Should We Incorporate the Work of Elisabeth Kübler-Ross in Our Current Teaching and Practice and, If So, How?

2019 ◽  
pp. 003022281986539
Author(s):  
Charles A. Corr
Keyword(s):  
Popular Culture ◽  
Terminal Illness ◽  
Educational Programs ◽  
Active Listening ◽  
Life Threatening Illness ◽  
Historical Importance ◽  
Life Threatening ◽  
The Individual ◽  
Alternative Theories ◽  
Do So

This article acknowledges the historical importance of the work of Elisabeth Kübler-Ross and her five stages model. Because her name and this model appear in many textbooks, professional educational programs, and popular culture, should we incorporate these subjects in responsible ways in our current teaching and practice? The answer proposed here is that we should incorporate these subjects, but only if (a) we focus on her recommendations on behalf of active listening and learning from persons diagnosed with a terminal illness, (b) we limit ourselves to her descriptions of the individual reactions and responses experienced by her interviewees, (c) we acknowledge criticisms of the five stages model as a framework for understanding coping with life-threatening illness and dying, (d) we draw instead on alternative theories of coping with dying, and (e) we recognize dangers in applying this model to issues involving loss, grief, and bereavement and do not do so.

scholarly journals Κριτήρια επιλογής των ασθενών στις ΜΕΘ εν μέσω SARS-CoV-2 (COVID-19)

Bioethica ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. 65
Author(s):  
Maria Salamoura (Μαρία Σαλαμούρα)
Keyword(s):  
Medical Staff ◽  
Medical Equipment ◽  
Individual Responsibility ◽  
Spread Rate ◽  
Global Pandemic ◽  
Life Threatening Illness ◽  
Life Threatening ◽  
Bioethical Issues ◽  
The Individual ◽  
Respiratory Assistance

The SARS-CoV-2 virus has caused an unprecedented global pandemic in size, spread rate, severity and mortality. Humanity is facing a new challenge. The mass arrival of patients to hospitals with serious or even life-threatening illness has led to a reduction in the available medical equipment. Measures taken by the state are not enough to reduce the incidences of coronavirus. Additionally, the individual responsibility plays an important role in managing and dealing with the pandemic. The medical staff was often led to difficult decisions, such as which patients should be admitted to the ICU in a crisis period or how many patients need respiratory assistance. Such situations raise important bioethical issues, which we will study in more detail in this article.

Pediatric pain

2015 ◽  
pp. 940-958
Author(s):  
Mary Layman-Goldstein ◽  
Dana Kramer
Keyword(s):  
Pain Control ◽  
Treatment Plan ◽  
Integrated Treatment ◽  
Developmental Level ◽  
Pediatric Pain ◽  
Individual Child ◽  
Her Family ◽  
Life Threatening Illness ◽  
Life Threatening ◽  
The Individual

To prevent suffering for children and their families, nurses and other healthcare professionals must apply the most up-to-date techniques of pain assessment and management to all children they care for, especially from the time a child receives a diagnosis of a potentially life-threatening illness through his or her survival or death. By application of an integrated treatment plan that is based on the developmental level of the individual child, involves his or her family, and uses both pharmacological and nonpharmacological interventions, optimal pain control is possible.

Introduction to palliative care

2020 ◽  
pp. 623-628
Author(s):  
Susan Salt
Keyword(s):  
Palliative Care ◽  
Ethical Issues ◽  
Disease Process ◽  
Underlying Disease ◽  
Life Threatening Illness ◽  
Difficult Conversations ◽  
Assessment And Treatment ◽  
Life Threatening ◽  
The Individual ◽  
The Impact

Palliative care shifts the focus of care from managing the underlying pathophysiological processes to one that looks at the individual and the impact of life-threatening illness on them and those important to them. It aims to prevent and relieve suffering by means of early identification, assessment, and treatment of pain and other problems, physical, psychosocial, and spiritual. It focuses on interventions which might improve an individual’s quality of life rather than alter the underlying disease process, and routinely extends support to those important to the individual both during that individual’s lifetime and into bereavement. Challenges to the provision of effective palliative care include prognostic uncertainty, the necessity for engaging in difficult conversations, and the need to deal with a variety of ethical issues.

Review of Adapting to Life-Threatening Illness.

