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Dignity respect

Marianne Bracconi, Christian Hervé, Philippe Pirnay
In a world open to the movement of people, medical ethics is today associated with the area of loyal behavior of the practitioner and oriented in the patient's interest and accountability of each. The universal vision of respect for the dignity of the sick person progresses. Yet, many behaviours are sometimes illegitimate, but not in principle legally reprehensible. One of the main principles marking the observance of patient consent is based on the autonomy given to the patient to decide for himself what appears to be adapted to his or her care...
March 5, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
Eva Jangland, Noeman Mirz, Tiffany Conroy, Clair Merriman, Emiko Suzui, Akiko Nishimura, Ann Ewens
AIM: To explore the accuracy with which nursing students can identify the fundamentals of care. BACKGROUND: A challenge facing nursing is ensuring the fundamentals of care are provided with compassion and in a timely manner. How students perceive the importance of the fundamentals of care may be influenced by the content and delivery of their nursing curriculum. Since the fundamentals of care play a vital role in ensuring patient safety and quality care, it is important to examine how nursing students identify these care needs...
March 11, 2018: Journal of Clinical Nursing
Laura D Sobredo
Violence against women has gained public awareness in Argentina over the last few years. As any other social phenomena, gender violence is present in the work of psychiatrists, especially in the way they approach to clinical practice. International human rights' law enshrines the right of every women to live free from violence and to be treated with dignity and respect. This legal framework might nourish the practice of psychiatrists as a proposal for seeking cultural and social common grounds. The paper tries to get readers attention on the potentiality of this legal framework which ultimately, might in?uence not only everyday life but clinical practice as well...
July 2017: Vertex: Revista Argentina de Psiquiatriá
Mohamed Amine Mesrati, Nidhal Haj Salem, Marwa Boussaid, Yosra Mahjoub, Ali Chadly, Abir Aissaoui
The spread of the disease of HIV has been decreased since the promotion and protection of human rights. In Tunisian law, patient infected by HIV, as every citizen, enjoys of all his rights without any discrimination, including the right to life and dignity, the right to care access, the free choice of doctor, the right to be informed and consent before any health care and specially the right to medical confidentiality. The Code of patients rights and the law no° 2007-12 of 12 February 2007 supplementing the law no° 92-71 of 27 July 1992 related to transmitted diseases ensure the protection and the respect of these rights...
May 2017: La Tunisie Médicale
Reema Harrison, Merrilyn Walton, Patrick Kelly, Elizabeth Manias, Christine Jorm, Jennifer Smith-Merry, Rick Iedema, Karen Luxford, Amalie Dyda
Objective: Evidence of the patient experience of hospitalization is an essential component of health policy and service improvement but studies often lack a representative population sample or do not examine the influence of patient and hospital characteristics on experiences. We address these gaps by investigating the experiences of a large cohort of recently hospitalized patients aged 45 years and over in New South Wales (NSW), Australia who were identified using data linkage. Design: Cross-sectional survey...
March 1, 2018: International Journal for Quality in Health Care
G Alevizopoulos, V Bozikas, C Touloumis
The use of physical and mechanical restraints in mental health services in Greece arise many ethical and practical issues. The justification of the use of such procedures is rather controversial and subjective to scientific debate. The practice of restraint puts both patients and staff at risk for injury and death. Moreover, restraints can be traumatic even when they do not result in any physical injury to the patient. The types of the physical adverse events include dehydration, suffocation, circulation disturbances, skin problems, loss of strength and mobility, incontinence, etc...
October 2017: Psychiatrikē, Psychiatriki
Pengbo Liu
This paper critically examines Barclay's conception of dignity proposed in her 'Dignitarian Medical Ethics'. According to Barclay, a subject S enjoys dignity if and only if S is reliably treated as having equal social status. I argue that Barclay's view faces a number of practical and theoretical problems. First, it is not obvious that failing to treat someone as a social equal is incompatible with respecting her dignity. Second, it is not always clear what treating someone as a social equal amounts to in practice...
