life support care
Summary: Care provided patients requiring extraordinary therapeutic measures in order to sustain and prolong life.
Publications232 found, 100 shown here
- Evaluation of a standardized order form for the withdrawal of life support in the intensive care unitPatsy D Treece
Division of Pulmonary and Critical Care, Department of Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA
Crit Care Med 32:1141-8. 2004..We describe a quality improvement project implementing and evaluating a "withdrawal of life support order form" to improve quality of end-of-life care in the intensive care unit...
- Limiting life-sustaining treatment in German intensive care units: a multiprofessional surveyRalf J Jox
Interdisciplinary Center for Palliative Medicine, Munich University Hospital, Marchioninistrasse 15, D 81377 Munich, Germany
J Crit Care 25:413-9. 2010..The aim of the study was to investigate the practices and perspectives of German intensive care nurses and physicians on limiting LST...
- Prehospital advanced life support provided by specially trained physicians: is there a benefit in terms of life years gained?H M Lossius
Department of Anesthesia and Intensive Care, Rogaland Central Hospital, Stavanger, Norwegian Air Ambulance, Oslo, Norway
Acta Anaesthesiol Scand 46:771-8. 2002..The purpose of the study was to assess the health benefit from an anesthesiologist-manned prehospital emergency medical service (EMS), and to separate the benefit of the anesthesiologist from that of rapid transport...
- Acquisition and retention of basic life support skills in an untrained population using a personal resuscitation manikin and video self-instruction (VSI)Anne Møller Nielsen
Department of Anaesthesia, Centre of Head and Orthopaedics, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark
Resuscitation 81:1156-60. 2010..No accurate assessment of the actual improvement in skills after attending a VSI course has been determined, and in this study we assess the skill improvement in laypersons undergoing VSI...
- Assisted dying and the context of debate: 'medical law' versus 'end-of-life law'John Coggon
Institute for Science, Ethics, and Innovation, School of Law, University of Manchester, UK
Med Law Rev 18:541-63. 2010..Thus it is questioned whether 'medical law' provides a coherent frame for social questions related to assisted-dying...
- Duration of withdrawal of life support in the intensive care unit and association with family satisfactionEric Gerstel
Departments of Internal Medicine and Critical Care, Geneva University Hospitals of Geneva and University of Geneva, Geneva, Switzerland
Am J Respir Crit Care Med 178:798-804. 2008..Most deaths in the intensive care unit (ICU) involve withholding or withdrawing multiple life-sustaining therapies, but little is known about how to proceed practically and how this process affects family satisfaction...
- Forgoing life support in western European intensive care units: the results of an ethical questionnaireJ L Vincent
Department of Intensive Care, Erasme University Hospital, Free University of Brussels, Belgium
Crit Care Med 27:1626-33. 1999..To determine current views of European intensive care physicians regarding end-of-life decisions...
- Factors affecting physicians' decisions to forgo life-sustaining treatments in terminal careH Hinkka
Kangasala Health Center, Kangasala, Finland
J Med Ethics 28:109-14. 2002..We sought to study variability in decisions to withdraw or withhold specific life-supporting treatments in terminal care and to evaluate the association between decisions and such background factors...
- End-of-life decisions: a cohort study of the withdrawal of all active treatment in intensive care units in the United KingdomHannah Wunsch
Department of Anesthesiology, Columbia University, New York Presbyterian Hospital, New York, NY 10025, USA
Intensive Care Med 31:823-31. 2005..To describe the epidemiology of active treatment withdrawal in a nationally representative cohort of intensive care units (ICUs) focusing on between-unit differences...
- Bystander cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest. The Cerebral Resuscitation Study GroupL Bossaert
Department of Intensive Care and Emergency Medicine, University of Antwerp, UIA, Belgium
Resuscitation 17:S55-69; discussion S199-206. 1989..In CA events where response time of ALS exceeds 8 min, the beneficial effect of bystander CPR is most significant. Furthermore no deleterious effect of bad technique or inefficient bystander CPR can be demonstrated...
- Withholding and withdrawal of life support in intensive-care units in France: a prospective survey. French LATAREA GroupE Ferrand
Surgical Unit, Henri Mondor University Hospital, Creteil, France
Lancet 357:9-14. 2001..In France, there are no guidelines available on withholding and withdrawal of life-sustaining treatments, and information on the frequency of such decisions is scarce...
- Death in emergency departments: a multicenter cross-sectional survey with analysis of withholding and withdrawing life supportPhilippe Le Conte
Department of Emergency Medicine, Nantes University Hospital, Nantes Cedex 01, France
Intensive Care Med 36:765-72. 2010..To describe the characteristics of patients who die in emergency departments and the decisions to withhold or withdraw life support...
- Withdrawing and withholding life support in the intensive care unit: a Spanish prospective multi-centre observational studyA Esteban
Hospital Universitario de Getafe, Carretera de Toledo Km 12, 500, Getafe 28905, Madrid, Spain
Intensive Care Med 27:1744-9. 2001..To determine how frequently life support is withheld or withdrawn from adult critically ill patients, and how physicians and patients families agree on the decision regarding the limitation of life support...
- HEMS vs. Ground-BLS care in traumatic cardiac arrestStefano Di Bartolomeo
Italian Resuscitation Council, Trauma Committee, Italy
Prehosp Emerg Care 9:79-84. 2005....
- Effects of 2 patterns of prehospital care on the outcome of patients with severe head injuryS Di Bartolomeo
Friuli Venezia Giulia Regional Helicopter Medical Service, Udine, Italy
Arch Surg 136:1293-300. 2001....
- Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College [corrected] of Critical Care MedicineRobert D Truog
Harvard Medical School and Children s Hospital, Boston, MA, USA
Crit Care Med 36:953-63. 2008..S. perspective. They do not use an evidence grading system because most of the recommendations are based on ethical and legal principles that are not derived from empirically based evidence...
- The OPALS Major Trauma Study: impact of advanced life-support on survival and morbidityIan G Stiell
The Department of Emergency Medicine, University of Ottawa, and the Clinical Epidemiology Program, Ottawa Health Research Institute, Ottawa, Ont
CMAJ 178:1141-52. 2008..To date, the benefit of prehospital advanced life-support programs on trauma-related mortality and morbidity has not been established..
- Tube feedings and persistent vegetative state patients: ordinary or extraordinary means?Peter Clark
Department of Theology, Saint Joseph s University, 5600 City Avenue, Philadelphia, PA 19135 1395, USA
Christ Bioeth 12:43-64. 2006..Moreover, additional analysis is needed to determine whether the papal allocution is in conflict with the traditional Catholic medical ethics understanding of the ordinary-extraordinary care distinction...
- Withholding and withdrawing life-support therapy in an Emergency Department: prospective surveyPhilippe Le Conte
Service d Accueil et d Urgences, Centre Hospitalier Universitaire, 44093 Nantes, France
Intensive Care Med 30:2216-21. 2004....
- Simple changes can improve conduct of end-of-life care in the intensive care unitRichard I Hall
Department of Anesthesia, Dalhousie University, and the Intensive Care Services, Canada
Can J Anaesth 51:631-6. 2004..To describe changes to the conduct of withdrawal of life support (WOLS) in two teaching hospital tertiary care medical surgical intensive care units (ICUs) in a single centre over two distinct time periods...
- Decision making and modes of death in a tertiary neonatal unitR Roy
Homerton University Hospital, London E9 6SR, UK
Arch Dis Child Fetal Neonatal Ed 89:F527-30. 2004..To study the frequency and reason for withdrawal/withholding of life sustaining treatment (LST) and do not resuscitate (DNR) orders in infants who died in a tertiary neonatal unit...
- Stability of older adults' preferences for life-sustaining medical treatmentPeter H Ditto
Department of Psychology and Social Behavior, University of California, Irvine 92696 7085, USA
Health Psychol 22:605-15. 2003....
- End-of-life: the Islamic viewAbdulaziz Sachedina
Department of Religious Studies, University of Virginia, PO Box 400126, Charlotteville, VA 22904, USA
Lancet 366:774-9. 2005
- End-of-life models and emergency department careGarrett K Chan
University of California, San Francisco, Department of Physiological Nursing, San Francisco, CA 94143 0610, USA
Acad Emerg Med 11:79-86. 2004..There is very little information about end-of-life care in the ED. This article explores ED culture and characteristics, and examines the applicability of current end-of-life care models...
- Parental refusal of medical treatment for a newbornJohn J Paris
Boston College, Chestnut Hill, MA 02167, USA
Theor Med Bioeth 28:427-41. 2007..We conclude with support for the policy articulated in the 2007 guidelines of the American Academy of Pediatrics on non-intervention or withdrawal of intensive care for high-risk newborns...
- Legal basis for ethical withholding and withdrawing life-sustaining medical treatment from infants and childrenJames Tibballs
Intensive Care Unit and Department of Paediatrics, Royal Children s Hospital, The University of Melbourne, Melbourne, Victoria, Australia
J Paediatr Child Health 43:230-6. 2007..These legal principles may facilitate difficult ethical decisions. This article identifies a number of common law cases which establishes these principles...
- Withdrawal of mechanical ventilation in anticipation of death in the intensive care unitDeborah Cook
Department of Medicine, McMaster University, Hamilton, Ont, Canada
N Engl J Med 349:1123-32. 2003..The objective of this study was to examine the clinical determinants that were associated with the withdrawal of mechanical ventilation...
- End-of-life practices in seven Brazilian pediatric intensive care unitsPatricia M Lago
Hospital de Clínicas de Porto Alegre Brazil and Pediatric and Child Health Post Graduation Program, School of Medicine, Pontificia Universidade Catolica do Rio Grande do Sul, Porto Alegre, Brazil
Pediatr Crit Care Med 9:26-31. 2008..To evaluate the incidence of life support limitation and medical practices in the last 48 hrs of life of children in seven Brazilian pediatric intensive care units (PICUs)...
- Is it in the best interests of an intellectually disabled infant to die?D Wilkinson
Mercy Hospital for Women, PO Box 5027, Heidelberg West, Victoria 3081, Australia
J Med Ethics 32:454-9. 2006..The best interests of the child can be affected by severe or profound intellectual disability. It is, though, not as clear-cut as some might expect...
- Discrepancies between perceptions by physicians and nursing staff of intensive care unit end-of-life decisionsEdouard Ferrand
Unité de Réanimation Chirurgicale et Traumatologique, Service d Anesthesie Reanimation, Hopital Henri Mondor, AP HP, 51 rue du Mal de Lattre de Tassigny, 94010 Creteil Cedex, France
Am J Respir Crit Care Med 167:1310-5. 2003..Recommendations and legislation may help to build consensus and avoid conflicts among caregivers at each step of the decision-making process...
- Limitation of life support: frequency and practice in a Hong Kong intensive care unitThomas A Buckley
Department of Anaesthesia and Intensive Care, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Crit Care Med 32:415-20. 2004..To examine the frequency and the decision-making processes involved in limiting (withdrawing and withholding) life support therapy in critically ill Chinese patients in the intensive care unit...
