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DNR Confusion Seen as Public Safety Risk
Confusion over living wills and 'Do Not Resuscitate' orders among doctors, nurses and paramedics has created a national public safety risk, a top medical researcher says.
The warning follows a Herald report on what one hospital executive called a 'misunderstanding' after an elderly man was labeled as DNR shortly before he died at Melrose-Wakefield Hospital.
'This is a nationwide - public safety concern,' said Dr. Ferdinando L. Mirarchi, emergency medicine director at the University of Pittsburgh Medical Center Hamot. 'My research today shows that essentially the documents are misunderstood and they're misunderstood on a ...
Source: JEMS: Journal of Emergency Medical Services News - March 16, 2016 Category: Emergency Medicine Tags: General News Protocols & Medical Direction Source Type: news
Prospective validation and adaptation of the HOSPITAL score to predict high risk of unplanned readmission of medical patients.
CONCLUSIONS: The HOSPITAL score prospectively identified patients at high risk of 30-day unplanned readmission or death with good performance in medical patients in Switzerland. Its simplicity and good performance make it an easy-to-use tool to target patients who might most benefit from intensive transitional care interventions.
PMID: 27497141 [PubMed - in process]
Source: Swiss Medical Weekly - August 9, 2016 Category: Journals (General) Authors: Aubert CE, Folly A, Mancinetti M, Hayoz D, Donzé J Tags: Swiss Med Wkly Source Type: research
Incompatible with Care: Examining Trisomy 18 Medical Discourse and Families ’ Counter-discourse for Recuperative Ethos
AbstractParents whose child is diagnosed with a serious disease such as trisomy 18 first rely on the medical community for an accurate description and prognosis. In the case of trisomy 18, however, many families are told the disease is “incompatible with life” even though some children with the condition live for several years. This paper considers parents’ response to current medical discourse concerning trisomy 18 by examining blogs written by the parents of those diagnosed. Using interpretive humanistic reading and foregr ounding Cathryn Molloy’s recuperative ethos theory (2015), we find that parents demonstrate...
Source: Journal of Medical Humanities - February 9, 2017 Category: Medical Ethics Source Type: research
Leading National Organization Honors Quill with Lifetime Achievement Award
The American Academy of Hospice and Palliative Medicine presented Timothy E. Quill, M.D., with its highest honor, the Lifetime Achievement Award, today at its Annual Assembly in Boston. An internationally recognized pioneer in palliative care and end-of-life decision making, Quill was founding director of the University of Rochester Medical Center ’s Palliative Care Program. He is a professor of Medicine, Psychiatry, Medical Humanities and Nursing at the University of Rochester Medical Center and currently serves as Acting Director of the URMC Paul M. Schyve Center for Bioethics.
Source: University of Rochester Medical Center Press Releases - March 16, 2018 Category: Universities & Medical Training Authors: University of Rochester Medical Center Source Type: news
Many UK Medical Students Have Negative Attitudes Toward Palliative Care Many UK Medical Students Have Negative Attitudes Toward Palliative Care
A significant proportion of U.K. medical students expect palliative care to be less satisfying than other specialties, British researchers have found.Reuters Health Information
Source: Medscape Medical News Headlines - May 8, 2018 Category: Consumer Health News Tags: Med Students News Source Type: news
Incompatible with Care: Examining Trisomy 18 Medical Discourse and Families ’ Counter-discourse for Recuperative Ethos
AbstractParents whose child is diagnosed with a serious disease such as trisomy 18 first rely on the medical community for an accurate description and prognosis. In the case of trisomy 18, however, many families are told the disease is “incompatible with life” even though some children with the condition live for several years. This paper considers parents’ response to current medical discourse concerning trisomy 18 by examining blogs written by the parents of those diagnosed. Using interpretive humanistic reading and foregr ounding Cathryn Molloy’s recuperative ethos theory (2015), we find that parents demonstrate...
Source: Journal of Medical Humanities - September 1, 2018 Category: Medical Ethics Source Type: research
What do positive and negative experiences of patients, relatives, general practitioners, medical assistants, and nurses tell us about barriers and supporting factors in outpatient palliative care? A critical incident interview study.
Conclusions: The results raise awareness for the aspects that lead to successful or undesirable PC experiences, observed from different perspectives. They open up the potential for primary PC improvement. Future research will facilitate development and implementation of more tailored interventions in order to improve generalists' PC.
PMID: 33214790 [PubMed - in process]
Source: GMS German Medical Science - November 22, 2020 Category: General Medicine Tags: Ger Med Sci Source Type: research
Translation and cross-cultural adaptation of a family booklet on comfort care in dementia: sensitive topics revised before implementation
Conclusions
Providing artificial feeding and fluids and discussing euthanasia may be particularly sensitive topics, and guidance on these subjects needs careful consideration of ethical aspects and possible adaptations to local standards and practice. The findings may promote cross-national debate on sensitive, core issues regarding end-of-life care in dementia.
