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:5/24/2015)... 24, 2015 ProPin is a set ... Pro X. Utilize ProPin to pin point locations on a ... , ProPin allows users to choose from 30 simplistic ... With on-screen controls, video editors can easily manipulate ProPin presets ... and mark with absolute ease. , Using ProPin is easy, simply ...
(Date:5/23/2015)... On Saturday, May 23, 2015, over 100 volunteers ... Florida City exactly five years to the day after the ... A large fire tore through the Branches United Methodist Church ... the middle of the night as neighbors, staff and Branches' ... even though it is suspected that the fire began accidentally. ...
(Date:5/23/2015)... Parker, CO (PRWEB) May 23, 2015 On ... participated in MuckFest. The event was a 5k mud obstacle ... affects more than 2 million people worldwide, and the reason ... our community,” said Chad Davis, owner of Farrell’s eXtreme Bodyshaping. ... National Multiple Sclerosis Society.” , The event was not only ...
(Date:5/23/2015)... 23, 2015 Injury lawyer Steven H. Heisler ... passed by the Maryland legislature but which has not been ... Assembly passed HB 449 with overwhelming bipartisan support ... signed it into law. This bill ensures that fracking is ... that demonstrates the danger of fracking to our water supplies ...
(Date:5/22/2015)... River Valley Health Partners (RVHP) Board of ... Chief Financial Officer (CFO), will be leaving the organization ... company CFO since 2011. , The Board of Trustees ... system as CFO. Wesley will oversee the health system’s ... of Trustees conducts a formal search for a replacement. ...
Breaking Medicine News(10 mins):Health News:Developers at Pixel Film Studios Release ProPin for Final Cut Pro X. 2Health News:Five Years After Fire, Branches Rebuilds Playground 2Health News:Farrell’s eXtreme Bodyshaping Team Runs through the Muck for MS 2Health News:Baltimore Attorney Urges Governor Hogan to Sign the Fracking Moratorium Bill 2Health News:Baltimore Attorney Urges Governor Hogan to Sign the Fracking Moratorium Bill 3Health News:River Valley Health Partners Announces CFO Transition, Appointment of Interim CFO 2
(Date:5/22/2015)... May 22, 2015 Electrophysiologist Kevin Makati, ... traveled to Boston, MA ... 2015 Heart Rhythm Society conference. These scientific sessions ... on the ideas, people and technology that propel ... a hybrid, minimally invasive cardiac operation that combines ...
(Date:5/22/2015)... 22, 2015  The U.S. Food and Drug ... the first biosimilar product approved in ... growth in the contract manufacturing organization (CMO) industry, ... is geared to the production of small-molecular drugs ... products. The healthcare market research publisher,s report, ...
(Date:5/22/2015)... According to a new market ... Instruments, Services), by Test Type (Indirect, Enzyme-based, Reactive Oxygen ... End Users - Global Forecast to 2020", published by ... reach $736.85 Million by 2020 from $452.36 Million in ... Browse 71 market data Tables and 90 Figures ...
Breaking Medicine Technology:St. Joseph's Hospital Heart Institute Physician Presents at Heart Rhythm Society 2St. Joseph's Hospital Heart Institute Physician Presents at Heart Rhythm Society 3Kalorama: First FDA-Approved Biosimilar Brings Hope for CMO Growth 2Kalorama: First FDA-Approved Biosimilar Brings Hope for CMO Growth 3Kalorama: First FDA-Approved Biosimilar Brings Hope for CMO Growth 4Oxidative Stress Assays Market Worth $736.85 Million by 2020 2Oxidative Stress Assays Market Worth $736.85 Million by 2020 3Oxidative Stress Assays Market Worth $736.85 Million by 2020 4
Cached News: