Results for 'palliative care, palliative care at the end of life, neoplasms, pediatrics, nursing'

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  1.  9
    Encontrar sentido para continuar viviendo el reto al perder un hijo por cáncer infantil: revisión integrativa.Sonia Carreño Moreno, Lorena Chaparro Díaz & Rocío López Rangel - 2017 - Persona y Bioética 21 (1).
    The experience of losing a child to cancer represents an emotional burden for the parents with extreme individual, family and social effects that do not end with death. This integrative review is intended to identify key aspects in the experience of losing a child to cancer. The results show a pattern surrounding six moments in the mourning process These can serve as elements of intervention to accompany parents as they try to cope. It is concluded this pattern is an important (...)
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  2.  16
    Refractory suffering at the end of life and the assisted dying debate: An interview study with palliative care nurses and doctors.Kristine Espegren Gustad, Åsta Askjer, Per Nortvedt, Olav Magnus S. Fredheim & Morten Magelssen - 2021 - Clinical Ethics 16 (2):98-104.
    Background How often does refractory suffering, which is suffering due to symptoms that cannot be adequately controlled, occur at the end of life in modern palliative care? What are the causes of such refractory suffering? Should euthanasia be offered for refractory suffering at the end of life? We sought to shed light on these questions through interviews with palliative care specialists. Methods Semi-structured interviews with six nurses and six doctors working in palliative care in (...)
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  3. Medical futility at the end of life: the perspectives of intensive care and palliative care clinicians.Ralf J. Jox, Andreas Schaider, Georg Marckmann & Gian Domenico Borasio - 2012 - Journal of Medical Ethics 38 (9):540-545.
    Objectives Medical futility at the end of life is a growing challenge to medicine. The goals of the authors were to elucidate how clinicians define futility, when they perceive life-sustaining treatment (LST) to be futile, how they communicate this situation and why LST is sometimes continued despite being recognised as futile. Methods The authors reviewed ethics case consultation protocols and conducted semi-structured interviews with 18 physicians and 11 nurses from adult intensive and palliative care units at a tertiary (...)
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  4.  42
    Children's Hospital ICU Nurse and Physician Rankings of Important Considerations in Pediatric End-of-Life Decision Making.Wynne Morrison, Jennifer Faerber, Kari Hexem, Michael Ruppe & Chris Feudtner - 2015 - AJOB Empirical Bioethics 6 (3):50-58.
    Background: Families and clinicians must often weigh competing priorities when making medical decisions for a pediatric patient at the end of life. Few empirical data exist regarding the importance that clinicians place on varying priorities and whether clinical practice conforms to decision-making standards discussed in the literature. Methods: We administered a discrete choice experiment to understand the relative importance of nine pediatric end-of-life decision-making priorities using responses from 364 nurses and physicians from three intensive care units (ICUs) (pediatric ICU, (...)
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  5.  40
    Nasogastric feeding at the end of life: A virtue ethics approach.Lalit Krishna - 2011 - Nursing Ethics 18 (4):485-494.
    The use of Nasogastric (NG) feeding in the provision of artificial nutrition and hydration at the end of life has, for the most part, been regarded as futile by the medical community. This position has been led chiefly by prevailing medical data. In Singapore, however, there has been an increase in its utilization supported primarily by social, religious and cultural factors expressly to prolong life of the terminally ill patient. Here this article will seek to review the ethical and clinical (...)
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  6.  20
    Nurses’ care practices at the end of life in intensive care units in Bahrain.Catherine S. O’Neill, Maryam Yaqoob, Sumaya Faraj & Carla L. O’Neill - 2017 - Nursing Ethics 24 (8):950-961.
    Background:The process of dying in intensive care units is complex as the technological environment shapes clinical decisions. Decisions at the end of life require the involvement of patient, families and healthcare professionals. The degree of involvement can vary depending on the professional and social culture of the unit. Nurses have an important role to play in caring for dying patients and their families; however, their knowledge is not always sought.Objectives:This study explored nurses’ care practices at the end of (...)
