Báo cáo y học: "Ethics roundtable debate: should a sedated dying patient be wakened to say goodbye to family" pdf

... dying patient be wakened to say goodbye to family? Anna Batchelor 1 , Leslie Jenal 2 , Farhad Kapadia 3 , Stephen Streat 4 , Leslie Whetstine 5 and Brian Woodcock 6 1 Consultant, Anaesthesia and ... respect autonomy in a literal sense would actually require the team to awaken the patient to ask him whether he wanted to be awakened. Clearly this type of reductionism...

Ngày tải lên: 12/08/2014, 19:22

... may be valuable. I suggest that mediation with outside help may be important for all [26]. Follow up After the tracheotomy tube was replaced, the young patient was transferred for a few days to ... approval) may be sought. When the patient s family and physicians cannot be reconciled, however, any appeals to the US judicial system in a prospective manner for arbitration wil...

Ngày tải lên: 12/08/2014, 20:20

... overhear that the fatal infection had been due to a multiresistant staphylococcus called MRSA and may have been catheter-related. They now say that they remember having seen a nurse leaving the ... current clinical practice, angiographic and symptomatic cerebral vasospasm is recognized as the main cause of substantial disability and death in patients with subarachnoid haemor- rhage. C...

Ngày tải lên: 12/08/2014, 20:21

... India Farhad Kapadia In my hospital in Mumbai (formally Bombay), India, the main issues in such a scenario would be what my legal obligations are and what my ethical considerations should be. The doctor patient ... occurred? Alternatively, am I mandated to keep silent regarding anything the patient may have told me because of the confidentiality of the doctor patient relationship...

Ngày tải lên: 12/08/2014, 22:21

... ventilation were initially introduced and gave clear advantage to treatment over disease. Benefits today are incrementally smaller, with debatable reductions in mortality from many diseases treated in ... Simply put, we may simply not be able to afford the benefit of the doubt; we will have to take steps to quantify it so that it can be avoided by formal protocol, and not bedside...

Ngày tải lên: 12/08/2014, 18:21

... most similar situations, family members and physicians can negotiate a mutually acceptable plan. In others the risks may be so great or the standard care may be so clear that the physician is justified ... honestly and fairly, and in accordance with evidence-based criteria. In this manner, the family can appreciate the medical situation and the options available, and make a clinically...

Ngày tải lên: 13/08/2014, 02:24

... weeknights, and holidays, a phenomenon that has been attributed, at least in part, to lower staffing levels. A large Canadian study showed a significantly increased risk of death for patients admitted ... nighttime). A Canadian survey found that dedicated in-house physician coverage overnight was available in only 60% of ICUs by any physician and in 15% by ICU staff. The study found...

Ngày tải lên: 13/08/2014, 11:22

... arsenal Abstract You are director of a large multi-disciplinary ICU. You have recently read that hospital-wide antibiotic stewardship programs have the potential to improve the quality and safety ... patient safety initiatives and the benefi ts of cost savings and cost avoidance may enable hospital administrators to look upon antibiotic stewardship programs favourably [20]. Sup...

Ngày tải lên: 13/08/2014, 20:21

... unsalvageability, but we are facing health care reform that will expect physicians to care for more patients more cheaply.  at pie can be cut only so many ways. Every day a long-term patient lies in an ... memorable patients at Columbia [University, College of Physicians and Surgeons] was a Taiwanese woman in her early 20s with highly refractory SE whom we diagnosed with an o...

Ngày tải lên: 13/08/2014, 20:21

... the type of assay used. Earlier studies used a quantitative assay with a limited functional assay sensitivity of 0.3 to 0.5 μg/L, whereas more recently an assay with a functional sensitivity of ... (time- resolved amplified cryptate emission) technology assay (Kryptor PCT; B·R A H·M·S Aktiengesellschaft, Henningsdorf, Germany). It is crucial to know what assay is available to your...

Ngày tải lên: 13/08/2014, 10:20