end of life and palliative care

... 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 European intensive care units: results of ... Crit Care Med 1999, 16:1626-1633 American Thoracic Society Withholding and withdrawing lifesustaining therapy Ann Intern Med 1991, 115:478-485 The Ethics Committee of the Society of Critical Care ... Siegler M: The illusion of futility in clinical practice Am J Med 1989, 87: 81-84 10 Burt RA: The medical futility debate: patient choice, physician obligation, and end- of- life care J Palliat Med...

Ngày tải lên: 12/08/2014, 19:22

... RG, 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 ... 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 Soares ... Duvaldestin P; Page of French RESSENTI Group: Discrepancies between perceptions by physicians and nursing staff of intensive care unit end- of- life decisions Am J Respir Crit Care Med 2003, 167:1310-1315...

Ngày tải lên: 14/08/2014, 07:21

... important dimension of quality of life Notions of coping can then be extended to ideas of the social support network (for example, family, friends, neighbors, co-workers) and of religion and spirituality ... self-esteem, and level of hope (O'Young and McPeek 1987) In sum, concepts of quality of life can be extraordinarily broad, and the interests of clear technology assessment strategy and communication of ... of use of quality -of- life measures and the rigor of the methods of study have changed substantially Najman and Levine (1981) conducted Acknowledgment: We appreciate the advice of J.M Najman and...

Ngày tải lên: 22/03/2014, 10:20

... of individualization (i.e the definition of all elements that constitute individuality) has most likely driven the cultural elaboration of individual death, and consequently, of end- of- life and ... term: "death" Images of life and images of death (What makes you think of life and death?) The presence of death in your history: when, on what occasion, did it occur in your life? On these occasions ... 'believers' Loss of individuality End of subjective life Being aware of dying Not losing control of the situation Attention given to scene of death Importance of living well in the "here and now" Little...

Ngày tải lên: 20/06/2014, 15:20

... Uncontrolled asthma: assessing quality of life and productivity of children and their caregivers using a crosssectional Internet-based survey Health and Quality of Life Outcomes 2010 8:96 ... the QOL of the child’s caregiver and family Significantly lower scores were observed across three of the four caregiver and family QOL measures (Figure 2) Relative to the mean response of caregivers ... impair them socially, emotionally, and educationally However, the impact of asthma in children extends to their caregivers and families, who face the burden of care and impact on Figure School Related...

Ngày tải lên: 20/06/2014, 16:20

... reports on the development and used of a telephone questionnaire designed to measure the severity of AOM and its consequences on the QOL of the child and of the caregiver and its use in a country-wide ... specifically assess the impact of recurrent AOM on the QOL of parents and families [10,11] Four domains of the caregiver’s life are covered (sleep deprivation, change of daily and social activities, ... and parents’ perception of children’s Dubé et al Health and Quality of Life Outcomes 2010, 8:75 http://www.hqlo.com/content/8/1/75 Page of Table Distribution of severity scores for children and...

Ngày tải lên: 12/08/2014, 01:21

... Critical Care February 2003 Vol No Rubenfeld and Curtis helping families weigh the burdens and benefits of ongoing intensive care, are essential to excellent end- of- life care These communication and ... consensus on many aspects of end- of- life care in the ICU exist and have been written about at great length We should not let the exciting challenge of resolving areas of disagreement dissuade ... the ICU and critical illness, and making lay or professional counselors available to families [19] 12 Great strides have been made in defining ethical principles to guide end- of- life care in...

Ngày tải lên: 12/08/2014, 19:22

... patient and next of kin was obtained To avoid an imbalance between APC and standard care patients from each site, each participating site enrolled in blocks of three APC and six standard care patients ... failure and admission diagnosis), process of care variables (concomitant medications, procedures and so on) and outcomes (ICU mortality, length of stay, duration of mechanical ventilation and hospital ... standard care are largely unknown • Study results from 100 matched nonrandomized patients (64 standard care and 36 APC) using the SF36 as a measure of HRQoL showed that, compared with standard care, ...

Ngày tải lên: 13/08/2014, 10:20

... intensivist in charge without any explicit standard of care beyond the normal institutional standards and guidelines Neither care of the patients nor endof -life decision making was influenced by the ... purpose of this study, CPR was defined as at least one cycle of chest compression and ventilation in patients with signs and/ or symptoms of cardiac arrest Patient care was at the discretion of the ... lower expenditures In patients with sudden cardiac arrest, ICU and hospital lengths of stay are often protracted and incurred health care costs are high Despite high short-term mortality and significant...

