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The End-Of-Life Option Most People Don’T Know About: Is It Legal?, Pamela Bucy Pierson

Idaho Law Review

This article is about an end-of-life option that many people have not heard of: Voluntary Stopping Eating and Drinking (VSED). With VSED, a person deliberately ceases intake of food and fluid to hasten their death. VSED is a peaceful, pain-free end-of-life option chosen by an increasing number of individuals in their last chapter of life who are suffering from chronic, incurable, progressively debilitating diseases. While there is considerable scholarship on the lawfulness of VSED, there is confusion in the existing literature on whether VSED is suicide, and on the related question whether individuals who provide comfort and care to VSED …

A Qualitative Study Of Key “Regulatory” Factors Influencing Patient Access To Medical Assistance In Dying In Canada, Ruthie Jeanneret, Eliana Close, Jocelyn Downie, Ben P. White

Dalhousie Law Journal

Medical assistance in dying (“MAiD”) was legalized federally in Canada after the landmark case, Carter v Canada (AG), 2015 SCC 5. Bill C-14 introduced a federal legislative framework for MAiD in 2016, which was amended by Bill C-7 in 2021. Some Bill C-7 amendments directly responded to the decision in Truchon c Canada (PG), 2019 QCCS 3792. Other amendments responded to several factors identified as barriers to patient access, including the requirement for two independent witnesses, the 10-day reflection period, and the requirement to provide final consent at the time of administration of MAiD medication. However, emerging literature identifies that …

Dying Well: Hospice Care As A Diminished Promise, Barry R. Furrow

Akron Law Review

No abstract provided.

Evaluation Of Palliative Care Awareness Among Hospitalized Patients And Their Relatives In Türkiye, Füsun Uzgör, Ayşe Özkaraman, Hülya Özen

Makara Journal of Health Research

Background: Today, with the advances in medical knowledge and technology, chronic diseases have increased worldwide in parallel with the prolonging life expectancy and the aging of the population. This has increased the need for palliative care in the delivery of medical services. This study aimed to evaluate the palliative care awareness and level of knowledge of inpatients receiving health services in a university hospital and their relatives in Türkiye.

Methods: This cross-sectional study was carried out with 360 patients and their relatives who volunteered to participate in the research. The study data were collected in face-to-face interviews using …

Exploring Medical Assistance In Dying: A Review Article, David Pfrimmer

Consensus

No abstract provided.

Protecting Older Adults Who Are Incarcerated: Does The 8th Amendment Work?, Jalayne J. Arias

Health Matrix: The Journal of Law-Medicine

Older adults in prison and within other carceral systems (i.e. jails, parole) are uniquely at risk for elder mistreatment. Emerging research has begun to consider the experiences of older adults within carceral settings, including aging in prison, chronic conditions and medical care, compassionate release, and end-of-life care. This research exposes evidence that prisons and other carceral settings lack resources and services for older adults. Given increased vulnerability and a lack of protective resources, older adults experiencing incarceration may experience disproportional rates and consequences of elder mistreatment. A public health approach to develop tools and resources that would prevent, detect, and …

Transdisciplinary Collaboration Of Healthcare Professionals And The Emotional Connectedness With Working With Patients Coping With Death And Dying, Princess Nguyen, Lindsay Gietzen

Pacific Journal of Health

Abstract

Purpose: This study explores how an integrated approach to care for patients and families by transdisciplinary healthcare teams provides opportunities for a patient-centered care approach to support quality of life throughout one's chronic illness and at the end-of-life. Discussions and conversations about impending death or dying are often challenging and a complex task for healthcare professionals in whatever settings. While there is an understanding of aspects of collaborative care and transitions and processes to support patients and families about how to cope and communicate about death and dying, it is essential to recognize how best to support end-of-life care …

Exploring Disparities In Palliative Care Utilization For Patients With End-Stage Liver Failure: A Nationwide Cohort Analysis (2016-2020), Sheza Malik, Hajra Khan, Amatul Mueed Taqiyyah Fatima Syeda, Mohammed Faisaluddin, Babu Mohan Md, Asim Mushtaq, Karin Dunnigan

Advances in Clinical Medical Research and Healthcare Delivery

Background: Despite the very high symptom burden, palliative care (PC) services are underutilized in patients with End-stage liver disease (ESLD). Herein, we investigated the disparities in the utilization of PC services among patients with ESLD hospitalized in the United States.

