Download or read book Stories of Intensive Care Medical Challenges and Ethical Dilemmas in Real Patients written by Lawrence Martin M. D. and published by . This book was released on 2020-01-07 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: "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.
Download or read book Compelling Ethical Challenges in Critical Care and Emergency Medicine written by Andrej Michalsen and published by Springer Nature. This book was released on 2020-07-22 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Pickwickian and Other Stories of Intensive Care written by Lawrence Martin and published by Lakeside Press (OH). This book was released on 1991-08-01 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: "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.
Download or read book Law and Ethics in Intensive Care written by Christopher Danbury and published by Oxford University Press. This book was released on 2020-09-16 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Bioethics in the Pediatric ICU Ethical Dilemmas Encountered in the Care of Critically Ill Children written by Laura Miller-Smith and published by Springer. This book was released on 2019-03-13 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book We Can t Kill Your Mother written by Lawrence Martin (M. D.) and published by . This book was released on 2011-09 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book For Profit Enterprise in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 1986-01-01 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[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.
Download or read book Health Care Ethics written by Kath M Melia and published by SAGE. This book was released on 2004-03-31 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Five Days at Memorial written by Sheri Fink and published by Crown. This book was released on 2016-01-26 with total page 602 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW YORK TIMES BESTSELLER • The award-winning book that inspired an Apple Original series from Apple TV+ • A landmark investigation of patient deaths at a New Orleans hospital ravaged by Hurricane Katrina—and the suspenseful portrayal of the quest for truth and justice—from a Pulitzer Prize–winning physician and reporter “An amazing tale, as inexorable as a Greek tragedy and as gripping as a whodunit.”—Dallas Morning News After Hurricane Katrina struck and power failed, amid rising floodwaters and heat, exhausted staff at Memorial Medical Center designated certain patients last for rescue. Months later, a doctor and two nurses were arrested and accused of injecting some of those patients with life-ending drugs. Five Days at Memorial, the culmination of six years of reporting by Pulitzer Prize winner Sheri Fink, unspools the mystery, bringing us inside a hospital fighting for its life and into the most charged questions in health care: which patients should be prioritized, and can health care professionals ever be excused for hastening death? Transforming our understanding of human nature in crisis, Five Days at Memorial exposes the hidden dilemmas of end-of-life care and reveals how ill-prepared we are for large-scale disasters—and how we can do better. ONE OF THE TEN BEST BOOKS OF THE YEAR: The New York Times Book Review • ONE OF THE BEST BOOKS OF THE YEAR: Chicago Tribune, Seattle Times, Entertainment Weekly, Christian Science Monitor, Kansas City Star WINNER: National Book Critics Circle Award, J. Anthony Lukas Book Prize, PEN/John Kenneth Galbraith Award, Los Angeles Times Book Prize, Ridenhour Book Prize, American Medical Writers Association Medical Book Award, National Association of Science Writers Science in Society Award
Download or read book We Can t Kill Your Mother written by Lawrence Martin and published by . This book was released on 2001 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: When Zachary Taylor Primrose, former corporal, United States Marine Corps, walks into the Marine/Navy recruiting office in Las Vegas, Nevada, on a hot August day in 1966, he has one goal in mind: to get to Vietnam as quickly as possible. "The Corps was the best thing that ever happened to me, and I'd like to give something back and serve my country again," Primrose tells the recruiting officer. But Primrose's motivation is actually a little more personal: his wife Rhonda is one of a trio of musicians who have disappeared while on a USO tour near Laos, and Primrose is determined to find her and get her back. Primrose re-enlists and finds his way to Vietnam, where he puts together a team of misfits that the brass have been trying to hide. With his motley crew of eccentric but skilled men, Primrose manages to step on the toes of every officer ranking from general on down to lieutenant in South Vietnam in his quest to rescue his wife. He manages to have the Army, Navy, and Marine Corps at each others throats trying to figure out how a lowly corporal could cause so much trouble.
