HOME >> MEDICINE >> NEWS
Dealing with conflict in caring for the dying patient

PITTSBURGH, March 15 How can a dying patient's family members and physicians get along when faced with difficult decisions on end-of-life treatment? The medical and emotional issues surrounding the care of a dying patient are both stressful and complicated, as highlighted in this week's Journal of the American Medical Association Clinician's Corner Perspectives on Care at the Close of Life, which highlights the case of an 84-year-old woman with advanced dementia whose advance directive states that she does not want artificial nutrition or hydration. Over the course of her illness, her family and physicians conflict about the use of a short-term feeding tube and intravenous hydration.

From this case study, authors Robert M. Arnold M.D., Leo H. Criep chair in patient care, professor of medicine, and chief, section of palliative care and medical ethics at the University of Pittsburgh School of Medicine along with Anthony L. Back, M.D., an oncologist and medical ethicist from the University of Washington, Seattle sought ways to identify conflict and make recommendations on how to avoid the pitfalls and recognize disputes by employing useful communication tools.

"Physicians often assume that conflict is a bad thing and something that should be avoided, yet conflict handled well can be productive and the clarity that results can lead to clearer decision making and greater satisfaction," says Dr. Arnold. The five major types of conflict the authors identified include physician-family conflict, physician-nurse conflict, physician-physician conflict, family-family conflict and physician-patient conflict.

In the physician-family conflict scenario, family members may have concerns that hospitals do not respect their roles as caregivers, that they do not get the information they need or that the decisions are inconsistent with their wishes.

In the physician-nurse conflict scenario, previous studies in the intensive care unit suggest th
'"/>


15-Mar-2005


Page: 1 2 3

Related medicine news :

1. Dealing with casualties from a terrorist attack
2. Dealing with death
3. Physician response to conflicts between faith and medicine
4. Physicians response to religion-related conflicts in medicine
5. Examination of possible conflicts of interest to influence look at suspected adverse drug reactions
6. Health and politics: Lessons learned from the Iraq conflict
7. Ten percent of employees experience work-family conflict
8. Joint-custody arrangements good for children of divorce -- but only if there is no parental conflict
9. Leading NIH-funded medical schools agree on guidelines that would strenghten conflict of interest policies
10. Emotional support during conflict situations elevates blood pressure in African-American boys
11. Enhanced counseling eases depression among people caring for a loved one with Alzheimers disease

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:7/27/2017)... ... July 27, 2017 , ... HIMSS ... will keynote Day 2 of the HIMSS Healthcare Security Forum, the nation’s foremost ... Sheraton Boston Hotel, Sept. 11-13, 2017. , Daniel will deliver his keynote, The ...
(Date:7/26/2017)... Madison, WI (PRWEB) , ... July 26, 2017 ... ... launch of Talent Management Solutions as part of their continued efforts to provide ... retain, and develop the best IT resources and build dynamic, high-performing teams to ...
(Date:7/26/2017)... , ... July 27, 2017 , ... It's time to sign up for ... with great benefits," says Kathy Heshelow, founder of Sublime Naturals and author of numerous books ... essential oil each month, mailed by the 5th. , Two items are ...
(Date:7/26/2017)... ... July 26, 2017 , ... IDC-Eating Disorder Care ... for the treatment program located in Royal Oak, Michigan. IDC, formerly known ... are focused on providing the highest standards in the field of eating disorder treatment ...
(Date:7/26/2017)... ... July 26, 2017 , ... The number of adults 65 ... States, but ways to improve asthma control in the population are not well described. ... (JACI: In Practice), an official journal of the American Academy of Allergy, Asthma & ...
Breaking Medicine News(10 mins):
(Date:7/15/2017)... 2017 Enterin Inc., a Philadelphia ... (PD), today announced the completion of a $12.7 million Series ... III, as well as the participation of existing investors. ... have the support of New Ventures III and our current ... of the potential of our platform technology to transform the ...
(Date:7/14/2017)... , July 13, 2017 It should come as ... is in the midst of a crippling opioid ... since 1999, the number of overdose deaths from opiate-based medications ... over half a million dead from 2001 to 2015". During ... and hydrocodone has similarly quadrupled, drawing a compelling link between ...
(Date:7/13/2017)... , July 13, 2017 RK Logistics Group, ... of Pharmacy certification for its Fremont, CA ... solutions in the Tri-Valley and San Jose ... City of Fremont , with its Fremont Innovation ... to provide such a powerful resource to the hundreds of ...
Breaking Medicine Technology:
Cached News: