Legal and Ethical Concerns in Treating Kidney Failure PDF Download

Author: E.A. Friedman
Publisher: Springer Science & Business Media
ISBN: 9401143552
Category : Medical
Languages : en
Pages : 221

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Book Description
Once dialysis treatment, in 1960, permitted life prolongation for some but not all patients in kidney failure, an `ethical genie' was released. The introduction of peritoneal dialysis and kidney transplantation compounded the physician's dilemma by underscoring those left untreated. Who should be selected for uremia therapy? Should exclusion from treatment be properly delegated to administrators or physicians, or better left to a committee? Are some candidates more worthy than others? As examples: Do Presidents and Kings warrant priority in cadaver organ allocation over ordinary citizens? Are rich people more deserving than the poor? Is it ethical to choose a younger over an older patient? Can children and/or mentally incompetent persons serve as living organ donors? Is it proper to market organs under controlled circumstances? Eli A. Friedman, an experienced nephrology training program director, and Medical Advisor to the American Association of Kidney Patients, has collected 24 difficult cases that focus on these and other vexing though common stressful issues faced by those who manage kidney patients. Using a novel approach to each case, the opinions of lawyers, nephrologists, patients, and a transplant surgeon are proffered sequentially. Friedman asks and then answers searching questions arising from the debate. The quality of information presented is positively flavored by the fact that three of the respondents (one an attorney) are kidney transplant recipients. Members of the kidney team, those immersed in seeking truth in medical ethics, and all participating in exploring the legality or ethical basis of organ replacement will find this book pertinent to their effort.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309044325
Category : Medical
Languages : en
Pages : 444

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Book Description
Since 1972, many victims of endstage renal disease (ESRD) have received treatment under a unique Medicare entitlement. This book presents a comprehensive analysis of the federal ESRD program: who uses it, how well it functions, and what improvements are needed. The book includes recommendations on patient eligibility, reimbursement, quality assessment, medical ethics, and research needs. Kidney Failure and the Federal Government offers a wealth of information on these and other topics: The ESRD patient population. Dialysis and transplantation providers. Issues of patient access and availability of treatment. Ethical issues related to treatment initiation and termination. Payment policies and their relationship to quality of care. This book will have a major impact on the future of the ESRD program and will be of interest to health policymakers, nephrologists and other individual providers, treatment site administrators, and researchers.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309045320
Category : Medical
Languages : en
Pages : 313

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Book Description
A significant medical event is expected in 1992: the first human use of a fully implantable, long-term cardiac assist device. This timely volume reviews the artificial heart program-and in particular, the National Institutes of Health's major investment-raising important questions. The volume includes: Consideration of the artificial heart versus heart transplantation and other approaches to treating end-stage heart disease, keeping in mind the different outcomes and costs of these treatments. A look at human issues, including the number of people who may require the artificial heart, patient quality of life, and other ethical and societal questions. Examination of how this technology's use can be targeted most appropriately. Attention to achieving access to this technology for all those who can benefit from it. The committee also offers three mechanisms to aid in allocating research and development funds.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309047986
Category : Medical
Languages : en
Pages : 353

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Book Description
Raising hopes for disease treatment and prevention, but also the specter of discrimination and "designer genes," genetic testing is potentially one of the most socially explosive developments of our time. This book presents a current assessment of this rapidly evolving field, offering principles for actions and research and recommendations on key issues in genetic testing and screening. Advantages of early genetic knowledge are balanced with issues associated with such knowledge: availability of treatment, privacy and discrimination, personal decision-making, public health objectives, cost, and more. Among the important issues covered: Quality control in genetic testing. Appropriate roles for public agencies, private health practitioners, and laboratories. Value-neutral education and counseling for persons considering testing. Use of test results in insurance, employment, and other settings.

Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
ISBN: 1587634333
Category : Medical
Languages : en
Pages : 385

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Book Description
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Author: Marco Tubaro
Publisher: Oxford University Press
ISBN: 0192589199
Category : Medical
Languages : en
Pages : 800

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Book Description
The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU's, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.

Author: TARIQ MOHAMMAD AHMAD ALMALKI
Publisher: JEC PUBLICATION
ISBN: 9361754297
Category : Education
Languages : en
Pages : 200

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Book Description
Chronic Renal Failure (CRF) presents a complex and challenging landscape for healthcare professionals, particularly nurses, who play a crucial role in the holistic care of patients with this condition. As the prevalence of CRF continues to rise globally, there is an increasing need for comprehensive resources that address the intricacies of nursing assessment, diagnosis, care planning, and intervention in CRF management. This book, "Nursing Diagnoses, Care Plans, Assessments, and Interventions for Chronic Renal Failure (CRF)," is designed to meet this need by providing a thorough exploration of key topics relevant to nursing practice in the context of CRF. Each chapter delves into essential aspects of CRF care, from understanding the pathophysiology and etiology of the condition to implementing evidence-based interventions and addressing special considerations in patient care. In Chapter 1, readers will find an overview of CRF, including its anatomy, physiology, etiology, and pathophysiology, laying the foundation for a comprehensive understanding of the condition. Chapter 2 focuses on nursing assessment in CRF, covering the physical assessment of the renal system, diagnostic tests, and assessment of fluid and electrolyte imbalances. Chapter 3 delves into nursing diagnoses in CRF, providing insights into common nursing diagnoses, prioritization strategies, and the development of care plans tailored to the individual needs of CRF patients. Chapter 4 expands on care planning, offering evidencebased interventions and patient education strategies to promote optimal outcomes. Pharmacological interventions in CRF management are discussed in Chapter 5, with a focus on medications, administration, monitoring, and management of complications. Non-pharmacological interventions, including dietary management, fluid and electrolyte management, and dialysis therapy, are explored in Chapter 6. Chapter 7 addresses special considerations in CRF care, such as psychosocial assessment, management of complications (hypertension, anemia, bone disease), and palliative care and end-of-life issues. Lastly, Chapter 8 emphasizes interdisciplinary collaboration and ethical considerations, highlighting the importance of teamwork, legal and ethical principles, and cultural competence in CRF care. We hope that this book serves as a valuable resource for nurses and healthcare professionals involved in the care of patients with chronic renal failure. By integrating evidence-based practice with clinical expertise and compassionate care, we aim to enhance the quality of care and improve outcomes for individuals living with CRF.

Author: Juan F. Macías-Núñez
Publisher: Springer Science & Business Media
ISBN: 0387726594
Category : Medical
Languages : en
Pages : 558

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Book Description
This volume will be a reliable source on the management of the elderly with renal disease. There is an ever-increasing proportion of the aging population affected by renal disease and hypertension, and physicians are faced with atypical clinical presentations of renal disease in the aged as compared to younger people. This volume combines the fields of nephrology and geriatrics and presents a multidisciplinary approach to the topic.

Author: Sharon L. Lewis, RN, PhD, FAAN
Publisher: Elsevier Health Sciences
ISBN: 0323086780
Category : Medical
Languages : en
Pages : 2035

