Lilia Susana Meltzer, R. N., & Loucine Missak Huckabay RN, P. (2004). Critical Care Nurses' Perceptions of Futile Care and it's Effect on Burnout. American Journal Of Critical Care . M.D., A. H. (2009). Medical Futility, Patient Autonomy, and Professional Integrity: Finding the Appropriate Balance.
Beneficence dictates that surgical intervention should be considered only after serious attempts at conservative measures have failed (Ferraro, 2013). The arguments both for, and against pediatric bariatric surgery are strong, and based on science, ethics, and biology. The best approach, would be one in which health care providers and caregivers come together to discuss and analyze the risks, versus benefits, for each individual child, on a case-by-case basis, taking into consideration their unique circumstances, as well as the family
N Engl J Med. 2011; 365(3): 239–50. 10. GK Rai, HC Upreti, SK Rai, KP Shah and RM Shrestha. Causative agents of urinary tract infections in children and their antibiotic sensitivity pattern: a hospital based study.
In this essay we examine the impact of withholding and withdrawal of treatment from a nursing perspective and examine the ethical issues involved. When a cure is absolutely impossible certain life sustaining medical treatments such as cardiopulmonary resuscitation, ventilation, nutrition and hydration, dialysis, transfusions, and antibiotics may have to be withdrawn or withheld (Derse, 2005). Recent media attention on the case of Terri Schiavo has successfully highlighted the ethical, legal and social issues of withdrawing and withholding treatment. Konishi et al (2002) discuss the ethics of withdrawing artificial food and fluid from terminally ill patients bringing in the dilemma on end of life issues and whether life of patients could be ended intentionally by stopping or withdrawing treatment. Withdrawal of food and fluid from terminally ill patients is a growing ethical issue and concerns patients, families, and nurses as well.
Page 10 Bad Prescriptions “Using Text-Mining Technologies in Electronic Patient Records to Identify ADRs from Medicine Use”……………………………………………………………….… Page 15 “Use Of Computer Decision Support Interventions to Improve Medication Prescribing in Older Adults: A Systematic Review”…………………….…….. Page 17 Challenges of Using Text Mining……………………………………………………… Page 18 Advantages of Text Mining for Effective Decision Making in Health Care…………... Page 20 Suggestions & Possible Solutions…………………………………………………….... Page 21 Conclusion…………………………………………………………………………….... Page 22 References……………………………………………………………….…...………....
Lastly and likely the most difficult is the conveying of demoralizing news to close family members; ultimately to be of assistance in coaxing the parties on shouldering the brunt of life or death decision of a loved one due to extensive and unwarranted cost. Many times, the patient may fit the profile of Palliative Care; yet the treatment very much differs from patient to patient. Fortunately heretofore a group of qualified and credentialed physicians, nurses, pharmacists, Chaplains among many other suitable professionals, are made
The purpose of this paper is to argue that the decision of a parent to give birth to a child who will suffer from a severe or even lethal genetic disease is morally neutral. This is proposed on the basis that if the parent is acting in a way that they would treat themselves if found in the same situation as their child then they are preserving the humanity and personhood of the child. This decision should be made in a way that maximizes predicted good for the child as well as minimizes predicted harm. Strong arguments comprise both sides of the argument and the decision to terminate the pregnancy or carry the severely impaired child to birth carries a heavy burden. Arguments for abortion suggest that the diminished quality of life, pain of treatment, and cost outweigh the value impaired child’s and that abortion is the best utility to minimize harm.
The Patient Bill of Rights has a significant impact and is essential for the people who are in the health care organization for the purpose of getting treatment properly and easily. In this scenario, June is suffering from anorexia and the doctors feel she may need to be placed on a feeding tube to save her life. June agreed to the procedure but became combative, disoriented and refused to have the tube place the evening before the procedure was to take place. The patient bill of rights applies, as the patient has a right to know what treatment options are available to one and what the possible outcomes may be. The patient has a right to decide one’s medical care.
The husband wanted to save his wife, but on the other hand, their children belief that their mom wants a quality of life with dignity. When a nurses engaged such a complex ethical situation, the Ethical Committee resources included multidisciplinary groups that are needed to assist patient and family. Based on statutory law, patients have the right to make a decision to withdraw or withhold any treatment (Blais & Hayes, 2011). In the case study of Marianne, the patient do not have advanced directive on file, therefore, the statutory laws are not against family's decision related to her care. The nurse can only educate and provide information and be the patients' advocate.
Patient Safety in a Dialysis Facility Safety is like a member of your family. Treat it with disrespect and it will leave you exposed to harm. Treat it with respect and nurture it as you go and will remain with you always. As health care professionals we are challenged to improve the quality of life beginning with patient’s safety. Increasing patient safety can be best used as a form of intervention by leaders with teamwork and the modification of behavior instead of using a particular process combined with technology.