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Sometimes I think its just plain barbaric for people to think they can just decide not to feed a loved one because "they are not getting better". Where there is breath, there is life and where there is life there is hope. Even if the patient was in a sound mind at one point and wrote their wishes that they did not want to be tube fed they might have changed their minds later on had they known the wrenching feeling of hunger and couldnt tell anyone they changed their mind!  The uncomfortableness of the tube is far less than you think and its just like anything you get used to like wearing a bra for the first time! You dont even know its there...so Bob (down below) either you just dont want to be bothered to care for your ma anymore but as for me the thought of starving my ma to death would just about throw me over the edge....