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  7.  38
    Documentation of Patients' Participation in Care at the End of Life.Irma Lindström, Fannie Gaston-Johansson & Ella Danielson - 2006 - Nursing Ethics 13 (4):394-403.
    The aim of this study was to describe how patients’ participation in the care they received was documented in their health care records during the last three months of their lives. Two hundred and twenty-nine deceased adult persons were randomly identified from 12 municipalities in a Swedish county and their records were selected from different health care units. Content analysis was used to analyse the text. Four categories of patient participation were described: refusing offered care and (...)
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  8.  9
    Values at the End of Life: The Logic of Palliative Care by Roy Livne.Erik Lenhart - 2020 - The National Catholic Bioethics Quarterly 20 (4):853-854.
  9.  16
    End-of-life care in a nursing home: Assistant nurses’ perspectives.Bodil Holmberg, Ingrid Hellström & Jane Österlind - 2019 - Nursing Ethics 26 (6):1721-1733.
    Background: Worldwide, older persons lack access to palliative care. In Sweden, many older persons die in nursing homes where care is provided foremost by assistant nurses. Due to a lack of beds, admission is seldom granted until the older persons have complex care needs and are already in a palliative phase when they move in. Objective: To describe assistant nurses’ perspectives of providing care to older persons at the end of life in a (...)
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  10.  13
    Comparison of Thai older patients’ wishes and nurses’ perceptions regarding end-of-life care.Manchumad Manjavong, Varalak Srinonprasert, Panita Limpawattana, Jarin Chindaprasirt, Srivieng Pairojkul, Thunchanok Kuichanuan, Sawadee Kaiyakit, Thitikorn Juntararuangtong, Kongpob Yongrattanakit, Jiraporn Pimporm & Jinda Thongkoo - 2019 - Nursing Ethics 26 (7-8):2006-2015.
    Background: Achieving a “good death” is a major goal of palliative care. Nurses play a key role in the end-of-life care of older patients. Understanding the perceptions of both older patients and nurses in this area could help improve care during this period. Objectives: To examine and compare the preferences and perceptions of older patients and nurses with regard to what they feel constitutes a “good death.” Research design: A cross-sectional study. Participants and research context: This (...)
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  11.  22
    Palliative care nursing involvement in end-of-life decision-making: Qualitative secondary analysis.Pablo Hernández-Marrero, Emília Fradique & Sandra Martins Pereira - 2019 - Nursing Ethics 26 (6):1680-1695.
    Background: Nurses are the largest professional group in healthcare and those who make more decisions. In 2014, the Committee on Bioethics of the Council of Europe launched the “Guide on the decision-making process regarding medical treatment in end-of-life situations”, aiming at improving decision-making processes and empowering professionals in making end-of-life decisions. The Guide does not mention nurses explicitly. Objectives: To analyze the ethical principles most valued by nurses working in palliative care when making end-of-life decisions and investigate if (...)
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  12.  1
    Parental agency in pediatric palliative care.Marta Szabat - forthcoming - Nursing Inquiry:e12594.
    The study discusses a new approach to parental agency in pediatric palliative care based on an active form of caregiving. It also explores the possibility of a positive conceptualization of parental agency in its relational context. The paper begins with an illustrative case study based on a clinical situation. This is followed by an analysis of various aspects of parental agency based on empirical studies that disclose the insufficiencies of the traditional approach to parental agency. In the next (...)
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  13.  15
    Understanding the challenges of palliative care in everyday clinical practice: an example from a COPD action research project.Geralyn Hynes, Fiona Kavanagh, Christine Hogan, Kitty Ryan, Linda Rogers, Jenny Brosnan & David Coghlan - 2015 - Nursing Inquiry 22 (3):249-260.
