scholarly journals A Typical Perplexing Life-sustaining Therapy Decision at the End of life: A Case Report from Sri Lanka with Attributes Potentially worth Adopting from the UK Legislature

2021 ◽  
Vol 27 ◽  
pp. 345-348
Author(s):  
Gunasekara Vidana Mestrige Chamath Fernando ◽  
Shoba Narayanan Nair
Keyword(s):  
Case Report ◽  
Young Male ◽  
Point Of View ◽  
Sri Lankan ◽  
Care Planning ◽  
Therapy Decision ◽  
Metastatic Osteosarcoma ◽  
The World ◽  
Advance Care ◽  
The Uk

In many developing parts of the world, evidence on advance care planning (ACP) is either lacking or fragmented. Lack of streamlined means for ACP is known to lead to inconveniences for the clinicians as well as the patients and their families. This case report focuses on a young male diagnosed with metastatic osteosarcoma, who explicitly verbalised his wishes to be managed conservatively without involving invasive life-sustaining measures. However, the patient faced cardiopulmonary resuscitation before his demise against his wishes, which also contradicted with the medical point of view. Sri Lankan doctors face moral, ethical and legal dilemmas as they deal with terminally ill patients at the verge of their death due to the deficiencies in the medical and legislative frameworks in the country.

scholarly journals Editorial: An international outlook of corporate governance research

2020 ◽  
Vol 17 (4) ◽  
pp. 4-6
Author(s):  
Raef Gouiaa ◽  
Alexander Kostyuk
Keyword(s):  
Corporate Governance ◽  
Saudi Arabia ◽  
Point Of View ◽  
Corporate Ownership ◽  
Research Results ◽  
The World ◽  
The Usa ◽  
The Uk ◽  
New Research ◽  
And Control

This issue of the journal “Corporate Ownership and Control” is absolutely unique from the point of view of the geodiversity of the research. Thus, having published 16 papers in this issue of the journal we can count the research on corporate governance in the USA, the UK, Norway, Australia, Italy, Germany, Netherlands, Portugal, Spain, Belgium, Sweden, Finland, Austria, Greece, Ireland, Poland, France, Brazil, Tunisia, Morocco, Egypt, the UAE, Saudi Arabia, Kuwait, and others. This provides a very solid vision of the corporate governance national practices worldwide. This issue of the journal proves once again that corporate governance became a global subject for research during the last decade. Scholars from all the countries of the world try to deliver the new research results related to the national markets providing room for further comparison and research and we hope that the readers will enjoy the results of the recently published papers.

Advance care planning in the UK: update on policy and practice

2018 ◽  
Author(s):  
Claire Henry ◽  
Keri Thomas
Keyword(s):  
Family Involvement ◽  
Advance Care Planning ◽  
Information Transfer ◽  
Care Staff ◽  
Care Planning ◽  
Power Of Attorney ◽  
Policy And Practice ◽  
Health And Social Care ◽  
Advance Care ◽  
The Uk

This chapter provides an introduction to and national context for the importance of advance care planning (ACP) in the Department of Health End of Life Care Strategy in England. It also presents background publications which have highlighted the need for ACP, issues surrounding ACP, resources to support the process of ACP, the practicalities of implementation, and further developments. ACP is delivered as a process of discussion between an individual and their care provider, irrespective of discipline, with or without their carer/family involvement. Outputs may include a statement of wishes and preferences, decisions to refuse treatment, and/or Lasting Power of Attorney. Meanwhile, guidance from Health and Social Care Staff has been published. Further work is underway in areas of education, communication, and information transfer.

Advance care planning and treatment escalation plans

2020 ◽  
Vol 13 (2) ◽  
pp. 109-116 ◽  
Author(s):  
Ellie Courtney
Keyword(s):  
Advance Care Planning ◽  
Legal Framework ◽  
Care Planning ◽  
Do Not Resuscitate ◽  
Advance Care ◽  
The Uk ◽  
Treatment Escalation ◽  
Multiple Chronic Diseases ◽  
Huge Challenge

Medicine has advanced rapidly over the past 100 years. People are living longer, sometimes with multiple chronic diseases. When they develop life-limiting conditions, some already old and frail, achieving balance between intervening too much and too little can be a huge challenge. In many areas of the UK treatment escalation plans (TEPs) are replacing do not resuscitate orders. The aims of this article are to explore the use of TEPs and the role of advance care planning, covering the legal framework and providing some practical guidance about how to approach this important conversation.

scholarly journals Advance care planning and palliative medicine in advanced dementia: a literature review

2015 ◽  
Vol 39 (2) ◽  
pp. 74-78 ◽  
Author(s):  
Ketan Dipak Jethwa ◽  
Oluwademilade Onalaja
Keyword(s):  
Palliative Care ◽  
Service Development ◽  
Care Planning ◽  
Advanced Care Planning ◽  
Advanced Dementia ◽  
Primary Research ◽  
Raising Awareness ◽  
The Usa ◽  
Advance Care ◽  
The Uk

