Medical Futility: The absence of a useful purpose or useful result in a diagnostic procedure or therapeutic intervention. The situation of a patient whose condition will not be improved by treatment or instances in which treatment preserves permanent unconsciousness or cannot end dependence on intensive medical care. (From Ann Intern Med 1990 Jun 15;112(12):949)Withholding Treatment: Withholding or withdrawal of a particular treatment or treatments, often (but not necessarily) life-prolonging treatment, from a patient or from a research subject as part of a research protocol. The concept is differentiated from REFUSAL TO TREAT, where the emphasis is on the health professional's or health facility's refusal to treat a patient or group of patients when the patient or the patient's representative requests treatment. Withholding of life-prolonging treatment is usually indexed only with EUTHANASIA, PASSIVE, unless the distinction between withholding and withdrawing treatment, or the issue of withholding palliative rather than curative treatment, is discussed.Early Termination of Clinical Trials: Earlier than planned termination of clinical trials.Euthanasia, Passive: Failing to prevent death from natural causes, for reasons of mercy by the withdrawal or withholding of life-prolonging treatment.Dissent and Disputes: Differences of opinion or disagreements that may arise, for example, between health professionals and patients or their families, or against a political regime.Life Support Care: Care provided patients requiring extraordinary therapeutic measures in order to sustain and prolong life.Refusal to Treat: Refusal of the health professional to initiate or continue treatment of a patient or group of patients. The refusal can be based on any reason. The concept is differentiated from PATIENT REFUSAL OF TREATMENT see TREATMENT REFUSAL which originates with the patient and not the health professional.Persistent Vegetative State: Vegetative state refers to the neurocognitive status of individuals with severe brain damage, in whom physiologic functions (sleep-wake cycles, autonomic control, and breathing) persist, but awareness (including all cognitive function and emotion) is abolished.Ethicists: Persons trained in philosophical or theological ethics who work in clinical, research, public policy, or other settings where they bring their expertise to bear on the analysis of ethical dilemmas in policies or cases. (Bioethics Thesaurus)Ethics, Medical: The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families.Ethics, Nursing: The principles of proper professional conduct concerning the rights and duties of nurses themselves, their patients, and their fellow practitioners, as well as their actions in the care of patients and in relations with their families.Secularism: Indifference to, or rejection of, RELIGION or religious considerations. (From Merriam-Webster's Collegiate Dictionary, 10th ed)Ethics Committees, Clinical: Hospital or other institutional ethics committees established to consider the ethical dimensions of patient care. Distinguish from ETHICS COMMITTEES, RESEARCH, which are established to monitor the welfare of patients or healthy volunteers participating in research studies.Paternalism: Interference with the FREEDOM or PERSONAL AUTONOMY of another person, with justifications referring to the promotion of the person's good or the prevention of harm to the person. (from Cambridge Dictionary of Philosophy, 1995); more generally, not allowing a person to make decisions on his or her own behalf.Resuscitation Orders: Instructions issued by a physician pertaining to the institution, continuation, or withdrawal of life support measures. The concept includes policies, laws, statutes, decisions, guidelines, and discussions that may affect the issuance of such orders.Empirical Research: The study, based on direct observation, use of statistical records, interviews, or experimental methods, of actual practices or the actual impact of practices or policies.Social Values: Abstract standards or empirical variables in social life which are believed to be important and/or desirable.Personal Autonomy: Self-directing freedom and especially moral independence. An ethical principle holds that the autonomy of persons ought to be respected. (Bioethics Thesaurus)Moral Obligations: Duties that are based in ETHICS, rather than in law.Clinical Trials, Phase II as Topic: Works about studies that are usually controlled to assess the effectiveness and dosage (if appropriate) of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques. These studies are performed on several hundred volunteers, including a limited number of patients with the target disease or disorder, and last about two years. This concept includes phase II studies conducted in both the U.S. and in other countries.Physician's Role: The expected function of a member of the medical profession.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Cost Control: The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)Critical Illness: A disease or state in which death is possible or imminent.Intensive Care: Advanced and highly specialized care provided to medical or surgical patients whose conditions are life-threatening and require comprehensive care and constant monitoring. It is usually administered in specially equipped units of a health care facility.Patients: Individuals participating in the health care system for the purpose of receiving therapeutic, diagnostic, or preventive procedures.Clinical Trials, Phase III as Topic: Works about comparative studies to verify the effectiveness of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques determined in phase II studies. During these trials, patients are monitored closely by physicians to identify any adverse reactions from long-term use. These studies are performed on groups of patients large enough to identify clinically significant responses and usually last about three years. This concept includes phase III studies conducted in both the U.S. and in other countries.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Clinical Trials Data Monitoring Committees: Committees established to review interim data and efficacy outcomes in clinical trials. The findings of these committees are used in deciding whether a trial should be continued as designed, changed, or terminated. Government regulations regarding federally-funded research involving human subjects (the "Common Rule") require (45 CFR 46.111) that research ethics committees reviewing large-scale clinical trials monitor the data collected using a mechanism such as a data monitoring committee. FDA regulations (21 CFR 50.24) require that such committees be established to monitor studies conducted in emergency settings.Labor Pain: Pain associated with OBSTETRIC LABOR in CHILDBIRTH. It is caused primarily by UTERINE CONTRACTION as well as pressure on the CERVIX; BLADDER; and the GASTROINTESTINAL TRACT. Labor pain mostly occurs in the ABDOMEN; the GROIN; and the BACK.Labor Unions: Organizations comprising wage and salary workers in health-related fields for the purpose of improving their status and conditions. The concept includes labor union activities toward providing health services to members.Labor, Obstetric: The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).Analgesia, Obstetrical: The elimination of PAIN, without the loss of CONSCIOUSNESS, during OBSTETRIC LABOR; OBSTETRIC DELIVERY; or the POSTPARTUM PERIOD, usually through the administration of ANALGESICS.Obstetric Nursing: A nursing specialty involving nursing care given to the pregnant patient before, after, or during childbirth.Analgesia, Epidural: The relief of pain without loss of consciousness through the introduction of an analgesic agent into the epidural space of the vertebral canal. It is differentiated from ANESTHESIA, EPIDURAL which refers to the state of insensitivity to sensation.PrintingMinnesotaBeak: In some animals, the jaws together with their horny covering. The beak usually refers to the bill of birds in which the whole varies greatly in form according of the food and habits of the bird. While the beak refers most commonly to birds, the anatomical counterpart is found also in the turtle, squid, and octopus. (From Webster, 3d ed & Storer, et al., General Zoology, 6th ed, p491, 755)Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Policy Making: The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures.American Hospital Association: A professional society in the United States whose membership is composed of hospitals.Burial: The act or ceremony of putting a corpse into the ground or a vault, or into the sea; or the inurnment of CREMAINS.Th2 Cells: Subset of helper-inducer T-lymphocytes which synthesize and secrete the interleukins IL-4, IL-5, IL-6, and IL-10. These cytokines influence B-cell development and antibody production as well as augmenting humoral responses.Th1 Cells: Subset of helper-inducer T-lymphocytes which synthesize and secrete interleukin-2, gamma-interferon, and interleukin-12. Due to their ability to kill antigen-presenting cells and their lymphokine-mediated effector activity, Th1 cells are associated with vigorous delayed-type hypersensitivity reactions.Consensus: General agreement or collective opinion; the judgment arrived at by most of those concerned.Seizures, Febrile: Seizures that occur during a febrile episode. It is a common condition, affecting 2-5% of children aged 3 months to five years. An autosomal dominant pattern of inheritance has been identified in some families. The majority are simple febrile seizures (generally defined as generalized onset, single seizures with a duration of less than 30 minutes). Complex febrile seizures are characterized by focal onset, duration greater than 30 minutes, and/or more than one seizure in a 24 hour period. The likelihood of developing epilepsy (i.e., a nonfebrile seizure disorder) following simple febrile seizures is low. Complex febrile seizures are associated with a moderately increased incidence of epilepsy. (From Menkes, Textbook of Child Neurology, 5th ed, p784)Th17 Cells: Subset of helper-effector T-lymphocytes which synthesize and secrete IL-17, IL-17F, and IL-22. These cytokines are involved in host defenses and tissue inflammation in autoimmune diseases.Consensus Sequence: A theoretical representative nucleotide or amino acid sequence in which each nucleotide or amino acid is the one which occurs most frequently at that site in the different sequences which occur in nature. The phrase also refers to an actual sequence which approximates the theoretical consensus. A known CONSERVED SEQUENCE set is represented by a consensus sequence. Commonly observed supersecondary protein structures (AMINO ACID MOTIFS) are often formed by conserved sequences.