    Palliative care seeks to improve the quality of life for patients suffering from the impact of life‐limiting illnesses. Palliative care encompasses but is more than end‐of‐life care, which is defined as care during the final hours/days/weeks of life. Although palliative care policies increasingly require all healthcare professionals to have at least basic or non‐specialist skills in palliative care, international evidence suggests there are difficulties in realising such policies. This study reports (...)
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  14.  11
    Reconceiving Decisions at the End of Life in Pediatrics: Decision-Making as a Form of Ritual.Amy E. Caruso Brown - 2019 - Perspectives in Biology and Medicine 62 (2):301-318.
    Medical anthropologists have long recognized variation between cultures with regard to the locus of healing in different systems and traditions: that is, in some cultures, the human body is a “bounded physical unit” and healing is thus focused on the body alone. This perspective will be most familiar to Western health-care providers, and indeed, many providers do not imagine an alternative perspective. However, in many cultures, experiences of health, illness, disease, and healing are intricately connected with the social spheres. (...)
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  15.  8
    Parental experience of hope in pediatric palliative care: Critical reflections on an exemplar of parents of a child with trisomy 18.Marta Szabat - 2020 - Nursing Inquiry 2 (2):e12341.
    The purpose of this study is to analyze the experience of hope that appears in a parent's blog presenting everyday life while caring for a child with Trisomy 18 (Edwards syndrome). The author, Rebekah Peterson, began her blog on 17 March 2011 and continues to post information on her son Aaron's care. The analysis of hope in the blog is carried out using a mixed methodology: initial and focused coding using Charmaz's constructed grounded theory and elements of Colaizzi's method. (...)
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  16.  13
    The balancing of virtues—Muslim perspectives on palliative and end of life care: Empirical research analysing the perspectives of service users and providers.Mehrunisha Suleman - 2022 - Bioethics 37 (1):57-68.
    In this paper, I will share findings from a qualitative study that offers a thematic analysis of 76 interviews with Muslim patients and families as well as doctors, nurses, allied health professionals, chaplains and community faith leaders across the United Kingdom. The data show that for many Muslims, Islam—its texts and lived practice—is of central importance when they are deliberating about death and dying. Central to these deliberations are virtues rooted within Islamic theology and ethics, the traditions of adab (virtue) (...)
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  17.  9
    Roi Livne (2019) Values at the End of Life. The Logic of Palliative Care: Harvard University Press, Cambridge, Massachusetts, 341 Seiten, 41,00 €, ISBN-13: 978-0-674-54517-5; € 41.Christoph Rehmann-Sutter - 2021 - Ethik in der Medizin 33 (3):427-429.
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  18.  34
    'Ambivalence' at the end of life: How to understand patients' wishes ethically.K. Ohnsorge, H. R. G. Keller, G. A. Widdershoven & C. Rehmann-Sutter - 2012 - Nursing Ethics 19 (5):629-641.
    Health-care professionals in end-of-life care are frequently confronted with patients who seem to be ‘ambivalent’ about treatment decisions, especially if they express a wish to die. This article investigates this phenomenon by analysing two case stories based on narrative interviews with two patients and their caregivers. First, we argue that a respectful approach to patients requires acknowledging that coexistence of opposing wishes can be part of authentic, multi-layered experiences and moral understandings at the end of life. Second, caregivers (...)
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  19.  18
    Dignity at the end of life: from philosophy to health care practice - Lithuanian case.Olga Riklikienė & Žydrūnė Luneckaitė - 2022 - Monash Bioethics Review 40 (Suppl 1):28-48.
    Regulation and clinical practices regarding end of human life care differ among the nations and countries. These differences reflect the history of the development of state health systems, different societal values, and different understandings of dignity and what it means to protect or respect dignity. The result is variation in the ethical, legal, and practical approaches to end-of-life issues. The article analyzes the diversity of strategies to strengthen dignity at the end of life of terminally ill patients and to (...)
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  20.  16
    Auditory Space, Ethics and Hospitality: ‘Noise’, Alterity and Care at the End of Life.Yasmin Gunaratnam - 2009 - Body and Society 15 (4):1-19.
