life support care
Summary: Care provided patients requiring extraordinary therapeutic measures in order to sustain and prolong life.
Publications211 found, 100 shown here
- Withdrawing life-sustaining treatment: ethical considerationsSharon Reynolds
Joint Centre for Bioethics, University of Toronto, 88 College Street, Toronto, Ontario M5G 1L4, Canada
Surg Clin North Am 87:919-36, viii. 2007..Understanding of the limits of treatment, expertise in palliation of symptoms, skillful communication, and careful orchestration of controllable events can help to manage the withdrawal of life support appropriately...
- 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...
- 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..CONCLUSION: The most common mode of death was withdrawal of LST, and the most common reason was complications of extreme prematurity. The ethnic and cultural background of the parents influenced agreement to withdrawal of LST...
- 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..Although the order form was helpful to clinicians and changed medication delivery, demonstrating clear improvements in quality of dying may require larger sample sizes, more sensitive measures, or more effective interventions...
- 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
- 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..05). The majority of nurses (80%) felt that the DNR and WOLS checklists led to improved process around WOLS. CONCLUSION: Simple changes to the process of WOLS can improve conduct of end-of-life care in the ICU...
- 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...
- 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)...
- 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....
- 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...
- 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...
- 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...
- 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...
- 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 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...
- 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..
- 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...
- 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...
- 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..quot; 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...
- 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...
- 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....
- 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)...
- 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...
- 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...
- HEMS vs. Ground-BLS care in traumatic cardiac arrestStefano Di Bartolomeo
Italian Resuscitation Council, Trauma Committee, Italy
Prehosp Emerg Care 9:79-84. 2005....
- 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..Special considerations for nutrition; medication use; cardiovascular, respiratory, or endocrine therapy; fetal monitoring; hormone replacement; and ethical concerns are discussed...
- 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...
- 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....
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- [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...
- 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...
- Life-support limitation in the pre-hospital settingGraeme Rocker
Intensive Care Med 32:1464-6. 2006
- "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....
- 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....
- Perceptions, confessions: a systems response is neededAlan H Morris
Am J Respir Crit Care Med 167:1302-3. 2003
- 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
- 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....
- 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...
- Managing conflict at the end of lifeM Gregg Bloche
Georgetown University, Washington, DC, USA
N Engl J Med 352:2371-3. 2005
- "Do everything!" Encountering "futility" in medical practiceStephen N Nelson
MeritCare Medical Group, Fargo, North Dakota, USA
Ethics Med 19:103-13. 2003
- 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
- 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...
- 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...
- Precommitment: a misguided strategy for securing death with dignityRebecca Dresser
Washington University, St. Louis, MO, USA
Tex Law Rev 81:1823-47. 2003
- 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..However, there was considerable variation by unit, even after accounting for patient factors and differences in size and type of ICU, suggesting improved guidelines may be useful to facilitate uniform decision making...
- 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)...
- Documentation on withdrawal of life support in adult patients in the intensive care unitKarin T Kirchhoff
University of Wisconsin, School of Nursing, Madison, Wis, USA
Am J Crit Care 13:328-34. 2004..Thirty-seven charts (74%) had information on whether the patient was or was not extubated during withdrawal. CONCLUSION: Comprehensive documentation of end-of-life care is lacking...
- Variability in end-of-life care--how much is too much?Robert D Truog
Pediatr Crit Care Med 6:368-9. 2005
- [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....
- 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
- 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..To resolve controversies regarding the role of the physician in end-of-life decision-making, the values of physicians, patients, and family members should be considered in the final decision-making process...
- [End-of-life practices in European intensive care units]Hans Henrik Bulow
Amtssygehuset i Glostrup, Intensiv Afdeling
Ugeskr Laeger 167:1522-5. 2005
- Artificial hydration and nutrition for the PVS patient: ordinary care or extraordinary intervention?Joseph Torchia
Providence College, Providence Rhode Island, USA
Natl Cathol Bioeth Q 3:719-30. 2003
- 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...
- 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...
- 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...
- 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...
- 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....
- [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...
- 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...
- 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...
- Ethics roundtable debate: withdrawal of tube feeding in a patient with persistent vegetative state where the patients wishes are unclear and there is family dissensionTom Buckley
Intensive Care Unit, Princess Margaret Hospital, Lai Chi Kok, Kowloon, Hong Kong
Crit Care 8:79-84. 2004..We examine a case where the State's interests come into play, forcing a controversial resolution...
- 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...
- [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...
- 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...
- The best interests test at the end of life on PICU: a plea for a family centred approachD Inwald
Paediatric Intensive Care Unit, 7th Floor, QEQM Building, St Mary s Hospital, Imperial College Healthcare NHS Trust, Praed Street, London W2 1NY, UK
Arch Dis Child 93:248-50. 2008..These criticisms could be largely addressed by taking into account the interests of others, particularly the interests of close family members...