February 27, 2018: Journal of Medical Ethics
Atsushi Asai, Sakiko Masaki, Taketoshi Okita, Aya Enzo, Yasuhiro Kadooka
BACKGROUND: Destination therapy (DT) is the permanent implantation of a left ventricular assist device (LVAD) in patients with end-stage, severe heart failure who are ineligible for heart transplantation. DT improves both the quality of life and prognosis of patients with end-stage heart failure. However, there are also downsides to DT such as life-threatening complications and the potential for the patient to live beyond their desired length of life following such major complications...
February 27, 2018: BMC Medical Ethics
Mary A Ott, Francis P Crawley, Xavier Sáez-Llorens, Seth Owusu-Agyei, David Neubauer, Gary Dubin, Tatjana Poplazarova, Norman Begg, Susan L Rosenthal
Children of minor parents are under-represented in clinical trials. This is largely because of the ethical, legal, and regulatory complexities in the enrolment, consent, and appropriate access of children of minor parents to clinical research. Using a case-based approach, we examine appropriate access of children of minor parents in an international vaccine trial. We first consider the scientific justification for inclusion of children of minor parents in a vaccine trial. Laws and regulations governing consent generally do not address the issue of minor parents...
February 23, 2018: Paediatric Drugs
Alistair Appleby, Philip Wilson, John Swinton
Guidance for medical staff reminds employees of the responsibility to deliver spiritual care in its broadest sense, respecting the dignity, humanity, individuality and diversity of the people whose cultures, faiths and beliefs coexist in society. This is no small or simple task, and although GPs (family practitioners) have been encouraged to deliver spiritual care, we suggest this is proving to be challenging and needs further careful debate. This literature review critiques and analyses existing studies and points to four categories of attitude to spiritual care, and two related but distinct concepts of spirituality in use by GPs...
February 23, 2018: Journal of Religion and Health
Hussein Algahtani, Mohammed Bajunaid, Bader Shirah
Understanding the historical foundations of ethics in human research are key to illuminating future human research and clinical trials. This paper gives an overview of the most remarkable unethical human research and how past misconducts helped develop ethical guidelines on human experimentation such as The Nuremberg Code 1947 following WWII. Unethical research in the field of neuroscience also proved to be incredibly distressing. Participants were often left with life-long cognitive disabilities. This emphasizes the importance of implicating strict rules and ethical guidelines in neuroscience research that protect participants and respects their dignity...
February 19, 2018: Neurological Sciences
Valentin Fauconnier, Sophie Roucher, Florence Michon
From their very first practical placement, student nurses are confronted with suffering and bodies which are wounded, fatigued and worn down by pain, disease or age. They learn, through their experience and the support provided by health professionals, that showing consideration for others means taking care of their body with the utmost respect, in order to preserve the patient's dignity.
January 2018: Soins; la Revue de Référence Infirmière
Lay See Khoo, Poh Soon Lai, Mohd Hilmi Saidin, Zahari Noor, Mohd Shah Mahmood
Cadaver body bags are the conventional method to contain a human body or human remains, which includes the use for storage and transportation of the deceased at any crime scene or disaster scene. During disasters, most often than not, the first responders including the police will be equipped with cadaver body bags to do scene processing of human remains and collection of personal belongings at the disaster site. However, in an unanticipated large scale disasters involving hundreds and thousands of fatalities, cadaver body bags supplies may be scarce...
February 9, 2018: Forensic Science International
Esra Akin Korhan, Çağatay Üstün, Derya Uzelli Yilmaz
Respecting and valuing an individual's existential dignity forms the basis of nursing and medical practice and of nursing care. The objective of the study was to determine the approach to human dignity that nurses and physicians have while providing palliative care. This qualitative study was performed using a phenomenological research design. In-depth semistructured interviews were conducted in 9 nurses and 5 physicians with human dignity approach in palliative care. Following the qualitative Colaizzi method of analyzing the data, the statements made by the nurses and physicians during the interviews were grouped under 8 categories...