    This article examines the limits and potential of hospitality through struggles over auditory space in care at the end of life. Drawing upon empirical research and a nurse’s account of noisy mourning in a multicultural hospice ward, I argue that the insurgent force of noise as corporeal generosity can produce impossible dilemmas for care, while also provoking surprising ethical relations and potentialities. Derrida’s ideas about the aporias of the gift and absolute responsibility are used to make sense of (...)
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  21.  32
    Sedation and care at the end of life.Daniel P. Sulmasy - 2018 - Theoretical Medicine and Bioethics 39 (3):171-180.
    This special issue of Theoretical Medicine and Bioethics takes up the question of palliative sedation as a source of potential concern or controversy among Christian clinicians and thinkers. Christianity affirms a duty to relieve unnecessary suffering yet also proscribes euthanasia. Accordingly, the question arises as to whether it is ever morally permissible to render dying patients unconscious in order to relieve their suffering. If so, under what conditions? Is this practice genuinely morally distinguishable from euthanasia? Can one ever aim (...)
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  22.  24
    Intentions at the End of Life: Continuous Deep Sedation and France’s Claeys-Leonetti law.Steven Farrelly-Jackson - 2024 - Journal of Medicine and Philosophy 49 (1):43-57.
    In 2016, France passed a major law that is unique in giving terminally ill and suffering patients the right to the controversial procedure of continuous deep sedation until death (CDS). In so doing, the law identifies CDS as a sui generis clinical practice, distinct from other forms of palliative sedation therapy, as well as from euthanasia. As such, it reconfigures the ethical debate over CDS in interesting ways. This paper addresses one aspect of this reconfiguration and its implications for (...)
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  23. Nursing Ethics and Advanced Practice : Palliative and End of Life Care Across the Lifespan.M. Bond Stewart, E. Castle Jane, K. Uveges Melissa & J. Grace Pamela - 2018 - In Pamela June Grace & Melissa K. Uveges (eds.), Nursing ethics and professional responsibility in advanced practice. Burlington, Massachusetts: Jones & Bartlett Learning.
     
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  24.  55
    Clinical ethics: Autonomy at the end of life: life-prolonging treatment in nursing homes—relatives’ role in the decision-making process.A. Dreyer, R. Forde & P. Nortvedt - 2009 - Journal of Medical Ethics 35 (11):672-677.
    Background: The increasing number of elderly people in nursing homes with failing competence to give consent represents a great challenge to healthcare staff’s protection of patient autonomy in the issues of life-prolonging treatment, hydration, nutrition and hospitalisation. The lack of national guidelines and internal routines can threaten the protection of patient autonomy. Objectives: To place focus on protecting patient autonomy in the decision-making process by studying how relatives experience their role as substitute decision-makers. Design: A qualitative descriptive design with (...)
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  25.  9
    Heroics at the End of Life in Pediatric Cardiac Intensive Care: The Role of the Intensivist in Supporting Ethical Decisions around Innovative Surgical Interventions.Mithya Lewis-Newby, Emily Berkman, Douglas S. Diekema & Jonna D. Clark - 2021 - Ethics in Biology, Engineering and Medicine 12 (1):1-13.
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  26.  70
    The traditional account of ethics and law at the end of life—and its discontents.Roger S. Magnusson - 2009 - Journal of Bioethical Inquiry 6 (3):307-324.
    For the past 30 years, the Melbourne urologist Dr Rodney Syme has quietly—and more recently, not-so-quietly—assisted terminally and permanently ill people to die. This paper draws on Syme’s recent book, A Good Death: An Argument for Voluntary Euthanasia , to identify and to reflect on some important challenges to what I outline as the traditional account of law, ethics, and end of life decisions. Among the challenges Syme makes to the traditional view is his argument that physicians’ intentions are frail (...)
