Are advance directives the answer for the frail elderly? / John La Puma -- Multiculturalism in nursing homes / Philip Boyle -- Treatment termination in long-term care : implications for health care providers / Eileen R. Chichin -- Treatment termination in long-term care : what about the physician? What about the family? / Ellen Olson -- Home versus nursing home : getting beyond the differences / Bart J. Collopy -- Comfort care in end-state dementia : what to do after deciding to do no more / Ann C. Hurley, Margaret A. Mahoney, Ladislav Volicer -- The role of antibiotics in comfort care / Jack P. Freer, David W. Bentley -- Treating people with dementia : when is it okay to stop? / Daniel Callahan -- Treating people with dementia : can we afford not to stop? / Marianne C. Fahs -- Some views on ethics and later life / Morris B. Abram.