keyword
https://read.qxmd.com/read/38501174/refusals-and-requests-in-defense-of-consistency
#21
JOURNAL ARTICLE
Jeremy Davis, Eric Mathison
Physicians place significant weight on the distinction between acts and omissions. Most believe that autonomous refusals for procedures, such as blood transfusions and resuscitation, ought to be respected, but they feel no similar obligation to accede to requests for treatment that will, in the physician's opinion, harm the patient (e.g., assisted death). Thus, there is an asymmetry. In this paper, we challenge the strength of this distinction by arguing that the ordering of values should be the same in both cases...
March 19, 2024: Cambridge Quarterly of Healthcare Ethics: CQ
https://read.qxmd.com/read/38496722/commentary-to-timely-dying-in-dementia-use-patients-judgments-and-broaden-the-concept-of-suffering-timely-dying-suffering-in-dementia-and-a-role-for-family-and-professional-caregivers-in-preventing-it
#22
JOURNAL ARTICLE
Jenny T van der Steen, Trijntje M Scheeres-Feitsma, Petruschka Schaafsma
Broadening the concept of suffering in dementia to five types of suffering including suffering of family caregivers as proposed by Terman et al., may help raise awareness on a need to relieve suffering when living with dementia and adopt a holistic approach. However, as objective criteria in advance care plans for severe enough suffering to stop assisted feeding or other life-sustaining treatment in people with advanced dementia, these still need interpretation in the context of, for example, available treatment, and change in coping...
2024: Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring
https://read.qxmd.com/read/38496720/can-an-effective-end-of-life-intervention-for-advanced-dementia-be-viewed-as-moral
#23
JOURNAL ARTICLE
Stanley A Terman
Many people dread prolonged dying with suffering in the terminal illness, advanced dementia. To successfully facilitate a timely dying, advance directives must be effective and acceptable. This article considers whether authorities, including treating physicians, can accept as moral, the effective intervention that ceases caregivers' assistance with oral feeding and hydrating. The article presents eight criticisms and "alternate views" regarding ceasing assisted feeding/hydrating. It draws on perspectives from clinical medicine, law, ethics, and religion...
2024: Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring
https://read.qxmd.com/read/38496716/timely-dying-in-dementia-use-patients-judgments-and-broaden-the-concept-of-suffering
#24
JOURNAL ARTICLE
Stanley A Terman, Karl E Steinberg, Nathaniel Hinerman
Patients living with advanced dementia (PLADs) face several challenges to attain the goal of avoiding prolonged dying with severe suffering. One is how to determine when PLADs' current suffering becomes severe enough to cease all life-sustaining treatments, including withdrawing assistance with oral feeding and hydrating, a controversial order. This article broadens the concept of suffering by including suffering that cannot be observed contemporaneously and the suffering of loved ones. Four paradigm shifts operationalize these concepts...
2024: Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring
https://read.qxmd.com/read/38494509/handling-the-desire-to-die-evaluation-of-an-elective-course-for-medical-students
#25
JOURNAL ARTICLE
M Schallenburger, J Schwartz, Yann-Nicolas Batzler, St Meier, R Küppers, Th Tenge, A Doll, K Kremeike, D Wetzchewald, M Neukirchen
BACKGROUND: The desire to die can occur in palliative care patients with a prevalence of up to 22%. Not every desire to die is accompanied by a pressure to act, but usually by a burden that can arise from various factors. To address this burden appropriately, health care workers should be trained. Based on an evaluated course on handling the desire to die, an elective course for medical students was developed and evaluated. In order to identify the impact of the elective course's content, a comparison of attitudes towards assisted dying with two other participant groups was conducted...
March 18, 2024: BMC Medical Education
https://read.qxmd.com/read/38493732/persons-with-mental-disorders-and-assisted-dying-practices-in-spain-in-response-to-ramos-et-al
#26
JOURNAL ARTICLE
Josep Pifarre, Montse Esquerda, Francesc Torralba, Jacinto Bátiz, Margarita Bofarull
Ramos et al. paper offers a narrative review of Spanish Organic Law 3/2021, which regulates euthanasia, focusing on its application to individuals with mental disorders. Ramos et al. examine the application of legal prerequisites from an ethical-legal perspective to ascertain the conditions under which psychiatric euthanasia might be considered legitimate and compliant with legal stipulations. Nevertheless, it is apparent that the core ethical inquiries linked to this matter have not been exhaustively investigated...
March 16, 2024: International Journal of Law and Psychiatry
https://read.qxmd.com/read/38491839/what-nurses-must-understand-about-the-ethics-of-assisted-dying
#27
EDITORIAL
Esme D West, Tiffany N Ricks
No abstract text is available yet for this article.
March 2024: Nursing Open
https://read.qxmd.com/read/38487957/residency-requirements-for-medical-aid-in-dying
#28
JOURNAL ARTICLE
Rebecca Dresser
In 1997, when Oregon became the first U.S. jurisdiction authorizing medical aid in dying (MAID), its law included a requirement that patients be legal residents of the state. Other U.S. jurisdictions legalizing MAID followed Oregon in adopting residency requirements. Recent litigation challenges the legality, as well as the justification, for such requirements. Facing such challenges, Oregon and Vermont eliminated their MAID residency requirements. More states could follow this move, for, in certain circumstances, the U...