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  27.  21
    Multi-dimensional approach to end-of-life care: The Welfare Model.Shin Wei Sim, Tze Ling Gwendoline Beatrice Soh & Lalit Kumar Radha Krishna - 2019 - Nursing Ethics 26 (7-8):1955-1967.
    Appropriate and balanced decision-making is sentinel to goal setting and the provision of appropriate clinical care that are attuned to preserving the best interests of the patient. Current family-led decision-making in family-centric societies such as those in Singapore and other countries in East Asia are believed to compromise these objectives in favor of protecting familial interests. Redressing these skewed clinical practices employing autonomy-based patient-centric approaches however have been found wanting in their failure to contend with wider sociocultural considerations that (...)
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  28.  38
    Ramsey on “Choosing Life” at the End of Life: Conceptual Analysis of Euthanasia and Adjudicating End-of-Life Care Options.Patrick T. Smith - 2018 - Christian Bioethics 24 (2):151-172.
    Ramsey sees life as a gift and a trust given to people by God. This theological understanding of human life frames his judgment of the immorality of euthanasia in its many forms. Assuming Ramsey’s theological insights and framing of this issue, I highlight a particular way of thinking about euthanasia that both seems to capture the essence of the debate and does not necessarily build the moral evaluation into its description. I aim to identify and unpack the description most consistent (...)
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  29.  23
    Dealing with ethical and existential issues at end of life through co-creation.Jessica Hemberg & Elisabeth Bergdahl - 2020 - Nursing Ethics 27 (4):1012-1031.
    BackgroundIn research on co-creation in nursing, a caring manner can be used to create opportunities for the patient to reach vital goals and thereby increase the patient’s quality of life in palliative home care. This can be described as an ethical cornerstone and the goal of palliative care. Nurses must be extra sensitive to patients’ and their relatives’ needs with regard to ethical and existential issues and situations in home care encounters, especially at the (...)
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  30.  30
    The Liverpool Care Pathway: discarded in cancer patients but good enough for dying nursing home patients? A systematic review.Bettina S. Husebo, Elisabeth Flo & Knut Engedal - 2017 - BMC Medical Ethics 18 (1):48.
    The Liverpool Care Pathway is an interdisciplinary protocol, aiming to ensure that dying patients receive dignified and individualized treatment and care at the end-of-life. LCP was originally developed in 1997 in the United Kingdom from a model of cancer care successfully established in hospices. It has since been introduced in many countries, including Norway. The method was withdrawn in the UK in 2013. This review investigates whether LCP has been adapted and validated for use in nursing (...)
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  31.  22
    The Liverpool Care Pathway: discarded in cancer patients but good enough for dying nursing home patients? A systematic review.Bettina S. Husebo, Elisabeth Flo & Knut Engedal - 2017 - BMC Medical Ethics 18 (1):48.
    The Liverpool Care Pathway is an interdisciplinary protocol, aiming to ensure that dying patients receive dignified and individualized treatment and care at the end-of-life. LCP was originally developed in 1997 in the United Kingdom from a model of cancer care successfully established in hospices. It has since been introduced in many countries, including Norway. The method was withdrawn in the UK in 2013. This review investigates whether LCP has been adapted and validated for use in nursing (...)
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  32.  6
    Kathleen Benton and Renzo Pegoraro (ed.): Finding dignity at the end of life: A spiritual reflection on palliative care: Routledge, Taylor and Francis Group (United Kingdom), 2021, 226 pp, ISBN: ISBN 978-0-367-20659-8.Rebecca Milaneschi - 2022 - Theoretical Medicine and Bioethics 43 (2):173-175.
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  33.  32
    Approaches to suffering at the end of life: the use of sedation in the USA and Netherlands: Table 1.Judith A. C. Rietjens, Jennifer R. Voorhees, Agnes van der Heide & Margaret A. Drickamer - 2014 - Journal of Medical Ethics 40 (4):235-240.