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Book Description
Over the past three decades, more and more nursing educators have turned to Lewis: Medical-Surgical Nursing for its accurate and up-to-date coverage of the latest trends, hot topics, and clinical developments in the field of medical-surgical nursing - and the new ninth edition is no exception! Written by a dedicated team of expert authors led by Sharon Lewis, Medical-Surgical Nursing, 9th Edition offers the same easy-to-read style that students have come to love, along with the timely and thoroughly accurate content that educators have come to trust. Completely revised and updated content explores patient care in various clinical settings and focuses on key topics such as prioritization, critical thinking, patient safety, and NCLEX® exam preparation. Best of all - a complete collection of interactive student resources creates a more engaging learning environment to prepare you for clinical practice. Highly readable format gives you a strong foundation in medical-surgical nursing. Content written and reviewed by leading experts in the field ensures that the information is comprehensive, current, and clinically accurate. Bridge to NCLEX Examination review questions at the end of each chapter reinforce key content while helping you prepare for the NCLEX examination with both standard and alternate item format questions. UNIQUE! "Levels of Care" approach explains how nursing care varies for different levels of health and illness. More than 50 comprehensive nursing care plans in the book and online incorporate NIC, NOC, and current NANDA diagnoses, defining characteristics, expected outcomes, specific nursing interventions with rationales, evaluation criteria, and collaborative problems. Over 800 full-color illustrations and photographs clearly demonstrate disease processes and related anatomy and physiology. NEW! Unfolding case studies included throughout each assessment chapter help you apply important concepts and procedures to real-life patient care. NEW! Managing Multiple Patients case studies at the end of each section give you practice applying your knowledge of various disorders and help you prioritize and delegate patient care. NEW! Informatics boxes discuss how technology is used by nurses and patients in health care settings. NEW! Expanded coverage of evidence-based practice helps you understand how to apply the latest research to real-life patient care. NEW! Expanded Safety Alerts throughout the book cover surveillance for high-risk situations. NEW! Separate chapter on genetics expands on this key topic that impacts nearly every condition with a focus on the practical application to nursing care of patients. NEW! Expanded coverage of delegation includes additional Delegation Decisions boxes covering issues such as hypertension and postoperative patient care. NEW! Genetic Risk Alerts and Genetic Link headings highlight specific genetic issues related to body system assessments and disorders. NEW! Revised art program enhances the book's visual appeal and lends a more contemporary look throughout.

Author: Sharon L. Lewis
Publisher: Elsevier Health Sciences
ISBN: 0323290345
Category : Medical
Languages : en
Pages : 1830

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Book Description
Over the past three decades, more and more nursing educators have turned to Lewis: Medical-Surgical Nursing for its accurate and up-to-date coverage of the latest trends, hot topics, and clinical developments in the field of medical-surgical nursing — and the new ninth edition is no exception! Written by a dedicated team of expert authors led by Sharon Lewis, Medical-Surgical Nursing, 9th Edition offers the same easy-to-read style that students have come to love, along with the timely and thoroughly accurate content that educators have come to trust. Completely revised and updated content explores patient care in various clinical settings and focuses on key topics such as prioritization, critical thinking, patient safety, and NCLEX® exam preparation. Best of all — a complete collection of interactive student resources creates a more engaging learning environment to prepare you for clinical practice. Highly readable format gives you a strong foundation in medical-surgical nursing. Content written and reviewed by leading experts in the field ensures that the information is comprehensive, current, and clinically accurate. Bridge to NCLEX Examination review questions at the end of each chapter reinforce key content while helping you prepare for the NCLEX examination with both standard and alternate item format questions. UNIQUE! "Levels of Care" approach explains how nursing care varies for different levels of health and illness. More than 50 comprehensive nursing care plans in the book and online incorporate NIC, NOC, and current NANDA diagnoses, defining characteristics, expected outcomes, specific nursing interventions with rationales, evaluation criteria, and collaborative problems. Over 800 full-color illustrations and photographs clearly demonstrate disease processes and related anatomy and physiology. NEW! Unfolding case studies included throughout each assessment chapter help you apply important concepts and procedures to real-life patient care. NEW! Managing Multiple Patients case studies at the end of each section give you practice applying your knowledge of various disorders and help you prioritize and delegate patient care. NEW! Informatics boxes discuss how technology is used by nurses and patients in health care settings. NEW! Expanded coverage of evidence-based practice helps you understand how to apply the latest research to real-life patient care. NEW! Expanded Safety Alerts throughout the book cover surveillance for high-risk situations. NEW! Separate chapter on genetics expands on this key topic that impacts nearly every condition with a focus on the practical application to nursing care of patients. NEW! Expanded coverage of delegation includes additional Delegation Decisions boxes covering issues such as hypertension and postoperative patient care. NEW! Genetic Risk Alerts and Genetic Link headings highlight specific genetic issues related to body system assessments and disorders. NEW! Revised art program enhances the book’s visual appeal and lends a more contemporary look throughout.