Charlie Gard case
Tertiary care medical centres able to do research and provide care depend on communal investment made by society over decades. ... "Dominic Wilkinson and I have argued that although futility is often said to refer to 'best interests', it is more appropriately ... Being kept alive in intensive care is not pleasant. Although we do our best to provide pain relief, sedation, care and comfort ... "Give Care Even When One Cannot Cure". Zenit. Holbrook, Jon. "Charlie Gard's case should never have gone to court 31 July". ...
Thomas Tomlinson (philosopher)
Tomlinson, Thomas P. "Caring for Risky Patients: Duty or Virtue?" Journal of Medical Ethics, May 2008. Tomlinson, Thomas P. " ... "Futility and Hospital Policy," Tom Tomlinson and Diane Czlonka. Hastings Center Report, May-June, 1995. Kurtz, T. Tomlinson, L ... "Caring for Risky Patients: Duty or Virtue?" Journal of Medical Ethics, May 2008. Tomlinson, Thomas."Telethics and the Virtual ... Tomlinson, Thomas P. "Futility and Hospital Policy," Tom Tomlinson and Diane Czlonka. Hastings Center Report, May-June, 1995. ...
... better palliative care services across Tasmania so that Tasmanians who receive palliative care receive the best possible care. ... "For many people in Australia disabilities can mean isolation, poverty, pain, indignity and a sense of futility. The scheme that ... which is possible with advance care planning and a first-rate palliative care system. Polley believes that body image and the ... Women who are not psychologically, emotionally or financially equipped to take care of their babies. Government must act to ...
Texas Advance Directives Act
Although it is often stated that the act is officially named as the 'Futile Care Law' or the 'Futile Care Act', that is in fact ... Point: The Texas Advance Directives Act Effectively and Ethically Resolves Disputes About Medical Futility. Chest 2009 136(4): ... Robert Fine, director of the Office of Clinical Ethics for the Baylor Health Care System says he collected five years' worth of ... Critics maintain that ten days is not enough time to secure alternate care. State Senator Bob Deuell (R-Greenville), who is ...
Gaius Calpurnius Piso Crassus Frugi Licinianus
Do not resuscitate
The DNR request is usually made by the patient or health care power of attorney and allows the medical teams taking care of ... ethical issue of discontinuation of an ICD implantable cardioverter defibrillator in DNR patients in cases of medical futility ... May EMS providers accept living wills or health care proxies? A living will or health care proxy is NOT valid in the ... It does not apply to palliative care (reasonable pain relief; food and drink). An Advanced Care Directive legally defines the ...
"Health Care Powers of Attorney" (PDF). American Bar Association. "Massachusetts Law about Health Care Proxies and Living Wills ... Solution to Intractable Futility Disputes (Widener Law School Legal Studies Research Paper No. 10-09)". St. Louis University ... Once the health care proxy is effective, the primary individual continues making healthcare decisions as long as he or she is ... Health Care Powers of Attorney: Interactive Map, LawServer. Retrieved on August 19, 2014. Larson, Aaron. "How a Power of ...
Futile medical care
"Medical Futility in End of Life Care". JAMA. 281 (10): 937-941. doi:10.1001/jama.281.10.937. PMID 10078492. Medical Futility ... As medical care improves and affects more and more chronic conditions, questions of futility have continued to arise. A ... Clinical scenarios vary in degrees and manners of futility. While scenarios like providing ICU care to the brain-dead patient ... Futile medical care is the continued provision of medical care or treatment to a patient when there is no reasonable hope of a ...
Betancourt v. Trinitas Hospital
2009 Defeat for Futile Care in New Jersey, March 7, 2009 Defeat for Futile Care in New Jersey, March 7, 2009 Lower Court Ruling ... The family has received support from a prominent authority on medical futility, Thaddeus Mason Pope, and conservative ... Betancourt v. Trinitas Hospital is a New Jersey legal case concerning whether a hospital may unilaterally refuse care to a ... It has become the focal point of the ongoing debate surrounding denial of care among professional bioethicists. Ruben ...
Biloxi Yacht Club
Ways That Are Dark
Ballads (Liane Carroll album)
Pretending to Care' and Carole King's 'Will You Still Love Me Tomorrow' to more conventional jazz standards ('Mad About the Boy ... ". "She sings as though she's aware of the futility of her desire but unwilling, or unable, to leave it behind. It shows the ... 36 Pretending To Care (Todd Rundgren), 4:59 Calgary Bay (Sophie Bancroft), 4:48 My One And Only Love (Guy Wood, Robert Mellin ...
His father sends him to a retreat planet where he is cared for by a beautiful slave girl named Coquina. The pair fall in love ... He tells her of his mixed feelings of love and hatred for the minionette, and of the agonising futility of his search. His ... She chose to continue caring for Aton rather than leave the planet to save herself. Bedside has followed Aton and makes a final ... Aton sinks into madness after Malice's death but is cared for by Coquina under heavy sedation while his mind repairs itself. ...
The People (1891)
Asceticism in Judaism
He envied the generation of the desert who had been fed on heavenly manna, and were thus absolved from the care for their daily ... Moreover, his ascetic practices were not inspired by a consciousness of the futility of this life and its sinfulness, but by ... He begrudged the hours necessary for the care of the body as so many precious moments stolen from the study of the holy Law. ... but the Prophets of exilic and postexilic days insist on the futility of this custom. Isaiah (lviii.), while appealing for a ...
Injury Severity Score
Legality of euthanasia
... as a criterion for limiting end-of-life care), withholding and withdrawing intervention, and futility. Similar distinctions ... The Supreme Court of the United States has not dealt with "quality of life issues" or "futility issues" and appears to only ... This means a health care professional can legally cease life support upon request from a patient if they understand the ... Australia however gives patients an Advanced Care Directive option.[clarification needed] The Belgian parliament legalised ...
Luang Pu Sodh Candasaro
... high-quality primary care. In addition, his "debunking" trials showed the futility of traditional health education in helping ... He did so through vision (about how to improve health care through research), innovation (in research methods for health care ... Compliance in Health Care. Baltimore: Johns Hopkins University Press, 1979. ISBN 0-8018-2162-2. Sackett DL. Bias in analytic ... B. What are the results and will they help me in caring for my patients? The Evidence-Based Medicine Working Group. JAMA. 1994 ...
The Girl Who Leapt Through Space
Debbie Wasserman Schultz
... "at the point that futility has been reached and there is no longer any hope of survival or of additional health care measures ... Go and find private health insurance in the health-care insurance market.'". Four non-partisan fact-checkers called her claim ... Bush of hypocrisy for signing a 1999 bill as Governor of Texas that allows health care workers to remove life support for ...
Taking Care of Business - Taking Care of Business (CD, First Things First) Fermented Reptile - Let's Just Call You "Quits" (CD ... 4 (DVD, Culturama) DJ Neoteric - Indie-cent Exposure Part 3 (CD, Futility Records) Epic - Local Only (CD, Clothes Horse Records ... He was also a member of other crews such as Fermented Reptile, Hip Hop Weiners, Taking Care of Business, and Break Bread. In ... Taking Care Of Business Chart Attack "Pip Skid Has Arrived". Uptown. 210-03-11.. ...
