ethical and legal issues in critical care nursing

... grounding of health and medicine in the human condition, ethical, legal, and social issues did not remain long outside the field of endeavour, discussion, and debate United Kingdom and Finnish-based ... to accessing, understanding, regulating, and distinguishing the valid from the invalid are not trivial However, whilst some of the issues are challenging they are not xi insurmountable and great ... there in the healthcare relationship, and are they reduced in the “diagnosis at a distance” setting? The patient is putting their health and intimate information in another person’s hands and thus...

Ngày tải lên: 15/03/2014, 12:20

... few, if any, supporting resources to assist students and practitioners in mastering basic terminology and accessing important legal opinions regarding legal and ethical dilemmas in everyday practice ... trademarks, and are used only for identification and explanation without intent to infringe Library of Congress Cataloging in Publication Data Sperry, Len Dictionary of ethical and legal terms and issues ... DICTIONARY OF ETHICAL AND LEGAL TERMS AND ISSUES RT53227.indb 10/9/06 9:54:36 AM RT53227.indb 10/9/06 9:54:36 AM DICTIONARY OF ETHICAL AND LEGAL TERMS AND ISSUES The Essential Guide...

Ngày tải lên: 07/03/2014, 04:20

... participants and in public trust in the research enterprise Challenges in oversight and monitoring The lack of effective oversight and monitoring in clinical research makes it similar in many respects ... have no competing interests References 10 11 Conclusion Given the many ethical challenges inherent in critical care research, it would be tempting to propose a separate and distinct approach ... their monitoring and oversight We not see it that way Although perplexing challenges related to monitoring and oversight in critical care research will invariably arise [13–15], such as informed...

Ngày tải lên: 12/08/2014, 20:20

... ICUs, abstract and title searches were performed in Medline/PubMed and CINAHL databases using combinations of the following keywords: Ethics, Clinician-Manager, Critical Care, Intensive Care Unit ... have been captured in the initial search We also hand-searched the following journals: Bioethics (1997 to present), Critical Care, Critical Care Clinics, Critical Care Medicine (1985 to present), ... understanding of the issues, and how they are understood and dealt with, ought to include direct input from ICU clinician–managers Input from ICU clinician–managers with a background in, or special...

Ngày tải lên: 12/08/2014, 20:20

... response to infection in patients with septic shock Insulin and glycemia in sepsis Rusavy and colleagues [16] compared energy expenditure and glucose uptake in response to insulin in non-diabetic ... numerous investigations in sepsis Goscinski and colleagues [21] investigated the ability of tobramycin and ceftazidime to alter the inflammatory response to endotoxin infusion Prior to endotoxin administration, ... Z: The influence of N-acetyl-Lcystein infusion on cytokine levels and gastric intramucosal pH during severe sepsis Crit Care 2004, 8:R172-R179 Bernard GR, Reines HD, Halushka PV, Higgins SB,...

Ngày tải lên: 12/08/2014, 22:22

... during and after liberation from mechanical ventilation using pressure support, CPAP, and T-piece (n = 20 each) During weaning, plasma insulin and glucose as well as urinary vanilmandelic acid increased ... acute hypoxia Although plasma renin activity and angiotensin II immunoreactivity increased during hypoxia, angiotensin-converting enzyme inhibition and type angiotensin II receptor blockade did not ... in pediatric patients when uncuffed ETTs are used, effective VT is inaccurate and VT is most accurately estimated at the airway opening Conditioning inspired gases with heat and moisture in invasively...

Ngày tải lên: 12/08/2014, 22:22

... onto ORSA plates (Oxacillin Resistance Screening Agar; Oxoid, Basingstoke, UK) and then suspended in ml colistin-salt broth (brain–heart infusion with 10 µg colistin/ml and 2.5% NaCl) as a backup ... saved using the qMRSA test • A substantial decrease in MRSA infections was seen in the medical ICU after increasing compliance with onadmission screening and implementing a strategy that linked ... in MRSA infections was seen in the medical ICU after increasing compliance with on-admission screening and linking the rapid test to preemptive isolation and cohorting of MRSA patients Despite...

Ngày tải lên: 12/08/2014, 23:21

... Critical Care Vol 10 No Pepe and Wigginton survivors, who typically remained in coma for significant periods [10,11], these rapidly wakening patients clearly did not ... survivors had never been trained how to use them [9] In essence, technology has now made the average person readily capable of delivering life-saving critical care Considering that sudden cardiac ... laypersons and health professionals with significant life-saving effects [12] However, its infrequent performance has been cited as perhaps the weakest link in the worldwide chain of survival and a...

Ngày tải lên: 12/08/2014, 23:21

... expanding the use of simulations Microsimulation in critical care is no experiment, no hobby; it is present and part of the very near future If intensivists remain at the barrier, they will definitely ... paper by Saka and colleagues, however, included additional data from the clinical course before they entered the intensive care unit (age, gender, and ethnicity), thus ‘recreating individual patients’ ... of the Working Group on Sepsis-related Problems of the European Society of Intensive Care Medicine Intensive Care Med 1996, 22:707-710 Clermont G, Kaplan V, Moreno R, Vincent JL, Linde-Zwirble...

Ngày tải lên: 13/08/2014, 03:21

... deprivation’, ‘actigraphy’, ‘actimetry’ and ‘polysomnography’, in combination with critical illness’, ‘intensive care , critical care , and ‘intensive care unit’ Reference lists of all identified ... those pertaining to sleep measurement in adult patients during their critical care admission and published in full in English Study comparing different sleep measurement techniques In the context ... 11 No Method/Practical difficulties Critical Care compared to standard nursing care [26] and suggested increased sleep quantity in the intervention group A randomised crossover trial of 11 medical...