Method: We conducted a retrospective cohort analysis by utilizing the Nationwide Inpatient Sample from 2016 to 2020. All patients greater than 18 years old admitted with ESLD were included in the analysis. A multivariate logistic regression model predicting referral to PC was created.

Results: In our analysis, significant racial disparities were observed in the utilization of palliative care services among …

Measures Of Success: Making The Case For Advanced Practice-Sensitive Quality Indicators, Ruth Kleinpell, April Kapu, Cynthia Borum

HCA Healthcare Journal of Medicine

Advanced practice registered nurses (APRNs) are key health care providers in a variety of settings. Often APRNs are grouped in a collective category, along with physician assistants, and referred to collectively as advanced practice providers. As APRNs assume an increasing role in patient care management in hospital, outpatient, and community settings, such as clinics and rural practices, measuring the impact of their care on patient outcomes and quality of care becomes a necessary component of performance evaluation. APRN-sensitive outcome indicators are an important way to identify the impact of the role. While a number of studies have been conducted that …

How Do Older Adults Define A Good Death? A Scoping Review, Ellen L. Csikai, Quentin R. Maynard

Midwest Social Sciences Journal

A scoping literature review of the concepts of ‘good death’ and ‘dying well’ among older adults was conducted. The purpose was to identify aspects that older adults specifically considered important in defining a ‘good death’. The search revealed five articles published between 2005 and 2019 that met inclusionary criteria for the review. Primary among the views of the older adults in these studies of a ‘good death’ was the desire to avoid being a burden to families; done so by dying pain-free/peacefully (preferably in sleep) and preparing in advance by involving family in decisions and funeral/estate planning. Family support throughout …

Cyber Victimization In The Healthcare Industry: Analyzing Offender Motivations And Target Characteristics Through Routine Activities Theory (Rat) And Cyber-Routine Activities Theory (Cyber-Rat), Yashna Praveen, Mijin Kim, Kyung-Shick Choi

International Journal of Cybersecurity Intelligence & Cybercrime

The integration of computer technology in healthcare has revolutionized patient care but has also introduced significant cyber risks. Despite the healthcare sector being a primary target for cyber-attacks, research on the dynamics of these threats and practical solutions remains limited. Understanding the complexities of cyberattacks in this sector is critical, as the impact extends beyond financial losses to directly affect patient care and the protection of sensitive information. This paper applies Routine Activities Theory (RAT) and Cyber Routine Activities Theory (C-RAT) to analyze high-tech cyber victimization case studies in healthcare. The analysis explores the motivations behind these attacks and identifies …

Bridging Education And Service Learning Through Palliative Care, Jamie Borchardt

Journal of Community Engagement and Higher Education

Service learning can bridge the gap between traditional and transformational learning, as students are able to relate the course terminology directly to field experience. This project was set up to determine if volunteering for a semester at Hospice had any effect on emotional intelligence and positivity. A paired samples t-test compared differences in pre- and post-test scores on the Positivity Scale (PS) and the Schutte Self-Report Emotional Intelligence Test (SSEIT). The PS revealed a significant difference in pre- and post-test surveys: t(5)=-2.4, p=.03.

Poetic Representations Of Covid-19 Narratives: An Exploration Of Emotional Experiences During The Pandemic, Isha Harshe, Lindy Davidson

The Qualitative Report

In pivotal moments of history like the COVID-19 pandemic, it is critical to attend to and preserve the stories of different people experiencing the same phenomenon in their own ways. This project analyzed the public’s emotional experiences during the pandemic using methods of narrative and poetic inquiry. After reading 105 entries from the Pandemic Journaling Project, an online platform where people anonymously published journal entries reflecting on their pandemic experiences, narratives were categorized based on ten prominent emotional themes: anger, anxiety, fatigue, fear, loneliness, longing, loss, loss of control, stress, and uncertainty. Found poems were constructed for each emotion …

Current Status And Future Perspective Of Hospital Medicine In Medical Education, Nin-Chieh Hsu, Chia-Lin Tseng, Yu-Feng Lin, Tzung-Dau Wang, Wang-Huei Sheng