Appel, Jacob M. Mixed motives, mixed outcomes when accused parents won't agree to withdraw care, Journal of Medical Ethics 2009 ... In 2009, leading bioethics scholar Thaddeus Mason Pope profiled the case on his medical futility website. Child abuse Bioethics ... mixed outcomes when accused parents won't agree to withdraw care, Journal of Medical Ethics 2009;35:635-637 Withdrawal Okay ...
Futility_in_Asystolic_Out_of_Hospital.44.aspx Mazur G (2004). ACLS: Principles And Practice. Dallas: American Heart Assn. pp. ... Critical care nursing clinics of North America. 28 (3): 317-29. doi:10.1016/j.cnc.2016.04.004. PMID 27484660. Kutsogiannis, DJ ... even with the benefit of an intensive care unit, with the rate being lower (only 6%) for those already prescribed drugs for ... "2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care - Part 7.2: ...
Green Lantern: Rebirth
Intimacy and caring: The legacy of Karen Ann Quinlan. Trends in Health Care, Law, and Ethics. 1993; 8(1):28-30. Daugherty C, ... Helft P, Siegler M, Lantos J. The rise and fall of the futility movement. NEJM 2000; 343(4):293-296. Cronin D, Millis M, ... Responsibility in Health Care. Boston and Dordrecht, Holland: D. Reidel, 1982; 141-62. Childress JF, Siegler M. Metaphors and ... N Engl J Med 1990;322:1881-3. Lane LW (Roberts), Lane G, Schiedermayer DL, Spiro JH, Siegler M. Caring for medical students as ...
William Robinson (gardener)
His diary of planting and care was published as Gravetye Manor, or Twenty Years of the Work round an old Manor House (1911). ... Jekyll wrote about Robinson that: ...when English gardening was mostly represented by the innate futilities of the "bedding" ... unremitting labours that a clear knowledge of the world of hardy-plant beauty is now placed within easy reach of all who care ...
On the other hand, in some experiments a proportion of people do not seem to care about reputation and they do not help more ... Oliner, Samuel P. and Pearl M. Towards a Caring Society: Ideas into Action. West Port, CT: Praeger, 1995. ... In simple terms, altruism is caring about the welfare of other people and acting to help them. ... "The more we care for the happiness of others, the greater our own sense of well-being becomes" (Dalai Lama). ...
Battle of Flodden
Glossary of English-language idioms derived from baseball
They struggled at first, losing their first 26 games in a row to set a league record for futility. After a brief taste of ... USF's Byrd Alzheimer's Institute is both a prominent research facility and Alzheimer's patient care center in Tampa. Along with ... After a decade of futility on the field, the Devil Rays shortened their nickname to simply Rays in 2008 and promptly won the ... human health care, there are hundreds of animal medical centers including a Humane Society of America. ...
AD-associated costs include direct medical costs such as nursing home care, direct nonmedical costs such as in-home day care, ... Merck Alzheimer's Drug Study Halted Early for Futility Independent study monitors concluded that there was "virtually no chance ... The greatest origin of costs for society is the long-term care by health care professionals and particularly ... Caring for a Person with Alzheimer's Disease: Your Easy-to-Use Guide from the National Institute on Aging. US Department of ...
2005 ICC Intercontinental Cup
Early Islamic philosophy
Otto von Bismarck
"CARES Fact Sheet « MyCares". mycares.net. Retrieved 2019-06-27.. *^ a b Kolte, Dhaval; Khera, Sahil; Aronow, Wilbert S.; ... The American Heart Association guidelines say that survival rates below 1% are "futility," but all groups have better ... AHA, The Textbook of Emergency Cardiovascular Care and CPR, page 541 *^ Forensic Pathology: Principles And Practice, David ... CARES data show that in health care facilities and nursing homes where AEDs are available and used, survival rates are double ...
Communist Party of the Netherlands
In the Ethics of care approach established by Carol Gilligan, moral development occurs in the context of caring, mutually ... Self-identified conservative Americans valued care and fairness less and the remaining three values more. Both groups gave care ... Haidt found that Americans who identified as liberals tended to value care and fairness higher than loyalty, respect and purity ...
Simone de Beauvoir
W. H. R. Rivers
Philosophy of science
Primary care interventions to prevent tobacco use in children and adolescents: U.S. Preventive Services Task Force ... Later, scrupulous rulers would realise the futility of smoking bans and instead turned tobacco trade and cultivation into ... 96.7 billion is spent on public and private health care combined. This is over 1% of the gross domestic product. A male ... showed that the combination of medication and behavioural support was more effective than minimal interventions or usual care. ...
Johns Hopkins School of Nursing
Adult-Geriatric Primary Care Nurse Practitioner Adult-Gerontology Acute Care Nurse Practitioner Family Primary Care Nurse ... "The Johns Hopkins Training School For Nurses: A Tale Of Vision, Labor, And Futility," Nursing History Review (1997), Vol. 5, pp ... The school's mission is to provide leadership to improve health care and advance the nursing profession through education, ... Center for Innovative Care in Aging, Center for Nursing Research and Sponsored Projects, Center for Collaborative Intervention ...
Shadow (Buffy the Vampire Slayer)
Buffy calls Giles from the hospital and tells him to take care of Dawn while she stays with her mother. She stays with her ... she makes a breakthrough by suggesting the futility of researching Glory, since she pre-dates the written word. David Fury: ... Spike declares that Buffy wouldn't care that he was in her room, and that the clothes-sniffing was just normal predator ...
Glossary of English-language idioms derived from baseball
The Haunting of Alaizabel Cray
The demonstrated futility of opposing Yuan's military domination can only have made it seem more important to Sun to bring Yuan ... For decades Yan's residence and grave were cared for by a small number of former aides, who had accompanied him from Shanxi. In ... 2011, when the last of his aides turned 81 and was unable to care for the residence, the responsibility of maintaining the site ...
H. Clay Myers Jr.
List of Diyar-e-Dil characters
When she was left as Suhaib's widow, she took her family's charge and took care of her children and Agha Jan. Faraah Wali Khan ... which changed Agha Jan and made him realize the futility of his ego (which had ostracized his elder son and his family from him ... very family-oriented and caring of his loved ones, qualities that his son Wali is shown to have inherited. Ruhina Behroze Khan ...
Defining Medical Futility and Improving Medical Care | SpringerLink
... that an intense debate has arisen over the concept of medical futility. Should doctors be... ... health-care decision that requires medically ineffective health care or health care contrary to generally accepted health-care ... Beyond futility to an ethic of care. The American Journal of Medicine 96: 110-114.PubMedCrossRefGoogle Scholar ... Beyond Futility to an Ethic of Care. In ancient Greece, the futtilis was a religious vessel that had a wide top and a narrow ...
Care Plans an Exercise in FUTILITY?????? - pg.6 | allnurses
I would like to know how many of you out there sit down and read each and every care plan on each and everyone of your ... by care plan we will be able to give the right care for the patients as you know each patients need different care according to ... Care Plans an Exercise in FUTILITY?????? - page 6 allnurses Safe Nurse Staffing T-shirt: Order Today! ... the patient q 2h and to perform adls why in the heck in long term care are we required to state the obviouse in a care plan ...
Care Plans an Exercise in FUTILITY?????? - pg.4 | allnurses
I would like to know how many of you out there sit down and read each and every care plan on each and everyone of your ... it is the care plan who tells you how to take care of that specific CVA patient or how to tell the CNAs how to care for that ... Care Plans an Exercise in FUTILITY?????? - page 4 allnurses Safe Nurse Staffing T-shirt: Order Today! ... if you home care folks have little bit of trouble using them for one pt. can you imagine us long term care folk rns who write ...
Ethical Reflections on Alternative Medicine and Medical Futility - International Association for Hospice & Palliative Care
Schneiderman L, Faber-Langendoen K, Jecker N. Beyond Futility to an Ethical Care. Am J Med 1994; 96: 110-114 ... Absolute futility refers to those interventions that are completely ineffective in physiological terms. Statistical futility ... proposes a patients benefit-centered definition of medical futility. But his conception of clinical futility excessively ... Ethical Reflections on Alternative Medicine and Medical Futility. Dr Paulina Taboada. Profesor Centro de Bioetica. Pontificia ...