1987 ◽  
Vol 32 (10) ◽  
pp. 906-906
Author(s):  
No authorship indicated
Keyword(s):  
Life Threatening Illness ◽  
Life Threatening

Life-threatening Illness as Precursor to Posttraumatic Growth

2013 ◽  
Author(s):  
Lawrence G. Calhoun ◽  
◽  
Jay Azarow ◽  
Tzipi Weiss ◽  
Joel Millam
Keyword(s):  
Posttraumatic Growth ◽  
Life Threatening Illness ◽  
Life Threatening

Insurgent Collaboration

2020 ◽  
Vol 9 (1) ◽  
pp. 106-110
Author(s):  
Linda E. Sánchez ◽  
Susan Bibler Coutin
Keyword(s):  
Central America ◽  
Educational Programs ◽  
Immigrant Communities ◽  
Research Model ◽  
Research Initiatives ◽  
Do So

Scholarship regarding those who are categorized as undocumented can put sanctuary principles into practice in research settings. To do so, scholars can conduct research in collaboration with immigrant communities, reject essentializing terminology, develop modes of sociality that challenge exclusion, and document the unofficial forms of sanctuary devised by members of immigrant communities. This research model is grounded in principles of accompaniment that were followed by 1980s activists who offered sanctuary to those fleeing wars in Central America. Examples of research initiatives and educational programs that follow such principles are presented.

Communicating moral reasoning in medicine as an expression of respect for patients and integrity among professionals

2014 ◽  
Vol 10 (2) ◽  
pp. 177-183 ◽  
Author(s):  
Lauris Christopher Kaldjian
Keyword(s):  
Moral Reasoning ◽  
Moral Reasons ◽  
Moral Pluralism ◽  
Moral Integrity ◽  
Moral Beliefs ◽  
Moral Framework ◽  
Beliefs And Values ◽  
Moral Frameworks ◽  
The Individual ◽  
Do So

The communication of moral reasoning in medicine can be understood as a means of showing respect for patients and colleagues through the giving of moral reasons for actions. This communication is especially important when disagreements arise. While moral reasoning should strive for impartiality, it also needs to acknowledge the individual moral beliefs and values that distinguish each person (moral particularity) and give rise to the challenge of contrasting moral frameworks (moral pluralism). Efforts to communicate moral reasoning should move beyond common approaches to principles-based reasoning in medical ethics by addressing the underlying beliefs and values that define our moral frameworks and guide our interpretations and applications of principles. Communicating about underlying beliefs and values requires a willingness to grapple with challenges of accessibility (the degree to which particular beliefs and values are intelligible between persons) and translatability (the degree to which particular beliefs and values can be transposed from one moral framework to another) as words and concepts are used to communicate beliefs and values. Moral dialogues between professionals and patients and among professionals themselves need to be handled carefully, and sometimes these dialogues invite reference to underlying beliefs and values. When professionals choose to articulate such beliefs and values, they can do so as an expression of respectful patient care and collaboration and as a means of promoting their own moral integrity by signalling the need for consistency between their own beliefs, words and actions.

Sophistry and Circumstance at the End of Life

2008 ◽  
Vol 5 (1) ◽  
pp. 81-88
Author(s):  
Philip Berry
Keyword(s):  
Liver Failure ◽  
Medical Personnel ◽  
Medical Decision ◽  
Loss Of Consciousness ◽  
Supportive Treatment ◽  
Medical Decisions ◽  
Life Threatening Illness ◽  
Two Factors ◽  
Life Threatening ◽  
Counselling Process

When life-threatening illness robs a patient of the ability to express their desires, medical personnel must work through the issues of management and prognosis with relatives. Management decisions are guided by medical judgement and the relatives’ account of the patient’s wishes, but difficulties occur when distance grows between these two factors. In these circumstances the counselling process may turn into a doctor-led justification of the medical decision. This article presents two strands of dialogue, in which a doctor, counselling for and against continuation of supportive treatment in two patients with liver failure, demonstrates selectivity and inconsistency in constructing an argument. The specific issues of loss of consciousness (with obscuration of personal identity), statistical ‘futility’ and removal of autonomy are explored and used to bolster diametrically opposed medical decisions. By examining the doctor’s ability to interpret these issues according to circumstance, the author demonstrates how it is possible to shade medical facts depending on the desired outcome.

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