Journal of Medical Education

Hospital medicine emerged in the United States in the 1990s to cope with the growing need for integrated care for complex and ageing hospitalized patients. The hospitalist model has rapidly spread out worldwide to European and Asian countries. It was also introduced to Taiwan in 2009 and obtained the government support since 2015 with a pilot project among more than two thirds of medical centers. Hospital medicine has also involved in medical education in the US, with medical schools and residency programs offer dedicated training in hospital medicine. Hospital medicine aims to provide a highly coordinated, patient-and-family-centered, goal-directed care to …

My Body, My Choice: Should Physician-Assisted Suicide Be Legalized In The United States For Individuals With Chronic Mental Illness?, Angelika Anderson

Texas A&M Law Review

Many individuals with mental illness wish to die because the symptoms of their illness are unbearable. They shoot, suffocate, and poison themselves to make their pain go away. Because this is a statistical reality, a more certain and less violent means of death should be legalized. This Comment advocates for the legalization of physician-assisted suicide (“PAS”). As of 2022, nine states and the District of Columbia have legalized PAS for terminal illness, but this Comment argues that all fifty states should legalize PAS and not only for terminal illness, but for chronic mental illness as well. To do so, this …

Multigenerational Legacy Projects, Kailey A. Bradley

Adultspan Journal

Multigenerational legacy projects and activities facilitate meaning making and instill hope for further generations. Hospice and palliative care entities can use legacy projects to help terminally ill clients share how they want to be remembered. Legacy projects come in many forms including but not limited to scrapbooks, holiday rituals, and storytelling. In this perspective piece, examples of legacy projects will be explored as ways to process loss.

Keywords: Legacy projects, bonds, hospice/palliative care, meaning construction, bereavement.

บทบาทพยาบาลกับการตัดสินใจเชิงจริยธรรมในผู้ป่วยมะเร็งระยะท้าย: ประเด็นการยับยั้ง/การถอดถอนการรักษาพยุงชีพ, บุญสิตา ทิงาเครือ, พิรนันท์ ศิริ, นิชาภา พุมสอน, อิสระพันธ์ เรืองทอง, จันจิรา เพ็ญ, วาสินี วิเศษฤทธิ์

Journal of Nursing Research, Innovation, and Health

การตัดสินใจเชิงจริยธรรมเป็นกระบวนการที่ช่วยให้พยาบาลได้ตรวจสอบประเด็นขัดแย้งทางจริยธรรมในการปฏิบัติการพยาบาลอย่างเป็นระบบและเป็นองค์รวม โดยยึดหลักเหตุผลเชิงจริยธรรม พยาบาลผู้ตัดสินใจ  จะต้องรู้องค์ประกอบและปัจจัยที่เกี่ยวข้องกับการตัดสินใจและสามารถเลือกกระทำหรือไม่กระทำในสถานการณ์ที่เกิดขึ้นนั้นได้ เนื่องจากพยาบาลถือว่าเป็นบุคลากรทางด้านสุขภาพที่มีความใกล้ชิดกับผู้ป่วยมากที่สุด ในหลายสถานการณ์ที่พยาบาลต้องเผชิญกับประเด็นทางจริยธรรม โดยเฉพาะอย่างยิ่งในบทความนี้แสดงประเด็นที่เกี่ยวข้องกับการการยื้อหรือยุติการมีชีวิตอยู่ในผู้ป่วยมะเร็งระยะท้าย ถือได้ว่าเป็นมิติใหม่ที่ท้าทายบทบาทของพยาบาล พยาบาลจึงมีบทบาทสำคัญที่จำเป็นต้องมีทักษะ ความรู้ และประสบการณ์หลายด้านในการดูแลผู้ป่วยมะเร็งระยะท้าย รวมทั้งทีมบุคลากรด้านสุขภาพต้องให้ความสำคัญกับกระบวนการตัดสินใจเชิงจริยธรรมในการดูแลประคับประคองด้านข้อมูลและด้านจิตใจของผู้ป่วยและครอบครัว เพื่อเพิ่มความมั่นใจและศักยภาพในการดูแลผู้ป่วยมะเร็งระยะท้ายแบบองค์รวม ส่งผลให้ผู้ป่วยได้รับการดูแลอย่างสมศักดิ์ศรีความเป็นมนุษย์และเกิดประโยชน์สูงสุดต่อผู้ป่วยและครอบครัว