Medical Futility and End-of-Life Care Catalogue en ligne
Medical FutilityPalliative CareTerminal Care ; ethicsPhysician-Patient Relations ; Medical FutilityPalliative CareTerminal Care ... It also does not entail withdrawal or passivity on the part of the health care professional. In addition to medical skills; the ... Acceptance of the concept of medical futility facilitates a paradigm shift from curative to palliative medicine; accommodating ...
Medical futility at the end of life: the perspectives of intensive care and palliative care clinicians.
... the perspectives of intensive care and palliative care clinicians. In: Journal of medical ethics, Vol. 38, Nr. 9: S. 540-545 ... Medical futility at the end of life is a growing challenge to medicine. The goals of the authors were to elucidate how ... Jox, Ralf J.; Schaider, Andreas; Marckmann, Georg und Borasio, Gian Domenico (September 2012): Medical futility at the end of ... clinicians define futility, when they perceive life-sustaining treatment (LST) to be futile, how they communicate this ...
Validation of CLIF-C ACLF score to define a threshold for futility of intensive care support for patients with acute-on-chronic...
We also aimed to determine whether the CLIF-C ACLF score could be used to define the futility of ongoing intensive care unit ( ... Patients with ACLF and high CLIF-C ACLF score (≥ 70) after 48 hours of intensive care may reach a threshold of futility for ... Validation of CLIF-C ACLF score to define a threshold for futility of intensive care support for patients with acute-on-chronic ... Cardoso FS, Pereira R, Alexandrino G, Bagulho L. Futility of care in patients with acute-on-chronic liver failure. Hepatology. ...
Identification of Futility in Intensive Care
... Atkinson, Simon; Bihari, David; Smithies, Mark; Daly, Kathleen (1994-10-29) ... Intensive Care Units; Illness; Life; Methods; Mortality; Patient Care; Patients; Prognosis; Prolongation of Life; Quality of ... Allowing to Die; Biomedical Technologies; Consensus; Decision Analysis; Decision Making; Economics; Futility; Hospitals; ... Moral Distress in Neonatal Intensive Care Unit RNs Cavaliere, Terri A; Daly, Barbara; Dowling, Donna; Montgomery, Kathleen ( ...
Merck and Endocyte Announce Independent DSMB Recommends Vintafolide PROCEED Phase 3 Trial Be Stopped for Futility Following...
Merck and Endocyte Announce Independent DSMB Recommends Vintafolide PROCEED Phase 3 Trial Be Stopped for Futility Following ... Through our prescription medicines, vaccines, biologic therapies, and consumer care and animal health products, we work with ... Merck and Endocyte Announce Independent DSMB Recommends Vintafolide PROCEED Phase 3 Trial Be Stopped for Futility Following ... interim futility analysis and the DSMB recommended that the trial be stopped because vintafolide did not demonstrate efficacy ...
Monthly Review | Labor Pains: Inside America's New Union Movement
Palliative care | The Medical Journal of Australia
What does "futility" mean? An empirical study of doctors perceptions. Ben White, Lindy Willmott, Eliana Close, Nicole Shepherd ... Challenges in advance care planning: the interface between explicit instructional directives and palliative care. ... The Australian National Aged Care Classification (AN‐ACC): a new casemix classification for residential aged care. ... Goals of care: a clinical framework for limitation of medical treatment. Robyn L Thomas, Mohamed Y Zubair, Barbara Hayes and ...
Eat Right and Exercise in Futility | HuffPost
The crisis in our current health care crisis has finally reached the crisis point. We must now take the issue firmly by the ... The crisis in our current health care crisis has finally reached the crisis point. We must now take the issue firmly by the ... The only impact it will have on health care is if thousands of copies are sent to municipal governments, soaked in bleach, and ... In crafting our new health care policy, congress seems bent on embracing these home-grown approaches, with a respectful nod to ...
Preventing and Treating Hypoxia: Using a Physiology Simulator to Demonstrate the Value of Pre-Oxygenation and the Futility of...
Crit Care Med. 2004;32(9 Suppl):S345-S351 4. Park SO, Shin DH, Baek KJ, Hong DY, Kim EJ, Kim SC. et al. A clinical ... Preventing and Treating Hypoxia: Using a Physiology Simulator to Demonstrate the Value of Pre-Oxygenation and the Futility of ... Preventing and Treating Hypoxia: Using a Physiology Simulator to Demonstrate the Value of Pre-Oxygenation and the Futility of ... Unfortunately, these guidelines are frequently not followed during the excitement of resuscitation in emergency patient care ...
An essay in futility, too long to read :) | Page 4 | Naked Science Forum
If you look at what Ive written about in my essay you will find that my sources is picked with care, just not to open up for ... But global warming doesnt care for your money. If you look to what I wrote before/above you will see that I find the idea of ... But never the less I do care about the world we might leave to those coming.. As for other religions ideas of us getting placed ... The posts (arguing) flows like a stream, not caring for whether I have access or not. Ah and Dimensions?. Sorry, been thinking ...
The FDA-mandated trial of safety of long-acting beta-agonists in asthma: finality or futility? | Thorax
... cause confusion among physicians and lead to inappropriate care for many asthmatics. ... The FDA-mandated trial of safety of long-acting beta-agonists in asthma: finality or futility? ... The FDA-mandated trial of safety of long-acting beta-agonists in asthma: finality or futility? ... a definitive answer to a question that is already answered appears to many of us to be unjustified and an exercise in futility. ...
Steve Sailer: iSteve: Michelle Obama and the affirmative action perpetual futility machine
Status is what people care about (1) * Stoppard (1) * Strangeness of Fate (1) ... Perpetual Futility Machine (PFM): another thing whiteRpeople like ... Hell, they love it!. I notice Mickie Os big bro couldnt ... Michelle Obama and the affirmative action perpetual futility machine "Spengler," the Asia Times columnist who was a close ...
professional essay on Medical Futility And Ethics | Professionally written, plagiarism free, term papers and essay.
Health care wo... * Organizational Responsibility and Ethics low and they stopped taking Medicare patients (Gale, 1999). While ... Medical Futility And Ethics * Medical Futility And Ethics 2000). Here is an example: A young person is in an accident and has ... War and Its Futility as Conveyed by Poetry In five pages this paper analyzes wars futility in a comparative poetic analysis of ... The essay begins with a definition and explanation of medical futility, including an example of futility and an example of non- ...
Minnesota Senate bill says hospitals must disclose 'futility policies'
... "futility policies" - any policy to withhold treatments for a patient on grounds that such care would waste medical resources. ... Hospitals make futility policies available on request, Burt said. She said the Hospital Association has not taken a position on ... "Were about delivering care." The policies are helpful "road maps" for families and caregivers struggling with difficult ... Its unclear how many hospitals have futility policies, but theyre not unheard of, said Wendy Burt, a spokeswoman for the ...
What does "futility" mean? An empirical study of doctors' perceptions | The Medical Journal of Australia
Crit Care Med 2014; 42: 1977-1982.. *4. Schneiderman LJ. Defining medical futility and improving medical care. J Bioeth Inq ... The relationship between moral distress and perception of futile care in the critical care unit. Intensive Crit Care Nurs 2007 ... Position statement on end of life care and advance care planning:. In end of life care, medically futile treatment can be ... Am J Respir Crit Care Med 2015; 191: 1318-1330.. *17. Leuthner SR. Futility: interpretation and usefulness in clinical practice ...
Popular Articles & Stories for November 12, 1994 - latimes
For Futility, Prairie View Cant Be Beat SHAV GLICK. *. PREP EXTRA / SATURDAY FOOTBALL PULLOUT : Savanna Handles Western, Then ... 187 : Social services: O.C. officials want to know what is in store for the 67 illegal immigrant youths in their care. GREG ... Fears Abound Over Prenatal Care at Clinics : Prop. 187: Gov. Wilsons order making such programs for illegal immigrants one of ... ELECTION 94: IMPACT ON BUSINESS : Health Care Industry Anticipates Friendly Climate, Modest Reform : Regulation: Companies ...