Ngày tải lên: 13/08/2014, 08:20

... groups taking Drug (dark lines) and Drug (light lines) OA and OC represent the results of one trial, and AB and CD the other trial OA has the lesser slope, meaning Drug is superior in this trial ... uses individual patient data and is prospectively planned, suggesting future clinical investigators should carefully consider the advantages and disadvantages of this approach Competing interests ... A: A comparison of sucralfate and ranitidine for the prevention of upper gastrointestinal bleeding in patients requiring mechanical ventilation Canadian Critical Care Trials Group N Engl J Med...

Ngày tải lên: 13/08/2014, 11:22

... hormone-producing and cytokine-producing machinery, adipose tissue cannot stand passively by in the face of severe threat to life, and is involved in numerous inflammatory responses including production ... Pratley RE, Tataranni PA: Hypoadiponectinemia in obesity and type diabetes: close association with insulin resistance and hyperinsulinemia J Clin Endocrinol Metab 2001, 86:1930-1935 13 Kern PA, ... Nisbett J, Cohen J, Prins J: Changes in serum adiponectin concentrations in critical illness: a preliminary investigation Crit Care 2009, 13:R105 Friedman JM: Obesity in the new millennium Nature 2000,...

Ngày tải lên: 13/08/2014, 18:22

... participation in the activity Nursing Continuing Education Credits The NewYork-Presbyterian Hospital School of Continuing Education for Nurses is an approved provider of continuing nursing education by the ... hypertension and its management • Learn the advances in electrophysiology and pacemakers • Understand the indications and best practices in extracorporeal support in pediatric critically ill ... Current Concepts in Pediatric and Adult Congenital Cardiac Critical Care Introduction This one-day educational symposium will focus on the innovations in the care of pediatric and adult congenital...

Ngày tải lên: 14/12/2015, 20:33

... errors involving continuously infused medications in a surgical intensive care unit Crit Care Med 2004, 32:428-432 80 Stambouly JJ, McLaughlin LL, Mandel FS, Boxer RA: Complications of care in a ... Reporting near misses would substantially increase the number of reports Some systems such as the AIMS-ICU (Australian Incident Monitoring Study in Intensive Care) and the ICUSRS (Intensive Care ... errors in critical care are frequent, serious, and predictable Human factor research in nonmedical settings suggests that demanding greater vigilance from providers of medical care may not result in...

Ngày tải lên: 25/10/2012, 10:35

... artificial insemination in the 1940s and 50s; legalised abortion, contraception, medicalisation of pregnancy and birth in the 1960s and 70s (including ultrasound screening for Down’s Syndrome and Spina ... involving reproductive cloning In a few countries, including Britain (see below) there was already legislation on cloning prompted by earlier cloning of sheep and cattle in the 1980s, and by ... be pursuing reproductive cloning The Chinese government issued a decree banning cloning in October 200333 In Africa, only South Africa has legislation banning cloning In HGA’s view, cloning should...

Ngày tải lên: 13/02/2014, 15:20

... attempting to master more complex critical care nursing concepts Written by nationally acknowledged clinical experts in critical care nursing, this handbook sets a new standard for critical care nursing ... plans include clinical pathways, interdisciplinary care plans, and care maps The multidisciplinary plan of care expands the concept of a medical or nursing care plan and provides an interdisciplinary, ... Originating in the Sinus Node 43 Sinus Bradycardia 44/ Sinus Tachycardia 44/ Sinus Arrhythmia 451 Sinus Arrest 45 Arrhythmias Originating in the Atria 45 Premature Atrial Complexes 461 Wandering...

Ngày tải lên: 16/02/2014, 22:20

... Essentials of Critical Care Nursing Pocket Handbook Notice Medicine is an ever-changing science As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy ... will, indeed, be placed in your pocket and assist you in making a difference in the lives of the patients and families you encounter Marianne Chulay Suzi Burns xi xii To our critical care nursing ... posturing on right side and decerebrate posturing on left side of body (Reprinted from: Carlson BA Neurologic clinical assessment In: Urden LD, Stacy KM, Lough ME, eds Thelan’s Critical Care Nursing: ...

Ngày tải lên: 16/02/2014, 22:20

... Colonization and Infection in the Critical Care Unit 102 C Glen Mayhall PART II: CLINICAL SYNDROMES IN CRITICAL CARE Clinical Approach to Sepsis and Its Mimics in Critical Care Burke A Cunha Meningitis and ... in the critical care unit Infectious diseases maintain their preeminence in the critical care unit setting because of their frequency and importance in the critical unit patient population Since ... present and are becoming important in critical care Infectious Diseases in Critical Care Medicine (third edition) remains the only book exclusively dedicated to infectious diseases in critical care...

Ngày tải lên: 06/03/2014, 06:20

... were not taken into account in the final grading of the systems The overall ranking for all systems (excluding the T E C H corpus results) is given in Figure 2, in terms of the Sent and Char F-measures ... Judith Klavans and Evelyne Tzoukermama 1995 Combining Corpus and Machinereadable Dictionary Data for Building Bilingual Lexicons Machine Translation, 10(3) Lueie Langlois 1996 Bilingual Concordances: ... were involved in the project: the corpus providers (LPL and RALI) and the (RALI, LOILIA, ISSCO, IRMC and LIA) General coordination was handled by J V~ronis (LPL); a discussion group was set up and...

Ngày tải lên: 08/03/2014, 05:21