- Family member satisfaction with end-of-life decision making in the ICUCynthia J Gries
Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle, WA 98195, USA
Chest 133:704-12. 2008..The identification of chart-based quality indicators of palliative care that predict family satisfaction with decision making may help to guide interventions to improve decision making and family outcomes...
- A case from the department of neurologyStephen Krieger
Department of Neurology, Mount Sinai Medical Center, New York, NY 10029, USA
Mt Sinai J Med 75:53-6. 2008..In conclusion, we discuss whether the fact that his grave neurological condition was caused by a suicide attempt was relevant to the decision to continue or withdraw life support...
- 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....
- 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...
- 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...
- 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...
- Shared decision making about withdrawing treatmentStephen Workman
JAMA 289:981; author reply 981. 2003
- 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...
- Withdrawing life support and resolution of conflict with familiesJenny Way
Department of Medicine, University of Washington, Seattle, WA 98195, USA
BMJ 325:1342-5. 2002
- 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...
- Catholicism, death and modern medicineLisa Sowle Cahill
Boston College, Chestnut Hill, MA, USA
America (NY) 192:14-7. 2005
- Withdrawing life-sustaining treatment from minimally conscious patients: who decides?B J Anderson
J Med Pract Manage 18:101-3. 2002
- 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...
- [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...
- Position of the American Dietetic Association: ethical and legal issues in nutrition, hydration, and feedingRobert L Potter
School of Health Related Professions, University of Medicine and Dentistry of New Jersey, Newark, USA
J Am Diet Assoc 102:716-26. 2002....
- 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...
- 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...
- 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...
- DHEA and its transformation into androgens and estrogens in peripheral target tissues: intracrinologyF Labrie
Oncology and Molecular Endocrinology Research Center, Laval University Medical Center CHUL, Quebec, G1V 4G2, Canada
Front Neuroendocrinol 22:185-212. 2001..Such treatment, called combined androgen blockade, has led to the first demonstration of a prolongation of life in prostate cancer...
- Empirical research in bioethical journals. A quantitative analysisP Borry
Center for Biomedical Ethics and Law, K U Leuven, Kapucijnenvoer 35 3, 3000 Leuven, Belgium
J Med Ethics 32:240-5. 2006..The objective of this research is to analyse the evolution and nature of published empirical research in the fields of medical ethics and bioethics...
- CPR-only survivors of out-of-hospital cardiac arrest: implications for out-of-hospital care and cardiac arrest research methodologyV J De Maio
Ottawa Hospital Ontario Health Research Institute, Ottawa, Ontario, Canada
Ann Emerg Med 37:602-8. 2001..The objective of this study was to identify out-of-hospital cardiac arrest survivors resuscitated without defibrillation or advanced cardiac life support...
- Lung transplantation and survival in children with cystic fibrosisTheodore G Liou
Department of Internal Medicine, University of Utah, Salt Lake City, USA
N Engl J Med 357:2143-52. 2007..The effects of lung transplantation on the survival and quality of life in children with cystic fibrosis are uncertain...
- Pituitary incidentalomasD C Aron
Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
Endocrinol Metab Clin North Am 29:205-21. 2000..Clinical judgment based on the best available evidence should be complemented and not replaced by laboratory data...
- Life-sustaining treatments: what doctors do, what they want for themselves and what elderly persons wantS Carmel
Department of Sociology of Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
Soc Sci Med 49:1401-8. 1999....
- Deguelin--an inhibitor to tumor lymphangiogenesis and lymphatic metastasis by downregulation of vascular endothelial cell growth factor-D in lung tumor modelJia Hu
State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, West China Medical School, Sichuan University, Chengdu, China
Int J Cancer 127:2455-66. 2010..Taken together, we demonstrate for the first time that deguelin suppresses tumor-associated lymphangiogenesis and lymphatic metastasis by downregulation of VEGF-D both in vitro and in vivo...
- Randomized controlled study of mitomycin C/carboquone/5-fluorouracil/OK-432 (MQ-F-OK) therapy and mitomycin C/5-fluorouracil/doxorubicin (FAM) therapy against advanced liver cancerY Sakata
First Department of Internal Medicine, Hirosaki University School of Medicine, Japan
Cancer Chemother Pharmacol 23:S9-12. 1989..The performance status of the patient was one of the most important factors in the treatment of advanced liver cancer because patients with poor performance status showed poorer results...
- SOUTHWEST ONCOLOGY GROUPSaul Rivkin; Fiscal Year: 2007..PSOC members are active in administrative and scientific activities and are dedicated to support the goals of the Southwest Oncology Group. ..