Mass General - Futility Policy Experience | Bioethics Research Library
These 134 cases are just those that reached Optimum Care Committee consultation. ... Mass General - Futility Policy Experience. Andrew Courtwright and colleagues at the Massachusetts General Hospital have ... In contrast, in other reported studies of futility disputes, the patient almost always lacks capacity and the LST decision is ... These are just the futility conflicts pertaining to CPR. Presumably there are many more concerning vents, CANH, and other ...
Futile medical care - Wikipedia
"Medical Futility in End of Life Care". JAMA. 281 (10): 937-941. doi:10.1001/jama.281.10.937. PMID 10078492. Medical Futility ... As medical care improves and affects more and more chronic conditions, questions of futility have continued to arise. A ... Clinical scenarios vary in degrees and manners of futility. While scenarios like providing ICU care to the brain-dead patient ... Futile medical care is the continued provision of medical care or treatment to a patient when there is no reasonable hope of a ...
A Futility Trial of Sirolimus in Multiple System Atrophy - Full Text View - ClinicalTrials.gov
Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our ... A Futility Trial of Sirolimus in Multiple System Atrophy. The safety and scientific validity of this study is the ... A futility design under the null hypothesis assumes that sirolimus will slow the progression of the disease, whereas the ... If the null hypothesis is rejected (i.e., futility of sirolimus to slow progression of MSA), a major phase III study will be ...
Division of Cardiology | Albert Einstein College of Medicine
Medical "Futility" and End of Life Care: Ethical Considerations. Hannah I. Lipman, MD, MS. Associate Professor of Clinical ... Director, Coronary Care Unit and Heart Failure Program VA San Diego Healthcare System. La Jolla, California. 7:30 AM: ... Christiana Care Health System. 7:30 AM: Montefiore Medical Center, Cherkasky Auditorium A Fellows Session will follow the ... Christiana Care Health Services. Director, Christiana Center for Outcomes Research. John H Ammon Chair in Cardiology. ...
Health Care Law Blogs - Law Blogs, Legal Blogs Directory & Search Engine | Justia Blawg Search
Medical Futility. Medical Futility. Tracks judicial, legislative, policy, and academic developments concerning medical futility ... Health Care Law Blog. Health Care Law Blog. Anaylsis, comments and thoughts on health care legal, regulatory and compliance ... Health Care Law Blog. Health Care Law Blog. Covers health care reform, HIPAA, compliance, regulations, billing/payment, ... New Hospice Care Law allows Physician Assistants to manage Hospice care for Medicare Patient. New Hospice Care Law allows ...
Blogs - California Hospital Association
The Futility of Patient Matching The Health Care Blog October 26, 2018. ... The Reality of Bush I on Health Care and Its Lessons for Today The Health Care Blog ... A Guide to Making Machine Learning Work in Health Care The Health Care Blog ... Where to Apply Artificial Intelligence in Health Care The Health Care Blog ...
Text of H.R. 979 (110th): Bipartisan Consensus Managed Care Improvement Act of 2007 (Introduced version) - GovTrack.us
Bipartisan Consensus Managed Care Improvement ... as of Feb 12, 2007 (Introduced version). H.R. 979 (110th): Bipartisan ... Futility of exhaustion. An individual bringing an action under this subsection is not required to exhaust administrative ... Health care provider. The term health care provider. includes a physician or other health care professional, as well as an ... and a health care provider (or group of health care providers) shall not prohibit or otherwise restrict a health care ...
September 2005 - Volume 59 - Issue 3 : Journal of Trauma and Acute Care Surgery
Determinants of Futility of Administration of Recombinant Factor VIIa in Trauma. Stein, Deborah M.; Dutton, Richard P.; ... Thought you might appreciate this item(s) I saw at Journal of Trauma and Acute Care Surgery.. ... The Journal of Trauma: Injury, Infection, and Critical Care. 59(3):553-562, September 2005. ... The Journal of Trauma: Injury, Infection, and Critical Care. 59(3):563-569, September 2005. ...
Charlie Gard case - Wikipedia
Tertiary care medical centres able to do research and provide care depend on communal investment made by society over decades. ... "Dominic Wilkinson and I have argued that although futility is often said to refer to best interests, it is more appropriately ... Being kept alive in intensive care is not pleasant. Although we do our best to provide pain relief, sedation, care and comfort ... "Give Care Even When One Cannot Cure". Zenit. Holbrook, Jon. "Charlie Gards case should never have gone to court 31 July". ...
Intervention and reflection : basic issues in medical ethics (Book, 2003) [WorldCat.org]
Exercise in futilityConcept of medical futilityEthicsDefinition of medical futilityClinicalResuscitationMake futilityDefineCritical careNeonatal intePhysiciansHealthCrit CareQuantitative and qualitativeNational Hospice and Palliative Care OrganizationPatient'sMedical CarePracticeCliniciansQualitativeInfantsDecisionsInvolvesMortalityIntensive care unitsTruogInterim AnalysisHospice careConflictExpressesInterventionsPhysiologicalHospitalsAcuteEfforts2002Pediatric intensive careConflictsStudyHospitalProbabilityNursesSupportive careParadigm
Exercise in futility6
- Care Plans an Exercise in FUTILITY? (allnurses.com)
- therefore and exercise in futility. (allnurses.com)
- i am not saying that care plans have a theory but when the outcome is no one is finding them useful doesnt this exercise in futility need to be addressed? (allnurses.com)
- It seems like an exercise in futility," said Hensley, a Topeka Democrat. (washingtontimes.com)
- Does Plan Howard 2030 really mean anything or was it just an exercise in futility? (baltimoresun.com)
- In-hospital resuscitation following unsuccessful prehospital advanced cardiac life support: 'heroic efforts' or an exercise in futility? (semanticscholar.org)
Concept of medical futility4
- It probably should not be surprising, in this time of soaring medical costs and proliferating technology, that an intense debate has arisen over the concept of medical futility. (springer.com)
- Although the concept of medical futility, to judge from ancient documents, is as old as medicine itself, the topic became particularly contentious over the last few decades. (springer.com)
- An interesting article on alternative medicine and the concept of medical futility appeared in the October 15, 2002 number of the Annals of Internal Medicine (Cf. Adams et. (hospicecare.com)
- Hence, a proper understanding of the concept of medical futility should combine both quantitative and qualitative elements. (hospicecare.com)
- Moral principles in health ethics: Autonomy: is the process of including clients in their health care decisions. (snipperoo.com)
- In this seminar, we will attempt to address these concerns through an exploration of both conceptual and practical issues of the ethics of medical futility. (eventbrite.ca)
- The 2002 revision of the Current Opinions of the Council on Ethical and Judicial Affairs, "reflects the application of the Principles of Medical Ethics to more than 175 specific ethical issues in medicine, including health care rationing, genetic testing, withdrawal of life-sustaining treatment, and family violence. (encyclopedia.com)
- Efforts should be made to promote an ethics of care, which means caring for patients even after further invasive treatment has been deemed to be futile. (springer.com)
- Dr. Maurice Bernstein writes about the ethics associated with medicine, medical care, and science in this blog with over 600 topics in it. (nursingschools.net)
- A general internist and board-certified palliative care consultant, Quill is Professor of Medicine, Psychiatry, and Medical Humanities at the University of Rochester School of Medicine and Dentistry, and Director of the Center for Ethics, Humanities and Palliative Care. (lww.com)
- This mandate is consistent with the Principles Guiding Care at the End of Life developed by the American College of Surgeons Committee on Ethics and approved by the College's Board of Regents in February 1998. (promotingexcellence.org)
- Health care providers, especially in the hospital setting, should understand ethical guidelines and the use of the ethics committee if they are ever faced with an ethical issue that has an unclear answer. (oncologynurseadvisor.com)
Definition of medical futility1
- But his conception of clinical futility excessively emphasizes the patient's conscious experience of benefit. (hospicecare.com)
- Despite a broad conceptual consensus about what futility means, doctors noted variability in how the concept was applied in clinical decision making. (mja.com.au)
- There is an overwhelming preference for a qualitative approach to assessing futility, which inevitably involves variability in clinical decision making. (mja.com.au)
- The issue of futile care in clinical medicine generally involves two questions. (wikipedia.org)
- The first concerns the identification of those clinical scenarios where the care would be futile. (wikipedia.org)
- Clinical scenarios vary in degrees and manners of futility. (wikipedia.org)
- Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. (clinicaltrials.gov)