Ngày tải lên: 13/08/2014, 11:22

... M, Bendtsen P, Sjöberg F: Role of preexisting disease in patients' perceptions of health-related quality of life after intensive care Crit Care Med 2005, 33:1557-1564 Wiley J, Camacho T: Lifestyle ... Survival, morbidity, and quality of life after discharge from intensive care Crit Care Med 2000, 28:2293-2299 Graf J, Koch M, Dujardin R, Kersten A, Janssens U: Health-related quality of life before, ... of life The SF-36 was chosen for the evaluation of HRQoL [18,19] The instrument is internationally well known and has often been used [20] The SF-36 has previously been applied in intensive care...

Ngày tải lên: 13/08/2014, 11:22

Ngày tải lên: 13/08/2014, 11:23

... values, and goals Encourage the presence of family and friends at the patient's bedside near the end- of- life, if desired by the patient Protect the privacy of patients and families near the end of life ... for 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 ... element of palliative care is advanced care planning in which the patient and their family discuss and finalize their wishes regarding end- of- life care Ideally this would involve the completion of...

Ngày tải lên: 13/08/2014, 23:20

... American Academy 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, ... considerations, difficulties and 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: ... Study Group: End- of- life practices in European intensive care units: the Ethicus Study JAMA 2003, 290:790-797 Prendergast TJ, Claessens MT, Luce JM: A national survey of end- of- life care for critically...

Ngày tải lên: 14/08/2014, 07:21

... stress the importance of caregivers as change agents of the child, in turn, children are reciprocally change agents of the caregiver and of family life in general Caregivers of children in the Ritalin ... dose of drug delivered depends on the surface area of the patch and the length of time that the patch is worn, which allows for tailoring the duration of medication effect with reductions of first-pass ... endpoint the majority of caregivers reported that handling changes in their child's behavior was "not very difficult" or only "a little difficult" and that they were "very often" or "fairly often"...

Ngày tải lên: 25/10/2012, 10:06

... her life was now one of poverty of limitation Formerly she had a home, was surrounded by beautiful things and had plenty of money We found she had often tired of the management of her home, and ... body and affairs It is safe to say that all sickness and unhappiness come from the violation of the law of love A new commandment I give unto you, “Love one another,’’ and in the Game of Life, ... than the law of Karma — and that that law transcends the law of Karma It is the law of grace, or forgiveness It is the law which frees man from the law of cause and effect—the law of consequence...

Ngày tải lên: 24/12/2013, 09:17

... colossal business of files and classifications and ledgers and statistics and registrations, an undertaking on a scale beside which Harrod's and Whiteley's and Selfridge's and Wanamaker's and the Magazin ... plates of cake, buns of a citron-yellow hue, pale pastries, ham sandwiches and packets of cigarettes The upper panels of one of its sides unfold to form a bar below and a penthouse roof above, ... dim shapes of the windows and the red of cigarette-ends, many of us still had to complete our undressing We became adepts at doing this in the dark and so disposing of the articles of our attire...

Ngày tải lên: 17/02/2014, 22:20

... the extent and structure of the demand for health care and health expenditures In the case of longterm care, there are other important effects that concern the structure of health care and institutional ... labour force participation of women may affect the future supply of informal family care- giving and may increase the demand for professional home care and institutional care In all EU countries ... care- giving and may increase the demand for professional home care and institutional care Second, changes in family structure and household composition also affect the need for professional home care...

Ngày tải lên: 05/03/2014, 18:20

... the lowlands and the slaughter of thousands of men, women and children of the predecessor's adherents; for five centuries northwest and northern India literally reeked with the blood of multitudes."[1] ... Akbar by deeds of partiality, selfishness and violence that in March 1560 Akbar, then 17 years of age, decided to take the reins of government into his own hand Deprived of his office and influence ... viceregencies, and these into provinces, administrative districts and lesser subdivisions, and governed the revenues of the empire on the basis of a uniformly exact survey of the land He introduced a standard...

Ngày tải lên: 06/03/2014, 12:20

... Physical Disability Maternity and Child Health Family and Child Care People using Mental Health Services People with a Learning Disability Acute Care Palliative and End of Life Care The model was applied ... voluntary and community sector organisations, political representatives, independent care providers, and colleagues within health and social care in other parts of the UK and the Republic of Ireland ... Physical Disability Maternity and Child Health Family and Child Care People using Mental Health Services People with a Learning Disability Acute Care Palliative and End of Life Care 16 It moves on to...

Ngày tải lên: 07/03/2014, 04:20

... They are profound, full of wisdom and have inspired thousands of people for several decades She was an outstanding proponent of the power of thoughts She taught that life is a game and in order ... Word” is a compendium of her notes, gathered by one of her students and published posthumously in 1945 The Game of Life And How to Play It Index Chapter 1: The Game Chapter 2: The Law of Prosperity ... surrounded by beautiful things and had often tired of the management of her home, and had said repeatedly, "I'm sick and tired of things - I wish I lived in a trunk," and she added: "Today I am living...

Ngày tải lên: 15/03/2014, 09:20