- French intensivists do not apply American recommendations regarding decisions to forgo life-sustaining therapyF Pochard
, , Paris, France
Crit Care Med 29:1887-92. 2001..In many cases, the decision was taken without regard for one or more factors identified as relevant in U.S. guidelines...
- Empathy and life support decisions in intensive care unitsR Brac Selph
The Wright Institute, Berkeley, CA, USA
J Gen Intern Med 23:1311-7. 2008..Although experts advocate that physicians should express empathy to support family members faced with difficult end-of-life decisions for incapacitated patients, it is unknown whether and how this occurs in practice...
- Prehospital care and outcome of pediatric out-of-hospital cardiac arrestRaymond Pitetti
Department of Pediatrics, Children s Hospital of Pittsburgh University of Pittsburgh School of Medicine, Pennsylvania 15213, USA
Prehosp Emerg Care 6:283-90. 2002..The authors of the study described below believe that using this definition would categorize some patients into an ALS group who would otherwise be categorized as having received BLS (i.e., "bag-valve-mask only")...
- Symptoms of anxiety and depression in family members of intensive care unit patients: ethical hypothesis regarding decision-making capacityF Pochard
, , Paris, France
Crit Care Med 29:1893-7. 2001..Involvement of anxious or depressed family members in end-of-life decisions should be carefully discussed...
- Effect of prehospital advanced life support on outcomes of major trauma patientsM Eckstein
University of Southern California School of Medicine, Los Angeles, USA
J Trauma 48:643-8. 2000..Determine whether prehospital advanced life support (ALS) improves the survival of major trauma patients and whether it is associated with longer on-scene times...
- Level of prehospital care and risk of mortality in patients with and without severe blunt head injuryAnna Lee
Department of Anaesthesia and Intensive Care, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China
Injury 34:815-9. 2003..To determine the association between mortality and the level of prehospital care in severely injured blunt trauma patients with or without severe head injury...
- Effect of pre-hospital advanced life support with rapid sequence intubation on outcome of severe traumatic brain injuryP Klemen
Center for Emergency Medicine Maribor, University of Maribor Medical Faculty, Maribor, Slovenia
Acta Anaesthesiol Scand 50:1250-4. 2006..This study evaluated the impact of pre-hospital trauma care by emergency physicians (EP) on mortality from severe traumatic brain injury (TBI) and a 180-day Glasgow Outcome Scale (GOS)...
- Interventions to improve care during withdrawal of life-sustaining treatmentsJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington 98104 2499, USA
J Palliat Med 8:S116-31. 2005..Further research is needed to identify and test the most appropriate and responsive outcome measures and to identify the most effective and cost-effective interventions...
- A national survey of end-of-life care for critically ill patientsT J Prendergast
Department of Medicine, Veterans Administration Medical Center, White River Junction, Vermont
Am J Respir Crit Care Med 158:1163-7. 1998..There is wide variation in end-of-life care, and efforts are needed to understand practice patterns and to establish standards of care for patients dying in ICUs...
- End-of-life care in the ICU: treatments provided when life support was or was not withdrawnR I Hall
Department of Anesthesia, Dalhousie University, Canada
Chest 118:1424-30. 2000..To compare and contrast use of technology, pharmacology, and physician variability in end-of-life care of ICU patients dying with or without active life support...
- Policies of withholding and withdrawal of life-sustaining treatment in critically ill patients on cardiac intensive care units in Germany: a national surveyChristoph Schimmer
Department of Cardiothoracic and Thoracic Vascular Surgery, University Hospital Wurzburg, Wurzburg, Germany
Interact Cardiovasc Thorac Surg 14:294-9. 2012..To determine the decision-making process of withholding and/or withdrawal (WH/WD) of life-sustaining treatment in cardiac intensive care units (ICUs) in Germany...
- End-of-life decisions in Greek intensive care units: a multicenter cohort studyGeorgios Kranidiotis
First Critical Care Department, Evangelismos Hospital, National and Kapodistrian University of Athens, 45 47 Ypsilantou Str, Athens, 10675, Greece
Crit Care 14:R228. 2010....
- Evolution of the medical practices and modes of death on pediatric intensive care units in southern BrazilDélio José Kipper
Pediatric Intensive Care Unit, Hospital Sao Lucas, School of Medicine, Pontificia Universidade Catolica do Rio Grande do Sul, Brazil
Pediatr Crit Care Med 6:258-63. 2005..Methods: A cross-sectional study based on a retrospective chart review (1988 and 1998) and on prospective data collection (from May 1999 to May 2000)...
- Evaluation of changes in forgoing life-sustaining treatment in Israeli ICU patientsDaniel J Jakobson
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, The Hebrew University of Jerusalem, PO Box 12000, Jerusalem, Israel 91120, USA
Chest 126:1969-73. 2004..Over the last several years, there have been legal decisions and changes in medical directives concerning end-of-life decisions in Israel...
- Withholding and withdrawal of life-sustaining treatment in a Lebanese intensive care unit: a prospective observational studyAlexandre Yazigi
Department of Anesthesiology and Surgical Intensive Care, Hotel Dieu de France Hospital, Saint Joseph University, Adib Ishac Street, Beirut, Lebanon
Intensive Care Med 31:562-7. 2005..To evaluate the implementation and process of withholding and withdrawing life-sustaining treatment in an intensive care unit...