- Single-center, randomized, placebo-controlled, phase-II, futility clinical trial to determine if oral sirolimus is of sufficient promise to slow disease progression in MSA, prior to embarking on a large-scale and costly phase III study to assess its efficacy. (clinicaltrials.gov)
- If the null hypothesis is rejected (i.e., futility of sirolimus to slow progression of MSA), a major phase III study will be discouraged, whereas non-futility will offer strong support for a phase III trial to detect clinical efficacy. (clinicaltrials.gov)
- A patient must learn to provide self-care at home in the same capacity as the nurse would provide care in the clinical setting. (snipperoo.com)
- There are many organizations nation-wide that provide hospice and palliative care services , either in clinical settings or through home visitation. (nursingassistantguides.com)
- ARGS ) Phase 3 clinical trial, the independent data monitoring committee recommended stopping the study for futility, the company announced this morning. (xconomy.com)
- The clinical trial enrolled 462 patients who received the immunotherapy along with the drug sunitinib (Sutent), the standard of care for the cancer. (xconomy.com)
- 2013. The Universal Form of Treatment Options (UFTO) as an alternative to Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) orders: A mixed methods evaluation of the effects on clinical practice and patient care. (springer.com)
- 2002. Conditions and consequences of medical futility-From a literature review to a clinical model. (springer.com)
- A partnership forged to improve palliative care in oncology was announced in March by the American Society of Clinical Oncology and the American Academy of Hospice and Palliative Medicine (AAHPM). (lww.com)
- Offered by the National Hospice and Palliative Care Organization, these online self-study courses cover clinical topics, grief and loss, pediatrics, etc. as well as courses on management and leadership. (seriousillness.org)
- This subcommittee built upon the success of its first offerings "Palliative Care by the Surgeon: How To Do It", presented to an audience of nearly 300 surgeons at the October 2001 Clinical Congress and "Palliative Care in Surgery", presented to an audience of approximately 250 attendees at the Spring 2002 Clinical Congress. (promotingexcellence.org)
- Lay persons' assessments of quality of life for those in a PVS provide assistance for surrogate decision-makers who are confronted with the clinical decision-making for a loved one in a PVS, whereas clinical practice guidelines help health care providers to make decisions with patients and/or families. (asnjournals.org)
- Therapeutic hypothermia would not be a safe and effective therapy in neonatal care if not for the willingness and enthusiasm of neonatologists to take on the extra work needed to enter neonates into clinical trials. (eurekalert.org)
- Given the impetus of the PPACA, systematic formal measurement of potentially ineffective care and its clinical, economic, and societal impact merits timely reconsideration. (hindawi.com)
- The health care team wants to write a Do Not Attempt Resuscitation (DNAR) order because, in their judgment, attempted CPR in the event of cardiac arrest-even if it did temporarily restore cardiac function-would be futile, since it would not fulfill a fundamental goal of their efforts: namely to restore her to a level of health that would permit her to survive outside the acute hospital setting. (springer.com)
- Andrew Courtwright and colleagues at the Massachusetts General Hospital have published "Experience with a hospital policy on not offering cardiopulmonary resuscitation when believed more harmful than beneficial" in the Journal of Critical Care . (georgetown.edu)
- Many EPs' decisions regarding resuscitation are based on concerns of litigation and criticism, rather than their professional judgment of medical benefit or futility. (nih.gov)
- Futility has no utility in resuscitation medicine. (springer.com)
- Paramedics intubate Mr. A. and perform cardiopulmonary resuscitation while en route to a nearby community hospital. (asnjournals.org)
- Duration of Resuscitation that results in futility of care is unknown. (ispub.com)
- If the patient has arrested, resuscitation has already exceeded 30 minutes, and the nearest facility is more than 30 minutes away, involvement of parents and family of these children in the decision-making process with assistance and guidance from medical professionals should be considered as part of an emphasis on family-centered care because the evidence suggests that either death or a poor outcome is inevitable. (aappublications.org)
- Given the emotional demands of withholding resuscitation from a child in the field, it was believed by both the leadership in pediatric trauma care and emergency medical services (EMS) that additional studies were warranted before including children in any termination-of-resuscitation protocol. (aappublications.org)
- Re-examining outcomes after unsuccessful out-of-hospital resuscitation in the era of field termination of resuscitation guidelines and regionalized post-resuscitation care. (semanticscholar.org)
- Sadly, in the futility debate wherein some critics have failed or refused to define medical futility an important area of medicine has in large part been neglected, not only in treatment decisions at the bedside, but in public discussions-comfort care-the physician's obligation to alleviate suffering, enhance well being and support the dignity of the patient in the last few days of life. (springer.com)
- But to define therapeutic utility/ futility is certainly not an easy task. (hospicecare.com)
- 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. (uni-muenchen.de)
- To investigate how doctors define and use the terms "futility" and "futile treatment" in end-of-life care. (mja.com.au)
- Here is a scenario familiar to just about everyone engaged in critical care. (springer.com)
- The Journal of Trauma: Injury, Infection, and Critical Care. (lww.com)
- 2013. The frequency and cost of treatment perceived to be futile in critical care. (springer.com)
- Our study showed no major improvement in survival following cardiac arrest with pulseless electrical activity or asystole as the presenting rhythm in the ICU despite many advances in critical care over the previous two decades. (cmaj.ca)
- Collectively, the hospitals have about 130 adult critical care beds (defined by capacity for continuous monitoring, one-on-one nursing and mechanical ventilation): 40 beds in coronary care units, 70 beds in multidisciplinary general ICUs and, at the University of Alberta Hospital, 20 beds in a cardiovascular surgical ICU. (cmaj.ca)
- At the new hospital, the pulmonary and critical care team consults the neurology, renal, and palliative care teams to discuss the patient's care plan. (asnjournals.org)
- To receive news and publication updates for Critical Care Research and Practice, enter your email address in the box below. (hindawi.com)
- Due to their relatively large impact, outcomes and costs in critical care are of significant interest to policymakers and health care administrators. (hindawi.com)
- Measurement of potentially ineffective care has been proposed as an outcome measure to evaluate critical care delivery, and the Patient Protection and Affordable Care Act affords the opportunity to reshape the care of the critically ill. (hindawi.com)
- While this spending growth spares few areas of the health care system, critical care medicine provides an abundant area for analysis, as its costs continue to increase both overall and as a percentage of US gross domestic product [ 2 ]. (hindawi.com)
- Accordingly, establishing a standard means for examining the cost effectiveness and value of critical care delivery should be a priority for public policy. (hindawi.com)
- OBJECTIVE: To illustrate neonatal outcomes, including morbidity, birth weight and gestational age-specific mortality, and care practices for very-low-birth-weight infants admitted to our tertiary neonatal intensive care unit in Turkey and compare these with the corresponding data from recent reports from developed countries. (biomedsearch.com)
- Among full-term newborns with moderate or severe hypoxic ischemic encephalopathy (damage to cells in the central nervous system from inadequate oxygen), receiving deeper or longer duration cooling did not reduce risk of neonatal intensive care unit death, compared to usual care, according to a study in the December 24/31 issue of JAMA . (eurekalert.org)
- Infants admitted to the neonatal intensive care until within 6 hours of birth were candidates for the study when seizures or moderate or severe encephalopathy was present. (eurekalert.org)
- Mortality in the neonatal intensive care unit (NICU) was 7 percent for the 33.5°C for 72 hours group, 14 percent for the 32.0°C for 72 hours group, 16 percent for the 33.5°C for 120 hours group, and 17 percent for the 32.0°C for 120 hours group. (eurekalert.org)
- Should the physicians follow the family's wishes to continue aggressive life-sustaining treatment including attempted CPR, or should the physicians refuse by invoking medical futility and seek to engage the family in emphasizing comfort care? (springer.com)
- The physicians treating Tinslee at Cook Children's Medical Center in Fort Worth describe her condition as fatal without life-sustaining treatment and say that even routine care, like bathing and feeding, " can cause her little body to experience a medical crisis, which causes even more intervention and pain for her," according to a hospital statement. (californiahealthline.org)
