Abstract Research studies on the prevalence of ventilator-associated-pneumonia indicate that many hospitalized patients in the intensive care unit under mechanical ventilation are likely of a secondary diagnosis of the disease. Research has indicated early diagnosis of VAP for timely intervention as a major problem. The use of quantitative cultures of endotracheal aspirates (QEA) as a diagnosis has proven to be resilient on simplicity and is also cost-effective while at the same time the method has no side effects. Diagnosis of VAP should be based on a combination of clinical, radiological, and microbiological criteria. Adoption and implementation of the modified CPIS is the better option as it is not only cost-effective, but can also be highly specific and sensitive.
So rule may support euthanasia as it will obviously bring great pleasure to the terminally ill and though may upset family members, is better in the long term. Act utilitarianism is based on creating the greatest amount of good for the greatest amount of people. Bentham believed pleasure should be maximised and pain minimised so would have clearly supported
It is important to support people who are nearing the end of life to maintain the best quality of life possible. To support them in having much control over decisions, care and treatment as possible. Good end of life care helps patients with life-limiting conditions to live as well as possible until they die,and to die with dignity. The term "life-limiting" includes organ or systems failure, where patients are likely to die suddenly as a result of an acute crisis ( for example heart failure, chronic respiratory disease). Life threatening acute conditions caused by sudden catastrophic events (for example brain damage from head injury).
Or, is honoring the family’s wishes to keep that patient alive at all cost morally acceptable? With the rising cost of health-care today, I believe that many factors should be taken into consideration in deciding what is morally correct regarding end of life issues with our patients. So, what constitutes a “good death”? Is it being able to die with peace and dignity? Or, is it doing everything medically possible to keep someone alive?
Abstract Agitation is an often seen behavior in patients with various forms of dementia that can take a straining role on both the patients and their caregivers. Tradition pharmacological treatments are shown to be effective in the treatment of these behaviors but at the expense of many varying adverse side effects. Aromatherapy has successfully been used as a complimentary therapy in other diseases such as cancer. There has been multiple recent research studies performed that concluded aromatherapy is an effective and popular complimentary treatment for reducing behavioral agitation in dementia. Most of the research supports a need for further, larger research studies because of the effectiveness, relative low cost and ease of aromatherapy.
Consider a person with an incurable illness or severe debility such that life has become so racked with pain or so burdensome that desirable, meaningful, purposeful existence has ceased. In ancient days, assisted suicide was frequently seen as a way to preserve one’s honor. “For the past twenty-five years, on the other hand, the practice has been viewed as a response to the progress of modern medicine” (McDougall, 2008). New and often costly medical technologies have been developed that extend life. Nevertheless, the technologies also prolong the dying processes, leading some people to question whether modern medicine is forcing patients to live in unnecessary pain when there is no chance they will be cured.
665 END OF LIFE AND DEMENTIA Dementia is the umbrella term for over 105 different types of dementia which means the end of life experience will vary greatly depending on the progression of the dementia and the type. Dementia is a progressive illness that can be classed as a terminal condition and shortens a person’s life expectancy. Typically people don’t die from dementia but die with it, meaning that end of life occurs from complications arising from the dementia such as aspiration / choking because of swallowing difficulties and pneumonia. Other people die of illnesses not relation to the dementia, such as cancer , stroke or heart attack. If one of these other conditions are present then their health is likely to worsen quicker in a more predictable course.
The Human Resources (HR) departments has been influenced by the FMLA as there has been more request for this leave with the past five years compared to 15 years ago. One reason why is because employees’ are getting older and having serious health conditions as well as parents of employees
When a new nurse is employed in an acute care setting, many challenges are encountered both by the new nurse and the facility. New nurse employment may take as long as three months, and another six months for the newly hired nurse to be able to perform the job independently. The investment, cost and time, into the hiring of a new graduate nurse is intense, therefore, every possible effort should be made to retain them. To replace or hire a new graduate nurse is expansive. “The cost associated with replacing a registered nurse range from $ 10,000 to $ 60,000 per RN, depending on the specialty”.
To date, U.S. cost containment policy has focused too narrowly on demand-side interventions such as changing the design of insurance benefits and increasing cost sharing. This paper summarizes the factors responsible for the rise in health care spending during the past twenty years. As the data show, most of this rise has been driven by a rise in treated disease prevalence, fueled by an increase in population risk factors such as obesity and by innovations in the treatment of chronic disease. The bulk of the paper then outlines a series of reforms that are designed to