Ethics review: Perioperative do-not-resuscitate orders – doing ‘nothing’ when ‘something’ can be done docx
Ethics review: Perioperative do-not-resuscitate orders – doing ‘nothing’ when ‘something’ can be done docx
... regarding inadequate documentation, physicianReview Ethics review: Perioperative do-not-resuscitate orders – doing ‘nothing’ when ‘something’ can be done Mark Ewanchuk1,2and Peter G Brindley21Department ... Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada2Division of Critical Care Medicine, University of Alberta, Edmonton, Alberta, CanadaCorresponding author: Peter Brindley, ... CPR became the onlymedical intervention that required an order to prevent it from beingperformed. Before the 1990s, patients routinely had pre-existingDNR orders suspended during the perioperative...
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Bóa cáo y học: "Ethics review: Perioperative do-not-resuscitate orders – doing ‘nothing’ when ‘something’ can be done" pptx
... regarding inadequate documentation, physicianReview Ethics review: Perioperative do-not-resuscitate orders – doing ‘nothing’ when ‘something’ can be done Mark Ewanchuk1,2and Peter G Brindley21Department ... Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada2Division of Critical Care Medicine, University of Alberta, Edmonton, Alberta, CanadaCorresponding author: Peter Brindley, ... CPR became the onlymedical intervention that required an order to prevent it from beingperformed. Before the 1990s, patients routinely had pre-existingDNR orders suspended during the perioperative...
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Báo cáo y học: "Ethics review: Long-term outcomes and clinical predictors of hospital mortality in very long stay intensive care unit patients: a cohort study" pptx
... increase) 1.45 (1.1 0–1 .91) 0.009Immunocompromised 5.2 (1. 7–1 5.5) 0.003>90 Ventilator days 4.0 (1. 3–1 2.0) 0.0133 days of inotropes/vasopressors from day 30 in ICU 7.1 (2. 6–1 9.3) 0.0001ARF ... patients using shorter ( 7–1 4 days) defi-nitions of long stay found that these patients accounted foronly 4–1 1% of admissions while consuming 2 8–5 3% of avail-able bed days [5,8,9,15,25-28]. ... 1.1 0–1 .91), immunosuppression (OR 5.2, 95% CI1. 7–1 5.5), more than 90 ventilator days (OR 4.0, 95% CI 1. 3– 12.0), acute renal failure requiring dialysis at or after day 30(OR 6.3, 95% CI 2. 0–1 9.7),...
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Báo cáo y học: "Ethics review: Strong ion difference in urine: new perspectives in acid–base assessment" docx
... IR(t)dt – ∫0t UR(t)dt (4)Because what matters in terms of acid–base status is theconcentration, rather than the net amount of electrical charge,the SID at a given time ‘t’ may be expressed ... electro-neutrality, is equivalent to the buffer base (BB; i.e. the sum of [HCO3 – ],[A – ] and [H2PO4 – ], where A – are the weak acids in dissociated form,mainly albumin). During acidosis, ... BBactual – BBideal= SIDacidosis – SIDideal.V(0) × [SID(0)] + ∫0t EPR(t)dt + ∫0t IR(t) × [SIDinfusion(t)]dt – ∫0t UR(t) × [SIDurine(t)]dt[SID(t)] = (5)V(t)Page 1 of 3(page number...
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Báo cáo khoa học: "Ethics review: Position papers and policies – are they really helpful to front-line ICU teams" potx
... else could be done when faced with requestsfor more appropriate admission [15].It cannot be said that it is ethical behaviour for other clinicians,administrators, or family members to pressure ... a time has come to reframethe question. A better question may be as follows; can bestpractices for the appropriate usage of critical care services be developed that would provide fair, equitable ... hours arespent searching for beds to which patients can be transferred when such care is not available within a giveninstitution. Such delays are far from optimal and can result indeteriorating...
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Báo cáo khoa học: "Ethics review: Dark angels – the problem of death in intensive care" potx
... need to be dead for the organism to be pronounceddead; only the organ of integration need be. Without thisdefinition, organ transplantation would be impossiblebecause putrefaction would be the ... when the patient cannot be resuscitated by any means or when resuscitation fails. Doesthis mean that every dying patient must be assaulted by everypossible intervention if he or she is to be ... or his or her family cannot consent toany procedure that will result in death, nor can the familyconsent to the patient’s being dead in a defined number ofminutes as has been suggested by proponents...
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Báo cáo khoa học: "Ethics review: ‘Living wills’ and intensive care – an overview of the American experience" docx
... the best interests of the patient. How will theirdecision-making abilities and decisions be judged to be in thebest interests of the patient? In America, if there is doubt ordisagreement between ... alwaysappear to be in the person’s ‘best interests’. A patient’s AD,however, needs only conform to their values rather than their‘best medical interests’ – the Jehovah’s Witness being theclassic ... professionals when drawing up an AD, and it can be revoked verbally. If valid to the clinical scenario, an AD willoverride a LPA if one exists. The LPA must act in the patient’sbest interests, must be...
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Báo cáo y học: "Ethics review: End of life legislation - the French model" pptx
... decreasing psycho-logical distress for family members and reducing conflictsamong ICU team members and between team and familymembers; and by reducing the number of concealedeuthanasia procedures and ... thedecision is made, to provide the best help to relatives [23].Several topics should be covered with family members,including explanations of how the patient’s comfort will be ensured, the patient’s ... for the opinionshall be made explicit. There must be no hierarchical tiebetween the doctor treating the patient and the consultant.The opinion of a second consultant shall be requested bythese...
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Without grammar very little can be conveyed, without vocabulary nothing can be conveyed
... 1CHAPTER ONE: INTRODUCTION1. Rationale“Without grammar very little can be conveyed, without vocabulary nothing can be conveyed.” (Cited in Hoang Tat Truong 1985:1). The saying sounds very ... bricks are needed. Without bricks, no house can be built, even when plenty of high quality cement is available.” (Nguyen Huyen, 2004:1). This means that to be a competent English communicator, one ... explains that learning strategies can be behavioral or mental and are typically problem - oriented.Rubin (in Wenden and Rubin 1987:19) is even more explicit when he defines learning strategies...
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Without grammar very little can be conveyed, without vocabulary nothing can be conveyed
... once it has been encountered. They can be defined as those are used to understand aword by asking someone who knows it. Teachers are said to be often in this position. They can be expected to ... sense relationship can be linked together whilethey are learnt. Grouping: words can be grouped together so that they are easier to memorize, storeand recall. Words can be grouped mentally ... categories since they can be used for both purposes. This categorization isbased, in part, on Oxford’s (1990) classification scheme. The details can be seen on the tablebelow:Strategies groupStrategies...
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