scholarly journals Parent Decision Making for Life Support for Extremely Premature Infants

2011 ◽  
Vol 25 (1) ◽  
pp. 52-60 ◽  
Author(s):  
Teresa T. Moro ◽  
Karen Kavanaugh ◽  
Teresa A. Savage ◽  
Maria R. Reyes ◽  
Robert E. Kimura ◽  
...  
Keyword(s):  
Decision Making ◽  
Premature Infants ◽  
Life Support ◽  
Parent Decision Making

Parent Decision-Making and School Choice

2019 ◽  
pp. 351-364 ◽  
Author(s):  
Huriya Jabbar ◽  
Sarah Winchell Lenhoff
Keyword(s):  
Decision Making ◽  
School Choice ◽  
Parent Decision Making

Managing Information for Real-Time Decision Support at Community Level

2013 ◽  
Vol 5 (1) ◽  
pp. 60-76
Author(s):  
Hakikur Rahman
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Decision Support System ◽  
Real Time ◽  
Support System ◽  
Life Support ◽  
Human Life ◽  
Community Level ◽  
Information Support ◽  
Space Technology

Management of real time information systems is gaining importance in all sectors and facets of human life. Varying from their applications in aviation, military, government, space technology, earth science, robotics, human cognitive, life support systems, disasters and emergencies, they emerge in diversified forms and natures. This paper identifies various contexts in the decision making processes of community livelihood; contextualizes the relevant information for taking time-critical decision, conceptualizes appropriate decision making methods, tools, and technologies for proper implementation, and manages an appropriate decision support system focusing knowledge acquisition and learning. Along this perspective, the paper establishes a decision support system framework in the aspect of early warning system in reaching out to grass roots community people at their own language, sign, and interpretation; provides knowledge support during disaster management, especially during post-disaster; provides information support in agriculture related matters, focusing pest control, and pre and post harvesting issues; provides emergency health assistance support during road accidents, or emergency health cases, or epidemic breakouts; and finally provides collaborative learning to improve e-governance at community level.

scholarly journals Toward Optimal End-of-Life Care for Patients with Advanced Chronic Obstructive Pulmonary Disease: Insights from a Multicentre Study

2008 ◽  
Vol 15 (5) ◽  
pp. 249-254 ◽  
Author(s):  
Graeme M Rocker ◽  
Peter M Dodek ◽  
Daren K Heyland ◽  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Decision Making ◽  
End Of Life ◽  
Pulmonary Disease ◽  
Life Support ◽  
Symptom Relief ◽  
Symptom Control ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Eol Care

BACKGROUND: Understanding patients’ needs and perspectives is fundamental to improving end-of-life (EOL) care. However, little is known of what quality care means to patients who have advanced lung disease.OBJECTIVES: To describe ratings of importance and satisfaction with elements of EOL care, informational needs, decision-making preferences, obstacles to a preferred location of death, clinical outcomes, and health care use before and during an index hospital admission for patients who have advanced chronic obstructive pulmonary disease (COPD).METHODS: A questionnaire with regard to quality EOL care was administered to patients older than 55 years of age who had advanced medical disease in five Canadian teaching hospitals.RESULTS: For 118 hospitalized patients who had advanced COPD, the following items were rated as extremely important for EOL care: not being kept alive on life support when there is little hope for meaningful recovery (54.9% of respondents), symptom relief (46.6%), provision of care and health services after discharge (40.0%), trust and confidence in physicians (39.7%), and not being a burden on caregivers (39.6%). Compared with patients who had metastatic cancer, patients with COPD had lower (P<0.05) satisfaction with care, interest in information about prognosis, cardiopulmonary resuscitation or mechanical ventilation, and referral rates to palliative care, whereas use of acute care services was higher (P<0.05) for patients who had advanced COPD.CONCLUSION: Canadian patients who have advanced COPD identify several priorities for improving care. Avoidance of prolonged or unwanted life support requires more effective communication, decision making and goal setting. Patients also deserve better symptom control and postdischarge strategies to minimize perceived burdens on caregivers, emergency room visits and hospital admissions.

Parent decision-making when selecting schools: The case of Nepal

Prospects ◽  
2014 ◽  
Vol 44 (3) ◽  
pp. 411-428 ◽  
Author(s):  
Priyadarshani Joshi
Keyword(s):  
Decision Making ◽  
Parent Decision Making

scholarly journals Pilot study : investigating child life support sessions as a tool for retinopathy of prematurity infants undergoing ROP eye exams

2021 ◽  
Author(s):  
Morgan Livingstone
Keyword(s):  
At Risk ◽  
Premature Infants ◽  
Life Support ◽  
Assessment Tool ◽  
Child Life ◽  
Before And After ◽  
Post Test ◽  
Behavior Scale ◽  
Eye Exams ◽  
Not At Risk

The aim of this study was to access the coping of premature infants during ROP eye exams both before and after receiving 3 child life support sessions. This assessment used the adapted COMFORT behavior scale as a reliable and validated standardized assessment tool. An experienced ROP clinic nurse and a clinic fellow made paired observations during 2 routine ROP eye exams to record infant coping. 9 infants were consented into the study and 2 infants were found to be at risk for ROP and therefore continued in the study. The other 7 infants were found to be not at risk. The results of the pre and post test coping results demonstrated a drop in distress and an increase in each infants coping during the ROP eye exam. The results suggest that Child Life support sessions do increase and enhance premature infant coping during ROP eye exams.

scholarly journals New Zealand paramedics are ready for an autonomous pre-hospital thrombolysis protocol

2017 ◽  
Vol 14 (3) ◽  
Author(s):  
Paul Davis ◽  
Graham Howie ◽  
Bridget Dicker
Keyword(s):  
Decision Making ◽  
New Zealand ◽  
Clinical Decision Making ◽  
Life Support ◽  
Advanced Life Support ◽  
Clinical Decision ◽  
Multiple Choice Questions ◽  
Common Error ◽  
Paramedic Education ◽  
Written Test

IntroductionInternationally, autonomous paramedic-delivered pre-hospital thrombolysis (PHT) administration for ST-elevation myocardial infarction patients has proven to be a highly effective strategy in facilitating expedited delivery of this treatment modality. However, current New Zealand models rely on physician authorised telemetry-based systems which have proved problematic, particularly due to technological failings. The aim of this study is to establish whether current paramedic education in New Zealand is sufficient for the introduction of an autonomous paramedic clinical decision-making model of PHT.MethodsA one-hour workshop introduced a new PHT protocol to 81 self-selected paramedic participants – both rural and metropolitan based – from New Zealand. Paramedics were then tested in protocol application through completion of a scenario-based standardised written test. Four written scenarios constructed from actual field cases assessed 12-lead electrocardiogram interpretation, understanding of protocol inclusion/exclusion criteria, and treatment rationale. Ten multiple-choice questions further tested cardiac and pharmacology knowledge as well as protocol application.Results Overall clinical decision-making showed a sensitivity of 92.0% (95% CI: 84.8–96.5), and a specificity of 95.6% (95% CI: 89.1–98.8). Electrocardiogram misinterpretation was the most common error. University educated paramedics (n=44) were significantly better at clinical decision-making than in-house industry trained paramedics (n=37) (p=0.001), as were advanced life support paramedics (n=36) compared to paramedics of lesser practice levels (n=45) (p=0.006).Conclusion Our New Zealand paramedic sample demonstrated an overall clinical decision-making capacity sufficient to support the introduction of a new autonomous paramedic PHT protocol. Recent changes in paramedic education toward university degree programs are supported.

Sign in / Sign up

Export Citation Format

Share Document