Dealing with conflict in caring for the dying patient
...ear-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 ...Health of independent clinical trials in danger, scientist warns
...ve burden will at least be doubled. Critics of the directive say that it was drawn up by the commission's enterprise directorate, responsible for the pharmaceutical industry, and was designed with that industry in mind, thus ignoring the needs of academics running publicly funded clinical trials. "It is highly...Surface treatments could make ready-to-eat products safer
... In November, the USDA released an administrative directive outlining additional steps to be taken by its inspectors to ensure that establishments producing ready-to-eat meat and poultry products are taking the necessary steps to prevent contamination with Listeria. Under the directive, plants producing h...Trust doctors: the new lost tribe?
...ments of the new deal or the European working time directive without employing trust doctors. This survey has put figures to a quietly growing problem that must now be tackled, they conclude....New EC directive threatens life-saving trials
...ts are in no position to give the consent that the directive demands for entry into a clinical trial, write the authors. Sadly, in Scotland such trials may already be impossible, they add. The Adults with Incapacity (Scotland) Act, 2000 requires consent from the adult's proxy or next of kin; this is despite nu...Feeding tubes may not help in severe dementia, yet use varies widely
...r 15 states require written evidence in an advance directive of patient preferences to forgo a feeding tube, but this factor was not associated with the interstate variations found by the researchers. "Use of feeding tubes comes down to individual preferences of patients and whether using them achieves the tre...Tobacco industry strategies for influencing European community tobacco advertising legislation
...er states by 2006. Initially proposed in 1989, the directive was adopted in 1998, and was annulled by the Europ...llowing a protracted lobbying campaign against the directive by a number of interested organisations including European tobacco companies. A new advertising dire...More patients would refuse treatment if the outcome were impaired quality of life
... patient preferences are usually stated in advance directive documents available at most hospitals in which patients are asked whether they wish to receive an array of interventions. Several investigators have pointed out the limitations in this system because the desirability of an intervention depends heavi...License agreement signed to commercialize intelligent hearing aid
...s can select a voice in a crowd by applying highly directive microphones," said Albert Feng, a UI professor of molecular and integrative physiology and leader of the Beckman team. "However, these devices cannot effectively differentiate between background noise and the desired conversation when the sources ar...Program to increase use of advance directives reduces use of health care services
...ectives program using the "Let Me Decide" advanced directive tool. A registered nurse from each ofthe homes attended a two-day workshop to train as health care facilitators. They learned a specificapproach to educating hospital staff, nursing home staff, residents, and families about directives andmeasuring ...