scholarly journals Including a Chaplain and Culturally Sensitive Notary in End-of-Life and Earlier Difficult Healthcare Issues

2020 ◽  
Author(s):  
John Stonestreet
Keyword(s):  
African American ◽  
Health Communication ◽  
End Of Life ◽  
Family Communication ◽  
Current Literature ◽  
Third Party ◽  
Physician Communication ◽  
High Stakes ◽  
Time Limitations ◽  
Oriented Approach

One of the greatest challenges physicians face is living up to their own ideals, let alone others’ expectations, for high-stakes doctor-patient/family communication, especially at the end of life. From emotional strains to time limitations, a multiplicity of factors obfuscates the pursuit of excellence in this vital endeavor. Evidence suggests that, like nearly every other sector of healthcare and society, African American patients and families are most likely to get the short end of the physician communication stick. Drawing on the current literature, this piece makes a compelling case for the inclusion of third party specialists to take some of the communication load off of overworked physicians in end-of-life discussions and earlier difficult healthcare issues. A more team-oriented approach to the interdisciplinary art of patient/family-provider health communication surrounding complex issues and treatment decisions may be a win-win for everyone involved.

scholarly journals Including a Chaplain and Culturally Sensitive Notary in End-of-Life and Earlier Difficult Healthcare Issues

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
John Stonestreet
Keyword(s):  
African American ◽  
Health Communication ◽  
End Of Life ◽  
Family Communication ◽  
Third Party ◽  
Physician Communication ◽  
High Stakes ◽  
Ethical Communication ◽  
Time Limitations ◽  
Oriented Approach

Would patients and families benefit from a Doctor Body Cam? Linked from www.DoctorBodyCam.com, this article explores innovations providing accountability for ethical communication surrounding major healthcare decisions. One of the greatest challenges physicians face is living up to their own ideals, let alone others’ expectations, for high-stakes doctor-patient/family communication, especially at the end of life. From emotional strains to time limitations, a multiplicity of factors obfuscates the pursuit of excellence in this vital endeavor. Evidence suggests that, like nearly every other sector of healthcare and society, African American patients and families are most likely to get the short end of the physician communication stick. Drawing on the current literature, this piece makes a compelling case for the inclusion of third-party specialists to take some of the communication load off of overworked physicians in end-of-life discussions and earlier difficult healthcare issues. A more team-oriented approach to the interdisciplinary art of patient/family-provider health communication surrounding complex issues and treatment decisions may be a win-win for everyone involved.

Death, taxes and uncertainty: Economic motivations in end-of-life decision making

2021 ◽  
pp. 147775092110114
Author(s):  
George Slade Mellgard ◽  
Jacob M Appel
Keyword(s):  
End Of Life ◽  
Ethical Issues ◽  
Conflicts Of Interest ◽  
Clinical Care ◽  
Third Party ◽  
Ethical Conflicts ◽  
Financial Interests ◽  
End Of Life Decision ◽  
Death Taxes

Economic motivations are key drivers of human behavior. Unfortunately, they are largely overlooked in literature related to medical decisionmaking, particularly with regard to end-of-life care. It is widely understood that the directions of a proxy acting in bad faith can be overridden. But what of cases in which the proxy or surrogate appears to be acting in good faith to effectuate the patient’s values, yet doing so directly serves the decision-maker’s financial interests? Such situations are not uncommon. Many patients care as deeply about economic wellbeing of their families as they do for their own lives and health. This brief work examines three scenarios that raise ethical issues regarding the role of pecuniary motives in making critical medical decisions. Each scenario presents a potential financial conflict of interest between an incapacitated patient and a third-party decision-maker and offers a framework for integrating ethical and legal concerns into clinical care. It is our hope that this work prepares physicians for unexpected ethical conflicts of interest and enables them to further the interests of his or her patients.

Experiences of Palliative and End-of-Life Care among Older LGBTQ Women: A Review of Current Literature

2020 ◽  
Vol 23 (11) ◽  
pp. 1532-1539
Author(s):  
Korijna G. Valenti ◽  
Sarah Jen ◽  
Jyotsana Parajuli ◽  
Annabelle Arbogast ◽  
Anna Liss Jacobsen ◽  
...  
Keyword(s):  
End Of Life ◽  
Current Literature ◽  
End Of Life Care ◽  
Life Care

360 Emergency Physician Communication and Do Not Resuscitate Entry at the End of Life

2014 ◽  
Vol 64 (4) ◽  
pp. S127
Author(s):  
J.M.O. Aguilar ◽  
E. Weeks ◽  
M.-C. Elie-Turenne
Keyword(s):  
End Of Life ◽  
Emergency Physician ◽  
Physician Communication ◽  
Do Not Resuscitate

scholarly journals Controlling Waste and Carbon Emission for a Sustainable Closed-Loop Supply Chain Management under a Cap-and-Trade Strategy

Mathematics ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 466 ◽  
Author(s):  
Mowmita Mishra ◽  
Soumya Kanti Hota ◽  
Santanu Kumar Ghosh ◽  
Biswajit Sarkar
Keyword(s):  
Supply Chain ◽  
Supply Chain Management ◽  
End Of Life ◽  
Carbon Emission ◽  
Closed Loop ◽  
Emission Trading ◽  
Third Party ◽  
Closed Loop Supply Chain ◽  
Chain Management ◽  
Carbon Emission Trading

Considering the increasing number of end-of-life goods in the context of improving the ambience and health of a population and their destructive impacts, recycling strategies are important for industries and organizations. In this article, a closed-loop supply chain management containing a single manufacturer, a single retailer, and a third party is introduced in which the manufacturer first propagates newly finished goods and then dispatches some of the finished goods to the retailer considering a single-setup multi-delivery policy. Due to shipping, carbon emission is taken into account as well as a carbon emission trading mechanism to curb the amount of carbon emissions by the retailer. For recycling through collection, inspection, remanufacturing, and landfill, the third party collects the end-of-life goods from its customers and ships perfect products to the manufacturer after a two-stage inspection. In this model, major sources of emissions such as shipping, replenishment orders, and inventory have been taken care of. The minimizing of the total cost relating to the container capacity, shipment numbers, and replenishment cycle length is the main objective of the closed-loop supply chain management for making the system more profitable. Expository numerical explorations, analysis, and graphic representations are conferred to elucidate this model, and it is observed that this model saves some percentage of the cost compared to the existing literature.

scholarly journals African-American Fathers' Perspectives on Facilitators and Barriers to Father-Son Sexual Health Communication

2017 ◽  
Vol 40 (3) ◽  
pp. 229-236 ◽  
Author(s):  
Schenita D. Randolph ◽  
Tanya Coakley ◽  
Jeffrey Shears ◽  
Roland J. Thorpe
Keyword(s):  
African American ◽  
Sexual Health ◽  
Health Communication ◽  
African American Fathers ◽  
Sexual Health Communication ◽  
Facilitators And Barriers

Afterword

2019 ◽  
pp. 233-244
Author(s):  
Vincent C. Smith
Keyword(s):  
Intensive Care Unit ◽  
African American ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
End Of Life ◽  
Neonatal Intensive Care ◽  
Belief Systems ◽  
Belief System ◽  
Life Care ◽  
Salient Points

The author is an African American neonatologist who has worked in a neonatal intensive care unit (NICU) for the past twenty years. Despite belief systems being unique and diverse, he believes they serve an important role in society, especially in the context of NICU care. In this chapter, the author attempts to describe what he considers to be some salient points about being a provider in the NICU and the role that a family’s belief system plays in critical and end-of-life care for their newborn. He tries to emphasize how belief systems are complex and personal.

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