- Extended somatic support for pregnant women after brain deathDavid J Powner
Department of Neurosurgery, University of Texas, Houston, TX, USA
Crit Care Med 31:1241-9. 2003....
- Pediatric pre-hospital advanced life support care in an urban settingF E Babl
Division of Pediatric Emergency Medicine, Boston Medical Center, Boston University School of Medicine, Massachusetts 02118, USA
Pediatr Emerg Care 17:5-9. 2001..To describe pediatric advanced life support (PALS) in a single urban environment and clarify educational priorities for ALS pre-hospital providers and pediatric medical control physicians...
- The baby MB case: medical decision making in the context of uncertain infant sufferingMonique Jonas
Centre for Professional Ethics, Keele Hall, Keele University, Staffordshire ST5 5BG, UK
J Med Ethics 33:541-4. 2007..It is suggested that when genuine uncertainty over the interests of an infant exists, parental views about treatment should prevail...
- Understanding and changing attitudes toward withdrawal and withholding of life support in the intensive care unitDeborah Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Crit Care Med 34:S317-23. 2006..Understanding these attitudes may offer valuable insights about strategies that should help improve the care for dying patients and their families...
- Withdrawal of life-sustaining therapy in injured patients: variations between trauma centers and nontrauma centersZara Cooper
Division of Trauma, Burns, and Critical Care, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
J Trauma 66:1327-35. 2009..We sought to identify patient and institutional variables predictive of a withdrawal of care order (WOCO) in trauma patients. We hypothesized that the frequency of WOCO would be higher at trauma centers...
- Attitudes of European physicians, nurses, patients, and families regarding end-of-life decisions: the ETHICATT studyCharles L Sprung
General Intensive Care Unit, Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, PO Box 12000, 91120, Jerusalem, Israel
Intensive Care Med 33:104-10. 2007..To evaluate attitudes of Europeans regarding end-of-life decisions...
- The practice of and documentation on withholding and withdrawing life support: a retrospective study in two Dutch intensive care unitsPeter E Spronk
Department of Intensive Care Medicine, Gelre Hospitals, Location Lukas, Apeldoorn, The Netherlands
Anesth Analg 109:841-6. 2009..We determined how often life support was withheld or withdrawn in patients who died in the intensive care unit (ICU) or early after ICU discharge and evaluated documentation on decisions regarding these changes in life support orders...
- Fates worse than death: the role of valued life activities in health-state evaluationsP H Ditto
Department of Psychology, Kent State University, Ohio 44242 0001
Health Psychol 15:332-43. 1996..Implications of these results for end-of-life medical decision making in general and the use of advance medical directives in particular are discussed...
- Survey of the general public's attitudes toward advance directives in Japan: how to respect patients' preferencesHiroaki Miyata
Department of Healthcare Quality Assessment, Graduate School of Medicine, University of Tokyo, Japan
BMC Med Ethics 7:E11. 2006..The rationale for this research is based on the need to investigate patient's preferences regarding treatment at the end of life in order to re-evaluate advance directives policy and practice...
- Survey of respiratory therapists' attitudes and concerns regarding terminal extubationDavid C Willms
Pulmonary Center, Sharp Memorial Hospital, 7901 Frost Street, San Diego CA 92123, USA
Respir Care 50:1046-9. 2005..There is little published information on the role of respiratory therapists in the process of withdrawal of mechanical ventilatory support...
- Families' and physicians' predictions of dialysis patients' preferences regarding life-sustaining treatments in JapanYasuhiko Miura
Division of Nephrology and Hypertension, Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan
Am J Kidney Dis 47:122-30. 2006..It has been believed that patient preferences are understood intuitively by family and caregivers. However, there are no data to support this assumption...
- Practices of anaesthesiologists with regard to withholding and withdrawal of life support from the critically ill in TurkeyL Iyilikci
Department of Anaesthesiology, School of Medicine, Dokuz Eylul University, Izmir, Turkey
Acta Anaesthesiol Scand 48:457-62. 2004..To determine practices of Turkish anaesthesiologists with regard to withholding and withdrawal of life support from the critically ill...
- [Ethics problems at the end of life. Terminal care--euthanasia]P Kampits
Institut fur Philosophie, Universitat Wien, Universitätsstrasse 7, A 1010 Wien
Wien Med Wochenschr 152:317-9. 2002..The author pleads for a reduction of dogmatic positions and recommends a moderate way between the general liberalisation and the general verdict of euthanasia on the moral and legal levels...
- Ethical aspects of withdrawing and withholding treatmentPaul Wainwright
Kingston University, Kingston upon Thames, Surrey
Nurs Stand 21:46-50. 2007..Further ethical issues discussed relate to judgements about the futility of treatment, patient autonomy and nurses' duty of care to patients at the end of life...
- Intensive care unit cultures and end-of-life decision makingJudith Gedney Baggs
School of Nursing, Oregon Health and Science University, Portland, OR 97239 2941, USA
J Crit Care 22:159-68. 2007..This research was designed to study limitation of treatment decision making in real time and to evaluate similarities and differences in the cultural contexts of 4 ICUs and the relationship of those contexts to EOLDM...
- Precommitment: a misguided strategy for securing death with dignityRebecca Dresser
Washington University, St Louis, MO, USA
Tex Law Rev 81:1823-47. 2003
- Consultation of parents in actual end-of-life decision-making in neonates and infantsVeerle Provoost
End of Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium
Eur J Pediatr 165:859-66. 2006..1%). Parents of infants with a small gestational age more often explicitly requested an ELD...