- Because of this silence, some physicians write DNAR orders without the consent of the patient/surrogate, without notifying him, and without a medical futility decision. (all.org)
- He said that until this joint project there had been smaller initiatives but that the partnership would allow a more systematic look at what training in hospice and palliative care can be and how to make it more generally available to physicians and produce specific outcomes. (lww.com)
- The pediatric intensive care unit (PICU) physicians felt that further transfusions would be medically futile and wished to stop the intervention to avoid prolonging the patient's suffering. (oncologynurseadvisor.com)
- Furthermore, the concept of therapeutic utility does not exclusively refer to the goal of restoring health, as to preserve or enhance a patient's comfort and general well-being, and to prevent other diseases or complications of an incurable condition are also desirable goals of medicine, specially in the case of palliative care. (hospicecare.com)
- It also does not entail withdrawal or passivity on the part of the health care professional. (who.int)
- Through our prescription medicines, vaccines, biologic therapies, and consumer care and animal health products, we work with customers and operate in more than 140 countries to deliver innovative health solutions. (tmcnet.com)
- The crisis in our current health care crisis has finally reached the crisis point. (huffingtonpost.com)
- The only impact it will have on health care is if thousands of copies are sent to municipal governments, soaked in bleach, and used to wipe down dirty syringes collected from needle exchanges. (huffingtonpost.com)
- Other countries address national health issues in ways that imply they care whether their populations live or die. (huffingtonpost.com)
- The American tradition of public health care is one of not interfering with nature, fortified with Dr. Franklin's rhyming advice about fructiphobic doctors and the deadly perils of sleeping in. (huffingtonpost.com)
- In crafting our new health care policy, congress seems bent on embracing these home-grown approaches, with a respectful nod to the Inuit practice of empowering the ill and elderly to fend for themselves equipped with a ration of water and a blanket. (huffingtonpost.com)
- Covers the False Claims Act, Qui Tams, whistleblowers, and other related collateral proceedings, with special emphasis on health care fraud. (justia.com)
- Addresses issues faced by license professionals and regulated businesses in civil, business, administrative and criminal matters with an emphasis on health care. (justia.com)
- When it comes to health care prices, the burden piled on payers can seem almost cartoonishly heavy. (calhospital.org)
- I now, finally, see a clear role for artificial intelligence in health care. (calhospital.org)
- Former President George H.W. Bush may have been every inch the caring individual portrayed in the eulogies of those who knew him, but when it came to health care reform, two words characterized his attitude: Don't care. (calhospital.org)
- To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. (govtrack.us)
- Choice of health care professional. (govtrack.us)
- Ch. 8 Paying for Health Care -- pt. (worldcat.org)
- The University of Virginia - through the Miller Center - offers online discussion and debate series, and their series on end of life care focused on the idea of rationing health care in the US for those needing end of life care. (nursingassistantguides.com)
- Insight provides an in-depth look at health care issues in and affecting California. (californiahealthline.org)
- This entry was posted in Health Care and tagged syndicated . (bioethics.net)
- This entry was posted in Health Care and tagged medical futility blog , syndicated . (bioethics.net)
- The current medical futility section of the Texas advance directive law (Chapter 166.046 of the Health & Safety Code) is silent on DNAR orders. (all.org)
- Support Network Factors Associated With Naming a Health Care Decision-Maker and Talking About Advance Care Planning Among People Living With HIV. (nih.gov)
- Everything you always wanted to know about the Health Care system. (thehealthcareblog.com)
- To what would you rather attribute the dent in growth rate of health care spending? (thehealthcareblog.com)
- In 1972, after a month of deliberation, Congress launched the nation's most ambitious experiment in universal health care: a change to the Social Security Act that granted comprehensive coverage under Medicare to virtually anyone diagnosed with kidney failure, regardless of age or income. (minnpost.com)
- Now, almost four decades later, a program once envisioned as a model for a national health care system has evolved into a hulking monster. (minnpost.com)
- Even during a fervid national debate over health care, the state of dialysis garnered little public attention. (minnpost.com)
- One reason the system's problems have evolved out of the health care spotlight is that kidney failure disproportionately afflicts minorities and the dispossessed. (minnpost.com)
- As the United States moves to expand access to health care, dialysis offers potent lessons. (minnpost.com)
- Nurses may be the most in-demand health care position in the country. (nursingschools.net)
- On the same day that the three-year initiative funded by the Agency for Health Care Research Quality (AHCRQ) was announced (March 6), a Perspective article by the AAHPM's Immediate Past President and 2013 President was published in the New England Journal of Medicine ( 2013;368:1173-1175 ). (lww.com)
- TOPEKA, Kan. (AP) - The future is murky for a House-passed bill that would allow Kansas to join a compact of states seeking an exemption from the federal health care overhaul. (washingtontimes.com)
- The compact would allow member states to set their own health care policies while retaining federal health care dollars, but only if Congress approves. (washingtontimes.com)
- Senate Minority Leader Anthony Hensley said the measure would largely be symbolic since the compact is unlikely to win approval in the U.S. Senate, which is controlled by Democrats who have staunchly defended the health care overhaul. (washingtontimes.com)
- Becoming old is considered a privilege and results from the socioeconomic progress and improvements in health care systems worldwide. (uib.no)
- Health care providers will encounter bereaved individuals throughout their personal and professional lives. (uwhealth.org)
- The CCCC along with the California Health Care Foundation and California community leaders have made great strides in getting the word out about advance care planning and disseminating POLST forms. (geripal.org)
- there is no point in completing advance care planning if people across the health system can't find or see it when it is needed. (geripal.org)
- Of course, there are many health professionals that still embody this caring ethic. (geripal.org)
- The regularity of black hat wins, including this month's disastrous Anthem health care hack , which may have compromised another 80 million customer profiles, makes the best case for change. (cbsnews.com)
- Providing a time and space for conversation on how to reduce health care costs gives the public an opportunity to help solve the broken and complex health care system. (publicagenda.org)
- How much do average Americans care about public issues like health care? (publicagenda.org)
- These numbers alone don't reveal why so many of us seem disinterested in following health care policy, though in many ways the disinterest is understandable. (publicagenda.org)
- At the same time, we believe there is immense potential to ignite meaningful public conversation about solutions on out-of-control health care spending. (publicagenda.org)
- One reason for the public's lack of interest may be our lack of agency when it comes to health care policy. (publicagenda.org)
- Health care is also complex, and these complexities may contribute to public ambivalence and exhaustion. (publicagenda.org)
- We ve all struggled with problems pertaining to our own personal health care costs, so it s easy to understand how thinking about the big policy picture doesn t come to mind when trying to read an insurance bill or figure out which prescriptions are covered under our plans. (publicagenda.org)
- Yet one of our most recent projects suggests that, with the right support, the public can quickly develop a deeper understanding of and interest in big-picture health care policy issues. (publicagenda.org)
- There is a great opportunity for average Americans to contribute to solutions to rising health care costs, but what the public needs is the time and space to deliberate in. (publicagenda.org)
- The rising costs and suboptimal quality throughout the American health care system continue to invite critical inquiry, and practice in the intensive care unit setting is no exception. (hindawi.com)
- Health care rationing, which is blatant and invidious medical discrimination, is a growing threat. (blogspot.com)
- Protecting medical conscience rights for health care professionals who wish to adhere to Hippocratic values is going to be huge internationally. (blogspot.com)
- The supportive team of depression treatment professionals at Ascension Seton Behavioral Health Care in Austin, Texas is committed to ensuring that you or your loved one receives the help and guidance needed through every step of the healing process. (seton.net)