    Background Studies describing physicians’ experiences with sedation at the end of life are indispensible for informed palliative care practice, but they are scarce. We describe the accounts of physicians from the USA and the Netherlands, two countries with different regulations on end-of-life decisions regarding their use of sedation.Methods Qualitative face-to-face interviews were held in 2007–2008 with 36 physicians , including primary care physicians and specialists. We applied purposive sampling and conducted constant comparative analyses.Results In both countries, the (...)
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  34.  43
    Erratum to: The Liverpool Care Pathway: discarded in cancer patients but good enough for dying nursing home patients? A systematic review.Bettina S. Husebo, Elisabeth Flo & Knut Engedal - 2017 - BMC Medical Ethics 18 (1):52.
    Background The Liverpool Care Pathway is an interdisciplinary protocol, aiming to ensure that dying patients receive dignified and individualized treatment and care at the end-of-life. LCP was originally developed in 1997 in the United Kingdom from a model of cancer care successfully established in hospices. It has since been introduced in many countries, including Norway. The method was withdrawn in the UK in 2013. This review investigates whether LCP has been adapted and validated for use in (...) homes and for dying people with dementia. Methods This systematic review is based on a systematic literature search of MEDLINE, CINAHL, EMBASE, and Web of Science. Results The search identified 12 studies, but none describing an evidence-based adaption of LCP to nursing home patients and people with dementia. No studies described the LCP implementation procedure, including strategies for discontinuation of medications, procedures for nutrition and hydration, or the testing of such procedures in nursing homes. No effect studies addressing the assessment and treatment of pain and symptoms that include dying nursing home patients and people with dementia are available. Conclusion LCP has not been adapted to nursing home patients and people with dementia. Current evidence, i.e. studies investigating the validity and reliability in clinically relevant settings, is too limited for the LCP procedure to be recommended for the population at hand. There is a need to develop good practice in palliative medicine, Advance Care Planning, and disease-specific recommendations for people with dementia. (shrink)
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  35.  84
    Evaluation of end of life care in cancer patients at a teaching hospital in Japan.Y. Tokuda - 2004 - Journal of Medical Ethics 30 (3):264-267.
    Objectives: To analyse the decision making for end of life care for patients with cancer at a teaching hospital in Japan at two periods 10 years apart.Design and setting: Retrospective study conducted in a 550 bed community teaching hospital in Okinawa, Japan.Patients: There were 124 terminally ill cancer patients admitted either in 1989 and 1999 for end of life care with sufficient data to permit analysis.Main measurements: Basic demographic data, notification to the patient that he or she had (...)
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  36.  39
    Ethical Tensions in the Pain Management of an End-Stage Cancer Patient with Evidence of Opioid Medication Diversion.Arvind Venkat & David Kim - 2016 - HEC Forum 28 (2):95-101.
    At the end of life, pain management is commonly a fundamental part of the treatment plan for patients where curative measures are no longer possible. However, the increased recognition of opioid diversion for secondary gain coupled with efforts to treat patients in the home environment towards the end of life creates the potential for ethical dilemmas in the palliative care management of terminal patients in need of continuous pain management. We present the case of an end-stage patient with (...)
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  37.  31
    Ethical Problems in End-of-Life Decisions for Elderly Norwegians.Marjorie A. Schaffer - 2007 - Nursing Ethics 14 (2):242-257.
    Norwegian health professionals, elderly people and family members experience ethical problems involving end-of-life decision making for elders in the context of the values of Norwegian society. This study used ethical inquiry and qualitative methodology to conduct and analyze interviews carried out with 25 health professionals, six elderly people and five family members about the ethical problems they encountered in end-of-life decision making in Norway. All three participant groups experienced ethical problems involving the adequacy of health care for elderly Norwegians. (...)
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  38.  25
    Forgoing artificial nutrition or hydration at the end of life: a large cross-sectional survey in Belgium.Kenneth Chambaere, Ilse Loodts, Luc Deliens & Joachim Cohen - 2014 - Journal of Medical Ethics 40 (7):501-504.