Source: Journal of Medical Ethics - January 17, 2013 Category: Medical Ethics Authors: van der Steen, J. T., Hertogh, C. M. P. M., de Graas, T., Nakanishi, M., Toscani, F., Arcand, M. Tags: Health policy, End of life decisions (geriatric medicine), End of life decisions (palliative care), Hospice, Assisted dying, End of life decisions (ethics), Health economics, Health service research, Psychology and medicine Global medical ethics Source Type: research
UC Medical Centers Will Expand Palliative Care With $1M Grant
The University of California is leveraging its expertise to enhance patient care at UC medical centers systemwide, awarding a $1 million grant to expand specialized care for seriously ill patients.
Source: UCSF Medical Center - May 3, 2013 Category: Universities & Medical Training Authors: webservices at ucsfhealth.org Source Type: news
BD announces approval of Safety Integrated IV Catheter System for subcutaneous therapy in Europe
BD (Becton, Dickinson and Company), a leading global medical technology company, announces the approval of the BD Saf-T-Intima™ Safety Integrated IV Catheter System for use in subcutaneous infusion therapies in Europe. Subcutaneous infusion is increasingly and widely used for therapies such as rehydration, post-operative pain management, palliative care and paediatric care. It provides an affordable, effective, and less invasive alternative to the established intravenous route...
Source: Health News from Medical News Today - July 25, 2013 Category: Consumer Health News Tags: Medical Devices / Diagnostics Source Type: news
Depictions of 'brain death' in the media: medical and ethical implications
We examined the depictions of ‘brain death’ in major American and Canadian print media to gain insights into possible common sources of confusion about DNC and the relationship between expert and lay views on this crucial concept.
Methods
We gathered 940 articles, available in electronic databases, published between 2005 and 2009 from high-circulation Canadian and American newspapers containing keywords ‘brain dead’ or ‘brain death’. Articles were systematically examined for content (eg, definitions of brain death and criteria for determination of death) using the NVivo 8 software.
Res...
Source: Journal of Medical Ethics - March 18, 2014 Category: Medical Ethics Authors: Daoust, A., Racine, E. Tags: End of life decisions (geriatric medicine), End of life decisions (palliative care), Artificial and donated transplantation, End of life decisions (ethics), Legal and forensic medicine Neuroethics Source Type: research
Systemic treatment with capecitabine as maintenance therapy in patients with recurring or metastatic breast cancer: experience in the Oncology Hospital, National Medical Center Siglo XXI, Mexican Social Security Institute
Abstract
Metastatic breast cancer as initial onset represents between 20 and 30 % of cases and is considered an incurable disease. The goal of its treatment is palliative, looking for increasing the survival while reducing the symptoms. Maintenance chemotherapy studies for metastatic breast cancer have demonstrated to prolong the progression-free survival, with unclear results in terms of overall survival. The main objectives of our study were the progression-free survival and overall survival in patients with recurring or metastatic breast cancer treated with capecitabine in the maintenance chemotherapy setting...
Source: Medical Oncology - February 27, 2015 Category: Cancer & Oncology Source Type: research
Harm isn't all you need: parental discretion and medical decisions for a child
How should we make decisions about medical treatment for a very young child? What should we do when there is a disagreement between parents and clinicians about what would be best for the child? The conventional answer, as found in textbooks, professional guidelines and the law, is that decisions should be based on the best interests of the child. However, as noted by Giles Birchley in an article in this issue,1 a number of ethicists have argued that the focus should instead be on harm; parents should be overruled where their decision would cross a threshold level of harm.2 3 Birchley, in his article, disagrees. He argues ...
Source: Journal of Medical Ethics - January 25, 2016 Category: Medical Ethics Authors: Wilkinson, D., Nair, T. Tags: Cardiovascular medicine, Oncology, End of life decisions (geriatric medicine), End of life decisions (palliative care), Screening (epidemiology), End of life decisions (ethics), Screening (public health) Law, ethics and medicine Source Type: research
Development of an Interdisciplinary Team Communication Framework and Quality Metrics for Home-Based Medical Care Practices
The objective of this work was to develop a conceptual framework and corresponding quality indicators (QIs) that assess how IDT members for HBMC practices access and communicate key patient information with each other.
Source: Journal of the American Medical Directors Association - May 19, 2016 Category: Health Management Authors: Roya Fathi, Orla C. Sheehan, Sarah K. Garrigues, Debra Saliba, Bruce Leff, Christine S. Ritchie Tags: Original Study Source Type: research
