Environmental Ethics and Medical Ethics: Some Implications for End-of-Life Care, Part I

1999 ◽  
Vol 8 (1) ◽  
pp. 107-117
Author(s):  
Paul Carrick
Keyword(s):  
Medical Ethics ◽  
Environmental Ethics ◽  
End Of Life Care ◽  
Terminally Ill ◽  
Deep Ecology ◽  
First Century ◽  
Life Care ◽  
Relationship Of ◽  
The Relationship ◽  
Dying Patient

Physicians and nurses caring for terminally ill patients are expected to center their moral concerns almost exclusively on the needs and welfare of the dying patient and the patient's family. But what about the relationship of traditional medical ethics to the emerging new theories of environmental ethics, like deep ecology? As we glide into the twenty-first century, can anyone seriously doubt that the mounting global concerns of environmental ethics will eventually influence the ethics of medicine too?

Environmental Ethics and Medical Ethics: Some Implications for End-of-Life Care, Part II

1999 ◽  
Vol 8 (2) ◽  
pp. 250-256
Author(s):  
PAUL CARRICK
Keyword(s):  
Medical Ethics ◽  
Patient Care ◽  
End Of Life ◽  
Environmental Ethics ◽  
End Of Life Care ◽  
Deep Ecology ◽  
Life Care ◽  
Patient Change ◽  
Dying Patient ◽  
Care Of The Dying

In Part 1 of this essay, I raised the following question: How would our care of the dying patient change if environmentally inspired theories of ethics, like deep ecology, were imported into current Western norms of patient care?

Countertransference and ethics: A perspective on clinical dilemmas in end-of-life decisions

2003 ◽  
Vol 1 (4) ◽  
pp. 367-375 ◽  
Author(s):  
BRIAN J. KELLY ◽  
FRANCIS T. VARGHESE ◽  
DAN PELUSI
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Assisted Suicide ◽  
Clinical Decision Making ◽  
Ethical Dilemmas ◽  
Clinical Decision ◽  
Life Care ◽  
End Of Life Decisions ◽  
The Relationship ◽  
Dying Patient

Ethical dilemmas in end-of-life care, such as the request for assisted suicide, must be understood in the context of the relationship that exists between patients and the clinicians treating them. This context includes the way health professionals respond to the tasks in caring for a dying patient. This article reviews the literature exploring the factors the influence clinical decision making at the end of life. The interplay of ethics, countertransference and transference are explained in detail.

scholarly journals The Relationship of Faith-Related Characteristics to Attitudes and Behaviors Regarding End-of-Life Care

2017 ◽  
Vol 43 (2) ◽  
pp. 1-12
Author(s):  
Hwa-Young Chong ◽  
◽  
Thomas Smith ◽  
Shane Sharp ◽  
◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Attitudes And Behaviors ◽  
And Behaviors ◽  
Relationship Of ◽  
The Relationship

Nursing Home Resident, Family, and Staff Perspectives on Hospital Transfers for End-of-Life Care

2021 ◽  
pp. 003022282199770
Author(s):  
Janet Sopcheck ◽  
Ruth M. Tappen
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
End Of Life ◽  
End Of Life Care ◽  
Family Members ◽  
Terminally Ill ◽  
South Florida ◽  
Care Planning ◽  
Life Care ◽  
Advance Care

Residents who are terminally ill often experience transfers to the emergency department resulting in hospitalizations, which may be potentially avoidable with treatment in the nursing home. This qualitative study explored the perspectives of 15 residents, 10 family members, and 20 nursing home staff regarding end-of-life care and the circumstances prompting resident transfers. Data analysis of participant interviews conducted January to May 2019 in a South Florida nursing home identified four themes related to transfer to the hospital: time left to live, when aggressive treatments would be unavailing, not knowing what the nursing home can do, and transfer decisions are situation-dependent. Study findings underscore the importance of increasing resident and family awareness of treatments available in the nursing home and person-centered advance care planning discussions. Further research should explore the reasons for residents’ and family members’ choice of aggressive therapies and their goals for care at the end of life.

scholarly journals Last Place of Care and End-of-Life Quality of Life in the United States: Evidence From a National Representative Data Set

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 17-17
Author(s):  
Yifan Lou ◽  
Nan Jiang ◽  
Katherine Ornstein
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
End Of Life ◽  
End Of Life Care ◽  
The United States ◽  
Life Care ◽  
Person Centered Care ◽  
Centered Care ◽  
The Relationship

