The role of the pediatric anesthesiologist in relieving suffering at the end of life: when is palliative sedation appropriate in pediatrics?

2017 ◽  
Vol 27 (4) ◽  
pp. 443-444 ◽  
Author(s):  
Doralina L. Anghelescu ◽  
Esther Knapp ◽  
Liza-Marie Johnson ◽  
Justin N. Baker
Keyword(s):  
End Of Life ◽  
Palliative Sedation ◽  
Pediatric Anesthesiologist

scholarly journals The role of end-of-life palliative sedation: medical and ethical aspects – Review

2019 ◽  
Vol 69 (1) ◽  
pp. 72-77
Author(s):  
Miriam S. Menezes ◽  
Maria das Graças Mota da Cruz de Assis Figueiredo
Keyword(s):  
End Of Life ◽  
Palliative Sedation ◽  
Ethical Aspects

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.

Doro Rekufa and Tsvitsa: Beer, Animals and Death Rituals among the Ndau of South Eastern Zimbabwe

Utafiti ◽  
2015 ◽  
Vol 11 (1-2) ◽  
pp. 1-16
Author(s):  
Plan Shenjere-Nyabezi
Keyword(s):  
End Of Life ◽  
Cause Of Death ◽  
Religious Belief ◽  
Belief Systems ◽  
African Continent ◽  
Death Rituals ◽  
South Eastern ◽  
Attitudes Towards Death ◽  
Death Signals

Despite Westernization and particularly the advent of Christianity and its widespread entrenchment on the African continent, traditional indigenous rituals continue to constitute an integral part of African religious belief systems and practices. This article presents the results of an ethnoarchaeological study of two death rituals that are conducted by the Ndau people of south eastern Zimbabwe. The rituals are a demonstration of attitudes towards death and beliefs about the role of the dead among the living. The Ndau do not believe that death signals and represents the end of life. In the same vein and perhaps more importantly, the Ndau do not believe that death just happens. It is caused by human agency out of jealousies, hatred and conflict among the living. These beliefs are central to the two rituals presented and discussed here: the first ritual is conducted to ascertain cause of death and the second to bring back the spirit of the deceased from a temporary state of limbo immediately after death. Meat and beer are central to these rituals, firstly as offerings to the deceased and secondly as an important part of the living celebration of the rituals. The paper then explores some interpretive implications of the rituals from an archaeological perspective.

End of life care in the community: the role of ambulance clinicians

2013 ◽  
Vol 5 (7) ◽  
pp. 394-399 ◽  
Author(s):  
Annie Pettifer ◽  
Rosanna Bronnert
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Life Care

scholarly journals Barriers in Implementing the Dying Patient Law: The Israeli Experience - A Qualitative Study

2020 ◽  
Author(s):  
Avi Zigdon ◽  
Rachel Nissanholtz-Gannot
Keyword(s):  
End Of Life ◽  
Family Doctor ◽  
Clinical Aspects ◽  
Human Aspects ◽  
Life Issues ◽  
End Of Life Issues ◽  
Medical Teams ◽  
Depth Interviews ◽  
Training Physicians

Abstract Background Coping with end-of-life issues is a major challenge for governments and health systems. Despite progress in legislation, many barriers exist to its full implementation. This study is aimed at identifying these end-of-life barriers in relation to Israel.Methods Qualitative in-depth interviews using professionals and decision makers in the health-care and related systems (n=37) were carried out, along with two focus groups based on brainstorming techniques consisting of nurses (n=10) and social workers (n=10). Data was managed and analyzed using Naralyzer software.Results Qualitative analysis showed identification of six primary barriers: 1) law, procedures, and forms; 2) clinical aspects; 3) human aspects; 4) knowledge and skills of medical teams; 5) communication; and 6) resource allocation. These were further divided into 44 sub area barriers.Conclusions This study highlights the role of the family doctor in end-of-life by training physicians in decision-making workshops and increasing their knowledge in the field of palliative medicine. Effectively channeling resources, knowledge, and support for medical teams, by accounting for the structure and response of the units for home treatment will improve patient's access to information on and support for end-of-life laws, as well as reduce legislative barriers in other countries that face the same issues.

scholarly journals Continuation of end-of-life care in a special elderly nursing home and the role of doctors

2012 ◽  
Vol 49 (3) ◽  
pp. 336-343
Author(s):  
Akira Kurita ◽  
Naosuke Shinagawa ◽  
Eitarou Kodani ◽  
Shinichirou Iwahara ◽  
Bonpei Takase ◽  
...  
Keyword(s):  
Nursing Home ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care
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