Stories Of Intensive Care Medical Challenges And Ethical Dilemmas In Real Patients
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Stories Of Intensive Care Medical Challenges And Ethical Dilemmas In Real Patients
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Author : Lawrence Martin M. D.
language : en
Publisher:
Release Date : 2020-01-07
Stories Of Intensive Care Medical Challenges And Ethical Dilemmas In Real Patients written by Lawrence Martin M. D. and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-01-07 with Medical categories.
"Stories of Intensive Care" is a series of 23 stories about real patients cared for in the intensive care unit. The author, a retired pulmonary (lung) physician, directed the Mt. Sinai Hospital of Cleveland's Medical Intensive Care Unit (MICU) in the 1980s and 1990s. Each story highlights a medical challenge or ethical dilemma he encountered. The first chapter gives an overview of intensive care rounds, how the MICU operates, and what happens, when, during MICU rounds, a patient's heart suddenly stops beating. Succeeding chapters are devoted to one or two patients and the challenges they present. Like Harold Switek, too ill to leave MICU, too psychotic to stay. And Willie the Yellow Man, whose love affair with alcohol exceeded anything you've ever seen. You'll meet a young socialite hospitalized with rapid onset of total paralysis and wonder (as we did): will she ever hug her kids again? And another woman about to have her baby during a terrifying asthma attack. Then there's the young accountant who slept in a coma-for six months! In "The Red Baron" Dr. Martin tells the strange saga of a man who claimed to be coughing up blood, only that wasn't his real problem. Another patient, dubbed "The Wild Man," is deposited in the emergency department by a family member, who then disappears. The wild man is delirious, but why?These and other patients profiled in the book are all real, with names and other identifying features changed as necessary. In answer to the question "Should a physician write about his or her patients?, Dr. Martin states: "Emphatically, yes, if he or she is so inclined and provided that privacy is maintained. In a literary sense, doctors and nurses are privileged. What we see in our daily jobs is more than enough to fill many interesting books. We just have to find the time and inclination to tell others about what we do, and to make the work seem as interesting in print as it is in real life.
Pickwickian And Other Stories Of Intensive Care
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Author : Lawrence Martin
language : en
Publisher: Lakeside Press (OH)
Release Date : 1991-08-01
Pickwickian And Other Stories Of Intensive Care written by Lawrence Martin and has been published by Lakeside Press (OH) this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991-08-01 with Critical care medicine categories.
"PICKWICKIAN" & OTHER STORIES OF INTENSIVE CARE is a collection of 20 fascinating vignettes about intensive care patients & their problems: diabetic ketoacidosis, Guillain Barre syndrome, AIDS, asthma attack, pulmonary embolism, alcoholic cirrhosis, coma, cocaine overdose, severe hypertension & many other conditions. The title story deals with a middle-aged woman who suffers the infamous 'Pickwickian Syndrome' - massive obesity, daytime sleepiness & respiratory failure. Several stories tackle head on the ethical dilemmas of modern intensive care, such as the right to die ("We Can't Kill Your Mother") & provision of high tech care for the hopelessly ill ("Medicine by Default"). Other stories delve into medical history, e.g. the discovery of insulin & development of bedside right heart catheterization. The stories are written in non-technical language & aimed toward a general audience. The wealth of detail & depiction of real-world intensive care also make the stories interesting to nurses & technicians, especially those who work in an ICU. An index is provided so the reader can readily look up any particular area of interest. The author is associate professor of medicine at a major medical school & director of his hospital's Pulmonary & Critical Care Division.
We Can T Kill Your Mother
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Author : Lawrence Martin (M. D.)
language : en
Publisher:
Release Date : 2011-09
We Can T Kill Your Mother written by Lawrence Martin (M. D.) and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-09 with Health & Fitness categories.
