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)

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.

Author(s):  
Mary Layman-Goldstein ◽  
Dana Kramer

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.


2019 ◽  
pp. 003022281986539
Author(s):  
Charles A. Corr

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.


2020 ◽  
pp. 623-628
Author(s):  
Susan Salt

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.


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

2013 ◽  
Author(s):  
Lawrence G. Calhoun ◽  
◽  
Jay Azarow ◽  
Tzipi Weiss ◽  
Joel Millam

2008 ◽  
Vol 5 (1) ◽  
pp. 81-88
Author(s):  
Philip Berry

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.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 748-752
Author(s):  
Swapnali Khabade ◽  
Bharat Rathi ◽  
Renu Rathi

A novel, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), causes severe acute respiratory syndrome and spread globally from Wuhan, China. In March 2020 the World Health Organization declared the SARS-Cov-2 virus as a COVID- 19, a global pandemic. This pandemic happened to be followed by some restrictions, and specially lockdown playing the leading role for the people to get disassociated with their personal and social schedules. And now the food is the most necessary thing to take care of. It seems the new challenge for the individual is self-isolation to maintain themselves on the health basis and fight against the pandemic situation by boosting their immunity. Food organised by proper diet may maintain the physical and mental health of the individual. Ayurveda aims to promote and preserve the health, strength and the longevity of the healthy person and to cure the disease by properly channelling with and without Ahara. In Ayurveda, diet (Ahara) is considered as one of the critical pillars of life, and Langhana plays an important role too. This article will review the relevance of dietetic approach described in Ayurveda with and without food (Asthavidhi visheshaytana & Lanhgan) during COVID-19 like a pandemic.


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