- [Withholding and withdrawing treatment, ethical and legal aspects]Reidar Pedersen
Seksjon for medisinsk etikk, Universitetet i Oslo, Postboks 1130 Blindern, 0318 Oslo
Tidsskr Nor Laegeforen 127:1648-50. 2007..In the wake of medical progress an important ethical discussion has arisen about when to withhold and when to withdraw life-sustaining treatment...
- [Death in an intensive care unit. Influence of life support withholding and withdrawal]Carlos Gherardi
Division Terapia Intensiva, Hospital de Clinicas Jose de San Martin, Facultad de Medicina, Universidad de Buenos Aires, Argentina
Medicina (B Aires) 66:237-41. 2006..Further research should analyze the influence that moral perception of withdrawal as inconvenient in our society, has over our findings...
- [Ethical decision-making at the end of life--knowledge and attitudes of medical students]M Weber
III Medizinische Klinik und Institut für Medizinische Biometrie, Epidemiologie und Informatik, Universitätskliniken Mainz, und Institut für Rechtsmedizin der Johannes Gutenberg Universität Mainz
Dtsch Med Wochenschr 129:1556-60. 2004....
- Perceptions of patients on the utility or futility of end-of-life treatmentK L Rodriguez
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System 151C U, University Drive C, Bldg 28, MB 1A129, Pittsburgh, PA 15240 1000, USA
J Med Ethics 32:444-9. 2006..Patients were allowed to discuss their concerns about end-of-life care, so that their ideas about treatment futility or utility could be extrapolated by us...
- Life support for patients without a surrogate decision maker: who decides?Douglas B White
University of California, San Francisco, and San Francisco General Hospital, San Francisco, California 94143 0903, USA
Ann Intern Med 147:34-40. 2007..Physicians in intensive care units have withdrawn life support in incapacitated patients who lack surrogate decision makers and advance directives, yet little is known about how often this occurs or under what circumstances...
- Distress of clinicians with decisions to withhold or withdraw life-support measuresA T Uhlmann
J Crit Care 19:118-9; author reply 119-20. 2004
- Caring for patients and families at the end of life: withdrawal of intensive care in the patient's homeSue Mann
Clinical Charge Nurse, Department of Intensive Care Medicine, Middlemore Hospital, Auckland, New Zealand
N Z Med J 117:U935. 2004..To describe our experience of transporting 17 intensive care patients home to die...
- Catholicism, death and modern medicineLisa Sowle Cahill
Boston College, Chestnut Hill, MA, USA
America (NY) 192:14-7. 2005
- Living and dying in a post-Schiavo worldThomas Wm Mayo
Dedman School of Law, Southern Methodist University, USA
J Health Law 38:587-608. 2005..Looking through a post-Schiavo lens, the Article examines state law addressing these issues and how these choices may be reexamined in the coming years...
- Unilateral withholding and withdrawal of potentially life-sustaining treatment: a violation of dignity under the law in CanadaJocelyn Downie
Health Law Institute, Faculty of Law, Dalhousie University, Halifax, Nova Scotia, Canada
J Palliat Care 20:143-9. 2004..I then offer a concrete proposal for institutional policy with respect to unilateral withholding and withdrawal of treatment in light of the law...
- The Schiavo and Korp cases: conceptualising end-of-life decision-makingLoane Skene
Faculty of Law, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, Vic, Australia
J Law Med 13:223-9. 2005..That deflects attention from the fundamental legal principle that whatever a patient or the relatives want, they are not legally entitled to demand treatment that doctors consider futile in the circumstances...
- Canadian nurses' and respiratory therapists' perspectives on withdrawal of life support in the intensive care unitGraeme M Rocker
Department of Medicine, Queen Elizabeth II Health Sciences Center, Halifax, Nova Scotia
J Crit Care 20:59-65. 2005..To describe perspectives of nurses (RNs) and respiratory therapists (RTs) related to end-of-life care for critically ill patients...
- Law's effect on the quality of end-of-life care: lessons from the Schiavo caseRobert A Burt
Yale Law School, New Haven, Connecticut, USA
Crit Care Med 34:S348-54. 2006....
- Managing conflict at the end of lifeM Gregg Bloche
Georgetown University, Washington, DC, USA
N Engl J Med 352:2371-3. 2005
- End-of-life care in the intensive care unit: the Irish Ethicus dataNiamh Collins
University College Hospital Galway, Ireland
Crit Care Resusc 8:315-20. 2006..To study the frequency, rationale and process for withholding (WH) and withdrawing (WD) life-sustaining therapies in intensive care patients in Ireland...
- [Limiting life sustaining therapies]E Azoulay
Service de Reanimation Medicale, Hôpital Saint Louis et Université Paris 7, France
Rev Mal Respir 23:13S29-45. 2006..Intensivists are increasingly implementing end-of-life decisions in patients who remain dependent on life sustaining therapies without hope for recovery...
- [End-of-life practices in European intensive care units]Hans Henrik Bulow
Amtssygehuset i Glostrup, Intensiv Afdeling
Ugeskr Laeger 167:1522-5. 2005
- Variability in end-of-life care--how much is too much?Robert D Truog
Pediatr Crit Care Med 6:368-9. 2005
- Limiting and rationing treatment in paediatric and neonatal intensive carePeter Marc Fortune
Royal Manchester Children s Hospital, Pendlebury, Manchester M20 3FJ, UK
Best Pract Res Clin Anaesthesiol 20:577-88. 2006..I have drawn the discussions closer to clinical practice with the intention of making them more useful, for those engaged in direct patient care, than those focused around philosophical principles...
