by MEGoody (Ye shall know the truth, and the truth shall make you free.)
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To: VirginiaConstitutionalist
Kind of funny how some “conservatives” love to rail in favor of parental rights...until other parents reach a decision they don’t agree with.

The parents have a right to tell me that I, as a teacher, have to take care of their child 6-8 hours a day, but if she should happen to have an issue arise that puts her in immediate danger of dying, all I am allowed to do is push her into the nurse's station and back off?
60 posted on 12/10/2007 10:41:14 AM PST by Sopater (A wise man's heart inclines him to the right, but a fool's heart to the left. ~ Ecclesiastes 10:2)
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