    Objectives To examine the frequency and characteristics of decisions to forgo artificial nutrition and/or hydration at the end of life.Design Postal questionnaire survey regarding end-of-life decisions to physicians certifying a large representative sample of Belgian death certificates in 2007.Setting Flanders, Belgium, 2007.Participants Treating physicians of deceased patients.Results Response rate was 58.4%. A decision to forgo ANH occurred in 6.6% of all deaths . Being female, dying in a care home or hospital and suffering from nervous system diseases or malignancies (...)
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  39.  30
    Artificial hydration and alimentation at the end of life: a reply to Craig.M. Ashby & B. Stoffell - 1995 - Journal of Medical Ethics 21 (3):135-140.
    Dr Gillian Craig (1) has argued that palliative medicine services have tended to adopt a policy of sedation without hydration, which under certain circumstances may be medically inappropriate, causative of death and distressing to family and friends. We welcome this opportunity to defend, with an important modification, the approach we proposed without substantive background argument in our original article (2). We maintain that slowing and eventual cessation of oral intake is a normal part of a natural dying process, that (...)
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  40. Are medical ethicists out of touch? Practitioner attitudes in the US and UK towards decisions at the end of life.Donna Dickenson - 2000 - Journal of Medical Ethics 26 (4):254-260.
    To assess whether UK and US health care professionals share the views of medical ethicists about medical futility, withdrawing/withholding treatment, ordinary/extraordinary interventions, and the doctrine of double effect. A 138-item attitudinal questionnaire completed by 469 UK nurses studying the Open University course on "Death and Dying" was compared with a similar questionnaire administered to 759 US nurses and 687 US doctors taking the Hastings Center course on "Decisions near the End of Life". Practitioners accept the relevance of concepts widely (...)
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  41.  4
    Navigating complex end-of-life decisions in a family-centric society.Guozhang Lee - 2020 - Nursing Ethics 27 (4):1003-1011.
    End-of-life decision making frequently involves a complex balancing of clinical, cultural, social, ethical, religious and economic considerations. Achieving a happy balance of these sometimes-competing interests, however, can be particularly fraught in a family-centric society like Singapore where the family unit often retains significant involvement in care determinations necessitating careful consideration of the family’s position during the decision-making process. While various decision-making tools such as relational autonomy, best interests principle and welfare-based models have been proposed to help navigate such difficult (...)
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  42.  24
    Death's dominion ethics at the end of life.J. Coggon - 2007 - Journal of Medical Ethics 33 (12):742-742.
    Death’s Dominion is Simon Woods’ addition to the excellent and thought-provoking Facing Death series. Its timeliness is hardly at issue: the debate on euthanasia, end-of-life care and associated issues looks set to rage for some time. And it comes out at a time when the UK Parliament is debating a palliative care bill, designed to promote a duty of the state to provide palliative care to all who need it. The real concern with a work (...)
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  43.  30
    The ethical decisions UK doctors make regarding advanced cancer patients at the end of life - the perceived (in) appropriateness of anticoagulation for venous thromboembolism: A qualitative study. [REVIEW]Laura Sheard, Hayley Prout, Dawn Dowding, Simon Noble, Ian Watt, Anthony Maraveyas & Miriam Johnson - 2012 - BMC Medical Ethics 13 (1):22-.
    Background: Cancer patients are at risk of developing blood clots in their veins - venous thromboembolism(VTE) - which often takes the form of a pulmonary embolism or deep vein thrombosis. Therisk increases with advanced disease. Evidence based treatment is low molecular weightheparin (LMWH) by daily subcutaneous injection. The aim of this research is to explore thebarriers for doctors in the UK when diagnosing and treating advanced cancer patients withVTE.MethodQualitative, in-depth interview study with 45 doctors (30 across Yorkshire, England and 15across (...)
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  44.  25
    Patient Advocacy At the End of Life.Mary Brewer Love - 1995 - Nursing Ethics 2 (1):3-9.