Physician False Claims Act Liability—The Circuit “Split” That Illustrates The Need For Health Courts, Nicole Rickerd

Chapman Law Review

"A man was diagnosed with lung cancer. 1 His oncologists discovered the cancer metastasized, meaning it spread to his brain and bones. 2 The patient received chemotherapy treatments. 3 Chemotherapy has numerous side effects, one of which is febrile neutropenia, a fever resulting from a patient lacking in a type of white blood cells. 4 Unfortunately, the patient developed febrile neutropenia approximately six months after his diagnosis. 5 He was admitted to the hospital, where he was treated by the inpatient physicians. 6 The inpatient physicians prescribed and administered broad spectrum antibiotics, which resolved the patient’s fever. 7 Concerned the …

No Leave To Grieve: How Misfit Frameworks And America's "Grief Tsunami" Require Better Bereavement Policy, Katherine S. Hanson

Marquette Benefits and Social Welfare Law Review

The COVID-19 pandemic fueled America’s recent death surge: 2021 has become the deadliest year on record in the United States. Scholars and commentators claim that the American workplace re-mains unprepared for the impending “grief tsunami” in the wake of such pervasive loss. Likewise, American law is ill-equipped for workplace grief. Bereavement, while medically “normal,” lacks a substantial foothold in workplace benefits and in the law. Currently, organizations bear the burden of developing their own policies—and where available, these policies remain insufficient to accommodate the myriad logistical and emotional complexities associated with the loss of a loved one. In the event …

Not Quite What The Doctor Ordered: The Third Circuit Pulls The Plug On Objective Falsity In United States Ex Rel. Druding V. Care Alternatives, Jenna L. Schaffer

Villanova Law Review (1956 - )

No abstract provided.

Extracurricular Activity Involvement On The Compassion, Academic Competence, And Commitment Of Collegiate Level Students: A Structural Equation Model, Imary Frances Boy, Mark Angelo A. Bondoc, Cheska Alyssandra Q. Bonifacio, Ma. Daniella R. Bonoan, Rica Coleen Bonoan, John Rey B. Macindo, Gian Carlo S. Torres

Asia-Pacific Social Science Review

Extracurricular activities (ECAs) performed outside the realm of a student’s academic activities such as sports, drama, music, and dance play an integral part in their educational experience and positive youth development. Nevertheless, there is a paucity of studies exploring the interrelationship of ECA involvement on the compassion, academic competence, and commitment of collegiate students. Hence, this study determined the influence of ECA involvement on the compassion, academic competence, and commitment of collegiate students. Employing a covariance-based structural equation modeling, a descriptive-correlational design was conducted among 365 consenting collegiate students who completed standardized instruments to measure their ECAs profile, compassion, academic …

Seroprevalence Of Covid-19 Igg Antibody In Resident And Fellow Physicians In Milwaukee, Wisconsin: Analysis Of A Cross-Sectional Survey, Dennis J. Baumgardner, Alexander Schwank, Jessica J. F. Kram, Wilhelm Lehmann, Jacob Bidwell, Tricia La Fratta, Kenneth Copeland

Journal of Patient-Centered Research and Reviews

Purpose: Medical trainees are likely at differential risk of exposure to COVID-19 per respective clinical activity. We sought to determine the seroprevalence of COVID-19 antibody (Ab) among resident and fellow physicians with varying degrees of exposure to COVID-19.

Methods: A cross-sectional study of Milwaukee-based resident and fellow physicians, encompassing December 2019–June 2020, was conducted. Relevant variables of interest were ascertained by survey and payroll data, and Abbott ARCHITECT Ab test (index cut-off of ≥ 1.4) was performed. Descriptive statistics were generated, with 95% CI calculated for the study’s primary outcome of seroprevalence.

