Decision Making

211.

Creating informed consumers and achieving shared decision making.

BACKGROUND: The internet has become a powerful tool to disseminate health information and there are millions of people accessing this free information for a second medical opinion. Consumers seeking information from this resource are more responsible for ...
Qi Rong Huang (Aust Fam Physician, 200305)
creating-informed-consumers-achieving-shared-decision-making.asp

212.

The physicians role in discussing organ donation with families.

Federal Conditions of Participation from the Health Care Financing Administration (now the Centers for Medicare and Medicaid Services) introduced in 1998 require that all families be presented the option of organ and tissue donation when death is ...
Michael A Williams, Pamela A Lipsett, Cynda H Rushton, Eugene C Grochowski, Ivor D Berkowitz, Stephen L Mann, John H Shatzer, M Priscilla Short, Myron Genel, (Crit Care Med, 200305)
physician-s-role-discussing-organ-donation-families.asp

213.

Living and dying with medical technology.

Medical technology is a two-edged sword, capable of saving and improving life but also of ending and harming life. Finding the right stance toward technology requires great balance and sensitivity. It has seductive powers because of its expected ...
Daniel Callahan (Crit Care Med, 200305)
living-dying-medical-technology.asp

214.

Are living wills useful? In search of a new paradigm.

Living wills are written by patients to direct physicians and loved ones as to the medical care they want in the event of catastrophic illness that is accompanied by inability to communicate their wishes. We outline recent data suggesting that living ...
Constantine A Manthous (Conn Med, 200305)
living-wills-useful-search-new-paradigm.asp

215.

Physician-patient relationship in the intensive care unit: erosion of the sacred trust?

With the advent of the increasing technology and multispecialty medicine, the strong relationship or "sacred trust" between patient and family physician has gradually eroded. Various subspecialists are now entrusted with patient care at different phases ...
Elizabeth Chaitin, Ronald Stiller, Samuel Jacobs, Joyce Hershl, Tracy Grogen, Joel Weinberg (Crit Care Med, 200305)
physician-patient-relationship-intensive-care-unit-erosion-sacred.asp

216.

Experienced and less-experienced nurses diagnostic reasoning: implications for fostering students critical thinking.

PURPOSE: To compare the use of mental representations (heuristics) in diagnostic reasoning of expert (> or = 5 years experience) and novice (< 5 years experience) emergency nurses. METHODS: Clinical simulations were completed by a nationwide randomly ...
Catherine G Ferrario (Int J Nurs Terminol Classif, 200304-06)
experienced-less-experienced-nurses-diagnostic-reasoning-implications.asp

217.

Consent and refusal in dementia research: conceptual and practical considerations.

This article discusses types of consent refusals, rates of refusal, factors that affect consent, and methods to increase rates of consent in elderly research participants and in those with dementia in particular. Refusals can be categorized according to ...
J Cohen-Mansfield (Alzheimer Dis Assoc Disord, 200304-06)
consent-refusal-dementia-research-conceptual-practical-considerations.asp

218.

Full-spectrum proxy consent for research participation when persons with Alzheimer disease lose decisional capacities: research ethics and the common good.

This article focuses on riskier forms of research in Alzheimer disease (AD). It asks two fundamental questions. First, what is the upper threshold of potential risk that should be allowable in AD Research ("maximal potential risk")? Second, should proxy ...
Stephen G Post (Alzheimer Dis Assoc Disord, 200304-06)
full-spectrum-proxy-consent-research-participation-persons-alzheimer.asp

219.

Driving cessation in older men with dementia.

The process of driving cessation was studied in a group of older men with dementia. During the initial phase of the project, 53 drivers with dementia provided information about their driving history, driving habits, and expectations about driving ...
Geri Adler, Michael Kuskowski (Alzheimer Dis Assoc Disord, 200304-06)
driving-cessation-older-men-dementia.asp

220.

Teaching ACLS stroke objectives to prehospital providers: a case-based approach.

OBJECTIVES: To determine whether a case-based educational module would increase prehospital care providers short-term and long-term knowledge about stroke and to compare the educational impact when the module was moderated by a physician versus an ...
Todd J Crocco, Raymond Moreno, Edward C Jauch, Amie N Racine, Brian J Pio, Tiepu Liu, Rashmikant U Kothari (Prehosp Emerg Care, 200304-06)
teaching-acls-stroke-objectives-prehospital-providers-case-based.asp