    Caring for the competent, fragile, elderly patient at the end of life is becoming increasingly challenging. This case explores several ethical areas of concern that arise when caring for patients who have written durable powers of attorney for health care decisions and face life or death choices. Areas covered are informed consent with the elderly patient, the family's right to be involved in decision-making, futility of treatment, and the nurse's role as patient advocate during times of difficult decision-making. Recommendations (...)
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  45. Expanding Consciousness of Suffering at the End of Life.Mary Beth Morrissey - 2011 - Schutzian Research 3:79-106.
    This analysis explores the phenomenology of suffering and temporal, genetic and social developmental aspects of suffering for seriously ill older adults. A phenomenological account of suffering is advanced using oral history data from in-depth interviews with a seriously ill, frail elderly woman. The analysis evaluates how a phenomenological account of suffering may inform ethics in end-of-life decision making, and may provide a further basis for an integrated ethical and gerontological response to suffering in palliative social work practice with seriously (...)
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  46.  52
    Moral concerns with sedation at the end of life.Charles Douglas - 2014 - Journal of Medical Ethics 40 (4):241-241.
    Two studies reported in the Journal of Medical Ethics add to the growing body of qualitative evidence relating to the use of sedatives at the end of life.1 ,2 Respondents in the two studies affirm a number of important concerns, most of which have been elaborated in the philosophy and palliative care literature, relating to the use of sedation. There seems little doubt that the common moral thread to most of these concerns is the possibility that end-of-life sedation (...)
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  47.  13
    End-of-Life Care: Forensic Medicine v. Palliative Medicine.Joseph P. Pestaner - 2003 - Journal of Law, Medicine and Ethics 31 (3):365-376.
    The increasing life expectancy of terminally-ill people has raised many public policy concerns about end-of-life care. Due to increased longevity and the lack of cures for illnesses like cancer and heart disease, palliative care, particularly pain management, has become an important mode OF medical therapy. Palliative care providers feel that “[h]ealth care professionals have a moral duty to provide adequate palliative care and pain relief, even if such care shortens the patient’s (...)
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  48.  11
    Expanding choice at the end of life.Dominic Wilkinson, Laura Gilbertson, Justin Oakley & Julian Savulescu - 2023 - Journal of Medical Ethics 49 (4):269-270.
    We are grateful to the commentators on our article1 for their thoughtful engagement with the ethical and clinical complexity of expanded terminal sedation (ETS) in end-of-life care. We will start by noting some points of common ground, before moving on to the more challenging ways in which TS might be permissibly expanded. First, several commentators pointed out, and we completely concur, that it is important to provide patients with full information about their end-of-life options, including the ‘outcomes, uncertainties and (...)
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  49.  49
    Are medical ethicists out of touch? Practitioner attitudes in the US and UK towards decisions at the end of life.D. L. Dickenson - 2000 - Journal of Medical Ethics 26 (4):254-260.
    Objectives—To assess whether UK and US health care professionals share the views of medical ethicists about medical futility, withdrawing/withholding treatment, ordinary/extraordinary interventions, and the doctrine of double effectDesign, subjects and setting–A 138-item attitudinal questionnaire completed by 469 UK nurses studying the Open University course on “Death and Dying” was compared with a similar questionnaire administered to 759 US nurses and 687 US doctors taking the Hastings Center course on “Decisions near the End of Life”.Results–Practitioners accept the relevance of concepts (...)
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  50.  20
    Nurses' Advocacy Behaviors in End-of-Life Nursing Care.Karen S. Thacker - 2008 - Nursing Ethics 15 (2):174-185.
    Nursing professionals are in key positions to support end-of-life decisions and to advocate for patients and families across all health care settings. Advocacy has been identified as the common thread of quality end-of-life nursing care. The purpose of this comparative descriptive study was to reveal acute care nurses' perceptions of advocacy behaviors in end-of-life nursing practice. The 317 participating nurses reported frequent contact with dying patients despite modest exposure to end-of-life education. This study did (...)
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