Abstract Cardiopulmonary resuscitation is defined as “the restoration of cardiac and respiratory function required in the treatment of cardiac arrest and incorporates a spectrum of procedures ranging from mouth to mouth ventilation, chest compression, electrical defibrillation, cardiac pacing, open chest massage, endotracheal intubation and the administration of fluids and medications” (Kelly, 2007 p. 111). There is an ethical debate sparking in the healthcare community in regards to the evolving practice of performing slow codes. A slow code is an acknowledged, unspoken practice of performing cardiopulmonary resuscitation without purposeful intent to resuscitate the patient. “The goal of the slow code is to let the patient die with the appearance of an attempted rescue” (Zucker, 1998 p.597). Many healthcare workers view this practice as invasive and degrading to the dying or critically ill patient, while others view it as an attempt to satisfy family members and the governing healthcare statutes.
Liver biopsy: Faced with a negative screen, extra-hepatic diseases such as cardiac failure and inflammatory, infective and mitotic conditions should be considered. If diagnostic doubt persists, a percutaneous ultrasound-guided liver biopsy should be considered. It may clarify diagnosis, thereby directing therapy, and through staging (assessment of fibrosis). It is often overlooked in the older population due to safety concerns. However, complications are rare and mortality is age independent at approximately 0.2% (Fox et al., 2011).
Explain the difference in these two readings. 8. In the legend beneath Figure 2, the authors give an equation indicating that diastolic blood pressure is DBP = 25.8 + 0.13x. If the value of x is postnatal age of 30 hours, what is the value for Yˆ for neonates ≤ 1,000 grams? Show your calculations.
Bailey McGill Mrs. McIntosh English 047 (7) Research Paper 11 January 2012 Physician-Assisted Suicide Physician-assisted suicide is a highly debated topic in today’s society. The ethics, the legalities, and the decision whether or not it should be are the main problem places. Physician-assisted suicide can occur when a physician provides a terminally ill patient with a lethal dosage of medication in order for the patient or a third party to end the patient’s life. The debate grows stronger when people question whether the physician should be allowed to provide the patient with these lethal medications. However, there are many pros and cons to each side of the argument.
Kjell Asplund and Mona Britton, authors of Ethics of life support in patients with severe stroke, argue that there is a specific protocol that should be followed in order to deal with the multitude of ethical complications coma patients introduce. I disagree with this argument, because I think that the quantification of one’s life is an inhumane and ineffective method of treating patients. As an idealistic student aspiring to pursue allopathic medicine, I believe that the field I immerse myself in should not be an environment bogged down with impediments to moral action. Instead of a rigid method, I think that a case-by-case method remains the most appropriate action for patients with severe brain malfunctions. Before we delve into the moral implications surrounding care for stroke patients, it is important to understand what a stroke is.
Using xenotransplantation as a therapeutic option to rid the problem of poor organ donor numbers and low rate of organ transplants is a poor solution. Still at an experimental level, xenotransplantation poses many health risks on both individuals receiving the transplants and the human population (Rubaltelli et al, 2008). A major issue is rejection of the transplanted material by the recipient’s body. The recipient can either experience hyperacute rejection, where the donated tissue
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. “Passive euthanasia—disconnecting a respirator or removing a feeding tube has become an accepted solution to this dilemma. Active euthanasia perhaps an overdose of pills or a deadly injection of morphine remains controversial “(McDougall,
Anemia and Cardiac Diseases When discussing anemia and cardiac diseases, it is common for ordinary people to have a vague understanding of what these terms mean. A persons professional bachground that has no relationship to the health care field usually define these terms as blocked arteries, hypertension or a stroke. It is very hard for one to colligate cardiac disease with anemia but as a health care student I am well aware of the risks and characteristics associated with anemia and cardiac disease. In this paper I will go in to detail about the causes, effects and reasons why anemia should be addressed in a patient with heart disease. According to Egans Fundamentals of Respiratory Care anemia can be defined as a decreased amount of red blood cells in the blood, usually below 4 x100mm for men and women (p.344).
Postmodern sociologists have suggested that class, gender and ethnicity, is no longer the most important factor; but identity, consumption and choice. As a result, Hardely observed that people may no longer want to give complete power over to the doctor, but have more choices because of a growth in individualism. Alternative medicine provides people with choice so that they can express their individualism. Furthermore reports in the media of clinical iatrogenesis- direct harm cause whether, physical, mental or social by a medical professional, such as a Doctor. An example could be leaving surgical equipment in a patient.