- Withholding and withdrawal of therapy in New Zealand intensive care units (ICUs): a survey of clinical directorsK M Ho
Department of Anaesthesia and Intensive Care, North Shore Hospital, Auckland 1309, New Zealand
Anaesth Intensive Care 32:781-6. 2004..Hospice ward or the patient's home was the preferred place for palliative care in 32% of the responses...
- Missed opportunities during family conferences about end-of-life care in the intensive care unitJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, Box 359762, 325 Ninth Avenue, Seattle, WA 98104 2499, USA
Am J Respir Crit Care Med 171:844-9. 2005..Improved communication with family members of critically ill patients can decrease the prolongation of dying in the intensive care unit (ICU), but few data exist to guide the conduct of this communication...
- Nurses' and physicians' opinions on aggressiveness of treatment for general ward patientsMia Svantesson
Centre for Nursing Science, Orebro University Hospital, Sweden
Nurs Ethics 13:147-62. 2006..When considering full treatment, nurses used quality-of-life rationales for significantly more patients than the physicians. Respect for patients' wishes had a minor influence...
- The frequency of withdrawal from acute care is impacted by severe acute renal failureRichard Swartz
Division of Nephrology, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan 48109 0363, USA
J Palliat Med 7:676-82. 2004..Having similar data for complicated ARF would facilitate decision making for families and caregivers when these difficult situations arise...
- Terri Schiavo and the lawThomas C Marks
Stetson University College of Law, USA
Albany Law Rev 67:843-7. 2004
- End of life in ICU--care of the dying or 'pulling the plug'?N Collins
Dept of Intensive Care Medicine, Mater Hospital, Eccles St, Dublin
Ir Med J 99:112-4. 2006..Artificial nutrition and hydration were rarely withdrawn...
- Life-support limitation in the pre-hospital settingGraeme Rocker
Intensive Care Med 32:1464-6. 2006
- Issues in the care of the dyingS K Jindal
Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012, India
Indian J Med Ethics 2:79-80. 2005
- Discrepancies among patients, family members, and physicians in Korea in terms of values regarding the withholding of treatment from patients with terminal malignanciesDo Youn Oh
Seoul Municipal Boramae Hospital and Department of Internal MEdicine, Seoul National University College of Medicine, Chongno Gu, Seoul, Republic of Korea
Cancer 100:1961-6. 2004....
- "Inappropriate" treatment near the end of life: conflict between religious convictions and clinical judgmentAllan S Brett
Department of Medicine, Center for Bioethics and Medical Humanities, University of South Carolina, Columbia, SC 29203, USA
Arch Intern Med 163:1645-9. 2003....
- Perceptions, confessions: a systems response is neededAlan H Morris
Am J Respir Crit Care Med 167:1302-3. 2003
- Threats to "informed" advance directives for the severely physically challenged?John R Bach
Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey New Jersey Medical School, Newark, NJ 07103 2406, USA
Arch Phys Med Rehabil 84:S23-8. 2003....
- Withdrawal of life support: intensive caring at the end of lifeThomas J Prendergast
Departments of Medicine and Anesthesiology, Dartmouth Hitchcock Medical Center, Section of Pulmonary and Critical Care Medicine 3D, 1 Medical Center Dr, Lebanon, NH 03756, USA
JAMA 288:2732-40. 2002..This shift from individual responsibility to patient-focused consensus often permits the family to understand, perhaps reluctantly and with great sadness, that intensive caring may involve letting go of life-sustaining interventions...
- Studying communication about end-of-life care during the ICU family conference: development of a frameworkJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, WA, USA
J Crit Care 17:147-60. 2002..The purpose of this study was to develop an understanding of the way this communication is currently conducted...
- Shared decision making about withdrawing treatmentStephen Workman
JAMA 289:981; author reply 981. 2003
- Increasing use of DNR orders in the elderly worldwide: whose choice is it?E P Cherniack
Jewish Home and Hospital for the Aged, Jewish Home and Hospital for the Aged, 100 W Kingsbridge Rd, Bronx, NY 10468, USA
J Med Ethics 28:303-7. 2002..The process ought to include education for patients about the process and efficacy of CPR, and for physicians on how to consider the values and levels of knowledge of their patients, whose preferences may differ from their own...
- Withdrawing life-sustaining treatment from minimally conscious patients: who decides?B J Anderson
J Med Pract Manage 18:101-3. 2002
- End-of-life decision before and after birth: changing ethical considerationsAndrew B Pinter
Department of Paediatrics, University of Pecs, 7623 Pecs, Hungary
J Pediatr Surg 43:430-6. 2008....
- Finding agreement to limit life-sustaining treatment for children who are in state custodyT Savage
University of Illinois at Chicago College of Nursing, Rehabilitation Institute, Chicago, IL, USA
Pediatr Nurs 27:594-7. 2001..This article discusses the procedural as well as ethical issues involved in the process of finding agreement to limit life-sustaining treatment for children who are in state custody...
- Prevention of age-associated musculoskeletal loss by n-3 fatty acidsMd Mizanur Rahman; Fiscal Year: 2013..abstract_text> ..
- SOUTHWEST ONCOLOGY GROUPGary E Goodman; Fiscal Year: 2013..PSOC members are active in administrative and scientific activities and are dedicated to support the goals of the Southwest Oncology Group. ..
- Food and Eating Behaviors of Head and Neck Cancer PatientsJulie L Locher; Fiscal Year: 2013..The impact of our work is especially timely as the demographics of HNC are changing: age at diagnosis is decreasing and prevalence and longer survival is increasing. ..