March 2018: Holistic Nursing Practice
Cayetano Fernández-Sola, José Granero-Molina, María Del Mar Díaz-Cortés, Francisca Rosa Jiménez-López, Pablo Roman-López, Encarnación Saez-Molina, Cayetano José Aranda-Torres, José María Muñoz-Terrón, María Paz García-Caro, José Manuel Hernández-Padilla
AIMS: to explore and understand the experiences of terminally-ill patients and their relatives regarding dignity during end-of-life care in the emergency department. BACKGROUND: the respect given to the concept of dignity is significantly modifying the clinical relationship and the care framework involving the end-of-life patient in palliative care units, critical care units, hospices and their own homes. This situation is applicable to in-hospital emergency departments, where there is a lack of research which takes the experiences of end-of-life patients and their relatives into account...
February 8, 2018: Journal of Advanced Nursing
Ramesh Nagarajappa, Salil Bapat, Kailash Asawa, Hemasha Daryani, Vivek Vardhan Gupta, Pulkit Chaturvedi, Hitendra Jain
The objective of the study was to assess the perception of women patients toward attitude of health professionals who have undergone physical examination.A descriptive cross-sectional study was conducted among 1,257 women. A self-administered structured questionnaire comprising of 16 questions was designed to assess perception of patients toward attitude of health professionals.Mean perception scores of the study population were 19.79 ± 1.78. Women in the age group of 29-38 years had a greater perception (20...
January 27, 2018: Translational Behavioral Medicine
V Pinchi, M Focardi, F Pradella, R Grifoni, M Palandri, G A Norelli
The migratory flows to Europe from the African countries, Asia and Middle East, have hugely intensified in the recent years. In 2016, more than 98,000 out of a total of 260,000 migrants across the Mediterranean Sea arrived in Italy and in May 2017, the trend of arrivals is: Italy +576%; Greece -39% compared to previous years. Some migrants die before touching the sole of the European continent, during the crossing, often afforded with ships, made available by unscrupulous smugglers or criminal organizations, which are unsuitable for this type of transportation...
December 1, 2017: Journal of Forensic Odonto-stomatology
Gil Siegal, Shimon Glick, Irit Offer-Stark, Avraham Steinberg
Force feeding of fasting hunger-striking prisoners is the subject of considerable controversy in Israel and elsewhere, posing a direct conflict between two basic ethical values: that of human life and respect for autonomy. The Israel Medical Association, as well as the World Medical Association, has taken the position that force feeding of such prisoners is an act of torture and is therefore unethical. However this paper presents an opposing view, which recently became the law in Israel, that, whereas the rights of prisoners to decree a hunger strike as a form of protest should be respected, if the prolongation of the strike reaches a stage of clear and present danger to the life and health of a prisoner, the saving of the prisoner's life must take precedence over considerations of autonomy...
January 2018: Harefuah
Camille E Kostov, Charlotte E Rees, Gerard J Gormley, Lynn V Monrouxe
OBJECTIVES: For many years, the voice of patients has been understood as a critical element for the improvement of care quality in healthcare settings. How well medical graduates are prepared for clinical practice is an important question, but one that has rarely been considered from patient and public perspectives. We aimed to fill this gap by exploring patients and carers' experiences and expectations of junior doctors. DESIGN: This comprises part of a wider study on UK medical graduates' preparedness for practice...
January 21, 2018: BMJ Open
Samuel M Brown, Elie Azoulay, Dominique Benoit, Terri Payne Butler, Patricia Folcarelli, Gail Geller, Ronen Rozenblum, Ken Sands, Lauge Sokol-Hessner, Daniel Talmor, Kathleen Turner, Michael D Howell
Although "respect" and "dignity" are intuitive concepts, little formal work has addressed their systematic application in the intensive care unit (ICU) setting. After convening a multidisciplinary group of relevant experts, we undertook a review of relevant literature and collaborative discussions focused on the practice of respect in the ICU. We report here the output of this process, including a summary of current knowledge, a conceptual framework, and a research program for understanding and improving the practice of respect and dignity in the ICU...
January 22, 2018: American Journal of Respiratory and Critical Care Medicine
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