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This case involved whether to discontinue the feeding tube of a young woman from Missouri who was in an irreversible neurological condition . As four types of high burden ATs were Factor 2 in both the dementia and temporary illness scenarios and 4 types of low burden ATs were Factor 3 in the irreversible coma scenario , the second biggest factor affecting preferences might be the perceived level of burden of ATs . Indeed , one hospital futile-care protocol explicitly states : “ Provision of any treatment other than comfort care to a patient in an irreversible coma , persistent ( permanent ) vegetative state , or with anencephaly [ is ] inappropriate . A living will is a legal document in which you direct your physician regarding the withdrawal of life support if you become ill and have a terminal condition , are in an irreversible coma or a persistent vegetative state . Under sustained loadings , ice behaves inelastically , resulting in large irreversible strains . We met with the neurosurgeon that afternoon and learned of our options : 1 ) We could have the surgery as planned in the morning 2 ) get a second opinion or 3 ) do nothing , which the tumor would grow so quickly that within 30 days he would be in an irreversible coma . " 7 Successful elections on 30 January locked in the irreversible momentum . This biography of Ariel Sharon sounds like a eulogy as the Prime Minister lies near death in an irreversible coma . In a typical living will , a person generally stipulates , " If I am in an irreversible neurological condition , I do not want the following types of interventions . Brain death is declared medically when a patient is in an irreversible coma due to brain injury — from a stroke , for example — and has no brain stem response , leading to a flat EEG ( that is , no sign of brain activity on an electroencephalography recording ) , or ability to breathe independently . On the other hand respondents ' characteristics did not affect treatment preferences in the irreversible coma scenario , while many characteristics significantly affected preferences in the other two scenarios .