- PET/CT Imaging of Malignant Brain Tumors with 124I-NM404Jamey P Weichert; Fiscal Year: 2013..This new diagnostic information could help significantly improve patient survival with current therapies. Additionally, if coupled with new 131I-NM404 systemic radiotherapy, patient survival may be dramatically improved. ..
- Investigation of synergism between mTOR and eEF2 kinase pathwaysAlexey G Ryazanov; Fiscal Year: 2013..We will test this hypothesis by determining whether inactivation of eEF2K can synergize with rapamycin in producing an anti-aging effect. PHS 398/2590 (Rev. 06/09) Page 1 Continuation Format Page ..
- METHODOLOGIC RESEARCH IN SIMULATING COMPLEX DISEASEMark Roberts; Fiscal Year: 1991..Survival and costs are directly linked, and the timing decision impacts both survival and resources spent on ESLD...
- PROFILING THE NEEDS OF DYING CHILDRENJOHN FEUDTNER; Fiscal Year: 2004..They will also foster the development of the applicant's research skills so as to become an independent researcher addressing the needs of children with complex chronic conditions. ..
- EFFECTS OF A POLYAMINE INHIBITOR ON MURINE LUPUST Thomas; Fiscal Year: 1990....
- OMEGA 3 LIPIDS AND CALORIES EFFECT ON SLE AND AGINGGabriel Fernandes; Fiscal Year: 2003....
- Quality of Life in Patients Near the End of LifeCarla Herman; Fiscal Year: 2001..Methods for testing dependent correlations will be used to compare correlation coefficients with each other. ..
- Balancing Hope & Truth-Telling for Patients with Ca/COPDJ Curtis; Fiscal Year: 2005..These strategies will be described and translated into interventions targeting nurses, physicians, and teams who provide care for patients with cancer, COPD, and other life-limiting diseases. ..
- Improving Physician Skill at Providing End-of-Life CareJ Curtis; Fiscal Year: 2004..The results will allow investigators and others to develop targeted educational and systemic interventions to improve the quality of this care. ..
- Family Experience: End of Life for a Family Member with a Chronic IllnessDEBRA LYNN MCHALE WIEGAND; Fiscal Year: 2009..The results of the study will be published and presented in local and national meetings to health care professionals and others who would benefit from information related to how to help these vulnerable family members. ..
- Treatment goals at the end of lifeTerri Fried; Fiscal Year: 2006..Fried s continued success, Yale offers the resources necessary to ensure Dr. Fried s continued development as an independent investigator. ..
- Traetment Goals at the End of LifeTerri Fried; Fiscal Year: 2008..abstract_text> ..
- Life Support Decisions for Extremely Premature InfantsKaren Kavanaugh; Fiscal Year: 2007..Analysis of data will focus on summarizing each case and identifying themes within and across cases. Data from this study will be used in a subsequent intervention study. ..
- Patient-Centered Approach to Advance Care PlanningKARIN KIRCHHOFF; Fiscal Year: 2006..abstract_text> ..
- SOCIAL AND ENVIRONMENTAL CONTEXTS OF ADAPTATIONPETER DITTO; Fiscal Year: 2006..We request funding to support three (3) predoctoral and three (3) postdoctoral trainees in the next project period. ..
- Hospice Intervention for Older Adults With End Stage Renal DiseaseLewis Cohen; Fiscal Year: 2007..unreadable] [unreadable] [unreadable]..
- DEVELOPMENTAL REGULATION OF O2 SENSING IN THE LUNGDavid Cornfield; Fiscal Year: 2009..The strategy of modulating BKCa channel subunit expression to enhance pulmonary vasodilation may be more broadly applicable to other vascular diseases. ..
- End-of-Life Research Ethics: Concerns, Approaches, and ImpactSusan Hickman; Fiscal Year: 2009....
- Tube-feeding in Elderly: Decision-making and OutcomesSusan Mitchell; Fiscal Year: 2003..By the end of the award period the applicant will have the skills, experience and research track record necessary to become an independent investigator and leader in academic geriatrics. ..
- PATHOGENESIS OF HEREDITARY TRANSTHYRETIN AMYLOIDOSISMerrill Benson; Fiscal Year: 2003....
- Discharge Planning and Telehealth for Post CABG EldersRuth Kleinpell; Fiscal Year: 2009....
- Hepatitis B ESL Education for ChineseVictoria Taylor; Fiscal Year: 2009..Our primary outcome will be HBV serologic testing. Knowledge about key hepatitis B facts will be examined as a secondary outcome. ..
- Effects of Statins on Heme Oxygenase-1 RegulationDavid Stevenson; Fiscal Year: 2008..to delineate the role of HO-1 as a novel therapeutic target for statins and mediator of protective effects under conditions of insuffi- cient HO-1 expression such as pre-eclampsia and other pregnancy-related disorders ..
- PROTEIN TARGETS OF OXIDATIVE DAMAGE DURING AGINGRAJINDAR SOHAL; Fiscal Year: 2003..abstract_text> ..
- Pain & Other Symptoms in Patients with End-Stage Liver Disease at End of LifeLissi Hansen; Fiscal Year: 2008..Qualitative description will be the method of analysis for the qualitative data. Descriptive and inferential statistics will be the methods of analysis for the quantitative data. [unreadable] [unreadable] [unreadable]..
- CNS antigen sensitization in stroke.Kyra Becker; Fiscal Year: 2009..Data derived from this study will be used to plan future trials of immunomodulation in patients with stroke. ..