- OMEGA 3 LIPIDS AND CALORIES EFFECT ON SLE AND AGINGGabriel Fernandes; Fiscal Year: 2003....
- Propensity Scores and Preventive Drug Use in the ElderlyTIL STURMER; Fiscal Year: 2010..assess the value empirical Bayes correction of the PS compared with variable selection. Dissemination of our results will increase correct application of PS methods including methods to adjust for unmeasured confounding. ..
- End-of-life Care for Chronic Lung Disease and Acute Respiratory FailureJ Curtis; Fiscal Year: 2007..3. Evaluate the stability of changes in the above outcomes over a 3 month period. 4. Evaluate the efficacy of the intervention for improving physician-nurse collaboration. ..
- Improving patient outcomes in end-of-life care provided by physicians and nursesJ Curtis; Fiscal Year: 2007..If the intervention is effective, it offers the opportunity to improve the end-of-life care received by patients and their families throughout the US. ..
- 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 patient outcomes in end-of-life care provided by physicians and nursesJ Curtis; Fiscal Year: 2009..If the intervention is effective, it offers the opportunity to improve the end-of-life care received by patients and their families throughout the US. ..
- An ICU Intervention to Improve End-of-Life CareJ Curtis; Fiscal Year: 2007..The goal of this proposal is to demonstrate the effectiveness of a generalizable, multi-faceted, nurse-focused quality improvement project designed to improve end-of-life care in the ICU. ..
- Randomized trial of an interdisciplinary communication intervention to improve paJ Curtis; Fiscal Year: 2009..The facilitated communication intervention is designed to be easily generalizable to other hospitals and ICUs and, if successful, would improve the quality of care patients and their families receive in the ICU. ..
- IMPROVING CLINICIAN-FAMILY COMMUNICATION IN THE ICUJ Curtis; Fiscal Year: 2000..In addition, the development of curricula for improving clinician education about clinician-family communication will make an important contribution to the training of nurses and physicians. ..
- Randomized trial of an interdisciplinary communication intervention to improve paRUTH ANN ENGELBERG; Fiscal Year: 2010..The facilitated communication intervention is designed to be easily generalizable to other hospitals and ICUs and, if successful, would improve the quality of care patients and their families receive in the ICU. ..
- Improving patient outcomes in end-of-life care provided by physicians and nursesJ Randall Curtis; Fiscal Year: 2010..If the intervention is effective, it offers the opportunity to improve the end-of-life care received by patients and their families throughout the US. ..
- 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. ..
- Treatment goals at the end of lifeTerri Fried; Fiscal Year: 2007....
- Hospice Intervention for Older Adults With End Stage Renal DiseaseLewis Cohen; Fiscal Year: 2007..The study is intended to form the basis of a future, and more ambitious multicenter research investigation (an R01) to examine whether increased use of hospice services improve ESRD quality-of-life and end-of-life care. ..
- Treatment goals at the end of lifeTerri Fried; Fiscal Year: 2004..This study utilizes a unique cohort of community-dwelling older persons identified as having a terminal illness by objective criteria. ..
- Expanding Treatment Options for Older PersonsTerri Fried; Fiscal Year: 2007..In addition, the research and mentorship programs will utilize and continue to build the interdisciplinary relationships Dr. Fried has established with medical subspecialties, psychiatry, and the Schools of Nursing and Public Health. ..
- 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. ..
- Organizational Variability and Racial Disparities in Hospice UseKimberly Johnson; Fiscal Year: 2007..This research will determine which hospice programs and practices may increase the use of hospice by African Americans. ..
- 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. ..
- Short-term training program to increase diversity in health related researchHorace Delisser; Fiscal Year: 2007..End of Abstract) ..
- PECAM-1 and AlveolizationHorace Delisser; Fiscal Year: 2007....
- Resource Over Utilization Due To Serious Alcohol Related InjuriesBahman Sayyar Roudsari; Fiscal Year: 2009....
- SLEEP HEART HEALTH STUDYHelaine Resnick; Fiscal Year: 2007..Accomplishing these goals will provide important information concerning the public health impact of SDB. ..
- SF-NET: San Francisco Neurological Emergencies Trials NetworkJESSE HEMPHILL; Fiscal Year: 2007..A network to conduct streamlined trials for these conditions can bring new treatments to clinical care more rapidly. ..
- 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. ..
- 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. ..
- Tailoring Depression Treatment Services to Older AdultsMarsha Wittink; Fiscal Year: 2007..Tailoring treatments to incorporate aspects of care that patients value most will be studied with the goal of improving uptake of depression treatment among older persons. ..
- Patient-Centered Approach to Advance Care PlanningKARIN KIRCHHOFF; Fiscal Year: 2006..abstract_text> ..