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:
TAG: Dealing with conflict caring for the dying patient

(Date:1/22/2015)... 22, 2015 The Incredible Bulk is a ... to increase lean muscle by up to 30lbs in less ... attention of HealthyandFitZone.com’s Stan Stevenson, prompting an investigative review. , ... a step-by-step, scientific diet formula that allows the body to ...
(Date:1/22/2015)... 22, 2015 Juvent Sports ( http://www.juventsports.com ... 2015 PGA Merchandise Show to bestow a Juvent Sports ... amateur golfer, Arlene McKitrick. The award commemorated and congratulated ... tournament win. She won her first amateur tournament in ...
(Date:1/22/2015)... released a new blog post presenting the basic features of ... an accidental death and dismemberment rider for a car insurance ... benefits if the insured dies in an accident. Accidental death ... insurance. , AD&D is not expensive and can be ...
(Date:1/22/2015)... Palm City, Florida (PRWEB) January 22, 2015 ... use cold therapy machine with patented IsoTube design to treat ... has introduced the most progressive and easy to use ... help treat post-operative and sports related orthopedic and muscle injuries. ...
(Date:1/22/2015)... January 22, 2015 JJsHouse.com is a famous ... Today, the business announces its latest collection of wedding ... “The most important issue is the wedding dress on your ... in a woman’s life. Every bride wants to find the ...
Breaking Medicine News(10 mins):Health News:The Incredible Bulk: Review Examining Ben Pakulski’s Brand New Bulking Muscle Building Diet Program Released 2Health News:All-Time Leading Female Amateur Golfer Arlene McKitrick Receives Juvent Sports Achievement Award at 2015 PGA Show 2Health News:All-Time Leading Female Amateur Golfer Arlene McKitrick Receives Juvent Sports Achievement Award at 2015 PGA Show 3Health News:Accidental Death and Dismemberment Insurance Can Be Purchased at Low Prices Online 2Health News:IsoComforter Introduces Best of Class Cold Therapy Product to the Worldwide Market 2Health News:Find The Most Suitable Wedding Dress At JJsHouse.com 2
(Date:1/23/2015)... FORT MYERS, Fla. , Jan. 23, 2015  Today ... approval of Novartis, Bexsero® for the prevention of ... to 25. Bexsero and Pfizer,s vaccine Trumenba®, which received ... in helping prevent this devastating disease. ...
(Date:1/23/2015)... to Fight Chronic Disease (PFCD) released a public opinion poll of ... study analyzing the impact of increased cost sharing on patient adherence ... educate policy makers and the public on the costs of chronic ... the Iowa healthcare exchange could be improved ...
(Date:1/23/2015)... than a third of reproductive-aged women enrolled in Medicaid, and ... a prescription for an opioid pain medication each year during ... Mortality Weekly Report (MMWR). Opioids are typically ... pain.  They are also found in some prescription cough medications. ...
Breaking Medicine Technology:The National Meningitis Association (NMA) Applauds FDA Approval of Second Vaccine To Protect Against Serogroup B Meningococcal Disease 2New research shows Iowa health exchange would benefit from improvements 2New research shows Iowa health exchange would benefit from improvements 3Opioid painkillers widely prescribed among reproductive age women 2Opioid painkillers widely prescribed among reproductive age women 3
Cached News: