Generally, no new interventions are begun .
Specialists usually end their own interventions.
Renal specialists, for example, normally take responsibility for stopping dialysis. She said that when multiple interventions are in place, physicians typically remove the most burdensome interventions first. Physicians usually decide which interventions to remove based on whether or not their removal will delay death. The patient s ability to communicate is taken into account, and caregivers try to avoid inflicting pain. Throughout the process of withdrawing support, Dr. Faber-Langendoen said that physicians and caregivers should remember that most dying patients want to see explicit concern about their comfort, and they want to end interventions that don t directly contribute to that comfort.