Abstract Background: Quality of life (QoL) during last stage of life has raised expanded interests as an important aspect of person-centered care. Last place of care (LPC), refer to the last place decedents received their formal end-of-life care (EOLC), has been identified as a key indicator of older adults’ end-of-life QoL, but the relationship was understudied. This study explores the association between LPC and end-of-life QoL among American older adults. Methods: Data used seven waves of Last Month of Life data with a total sample of 3068 Medicare decedents in NHATS. Outcome is end-of-life QoL assessed by eleven measures on four domains: pain and symptoms management (SP), quality of healthcare encounter (HE), person-centered care (PC), and overall quality of care (QC). LPC was categorized into home, hospital, nursing home, and residential hospice. Multivariate logistic regression analyses were used to examine the relationship with covariates. Results: LPC varied by most demographic characteristics, except immigration status and education. Older adults whose LPC is hospital, compared to those who had home-care, were less likely to have great experiences on HE, PC, and QC. People dying at nursing homes are more likely to receive care meeting their dyspnea and spiritual needs. Residential hospice is negatively related to respected care, clear coordination, and keeping family informed, but are more likely to provide PS and spiritual care. Discussion: Home-based end-of-life care has certain advantages but still has room to improve on SP and religious concerns. Hospitals should keep reforming their service delivery structure to improve patients’ QoL.

Hospice for the Terminally Ill and End-of-Life Care

2012 ◽  
pp. 49-71 ◽  
Author(s):  
Jamie Capasso ◽  
Robert Byron Kim ◽  
Danielle Perret
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Terminally Ill ◽  
Life Care

The Nonreader Citizen and the Nation in Rosa Beltrán’s Efectos secundarios (2011)

2021 ◽  
Vol 37 (2) ◽  
pp. 176-196
Author(s):  
Amber Workman
Keyword(s):  
Cultural Policy ◽  
Publishing Industry ◽  
Cultural Practice ◽  
Mexican Literature ◽  
First Century ◽  
Contemporary Mexican Literature ◽  
Bookstore Chain ◽  
Relationship Of ◽  
The Relationship ◽  
Voluntary Basis

Increasing literacy rates and engagement with reading as a cultural practice in Mexico has been the focus of many postrevolutionary programs, yet studies show that few Mexicans choose to read on a regular, voluntary basis. While the image of Mexicans as nonreaders is a common theme in contemporary Mexican literature and popular culture, few studies exist on the topic. This article analyzes representations of the nonreader in Rosa Beltrán’s novel Efectos secundarios (2011) and the relationship of these portrayals to citizenship, cultural policy and management, the cultural industry, and the effects of neoliberalism in twenty-first-century Mexico. While novels such as El último lector (Toscana 2004; The last reader) and advertising, such as that of the Gandhi bookstore chain, depict reading apathy as a personal failure on the part of Mexican citizens and a lack of volition to exercise what might be seen as a civic responsibility, Beltrán’s novel shows Mexican nonreaders as victims of a failed state marked by corruption, impunity, insecurity, and violence, which impede reading as a cultural practice. Because a reading public may be seen as vital for democracy, Beltrán’s novel invites critical engagement with key debates on reading and education policy, the politics of the Mexican publishing industry, and the effects of corruption and violence on the distribution of cultural goods.

Afghanistan Enters the Twenty-first Century

Afghanistan ◽  
2010 ◽  
Author(s):  
Thomas Barfield
Keyword(s):  
Twentieth Century ◽  
International Community ◽  
Local Communities ◽  
National Government ◽  
First Century ◽  
Twenty First Century ◽  
Relationship Of ◽  
The Relationship

This chapter looks at the first decade of the twenty-first century in Afghanistan. As the twentieth century ended, ever-larger numbers of Afghans had become caught up in political and military struggles from which they had been previously isolated. Whether as fighters, refugees, or just victims of war and disorder, few escaped the turmoil that roiled the country. Ethnic and regional groups in Afghanistan had become politically and militarily empowered, reversing the process of centralization that had been imposed by Amir Abdur Rahman. Yet when the international community set about creating the new Afghan constitution, it did not start afresh but attempted to restore the institutions of old. This brought to the surface long-simmering disputes about the relationship of the national government to local communities, the legitimacy of governments and rulers, and the relationship that Afghanistan should have with the outside world.

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