ethical issues in end of life care

... Great strides have been made in defining ethical principles to guide end- of- life care in the 35 years since a panel reached consensus on guidelines to define brain death [20] Nevertheless, it is ... Conference in Intensive Care Medicine: Preliminary Programme – Challenges in End- of- Life Care in the ICU: 2003 24–25 April; Brussels, Belgium 2002 [http://www.esicm.org/ ICCICM_preliminaryProgram_070802.pdf] ... implemented Stuttering withdrawal of life- sustaining treatments (e.g the decision to withhold necessary dialysis in a patient with acute renal failure while continuing all other forms of life support)...

Ngày tải lên: 12/08/2014, 19:22

... Piva JP: End- of- life care in Brazil Intensive Care Med 2007, 33:1014-1017 10 Lisboa T, Friedman G: Forgoing life support in Intensive care units of South Brazil: the results of and ethical questionnaire ... of Critical Care Medicine: Recommendations for end- of- life care in the intensive care unit: a consensus statement by the American College of Critical Care Medicine Crit Care Med 2008, 36:953-963 ... Mulkerin C, Puntillo KA, Ray DE, Weissman DE; Improve Palliative Care in the Intensive Care Unit Project: Models for structuring a clinical initiative to enhance palliative care in the intensive care...

Ngày tải lên: 14/08/2014, 07:21

... allocation of resources at the end- of- life The physician's role at the end of life Emergency physicians face numerous challenges when managing the clinical care of patients at the end- of- life When ... education in palliative and end- of- life care in emergency medicine Acad Emerg Med 2009, 16(2):181-183 Michelson KN, Steinhorn DM: Pediatric end- of- life issues and palliative care Clin Pediatr ... Palliat Care 2003, 20(1):57-61 Emanuael EJ: Depression, euthanasia, and improving end- oflife care J Clin Oncol 2005, 23(27):6456-6458 Goy E, Ganzini L: End- of- life care in geriatric psychiatry Clin...

Ngày tải lên: 13/08/2014, 23:20

... documentation of end- of- life decisions in European intensive care units: the ETHICUS Study Intensive Care Med 2008, 34:271-277 Hall RI, Rocker GM: End- of- life care in the ICU: treatments provided when life ... 2009 Levin PD, Sprung CL: Cultural differences at the end of life Crit Care Med 2003, 31:S354-S357 Giannini A, Pessina A, Tacchi EM: End- of- life decisions in intensive care units: attitudes of physicians ... of religious affiliation and culture on endof -life decisions in European intensive care units Intensive Care Med 2007, 33:1732-1729 Moselli NM, Debernardi F, Piovano F: Forgoing life sustaining...

Ngày tải lên: 14/08/2014, 07:21

... withholding or withdrawing life- sustaining treatment can be considered, the present condition of the infant must be assessed in the Ethical issues in withdrawing life- sustaining treatment Beyond ... 21.1 Ethical issues in withdrawing life- sustaining treatment from handicapped neonates – in the presence of uncertainty light of the best scientiWc knowledge available The future for the infant ... quite certain, and for a few others, suYciently certain In the presence of uncertainty, the issues may be seen in Figure 21.1 Either side of an equipoise of uncertainty, there is a balance of probability...

Ngày tải lên: 01/11/2013, 08:20

Ngày tải lên: 30/03/2014, 01:20

... scientific study of methods to promote the systematic uptake of clinical research findings into routine clinical practice, and hence to reduce inappropriate care [3] It includes the study of influences ... the intervention There were no significant effects of CDSS on consultation rates, process of care measures (including prescribing) or any quality of life domain for either condition Levels of ... funds for individual doctors, providing an inducement Inducements might coerce doctors into, for example, increasing the uptake of vaccinations or screening This can lead to patients' being put...

Ngày tải lên: 11/08/2014, 05:21

... scientific study of methods to promote the systematic uptake of clinical research findings into routine clinical practice, and hence to reduce inappropriate care [3] It includes the study of influences ... the intervention There were no significant effects of CDSS on consultation rates, process of care measures (including prescribing) or any quality of life domain for either condition Levels of ... funds for individual doctors, providing an inducement Inducements might coerce doctors into, for example, increasing the uptake of vaccinations or screening This can lead to patients' being put...

Ngày tải lên: 11/08/2014, 16:21

... European intensive care units: results of an ethical questionnaire Crit Care Med 1999, 16:1626-1633 American Thoracic Society Withholding and withdrawing lifesustaining therapy Ann Intern Med ... Committee of the Society of Critical Care Medicine: Consensus statement of the Society of Critical Care Medicine Ethics Committee regarding futile and other possibly inadvisable tratments Crit Care ... A, Streiner DL: Determinants in Canadian health care workers of the decision to withdraw life support from the critically ill JAMA 1995, 273:703-708 Vincent JL: Forgoing life support in western...

