... regarding inadequate documentation, physician
Review
Ethics review: Perioperative do-not-resuscitate orders – doing
‘nothing’ when ‘something’ can be done
Mark Ewanchuk
1,2
and Peter G Brindley
2
1
Department ... Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada
2
Division of Critical Care Medicine, University of Alberta, Edmont...
... regarding inadequate documentation, physician
Review
Ethics review: Perioperative do-not-resuscitate orders – doing
‘nothing’ when ‘something’ can be done
Mark Ewanchuk
1,2
and Peter G Brindley
2
1
Department ... Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada
2
Division of Critical Care Medicine, University of Alberta, Edmont...
... increase) 1.45 (1.1 0–1 .91) 0.009
Immunocompromised 5.2 (1. 7–1 5.5) 0.003
>90 Ventilator days 4.0 (1. 3–1 2.0) 0.013
3 days of inotropes/vasopressors from day 30 in ICU 7.1 (2. 6–1 9.3) 0.0001
ARF ... patients using shorter ( 7–1 4 days) defi-
nitions of long stay found that these patients accounted for
only 4–1 1% of admissions while consuming 2 8–5 3% of avail-
able bed d...
...
IR(t)dt – ∫
0
t
UR(t)dt (4)
Because what matters in terms of acid–base status is the
concentration, 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 [HCO
3
–
],
[A
–
] and [H
2
PO
4
–
], where A
–
are the weak acids in dissociated form,
mainly alb...
... else could be done when faced with requests
for 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 reframe
the question. A better question may be as follows; can best
practices for the appropriate usage of critical care services
be developed that would provide...
... need to be dead for the organism to be pronounced
dead; only the organ of integration need be. Without this
definition, organ transplantation would be impossible
because putrefaction would be the ... when the patient cannot be
resuscitated by any means or when resuscitation fails. Does
this mean that every dying patient must be assaulted by every
possible intervention if he o...
... the best interests of the patient. How will their
decision-making abilities and decisions be judged to be in the
best interests of the patient? In America, if there is doubt or
disagreement between ... always
appear 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 be...
... decreasing psycho-
logical distress for family members and reducing conflicts
among ICU team members and between team and family
members; and by reducing the number of concealed
euthanasia procedures and ... the
decision 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
ens...
... 1
CHAPTER ONE: INTRODUCTION
1. 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 co...
... once it has been encountered. They can be defined as those are used to understand a
word 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 while
they are learnt.
Grouping: words can be grouped together so that they are easier to memorize, store
and recall. Words can be gr...