Aims and methodTo assess the factors that affect the clinical use of advanced care planning and palliative care interventions in patients with dementia. A literature search of Medline, Embase and PsycINFO was performed to identify themes in advanced care planning and palliative care in dementia.ResultsIn total, 64 articles were found, including 12 reviews, and three key areas emerged: barriers to advanced care planning, raising awareness and fostering communication between professionals and patients, and disease-specific interventions.Clinical implicationsMost of the studies analysed were carried out in the USA or Continental Europe. This narrative review aims to help guide future primary research, systematic reviews and service development in the UK.

scholarly journals Advanced project management approaches for implementation into the public administration system of Kazakhstan

2021 ◽  
pp. 207-215
Author(s):  
A. E. Kartov
Keyword(s):  
Project Management ◽  
Public Administration ◽  
Comparative Method ◽  
Developed Countries ◽  
Point Of View ◽  
Specific Recommendation ◽  
The World ◽  
New Vision ◽  
The Republic ◽  
The Uk

The article discusses the main approaches to program and project management that are used in the UK, Russia and Malaysia. This review was conducted to identify best practices for Kazakhstan. The purpose of this article was a brief overview of the approaches to managing programs and projects in a number of developed countries of the world to determine the most optimal of them in the system of public administration in Kazakhstan. The review was conducted from the point of view of organizational interaction between structural units in the implementation of programs and projects, ensuring transparency of ongoing processes, and ways of involving stakeholders in the project. Also, a brief review of the project management standards in the countries under consideration was carried out. When writing the article, a general scientific research method was used, namely, the comparative-comparative method of the considered approaches to project management in a number of developed economies of the world. The legislative base in terms of the new concept of public administration development is analyzed. As a result of the research, the author identified the experience of Malaysia. The effective approach to the management of national reforms and projects, developed by the PEMANDU Institute, most fully reflects the principles laid down in the new vision of the state development of the Republic of Kazakhstan. The author has given a specific recommendation regarding amendments to legal acts.

scholarly journals Case Report: Implantable cardioverter defibrillator (ICD) deactivation in palliative care - a case involving best interest decisions for someone lacking capacity at the end of life

2021 ◽  
Vol 3 ◽  
pp. 4
Author(s):  
Chevonne Tan ◽  
Sarika Hanchanale ◽  
Emma Sugrue ◽  
Amara Callistus Nwosu
Keyword(s):  
Case Report ◽  
End Of Life ◽  
Care Planning ◽  
Implantable Cardioverter Defibrillators ◽  
Best Interest ◽  
Cardioverter Defibrillator ◽  
Advance Care ◽  
New Challenges ◽  
Cardioverter Defibrillators ◽  
Dying Patient

The use of implantable cardioverter-defibrillators (ICD) has increased due to benefits of preventing death from cardiac arrhythmia. However, the increasing use of ICDs has created new challenges for how to proactively manage deactivation of these devices in people who are dying, especially for those who lack capacity to make decisions about their care. The aim of this case report is to discuss the challenges of planning for deactivation of an ICD for a patient who lacked capacity at the end of life. We describe the challenges of managing ICD deactivation in a dying patient with fluctuating capacity who had previously expressed a wish for the ICD to remain active. Although it is preferable to use advance care planning (ACP), to provide care in-line with patient-identified care preferences, we demonstrate how a best interest process can be used to make decisions about ICD deactivation at the end of life.

Palliative care in the UK

2015 ◽  
pp. 1080-1086
Author(s):  
Nancy Preston ◽  
Katherine Froggatt
Keyword(s):  
Palliative Care ◽  
Northern Ireland ◽  
Care Pathway ◽  
Care Planning ◽  
Regulatory Processes ◽  
The United Kingdom ◽  
Advance Care ◽  
Integrated Care Pathway ◽  
The Uk ◽  
Gold Standards

As the delivery of healthcare has been devolved down to the four countries—England, Scotland, Wales, and Northern Ireland—there are therefore differences in budgets, priorities, and regulatory processes that shape how palliative care is delivered. Each of the nations in the United Kingdom has developed its own palliative care strategy that reflects these differences, and they commonly promote the use of the three tools and approaches: an integrated care pathway, the Gold Standards framework, and advance care planning.

scholarly journals Simple Liver Cyst as a Focus ofSalmonella paratyphiAbscess: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
A. Sangwaiya ◽  
A. Patel ◽  
J. Chan ◽  
J. Arnold
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Liver Cyst ◽  
Common Cause ◽  
Clinical Syndromes ◽  
The World ◽  
The Uk ◽  
A Site

Salmonellosis, endemic in various part of the world, is considered a differential diagnosis in a tropical traveller. Although it usually presents as gastroenteritis, its various clinical syndromes may vary from mild gastroenteritis to severe septicaemia including abscess formation, the later two being the most common cause of morbidity and mortality. Here we present a patient who returned to the UK after an overseas trip and was diagnosed with a pyogenic liver abscess withSalmonella paratyphiat a site of a pre-existing simple liver cyst.

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