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William is an 87-year old resident of a skilled facility in a small town. He is single and has only 1 living relative, a 35-year old nephew who is a strong supporter of an individual's right to die. William came to the NSF 4 months ago after a stroke which left him unable to talk and paralyzed on the right side. He has become unresponsive. He has a little appetite and denies hydration. His doctor has given him IV nutrition and hydration but it is quickly becoming difficult to find intact veins. He has never given any indication of his wishes, but his nephew insists that he does not want to live "like this" and "his time has come, and he should be let go." An NG tube was unsuccessful as he repeatedly removes it. The facility's policy is to follow the individual's wishes if they are known. The staff members caring for him insist that aside from the effects of the stroke, little is really wrong with him.
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