- TREATMENT OF AGITATION IN THE NURSING HOMEJiska Cohen Mansfield; Fiscal Year: 2010..PHS 398 (Rev. 05/01) Page 2 Principal Investigator/Program Director (Last, first, middle): Cohen-Mansfield, Jiska ..
- PHARMACOLOGY OF ANESTHETICS IN HEMORRHAGIC SHOCKKen Johnson; Fiscal Year: 2002..abstract_text> ..
- SPECTRUM OF DEPRESSION IN LATER LIFE--PRIMARY STUDYJoseph Gallo; Fiscal Year: 2003....
- Comparative Effectiveness of Comprehensive Care for Adults with SMITODD PATRICK GILMER; Fiscal Year: 2010....
- Chromium Mesoporphyrin in the Prevention of Neonatal JaundiceDavid K Stevenson; Fiscal Year: 2010....
- End-of-Life Decision Making in ICUs: Roles and Relationships of Key PlayersJudith Gedney Baggs; Fiscal Year: 2010..The study will help support interventions respectful of the perspectives of all participants in EOLDM. ..
- Biochemical markers of bone turnover in metastatic prostate cancerPrimo N Lara; Fiscal Year: 2010....
- Therapeutic Use of Heme Analogs: Absorption in IntestineDavid Stevenson; Fiscal Year: 2009....
- End-of-life caring needs for patients with COPDLYNN REINKE; Fiscal Year: 2007..The results will identify the important EOL caring needs to be included in interventions designed to improve EOL care for patients with COPD. [unreadable] [unreadable] [unreadable]..
- Effect of leukoreduction on infection risk in traumaAvery Nathens; Fiscal Year: 2004..abstract_text> ..
- Research Ethics Training of Integrated Health DeliveryJoal Hill; Fiscal Year: 2006..After appropriate assessment of content and effectiveness, material developed for this program will become available for individuals and programs throughout the country. ..
- COENZYME Q INTAKE, OXIDATIVE STRESS, AND AGING IN MICERAJINDAR SOHAL; Fiscal Year: 2004..Results of this study will provide an understanding of the mechanisms by which CoQ intake may have a beneficial or deleterious effect on the aging process in mice. ..
- Clinical Versus Experiential Views of Genetic DisabilityCAROL GILL; Fiscal Year: 2005....
- REGULATION OF HEME OXYGENASE IN NEONATAL ANIMALSDavid Stevenson; Fiscal Year: 2005..abstract_text> ..
- Marital Conflict and Parenting as Couples Become ParentsRenate Houts; Fiscal Year: 2004..g., personality, developmental stage of the child, gender of parents and children) of patterns of marital problem-solving and parent-child interaction. ..
- PALLIATIVE CARE FELLOWSHIPJ Billings; Fiscal Year: 2004....
- NEWBORN GENETIC SCREENING:FOR WHOSE BENEFIT?Lainie Ross; Fiscal Year: 2005..OUTCOMES: The major outcomes will be a series of peer-reviewed articles and a full-length book entitled Newborn Genetic Screening: In whose Interest? For whose Benefit? ..
- Industry-Sponsored Research Contracts:..Phase IIMichelle Mello; Fiscal Year: 2004..abstract_text> ..
- Industry-Sponsored Research Contracts:An Empirical StudyMichelle Mello; Fiscal Year: 2002..The data will be analyzed descriptively and with chi-squared tests and regression analysis. ..
- THE ROLE OF LYMPHOCYTES IN CEREBRAL ISCHEMIC INJURYKyra Becker; Fiscal Year: 2004....
- DIETARY MODULATION OF CELLULAR OXIDATIVE STRESS IN AGINGRAJINDAR SOHAL; Fiscal Year: 2007..Thus, it will also provide a further critical test of the validity of oxidative stress hypothesis of aging. ..
- SLEEP, FATIGUE, AND DEXAMETHOSONE IN CHILDHOOD CANCERPamela Hinds; Fiscal Year: 2003..Our study findings will explicate the relationship between sleep efficiency and fatigue, and between sleep, fatigue, and systemic exposure to dexamethasone. ..
- Converting Treatment Wishes into Orders at End of LifeSusan Hickman; Fiscal Year: 2007....
- Cervical Cancer Control in Vietnamese WomenVictoria Taylor; Fiscal Year: 2007..abstract_text> ..
- Improving AML Therapy outcome by Cholesterol ModulationFrederick Appelbaum; Fiscal Year: 2006..Our data could have broad significance for other less experimentally tractable, statin-sensitive cancers. [unreadable] [unreadable]..
- Liver Cancer Control Among North American ChineseVictoria Taylor; Fiscal Year: 2006..If effective, our outreach intervention could be used by health care facilities and community organizations serving less acculturated Chinese in North America. ..
- ICU CULTURE AND PROBLEMATIC TREATMENT LIMITATION CASESJUDITH BAGGS; Fiscal Year: 2002..With a description of such barriers and facilitators, it will be possible to design interventions to serve patients' interests and be mutually acceptable to patients, families, and health care providers. ..
- PECAM-1 and AlveolizationHorace Delisser; Fiscal Year: 2007..unreadable] [unreadable]..
- Secondary Brain Injury in Intracerebral HemorrhageJESSE HEMPHILL; Fiscal Year: 2005..In conjunction with the didactic training and mentoring undertaken, this program will foster Dr. Hemphill's development into an independent researcher in neurologic critical care, specifically focusing on intracerebral hemorrhage. ..
- SLEEP HEART HEALTH STUDYHelaine Resnick; Fiscal Year: 2007..Accomplishing these goals will provide important information concerning the public health impact of SDB. ..