Introduction and Background The care of terminal patients is often difficult and ethically challenging. The standards of competent and compassionate care that characterized a previous generation seem to be wavering‚ replaced by a post-modern mélange of newer conflicting theories and ethical values. A shift from deontological principles to utilitarianism has occurred in the past thirty years‚ corresponding with the rise of the modern bioethics movement (Rae & Cox‚ 1999). Many members of an
Premium Death Medical terms Medicine
could not move it. Also Holmes pleads this to be one of many clues towards Roylott being the perpetrator of the crime. As the search continues‚ Sherlock Holmes finds a vent leading towards Julia’s room.At night‚ not only was air going through the ventilator‚ but Roylott’s cigar smoke was also passing through it. At night‚ while Julia was sleeping‚ she heard a low-lying whistle at exactly three in the morning. So Holmes suspected that there must have been some communication through the two rooms. While
Premium Sherlock Holmes Arthur Conan Doyle A Study in Scarlet
11 BAB II KAJIAN PUSTAKA‚ KERANGKA PEMIKIRAN DAN HIPOTESIS Pada bab ini akan dibahas mengenai kajian pustaka‚ kerangka pemikiran‚ dan hipotesis. Adapun sub pokok bahasan yang dibahas dalam kajian pustaka yaitu konsep dasar ventilasi mekanik‚ endotracheal tube (ETT)‚ dan faktor-faktor yang berhubungan dengan perubahan tekanan cuff ETT. 2.1 Kajian Pustaka 2.1.1 Ventilasi Mekanik 2.1.1.1 Konsep Dasar Ventilasi Mekanik Ventilasi mekanik merupakan suatu proses penggunaan alat untuk memfasilitasi transport
Premium
Research and Evidence-Based Practice in Nursing In this discussion board I will discuss research and evidence-based practice in nursing. I will give examples of each‚ as well as a research and clinical question pertaining to nursing. Research and evidence-based practice are important for nurses because they help to find the most safe and effective way to care for patients. Research in nursing is used to aid in answering a nursing related issue (LoBiondo-Wood & Haber‚ 2014). Nursing research is
Premium Nursing Patient Health care
distress is one of the main ethical issues in this case since the patient desires to remain on a ventilator to avoid losing her life. She makes it very clear to the staff that she wants to live by interacting with them and answering “no” when asked if she wants the tubes to be removed. On the other hand‚ her primary care physician along with two of her close friends insists that she’d be taken off the ventilator. They believe that she is currently confused‚ and that she would have never agreed to remain
Premium Ethics Bipolar disorder
protocol. The study used a large study size of 1‚483 patients divided into the control and intervention groups at three university hospitals. The study concluded that the new protocol resulted in a decrease of benzodiazepine dose‚ days on the ventilator‚ delirium rates‚ and ICU length of stay. A limit of the study was implementation at only three hospitals where protocols were already in place. This article is relevant to the clinical question by studying the intended patient population‚ decreasing
Premium Benzodiazepine Intensive care medicine Medical school
In “The Adventure of the Speckled Band‚” Sir Arthur Conan Doyle portrayed hope for a young woman‚ Helen Stoner‚ as she attempted to determine the cause of her sister’s death. Helen was involuntarily courageous as she endured the death of her twin sister in the year of 1881. The cause of her death was still undiscovered; although‚ numerous professionals strived to explore the incident. Helen solicited assistance from two tremendously intelligent men‚ a detective and a doctor‚ to help her solve this
Premium Sherlock Holmes Arthur Conan Doyle A Study in Scarlet
patient with mental retardation‚ Mr. E.‚ states he does not want a ventilator or feeding tube placed after presenting to the hospital with presumed aspiration pneumonia secondary to a lack of control of his esophagus. Per the case study‚ Mr. E. has advance directives stating his desire to have no life-sustaining treatment‚ including feeding tubes and ventilators. Yet‚ due the patient’s medical condition‚ he was placed on a ventilator and a feeding tube was inserted when the patient’s POA was unavailable
Premium Patient Medicine Health care
NVT2 Task 1 State Regulations and Nursing Standards In this case study the patient‚ Mr. E‚ has made it abundantly clear through his words and his actions that he does not wish to be placed on a ventilator. In spite of these declarations‚ the doctor obtains consent from a family member who does not have the authority to grant permission. The nurse involved in Mr. E’s care has a legal obligation to intervene‚ something that he/she has failed to do. This obligation stems from the Standards
Premium Nursing Health care proxy Ethics
delivery and consumption‚ assessment of patient-ventilator synchrony‚ monitoring pulmonary over distension and making sure your protect the lung from ongoing injury. Mechanical ventilation in the setting is to maintain a proper amount of oxygen to the tissues and organs of the body while making sure you minimize any further injury to the lung. Mechanical ventilation induces an inflammatory response which creates the possibility for secondary ventilator induced lung injury (VILI). There are four primary
Premium Pulmonology