In the early 1980s I wrote a story about an extremely ill patient cared for in our medical intensive care unit (MICU) at Mt. Sinai Hospital, Cleveland. Called "A Case For Intensive Care", the story was for a general audience and appeared in a local college literary magazine. Until then all my published writing had been for doctors only, and I wanted to explain a complicated medical case in a way that anyone could understand. In the ensuing years I wrote many other patient-centered stories, each intended for a general audience. They are now collected in We Can't Kill Your Mother! and Other Stories of Intensive Care. This book is for the general reader -- no special background or medical expertise necessary. In fact the only 'requirement' is an interest in humanity. Illness and medicine are universal and everyone has some familiarity with hospitals, if only from the position of consumer. Most people have, at some point, either been hospitalized or visited a family member in the hospital. These stories take you inside the medical intensive care unit, a major part of every acute care hospital. That's the setting, but the subject is people and their serious (and sometimes strange) afflictions. The first chapter gives an overview of intensive care rounds and how the MICU operates. Succeeding chapters are devoted to one or two patients and the challenges they present. Like Harold Switek, too ill to leave MICU, too psychotic to stay. And Willie the Yellow Man, whose love affair with alcohol exceeded anything you've ever seen. You'll meet a young socialite hospitalized with rapid onset of total paralysis and wonder as we did will she ever hug her kids again? And another woman about to have her baby during a terrifying asthma attack. Then there's the young accountant who slept in a coma for six months! Another story relates the strange saga of a man who claimed to be coughing up blood, only that wasn't his real problem. Every sizable hospital handles the same problems and encounters the same ethical dilemmas as presented by our patients. Like elderly, senile Mr. Zigson, who is trying to die a natural death. Only problem: he has no family. Should the doctors leave him alone or 'do everything'? And the nursing home patient, who is the subject of the title story; she is awake and alert, but can only live connected to a breathing machine. Her daughter demands that the ventilator be disconnected so "mother can die." Can doctors honor such a request? Can they ignore it? I am not the first, and will certainly not be the last, medical professional to write about his or her patients. In a literary sense doctors and nurses are privileged; what we see in our daily jobs is more than enough to fill many interesting books. We just have to find the time and inclination to tell others about what we do, and to make the work seem as interesting in print as it is in real life. Lawrence Martin, M.D. Cleveland, Ohio
Bioethics In The Pediatric Icu Ethical Dilemmas Encountered In The Care Of Critically Ill Children
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Author : Laura Miller-Smith
language : en
Publisher: Springer
Release Date : 2019-03-13
Bioethics In The Pediatric Icu Ethical Dilemmas Encountered In The Care Of Critically Ill Children written by Laura Miller-Smith and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-03-13 with Philosophy categories.
This book examines the many ethical issues that are encountered in the Pediatric Intensive Care Unit (PICU). It supports pediatricians, nurses, residents, and other providers in their daily management of critically ill children with the dilemmas that arise. It begins by examining the evolution of pediatric critical care, and who is now impacted by this advancing medical technology. Subsequent chapters explore specific ethical concerns and controversies that are commonly encountered. These topics include how to conduct end-of-life discussions with families facing a myriad of challenging choices. It goes on to explore the concept of futility, and what that does and does not mean in the pediatric ICU setting. Controversial subjects such as children as organ donors, particularly using donation after cardiac death, in addition to issues surrounding the declaration of brain death are covered. Additional chapters address resource allocation, and also analyze the use of long-term technology in chronically critically ill children. Chapters include case examples with guidance on how to work through similar difficulties and decision-making. While this book is specifically targeted for care providers at the ICU bedside, it is also of benefit to medical students, students in bioethics, practicing ethical consultants and families who are dealing with critically ill children.
Compelling Ethical Challenges In Critical Care And Emergency Medicine
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Author : Andrej Michalsen
language : en
Publisher: Springer Nature
Release Date : 2020-07-22
Compelling Ethical Challenges In Critical Care And Emergency Medicine written by Andrej Michalsen and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-07-22 with Medical categories.
This book addresses the ethical problems that physicians have to face every day while caring for critically ill patients. Advances in medical technology, ageing societies worldwide, and their increased demands on health care systems have, on the one hand, led to better care and remarkable longevity in many parts of the world. On the other hand, however, improved treatments in many medical fields, amongst others in emergency and critical care, have resulted in more patients surviving with reduced quality of life. This entails tradeoffs for many patients, their families, and the teams caring for them. At the same time, health care expenditures have risen dramatically and have to be balanced against costs for other public goods. Finally, the humane aspects of care have often failed to keep pace with the remarkable technological strides made in recent years. In this book, experts in their respective fields describe compelling ethical challenges resulting from these discrepancies and discuss potential solutions. The book is primarily intended for clinicians who care for two of the most vulnerable patient subpopulations – those being treated in ambulances or emergency rooms, and those being treated at intensive care units – due in part to the fact that they may be temporarily or permanently incapacitated. Core medical skills, such as diagnosis and predicting outcomes, as well as implementing treatment, remain challenging. However, without adequate communication and collaboration both within the inter-professional treatment teams and between the teams and the patients/their families, delivering excellent care is difficult at best. Therefore, the so-called “soft skills” are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill.
Law And Ethics In Intensive Care
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Author : Christopher Danbury
language : en
Publisher: Oxford University Press
Release Date : 2020-09-16
Law And Ethics In Intensive Care written by Christopher Danbury and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-09-16 with Medical categories.
