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The ESP Coordinating Center (ESP CC) is responding to a request from VA Health Services Research and Development Service (HSR&D) for an evidence brief on patient outcomes following long-term opioid dose reduction or discontinuation. Findings from this evidence brief will be used to inform prioritization of questions for a State-of-the-Art conference in September 2019.
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The ESP Coordinating Center (ESP CC) is responding to a request from VA Health Services Research and Development Service (HSR&D) for an evidence brief on patient outcomes following long-term opioid dose reduction or discontinuation. Findings from this evidence brief will be used to inform prioritization of questions for a State-of-the-Art conference in September 2019.
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Régulièrement, en maison de repos, le médecin est amené, lors de ses gardes ou en visite de routine, à prendre en charge des patients confus, incapables de s'exprimer et dont l'état général se dégrade. Il n'est alors pas toujours facile de prendre une décision les concernant lorsqu'aucune directive n'apparaît dans le dossier. De nombreuses réflexions éthiques, déontologiques et juridiques entrent en ligne de compte. Alors que les lois de 2002 relatives aux droits du patient, aux soins palliatifs et à l'euthanasie nous donnent des bases solides pour une prise en charge respectueuse du patient, dans la pratique, les choses n'en sont pas pour autant aisées. Pallium et la fondation roi Baudouin ont développé le PSPA (projet de soins personnalisé et anticipé) afin de faire valoir les volontés du patient. Il a été démontré que le PSPA et les directives anticipées améliorent la prise en charge de ces patients et ce, dans le respect de leur autonomie. Le PSPA est cependant peu mis en place par les soignants. Pourquoi? Quels en sont les freins ? L'objectif de ce travail sera de répondre à ces questions à l'aide de la littérature ainsi que de l'expérience de différents professionnels de la santé (éthiciens, psychiatre, membre de la plateforme de soins palliatifs de Bruxelles, membre du comité d'éthique de Liège ...)Le but de ce travail n'est pas de trouver un consensus concernant les questions éthiques exposées mais d'ouvrir l'esprit des praticiens à la réflexion et de leur permettre de contourner les obstacles au bon fonctionnement du PSPA.
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This report is intended to show how physicians and other health care professionals can help their patients with advance care planning and assess patient preferences for care at the end of life. Section 1 discusses research findings from studies funded by the Agency for Healthcare Research and Quality (AHRQ), as well as those from other research. For readers who want more detailed information, Section 2 contains charts and tables showing the quantitative results of the studies supported by AHRQ. This research can help providers offer end-of-life care based on preferences (both real and hypothetical) held by the majority of patients under similar circumstances.
Health planning --- Health services administrators --- Advance Care Planning. --- Advance Care Planning --- Physician-Patient Relations. --- Standards --- statistics & numerical data. --- United States.
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Advance Care Planning. --- Medical Futility. --- Palliative Care. --- Palliative treatment. --- Right to Die. --- Terminal Care. --- Terminal care.
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Advance Care Planning is an essential part of the new NHS National Programme on End-of-Life Care, aiming to improve the chances of ‘a good death’ by discussing and planning how this might be managed. This book helps readers explore a wide range of issues and practicalities in providing Advance Care Planning (ACP) for their patients nearing the end of life. This book takes a comprehensive look at the subject of ACP; frames the purpose, process, and outcomes; and includes contributions from experts from around the world.
Professional ethics. Deontology --- Sociology of health --- Human medicine --- Advance directives (Medical care) --- Palliative treatment --- Advance Care Planning. --- Right to Die. --- Terminal Care. --- Terminally Ill. --- Advance directives (Medical care) - Great Britain --- Palliative treatment - Great Britain
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Terminal Care. --- Attitude to Death. --- Attitudes to Death --- Death, Attitude to --- Death, Attitudes to --- Death --- End of Life Care --- End-Of-Life Care --- Care, End-Of-Life --- Care, Terminal --- End-Of-Life Cares --- Advance Care Planning --- Psychiatry --- Terminal Care --- Attitude to Death
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Behandlungsgebot oder Behandlungsverzicht? Das Patientenverfügungsgesetz 2006 stärkt die Autonomie der Patienten, zugleich sollen behandelnde Ärzte klar und leicht erkennen können, welche (haftungsrechtlichen) Konsequenzen ihre praktische Umsetzung hat. Die Autoren erörtern das Spannungsverhältnis zwischen Recht und Ethik und vergleichen die neue österreichische Regelung mit der Rechtslage in anderen Ländern, wie z.B. in Deutschland und den USA.
Civil law. --- Comparative law. --- Ethics. --- Advance Directives --- Terminal Care --- Jurisprudence --- Patient Care --- Advance Care Planning --- Therapeutics --- Social Control, Formal --- Patient Care Planning --- Health Services --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Comprehensive Health Care --- Sociology --- Health Care Facilities, Manpower, and Services --- Health Care Economics and Organizations --- Patient Care Management --- Health Care --- Social Sciences --- Anthropology, Education, Sociology and Social Phenomena --- Health Services Administration
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Terminal Care. --- Attitude to Death. --- stervensbegeleiding --- 418.7 --- 603.2 --- communicatie --- dood --- gezondheidszorg --- psychologie --- sterven --- verpleegkunde --- Attitudes to Death --- Death, Attitude to --- Death, Attitudes to --- Death --- End of Life Care --- Care End, Life --- Care Ends, Life --- Care, Terminal --- Life Care End --- Life Care Ends --- Advance Care Planning --- Psychologie van leven en dood --- Medische en paramedische stervensbegeleiding - Palliatieve zorgen --- stervensbegeleiding. --- End-Of-Life Care --- Care, End-Of-Life --- End-Of-Life Cares --- Terminal Care --- Attitude to Death
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Das Handbuch leistet eine Bestandsaufnahme des Sterbens in unserem Zeitalter und bezieht verschiedene Wissenskulturen interdisziplinär ein. Die Bereitschaft, Sterben als multidimensionales Phänomen wahrzunehmen und anzunehmen, ist hierzu eine entscheidende Grundvoraussetzung. Es gibt zahlreiche Perspektiven auf das Sterben: Ärzte und Biologen erörtern die Frage nach dem biologischen Wie des Sterbens. Philosophen und Theologen können zur geistigen und spirituellen Situation des Sterbens in unserer Gesellschaft beitragen. Ethnologen und Psychologen sind gefordert, über rezente Sterbeängste und Sterberituale aufzuklären. Literatur- und Kunstwissenschaftler legen die Präsenz und Gestaltung des Sterbens in den Gegenständen ihrer Forschung dar. Soziologen und Pflegewissenschaftler berichten über die Orte des Sterbens in unserer Gesellschaft und Juristen über Rahmenbedingungen, die auf den gesamten Sterbeprozess rückwirken. Erst die Integration dieser Perspektiven ermöglicht einen umfassenden Blick auf das Sterben in unserer Gesellschaft und kann weitere Diskussionen auch mit dem Ziel von Veränderungen anstoßen.
Death --- Dying --- End of life --- Life --- Terminal care --- Terminally ill --- Thanatology --- Psychological aspects. --- Social aspects --- Philosophy --- Psychology --- Dignity --- Attitude to Death --- Terminal Care --- Terminally Ill --- 253:362.1 --- End of Life Care --- End-Of-Life Care --- Care, End-Of-Life --- Care, Terminal --- End-Of-Life Cares --- Advance Care Planning --- Attitudes to Death --- Death, Attitude to --- Death, Attitudes to --- Human dignity --- Values --- 253:362.1 Pastoraal voor zieken, ouderen en stervenden --- Pastoraal voor zieken, ouderen en stervenden --- psychology
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