Download or read book The Lazarus Case written by John D. Lantos and published by JHU Press. This book was released on 2006-06-16 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: A gripping exploration of the legal and ethical dilemmas in neonatal intensive care—a truly original work. Chosen as an Outstanding Academic Titles in 2003 by Choice Magazine In this new, startlingly original book, John D. Lantos weaves a compelling story that captures the dilemmas of modern medical practice. The Lazarus Case: Life-and-Death Issues in Neonatal Intensive Care begins with a fictional malpractice case—an amalgam of typical cases in which Lantos appeared as an expert witness—and uses it as the framework for addressing the ethical issues surrounding neonatal intensive care. Lantos draws on his experience in neonatal medicine, pediatrics, and medical ethics to explore multiple ethical dilemmas through one poignant representative situation. In Lantos's model case, a doctor decides to stop resuscitation of a premature infant, a tiny "preemie" who seems past reasonable care. The baby survives with severe neurological defects and the parents sue the doctor, alleging that stopping treatment was negligent. From this case, Lantos considers our moral obligations to critically ill babies, the meaning of negligence, and the sorts of social structures that shape the moral consciences of doctors. Each chapter begins with Lantos deposing in the conference room of the plaintiffs' lawyers. The questions put to Lantos throughout the deposition spark an engrossing retelling of his personal experiences with premature babies, as well as his thoughtful discussions of ethics, morality, history, and medical statistics. Sprinkled throughout the book are references to fictional works by Camus, Dostoevsky, Shakespeare, Twain, and others. Lantos uses these literary examples to further illustrate the ambiguities, misunderstandings, responsibilities, and evasions that plague our decisions regarding life and death, medical care and medical education, and ultimately the cost and value of preserving the lives of the most vulnerable among us.
Download or read book Resolving Ethical Dilemmas written by Bernard Lo and published by Lippincott Williams & Wilkins. This book was released on 2013-04-29 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its Fifth Edition, this respected reference helps readers tackle the common and often challenging ethical issues that affect patient care. The book begins with a concise discussion of clinical ethics that provides the background information essential to understanding key ethical issues. Readers then explore a wide range of real-world ethical dilemmas, each accompanied by expert guidance on salient issues and how to approach them. The book’s two-color design improves retention of material for visual learners. An accompanying website lets readers access the full text, along with features designed to reinforce understanding and test knowledge. New to the Fifth Edition: This edition includes new discussions of ethical issues as they relate to clinical practice guidelines and evidence-based medicine, electronic medical records, genetic testing, and opioid prescription. The book also includes an increased focus on ethical issues in ambulatory care. Readers will also find more detailed analysis of cases, more examples of ethical reasoning, more highlight pages relating clinical ethics to emergency medicine, oncology, palliative care, and family medicine. Also new are discussions of quality improvement and use of advance care planning rather than advance directives.
Download or read book Ethical Issues Experienced by Intensive Care Nurses when Working with Adult Patients Admitted for Cardiac Disease written by Tina Marie Liske and published by . This book was released on 1998 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book ABC of Intensive Care written by Graham R. Nimmo and published by John Wiley & Sons. This book was released on 2011-10-03 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new and updated edition is a practical guide to intensive care for the non-specialist, providing the core knowledge and principles of intensive care patient management. From general principles through to critical care outreach and end of life care, it covers best practice management in the intensive care unit. It includes the key organ system support as well as monitoring, sepsis, brain-stem death, and nutrition in intensive care. There is also full coverage of organ donation. This invaluable resource is highly illustrated in colour throughout with new images, references to key evidence, and further reading and resources in each chapter. It is ideal for junior doctors, medical students and specialist nurses working in an acute hospital setting and the ICU and neonatal ICU, and for anyone involved in the management and care of intensive care patients. Endorsed by the Intensive Care Society (UK) and the Scottish Intensive Care Society. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store.
Download or read book End of Life Communication in the ICU written by David W. Crippen and published by Springer Science & Business Media. This book was released on 2007-11-27 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Talking to patients and their families about end-of-life issues can be difficult and stressful. This book looks at ways different cultures view death and then further explores how health care providers around the world communicate about such sensitive issues as withholding or withdrawing life support and discussing options when the outcome is uncertain. By offering a better understanding of cultural differences in attitudes about death and methods of communications about end-of-life issues, the coverage in this important book helps prepare healthcare practitioners to be better communicators – both within and outside of their own cultures.
Download or read book We Can t Kill Your Mother written by Lawrence Martin and published by AuthorHouse. This book was released on 2011-09-30 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 Cant Kill Your Mother! and Other Stories of Intensive Care. This book is for the general reader - 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. Thats 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 youve ever seen. Youll 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. 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. Lawrence Martin, M.D. Cleveland, Ohio
Download or read book Through the Valley of Shadows written by Samuel Morris Brown and published by Oxford University Press. This book was released on 2016 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Table of contents: A culture in crisis The rise of the living will Empirical and ethical problems with living wills Living wills don't make decisions : human beings do The barbaric life of the ICU Life after the ICU Reform : the current state of the art Healing the intensive care unit.