Ngày tải lên: 12/08/2014, 19:22

... in the context of ethical issues in withdrawing life- sustaining treatment He writes, Life- sustaining treatment implies that treatment is being given in order to maintain or create the best possible ... results in the infant becoming involved in a growing number and variety of social relationships In summary, none of the views discussed above provides an adequate account of moral standing In looking ... range of ethical issues that are not always fully recognized in the care of HIV-positive pregnant women Many of these issues centre around responsibility for bringing infected children into the...

Ngày tải lên: 21/09/2012, 10:54

... QoL of patients during care and the influence of QoL on the prognosis of alcoholism are unknown (22, 23) The aims of this study in a clinical setting was: 1) to determine the change in QoL of ... social well-being The idea of quality of life (QoL) incorporates these dimensions and can be defined as “an individual’s perception of their position in life, and in the context of the culture ... Summary of >6 points in two-thirds of patients and an increase in Mental Component Summary score of >8 points in two-thirds of patients The variables associated with a large increase (>6) in Physical...

Ngày tải lên: 03/11/2012, 10:52

... concern in health care choices all over the world (Hermeren, 1998) In passing, however, it is still puzzling to observe that in our wealthier countries huge sums of money are spent at the end of life, ... interventions and cloning trates on practical issues, within the context of licensing clinics for testing speciWc inherited conditions and restricting access through guidelines that limit which ... The meeting was held a month after the Committee of Ministers of the Council of Europe had approved the text of the Convention for the Protection of Human Rights and Dignity of the Human Being With...

Ngày tải lên: 01/11/2013, 08:20

... positive trend Rather than endorsing a programme of national funding for perinatal zidovudine (prevalence in pregnant women is around one in Wve), he is exploring the evidence for AIDS not being caused ... information I submit that in the case of anonymized testing, and in the case of ‘routine’ voluntary named testing, consent is often vitiated by a lack of understanding and information, and sometimes ... existing guidelines – in particular, the Declaration of Helsinki (World Medical Association, 1996) and the international ethical guidelines for biomedical research involving human subjects of the...

Ngày tải lên: 01/11/2013, 08:20

... parameters of FTPP decisions include many relevant variables In my delineation of real and concocted cases, I have illustrated some of these – the The fewer the better? burdens and beneWts of maintaining ... embryos after fertilization, storing or disposing of extra ones in some other way In fact, this is the usual practice of reproductive endocrinologists, who tend to consider higher order multiples ... light of these limitations, the most common method of terminating some of the embryos or fetuses in a multiple gestation is direct termination at to 12 weeks through transabdominal needle insertion...

Ngày tải lên: 01/11/2013, 08:20

... coal miners in terms of the “frame” of tons of coal mined, the health of miners appears to be improving That is, coal-mine deaths, per ton of coal mined, have been decreasing since 1950 in the ... coal miners in terms of the “frame” of numbers of coal miners, the health of miners appears to be diminishing That is, coal mine deaths, per thousand coal-mine employees in the US, have been increasing ... question, influences on the funding of some research projects (and not others), influences on the outcome of research (i.e., findings), and influences on the dissemination of research findings? Are...

Ngày tải lên: 17/02/2014, 10:20

... separated from a way of thinking in terms of machines, a machine-like way of thinking The recovery of nursing care requires not so much more thinking about the ‘proper place of technology’, but ... Library Library of Congress Cataloguing in Publication Data Ethical Issues in Nursing/edited by Geoffrey Hunt p cm.—(Professional ethics) Includes bibliographical references and index Nursing ethics ... proliferation of codes of ethics, or of professional conduct The drafting of such a code provides an opportunity for professionals to examine the nature and goals of their work, and offers information...

Ngày tải lên: 18/02/2014, 14:20

... situation Rethinking social work ethics The contents of this book 1 12 In search of the holy grail Naina Patel Introduction Starting anti-racism Utilitarianism Differing goals 16 Ethical issues in social ... hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers British Library Cataloguing in Publication ... ethics of social work practice in the light of these changes Ethical Issues in Social Work provides up-to-date critical analyses of the ethical implications of new legislation in community care...

Ngày tải lên: 16/03/2014, 04:20

... restrictions of any sort, however inspiring the idea of moral principles and ethical codes of conduct might initially sound? In Britain the media are restricted by the criminal laws of official secrets, ... judgements of an editor who accepts the internal goals and values of journalism Thus, in defining a free press as one in which editorial independence is maintained, one is not appealing to property ... series: Ethical Issues in Nursing Edited by Geoffrey Hunt Ethical Issues in Social Work Edited by Richard Hugman and David Smith Genetic Counselling Edited by Angus Clarke The Ground of Professional...

Ngày tải lên: 23/03/2014, 06:20

Ngày tải lên: 23/03/2014, 23:20

... would support a presumption in favor of continuing the development of germline genetic engineering That is, we have argued that germline genetic engineering is not intrinsically morally objectionable ... THERAPY: ETHICAL ISSUES IN THE CLINICAL CONTEXT 321 seem to be anything ethically problematic about physicians offering such an intervention to that individual, or that individual choosing to accept ... determine what they judge to be in their own best interests (within the constraints of good medical practice) from the point of view of their own stable values and life goals The fourth ethical principle...

Ngày tải lên: 10/04/2014, 22:10