- Looking for some current suggestions regarding health care issues in relation to health services administration. (brainmass.com)
Quantitative and qualitative1
National Hospice and Palliative Care Organization1
- The expression disproportionate futility qualifies a value-laden decision to abstain from a certain medical intervention - in spite of an eventual statistical probability of achieving an immediate beneficial therapeutic effect - because its application would represent an excessive burden and will actually not substantially modify the patient's prognosis. (hospicecare.com)
- There is not point in advance care panning discussions if the system is unable to honor the patient's goals- for example to be able to get their care needs met at home, and to avoid the hospital and ED. If you are not hospice eligible, the system cannot honor your goal to get your care needs met at home. (geripal.org)
- It is difficult to determine when a particular course of action may fall under the definition of futile medical care, because of the difficulty in defining the point at which there is no further benefit to intervention in each case. (wikipedia.org)
- Just 15 to 20 years ago, disputes between doctors and families over the futility of further medical care flared once or twice each year, said Dr. Robert Truog , a pediatric intensive care physician at Boston Children's Hospital. (californiahealthline.org)
- this ethic sometimes translates into denying the weak and vulnerable medical care that others would receive readily. (lifenews.com)
- once we learn the skill and practice it over and over again we dont need to look at a care plan to spell out what needs to be done. (allnurses.com)
- Nurses continually practice infection control, primary prevention (such as vaccines), and supportive care for those who cannot care for themselves. (snipperoo.com)
- To facilitate introduction of the precepts and techniques of palliative care to surgical practice and education in the United States and Canada by bringing together surgeons with demonstrated interest in palliative care to share resources, strategies, and expertise, and in so doing, act as a catalyst for change. (promotingexcellence.org)
- According to the American Academy of Neurology Practice Parameter paper, the definition of poor outcome in AIE includes death, persistent vegetative state (PVS), or severe disability requiring full nursing care 6 months after event. (asnjournals.org)
- Medical futility at the end of life: the perspectives of intensive care and palliative care clinicians. (uni-muenchen.de)
- Titled "Generalist plus Specialist Palliative Care-Creating a More Sustainable Model," the article by Timothy E. Quill, MD, and Amy P. Abernethy, MD, recommended developing a care model that distinguishes between primary palliative care skills available to all clinicians and specialist palliative care skills for managing more complex cases. (lww.com)
- The policies are helpful "road maps" for families and caregivers struggling with difficult decisions about end-of-life care, Burt said. (twincities.com)
- They're taking charge and leading a digital revolution where individuals have the power to make their own educated decisions about care. (calhospital.org)
- Yet the United States continues to have one of the industrialized world's highest mortality rates for dialysis care. (minnpost.com)
- CONCLUSION: Despite marked differences in socioeconomic conditions and tertiary care facilities, the mortality (except in the smallest babies) and morbidity rates were comparable with those of recent studies from developed countries. (biomedsearch.com)
Intensive care units5
- FORT WORTH, Texas ― Critically ill Tinslee Lewis ― a Fort Worth baby embroiled in a dispute between her family and a hospital over whether to continue life-sustaining treatment ― is the most recent public face of the heartbreaking and intractable dilemmas often confronted quietly in intensive care units. (californiahealthline.org)
- 2011. End of life care in Italian intensive care units: Where are we now? (springer.com)
- Survival outcomes after cardiac or respiratory arrest occurring outside of intensive care units (ICUs) has been well described. (cmaj.ca)
- 2 - 4 How these data apply to approximately one-third of in-hospital cardiac arrests that occur in intensive care units (ICUs) is less clear. (cmaj.ca)
- The study was conducted from March 2008 to April 2013 in 19 cardiovascular intensive care units in Italy. (eurekalert.org)
- Whether users need to find hospice care, find recent legislation regarding hospice, or even see statistics on cost, this site is a great resource. (nursingassistantguides.com)
- American Hospice Foundation is a great resource for someone looking for hospice care for a loved one. (nursingassistantguides.com)
- Their resources include information about hospice, ways to find hospice care, and articles and support resources for dealing with grief. (nursingassistantguides.com)
- This UK based site offers support and advice for those looking for information about hospice care. (nursingassistantguides.com)
- Many continue to confuse palliative care with hospice care and believe it is appropriate only when delivered at the end of life. (lww.com)
- Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified. (goodreads.com)
- Doctors convinced Family Eldercare to approve Michael's transfer to hospice care even though he was breathing on his own. (lifenews.com)
- Statistical futility expresses the low probability of a specific measure to achieve a given goal. (hospicecare.com)
- Its story expresses the fears of both ends of the ideological spectrum about what can happen when the doors to care are thrown wide open: Neither government controls nor market forces have kept costs from ballooning or ensured the highest-quality care. (minnpost.com)
- The bill in the Senate was introduced by Sen. Sean Nienow, R-Cambridge, who said he wants to create the disclosure requirement so hospitals tell parents about the policies when they are caring for terminally ill children. (twincities.com)
- It's unclear how many hospitals have futility policies, but they're not unheard of, said Wendy Burt, a spokeswoman for the Minnesota Hospital Association. (twincities.com)
- CAPC works with hospitals and other medical organizations to start and sustain quality palliative care programs. (nursingassistantguides.com)
- We conducted the study at four hospitals in Edmonton, Alberta: the University of Alberta and Royal Alexandra Hospitals (the largest tertiary care hospitals in the city) and the Grey Nuns' and Misericordia Hospitals (the largest community hospitals). (cmaj.ca)
- Combined, these four hospitals provide tertiary care for more than 1.5 million adults. (cmaj.ca)
- The acute (hospital) care plans I have seen cared for a problem not the person. (allnurses.com)
- Thought you might appreciate this item(s) I saw at Journal of Trauma and Acute Care Surgery. (lww.com)
- This became apparent to me when I was rounding with pediatric Hematology/Oncology at Mott Children's Hospital in my last semester in the Pediatric Nurse Practitioner-Acute Care program at Wayne State University. (oncologynurseadvisor.com)
- I've targeted Exercises In Futility in particular because it is demonstratively and quintessentially Mgła , and all preceding and subsequent efforts are defined by it. (metalstorm.net)
- New efforts such as The Conversation Project, advance care planning videos, and emerging advance directive websites have begun to focus on the individual person, and not only on the healthcare environment. (geripal.org)
Pediatric intensive care2
- A Phase 3, multicenter, randomized, double-blind, controlled study to evaluate the efficacy and safety of peramivir administered intravenously in addition to standard of care compared to standard of care alone in adults and adolescents who are hospitalized due to serious influenza. (clinicaltrials.gov)
- After participating in carefully designed, moderated conversations that helped those in the study engage with realistic policy options, participants' thinking moved away from resigned futility and toward constructive action. (publicagenda.org)
- The study is being posted early online to coincide with its presentation at the European Society of Intensive Care Medicine annual congress. (eurekalert.org)
- The following note was made by the Massachusetts General Hospital Optimum Care Committee in the medical record of Barbara Howe . (georgetown.edu)
- Later, Thomas Petty, MD, an eminent pulmonologist who headed a respiratory team at the University of Colorado Medical Center and became chairman of the National Lung Educational Program, introduced the young physician to a team-based approach to hospital care. (the-hospitalist.org)
- Palliative care input and continued dialogue with her family about goals of care ultimately culminated in a "do not resuscitate" order, and she died on the seventy-second hospital day. (hindawi.com)
- Statewide regionalization of postarrest care for out-of-hospital cardiac arrest: association with survival and neurologic outcome. (semanticscholar.org)
- Caring for people in pain, or people who are approaching the ends of their lives, is a rewarding calling that many nurses and nursing assistants choose to follow. (nursingassistantguides.com)
- Their organization focuses on training, preparing, and education nurses and healthcare providers to be competent, compassionate, leaders in palliative care. (nursingassistantguides.com)