The practice of intensive care medicine raises multiple legal and ethical issues on a daily basis, making it increasingly difficult to know who to admit and when, at what stage invasive management should be withdrawn, and who, importantly, should decide? These profound dilemmas, already complicated in a setting of scarce resources, mandate an understanding of law and ethics for those working in intensive care medicine. Clinically focused, this book explains the relevance of landmark rulings to aid your day-to-day decision-making. A spectrum of ethical and legal controversies in critical care are addressed to demonstrate how law and ethics affects the care available to patients and vice versa. Discussion of conflict resolution advises the options open to you when agreement on treatment decisions or withdrawal cannot be reached. The literature and variations surrounding Do Not Attempt Resuscitation decisions are outlined to help you navigate this complex area. This edition also provides an up-to-date analysis of issues such as futility and depreciation of liberty. Featuring contributions from leading legal and medical experts, this important reference should be read by every critical care professional.
Health Care Ethics
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Author : Kath M Melia
language : en
Publisher: SAGE
Release Date : 2004-03-31
Health Care Ethics written by Kath M Melia and has been published by SAGE this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-03-31 with Medical categories.
Health Care Ethics examines the way ethical dilemmas are played out in everyday clinical practice and argues for an approach to ethical decision-making which focuses more on patient needs than competing professional interests. While advances in medical science and technology have improved the ability to save and prolong lives, they have also given rise to fundamental questions about what constitutes life and personhood, especially in the context of what are termed ′persistent vegetative state′ and ′brain death′. Drawing on the example of intensive care where such questions feature strongly in everyday practice, Kath M Melia examines how decisions are taken within the context of multiprofessional teamworking, including · whether to admit a patient and commence treatment · what the aim of treatment should be (i.e. palliation, care or cure) · when to limit, withhold or withdraw treatment · when to donate organs. As an area in which different professional groups work closely together, the author argues that there are lessons to be learnt from intensive care which can be applied to ethical decision making in all areas of health care for the greater good of patients. The book makes a significant contribution to the literature on ethics in health care and to the development of ethical decision making which prioritises the needs of patients. It is essential reading for ethicists, sociologists and health care professionals.
Intensive Care
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Author : John F. Murray M.D.
language : en
Publisher: Univ of California Press
Release Date : 2000-07-17
Intensive Care written by John F. Murray M.D. and has been published by Univ of California Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000-07-17 with Medical categories.
Intensive Care is an affecting view from the trenches, a seasoned doctor's minute-by-minute and day-by-day account of life in the Intensive Care Unit (ICU) of a major inner-city hospital, San Francisco General. John F. Murray, for many years Chief of the Pulmonary and Critical Care Division of the hospital and a Professor at the University of California, San Francisco, takes readers on his daily ward rounds, introducing them to the desperately ill patients he treats as well as to the young physicians and medical students who accompany him. Writing with compassion and knowledge accumulated over a long career, Murray presents the true stories of patients who show up with myriad disorders: asthma, cardiac failure, gastrointestinal diseases, complications due to AIDS, the effects of drug and alcohol abuse, emphysema. Readers will come away from this book with a comprehensive understanding of what an ICU is, what it does, who gets admitted, and how doctors and nurses make decisions concerning life-threatening medical problems. Intensive care for critically ill patients is a new but well-established and growing branch of medicine. Estimates suggest that 15 to 20 percent of all hospitalized patients in the United States are treated in an intensive or coronary care unit during each hospital stay, so there is a real possibility that the reader will either be admitted to an ICU himself or herself or knows someone who will be. Murray not only offers a real-time account of the diagnosis, treatment, and progress of his patients over the course of one month but also conveys a wealth of information about various diseases and medical procedures in succinct and easy-to-understand terms. In addition, he elaborates on ethical dilemmas that he confronts on an almost daily basis: the extent of patient autonomy, the denial of ICU care, the withdrawal of life support, and physician-assisted suicide. Murray concludes that ICUs are doing their job, but they could be even better, cheaper, and--most important--more humane. His chronicle brings substance to a world known to most of us only through the fiction of television.
Stories Of Stroke
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Author : Louis R. Caplan
language : en
Publisher: Cambridge University Press
Release Date : 2022-12-15
Stories Of Stroke written by Louis R. Caplan and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-12-15 with Medical categories.
Stroke is one of the most important and most feared conditions known to man. The threat of stroke is important to all people. What could be more devastating than to lose the ability to speak, move a limb, stand, talk, see, read, feel write or even think? This book brings together ideas, events and advances – the stories – before and during the 20th Century through the accounts of global experts in the field, many of them having been first-hand witnesses to progress. Focusing on selected stories of stroke, this book offers a readable summary of the most dramatic and extensive changes in knowledge about stroke and in caring for stroke patients. Of interest to anyone interested in neurosciences and for physicians caring for stroke patients, this book informs on moving forward, by looking to how we got to where we are.
For Profit Enterprise In Health Care
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 1986-01-01
For Profit Enterprise In Health Care written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986-01-01 with Medical categories.
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.