Validation of “Care of the Dying Evaluation” in Emergency Medicine (CODE-EM): pilot phase of end-of-life management protocol offered within emergency room (EMPOWER) study

AbstractEnd-of-life care training has gaps in helping students to develop attitudes toward caring for the dying. Valid and reliable assessment tools are essential in building effective educational programmes. The Frommelt Attitude Toward the Care Of the Dying scale (FATCOD-B) is widely used to measure the level of comfort/discomfort in caring for the dying and to test the effectiveness of end-of-life care training. However, its psychometric properties have been questioned and different proposals for refinement and shortening have been put forward. The aim of this study is to get to a definitive reduction of the FATCOD-B through a valid and parsimonious synthesis of the previous attempts at scale revision. Data were gathered from a sample of 220 medical students. The item response theory approach was used in this study. Of the 14 items selected from two previous proposals for scale revision, 3 had a weak correlation with the whole scale and were deleted. The resulting 11-item version had good fit indices and withstood a more general and parsimonious specification (rating scale model). This solution was further shortened to 9 items by deleting 2 of 3 items at the same level of difficulty. The final 9-item version was invariant for gender, level of religiosity and amount of experience with dying persons, free from redundant items and able to scale and discriminate the respondents.

Download Full-text

End of life management of mobile phones Special case: Republic of Kosova

IFAC Proceedings Volumes ◽

10.3182/20130606-3-xk-4037.00030 ◽

2013 ◽

Vol 46 (8) ◽

pp. 10-15 ◽

Cited By ~ 1

Author(s):

L. Mulaku ◽

P. Kopacek

Keyword(s):

End Of Life ◽

Mobile Phones ◽

Life Management ◽

Special Case

Download Full-text

Hospital end-of-life care: families’ free-text notes

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2020-00239 ◽

2020 ◽

pp. bmjspcare-2020-00239

Author(s):

Sandra Kurkowski ◽

Johannes Radon ◽

Annika R Vogt ◽

Martin Weber ◽

Stephanie Stiel ◽

...

Keyword(s):

Palliative Care ◽

Quality Of Care ◽

End Of Life ◽

End Of Life Care ◽

Qualitative Content Analysis ◽

Free Text ◽

Life Care ◽

Quality Aspects ◽

Care Of The Dying

BackgroundPalliative care strives to improve quality of life for patients with incurable diseases. This approach includes adequate support of the patients’ loved ones. Consequently, loved ones have personal experiences of providing end-of-life care for their next. This is a resource for information and may help to investigate the loved ones’ perspectives on need for improvements.AimTo identify further quality aspects considered important by loved ones to improve the quality of care at the end of life as an addition to quantitative results from the Care of the Dying Evaluation for the German-speaking area (CODE-GER) questionnaire.DesignWithin the validation study of the questionnaire ‘Care of the Dying Evaluation’ (CODETM) GER, loved ones were asked to comment (free text) in parallel on each item of the CODE-GER. These free-text notes were analysed with the qualitative content analysis method by Philipp Mayring.Setting/participantsLoved ones of patients (n=237), who had died an expected death in two university hospitals (palliative and non-palliative care units) during the period from April 2016 to March 2017.Results993 relevant paragraphs were extracted out of 1261 free-text notes. For loved ones, important aspects of quality of care are information/communication, respect of the patient’s and/or loved one’s will, involvement in decision-making at the end of life (patient’s volition) and having the possibility to say goodbye.ConclusionsIt is important for loved ones to be taken seriously in their sorrows, to be informed, that the caregivers respect the patients’ will and to be emotionally supported.Trial registration numberThis study was registered at the German Clinical Trials Register (DRKS00013916).

Download Full-text

Sustainable End-of-Life Management of Wind Turbine Blades: Overview of Current and Coming Solutions

Materials ◽

10.3390/ma14051124 ◽

2021 ◽

Vol 14 (5) ◽

pp. 1124

Author(s):

Leon Mishnaevsky Mishnaevsky

Keyword(s):

Wind Turbine ◽

End Of Life ◽

Wind Turbines ◽

Natural Fiber ◽

Turbine Blades ◽

Wind Turbine Blades ◽

Maintenance And Repair ◽

Life Management ◽

Large Wind

Various scenarios of end-of-life management of wind turbine blades are reviewed. “Reactive” strategies, designed to deal with already available, ageing turbines, installed in the 2000s, are discussed, among them, maintenance and repair, reuse, refurbishment and recycling. The main results and challenges of “pro-active strategies”, designed to ensure recyclability of new generations of wind turbines, are discussed. Among the main directions, the wind turbine blades with thermoplastic and recyclable thermoset composite matrices, as well as wood, bamboo and natural fiber-based composites were reviewed. It is argued that repair and reuse of wind turbine blades, and extension of the blade life has currently a number of advantages over other approaches. While new recyclable materials have been tested in laboratories, or in some cases on small or medium blades, there are remaining technological challenges for their utilization in large wind turbine blades.

Download Full-text

Advance Care Planning and End-of-Life Management of Adult Patients With Congenital Heart Disease

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135112464235 ◽

2013 ◽

Vol 4 (1) ◽

pp. 62-69 ◽

Cited By ~ 14

Author(s):

Adrienne H. Kovacs ◽

Michael J. Landzberg ◽

Sarah J. Goodlin

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

End Of Life ◽

Advance Care Planning ◽

Congenital Heart ◽

Adult Patients ◽

Care Planning ◽

Life Management ◽

Advance Care

Download Full-text

End of Life Management of Automation and IT Devices

IFAC Proceedings Volumes ◽

10.3182/20140824-6-za-1003.00207 ◽

2014 ◽

Vol 47 (3) ◽

pp. 3503-3508 ◽

Cited By ~ 1

Author(s):

P. Kopacek ◽

B. Kopacek

Keyword(s):

End Of Life ◽

Life Management

Download Full-text

Lifecycle assessment of a stapling machine

International Journal of Engineering & Technology ◽

10.14419/ijet.v4i1.3813 ◽

2014 ◽

Vol 4 (1) ◽

pp. 12 ◽

Cited By ~ 7

Author(s):

Israel Dunmade

Keyword(s):

Climate Change ◽

End Of Life ◽

Environmental Impacts ◽

Material Selection ◽

Product Distribution ◽

Mechanical Device ◽

Lifecycle Assessment ◽

Life Management ◽

Resource Recycling ◽

Eutrophication Potential

A stapler is a mechanical device used to join two or more sheets of paper together by driving a thin metal staple through the sheets. They are widely used in schools, offices, business, government and homes. The anticipated large quantity of waste that is disposed of annually present great risk of environmental pollution and opportunities for economically viable resource recycling. This study evaluates potential environmental impacts of a Stapling machine and its end-of-life management opportunities. Environmental lifecycle assessment (LCA) process was used for the evaluation. The assessment was implemented with the aid of SimaPro software version 7.3.3.Results of the analyses revealed that climate change and eutrophication are the significant potential environmental impacts. Each Stapler has 1.265130 kg CO2-eq in Global Warming Potential and 0.113067 max kg O2-eq as its Eutrophication Potential. Further examination also showed that most of the impacts are from material selection, product distribution, and end-of-life management of the stapling machine. This study provides insights on potential environmental impacts of stapling machines and potential opportunities for improvements in their end-of-life management.

Download Full-text