Results: Among survey respondents (92 of 148, 62%), …

A Good Life: Palliative Care In The World Of Dementia, Nicola Farmer

Journal of Interdisciplinary Graduate Research

Objective: The World Health Organization (2019) reports that dementia is the seventh leading cause of death with an estimated 50 million people worldwide with this disease. In the United States out of one and a half million Medicare patients on hospice in 2016, only 18% had dementia (The National Hospice and Palliative Care Organization, 2017). McAteer and Wellbery (2013) identified that while referrals to services seem to be on the rise, many are not made until the patient is close to death in the last weeks of an illness. The purpose of this project was to review the literature to …

Ameliorating Stress And Burnout Among Professionals Who Work With Migrants And Refugees, Mark Lusk, Samuel Terrazas

Journal of Human Services: Training, Research, and Practice

Professionals and volunteers who work with refugees and forced migrants experience burnout and secondary stress as a result of exposure to the trauma and adversities confronted by their clients. A pilot project aimed at reducing these problems through the use of group discussion, sharing, guided movement, relaxation techniques, and mindfulness was found to reduce burnout and secondary traumatic stress among participants.

End Of Life Uncertainty: Terminal Illness, Medicare Hospice Reimbursement, And The "Falsity" Of Physicians' Clinical Judgments, Jameson Steffel

University of Cincinnati Law Review

No abstract provided.

Is There A “Mulatto Escape Hatch” Out Of Racism?: A Reflection On Multiracial Exceptionalsim During A Time Of #Blacklivesmatter, Tanya Katerí Hernández

Journal of Civil Rights and Economic Development

(Excerpt)

To have a symposium organized to review the ideas in my book, Multiracials and Civil Rights: Mixed-Race Stories of Discrimination, is an honor, and the JCRED editors, along with their dynamic Faculty Advisors Elaine Chiu and Rosa Castello, have my gratitude for pulling it all together. Having each symposium contributor take the time to deeply engage the ideas in the book is an incredible gift, and exactly what every author dreams of—being read and provoking reflection. Without readers, ideas do not have an opportunity to matter. Thank you Taunya Lovell Banks, Nancy Chi Cantalupo, and Jasmine Mitchell, for …

Use Of Ecomaps In Qualitative Health Research, Veena Manja, Ananya Nrusimha, Harriet Macmillan, Lisa Schwartz Dr, Susan Jack

The Qualitative Report

Qualitative health research plays a central role in exploring individuals’ experiences and perceptions of wellness, illness, and healthcare services. Visual tools are increasingly used for data elicitation. An ecomap is a visual tool that applies ecosystems theory to human communities and relationships to provide an illustration of the quality of relationships. We describe the use of ecomaps in qualitative health research. Searches across eight databases identified 407 citations. We screened them in duplicate to identify 129 publications that underwent full text review and included 73 in the final synthesis. We classified and summarized data based on iterative comparisons across sources. …

Faith And/In Medicine: Religious And Conscientious Objections To Maid, Daphne Gilbert

Dalhousie Law Journal

Across Canada, health care institutions that operate under the umbrella of religious traditions refuse to offer medical assistance in dying (MAiD) on the grounds that it violates their Charter-protected rights to freedom of religion and conscience. This article analyses the Supreme Court jurisprudence on section 2(a) and concludes that it should not extend to the protection of institutional rights. While the Court has not definitively pronounced a view on this matter, its jurisprudence suggests that any institutional right to freedom of religion would not extend to decisions on publicly-funded and legal health care. MAiD is a constitutionally-protected option for individuals …

Aid In Dying In Montana: Ten Years After State V. Baxter, Kathryn L. Tucker

Montana Law Review

No abstract provided.

Legislating The Right-To-Die With Dignity In A Confucian Society—Taiwan’S Patient Right To Autonomy Act, Chih-Hsiung Chen

UC Law SF International Law Review

In Confucian societies, people tend to avoid the discussion on death matters, let alone making advance directives to reject life-sustaining treatments at the end of life. Taiwan might be a pioneer in legislating the right-to-die with dignity among Confucian countries. As early as 2000, the Hospice Palliative Care Act was declared in Taiwan, which give terminally-ill patients the options to forgo life-sustaining treatments. Furthermore, in 2016, Taiwan passed the Patient Right to Autonomy Act to enhance patients’ choice at the end of life and expanded the coverage to certain types of nonterminally ill patients. On the other hand, end-of-life issues …