March 15, 2024: Hastings Center Report
https://read.qxmd.com/read/38486463/dhikr-and-qur-an-recitation-therapy-an-idea-to-recover-the-mental-health-of-families-of-the-death-victims-of-mount-marapi-eruption-in-west-sumatra-indonesia
#29
JOURNAL ARTICLE
Rizky Andana Pohan, Marimbun Marimbun, Wan Chalidaziah, Erfan Ramadhani, Ramtia Darma Putri, Palasara Brahmani Laras
BACKGROUND: Volcanic eruption is one of the most common disasters in Indonesia. One of the most fatal volcanic eruptions in Indonesia in 2023 was the eruption of Mount Marapi in West Sumatra. This caused a psychological impact on the survivors and families of the victims who died. PROBLEM: Psychological interventions are usually only provided to survivors. It is very rare to find psychosocial assistance provided to the families of victims who died, even though they also experience acute and prolonged mental health disorders, such as trauma and even depression...
March 15, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38479202/-usefulness-of-e-consultation-in-cardiology
#30
JOURNAL ARTICLE
F J Molano Casimiro, M González Correa, M J Romero Reyes
INTRODUCTION AND OBJECTIVES: The development of IT tools and interlevel relationships in the management of the most prevalent processes has led to a semi-presential assessment approach. In cardiology, this form of assessment is possible through a close collaboration with primary care. The aim of this study is to analyze the results of our e-consultation program and to establish the effectiveness of this new form of assistance. METHODS: Single-center study that included e-consultations referred from 15 September 2021 to 30 September 2022...
March 12, 2024: Semergen
https://read.qxmd.com/read/38470133/-pseudomonas-aeruginosa-ventricular-assist-device-infections-findings-from-ineffective-phage-therapies-in-five-cases
#31
JOURNAL ARTICLE
Saima Aslam, Dwayne Roach, Mikeljon P Nikolich, Biswajit Biswas, Robert T Schooley, Kimberley A Lilly-Bishop, Gregory K Rice, Regina Z Cer, Theron Hamilton, Matthew Henry, Tiffany Luong, Ann-Charlott Salabarria, Laura Sisk-Hackworth, Andrey A Filippov, Francois Lebreton, Lindsey Hall, Ran Nir-Paz, Hadil Onallah, Gilat Livni, Eran Shostak, Anat Wieder-Finesod, Dafna Yahav, Ortal Yerushalmy, Sivan Alkalay-Oren, Ron Braunstein, Leron Khalifa, Amit Rimon, Daniel Gelman, Ronen Hazan
Left ventricular assist devices (LVAD) are increasingly used for management of heart failure; infection remains a frequent complication. Phage therapy has been successful in a variety of antibiotic refractory infections and is of interest in treating LVAD infections. We performed a retrospective review of four patients that underwent five separate courses of intravenous (IV) phage therapy with concomitant antibiotic for treatment of endovascular Pseudomonas aeruginosa LVAD infection. We assessed phage susceptibility, bacterial strain sequencing, serum neutralization, biofilm activity, and shelf-life of phage preparations...
March 12, 2024: Antimicrobial Agents and Chemotherapy
https://read.qxmd.com/read/38468298/nurse-assistants-perception-of-caring-for-older-persons-who-are-dying-in-their-own-home-an-interview-study
#32
JOURNAL ARTICLE
Magdalena Annersten Gershater, Josefin Brenner, Malin Nordberg, Ami Hommel
BACKGROUND: As the proportion of older persons in society increases, there is a growing trend towards providing end-of-life care in their homes. Palliative care is a complex and knowledge-demanding form of care, and nurse assistants are those who work closest to the older person at the end-of-life in their own homes. However, nurse assistants sometimes have low educational and insufficient levels of knowledge in palliative care, which can affect the quality of care they provide. Moreover, nurse assistants' experiences are relatively unexplored in this context...
March 12, 2024: BMC Palliative Care
https://read.qxmd.com/read/38463175/medical-assistance-in-dying-a-reflection-tool-for-pharmacists
#33
JOURNAL ARTICLE
Javiera Navarrete, Margaret Gray, Michelle A King, Amary Mey, Phillip Woods, Theresa J Schindel
No abstract text is available yet for this article.
2024: Canadian Pharmacists Journal: CPJ
https://read.qxmd.com/read/38462933/the-role-of-palliative-care-for-patients-with-left-ventricular-assist-devices-a-narrative-review
#34
JOURNAL ARTICLE
Badr Abdullah, Richa Gupta, Kelley M Anderson, Keki Balsara, Farooq H Sheikh, Hunter Groninger, Anirudh Rao
BACKGROUND AND OBJECTIVE: Left ventricular assist devices (LVADs) have revolutionized the care of patients with advanced heart failure (HF). Compared to guideline-directed medical and device therapies, LVAD technology improves quality of life and reduces mortality. Palliative care specialists have an important role to play in the pre-LVAD evaluation phase, in the post-operative longitudinal care phase, and at the endof-life in patients with LVADs. The objective of this narrative review is to describe the evidence regarding the role of palliative care for patients with LVAD across the care continuum: pre-implantation, postimplantation, and at the end-of-life...
February 27, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38460257/molecularly-imprinted-metal-organic-frameworks-assisted-cloth-and-paper-hybrid-microfluidic-devices-for-visual-detection-of-gonyautoxin
#35
JOURNAL ARTICLE
Jiawen Xiang, Ji Qi, Die Hu, Chao Wang, Liyan Wang, Yixuan Wu, Jiadong Chen, Zhiyang Zhang, Xiaoyan Wang, Bowei Li, Lingxin Chen
Marine algal toxin contamination is a major threat to human health. Thus, it is crucial to develop rapid and on-site techniques for detecting algal toxins. In this work, we developed colorimetric cloth and paper hybrid microfluidic devices (μCPADs) for rapid detection of gonyautoxin (GTX1/4) combined with molecularly imprinted polymers. In addition, the metal-organic frameworks (MOFs) composites were applied for this approach by their unique features. Guanosine serves as a dummy template for surface imprinting and has certain structural advantages in recognizing gonyautoxin...
March 5, 2024: Journal of Hazardous Materials
https://read.qxmd.com/read/38459876/legislating-the-cause-of-death-what-s-in-a-name-%C3%A2
#36
JOURNAL ARTICLE
David Ranson
In recent years legal rules to regulate causes of death have begun to appear. One example of this relates to the term "excited delirium" which has been subject to challenge by medical and legal professionals. Human rights activists have pushed against its usage by law enforcement and medical death investigators. The passing of the California Assembly Bill 360 restricting the use of the term is an example of this. Legislatively mandating, or banning causes of death poses an interesting challenge for death investigators...
December 2023: Journal of Law and Medicine
https://read.qxmd.com/read/38459874/conscientious-objection-and-institutional-objection-to-voluntary-assistance-in-dying-an-ethico-legal-critique
#37
JOURNAL ARTICLE
Ian Kerridge, Cameron Stewart, Jackie Leach Scully, Mary Chiarella, Julie Hamblin, Adam Johnson, Christopher Ryan, Linda Sheahan, George Skowronski
This column examines conscientious objection and institutional objection in Australian voluntary assistance in dying. It reviews the current legislative regimes and then examines these practices from an ethical perspective, and raises particular concerns and suggestions with how conscientious objection and institutional objection should be operationalised.
December 2023: Journal of Law and Medicine
https://read.qxmd.com/read/38458927/-pal-prat-study-healthcare-workers-knowledge-and-perception-of-palliative-practices-in-a-cancer-center
#38
JOURNAL ARTICLE
Marie Locatelli, Cécile Flahault, Nicolas Roche, Christine Mateus, François Blot, Lucile Montalescot, Jean-Bernard Le Provost, Léonor Fasse
INTRODUCTION: The issue of end-of-life care is the subject of a sensitive debate in French society, particularly regarding the possibility for certain patients to have access to medical assistance in dying. The aim of this study was to assess the knowledge and opinion of healthcare providers on the care practices for patients at the end of life, as well as to highlight any specificities in their discourse. METHOD: A survey of healthcare providers' opinions, composed of closed and open questions, that were analyzed using a lexicometric approach, was distributed in a cancer center...
March 7, 2024: Bulletin du Cancer
https://read.qxmd.com/read/38454881/causes-of-preventable-death-among-children-of-female-sex-worker-mothers-in-low-and-middle-income-countries-a-community-knowledge-approach-investigation
#39
JOURNAL ARTICLE
Wendy L Macias-Konstantopoulos, Emily Perttu, Swarna Weerasinghe, Duduzile Dlamini, Brian Willis
BACKGROUND: Female sex workers (FSW) in low- and middle-income countries (LMIC) are disproportionately vulnerable to poor health, social, and economic outcomes. The children of female sex workers (CFSW) experience health risks based on these challenging circumstances and the unique conditions to which they are exposed. Although country child mortality data exist, little is known about the causes of death among CFSW specifically, thereby severely limiting an effective public health response to the needs of this high-risk group of children...
March 8, 2024: Journal of Global Health
https://read.qxmd.com/read/38450036/distribution-and-antibacterial-susceptibility-pattern-of-isolated-bacteria-from-endotracheal-aspirates-among-ventilator-assisted-pneumonia-patients-in-indonesia
#40
JOURNAL ARTICLE
Novita Andayani, Wilda Mahdani, Mailani Nisyra, Heidy Agustin
An accurate and timely identification of causative microorganisms as well as determination of their antibiotic susceptibility patterns will help in the selection of proper antibiotics and prevention of their misuse in pneumonia patients. The aim of this study was to determine the distribution and antibiotic susceptibility pattern of bacteria isolated from endotracheal aspirates of ventilator-assisted pneumonia patients in Indonesia. A retrospective cross-sectional study was conducted at Dr. Zainoel Abidin Hospital, a provincial reference hospital in Banda Aceh, Indonesia, from January to December 2021...
April 2023: Narra J
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