Digital Commons Network^™

Written Examination Of Geriatric Medicine For Medical Students And Residents: Evaluation On Content Validity, Chih-Hsueh Lin, Yi-Chun Li, Chia-Ing Li, Tsai-Chung Li, Chih-Yi Hsiao, Fang-Mien Tsai, Cheng-Chieh Lin, Ching-Yu Chen

Journal of Medical Education

Objective: The study aimed to construct content-valid item banks of geriatric medicine examination for medical students and residents to assist the development of the computerized geriatric examination system. Methods: In 2011-2013, totally 800 items used in the Taiwan Association of Gerontology and Geriatrics (TAGG) board examinations from 2002 to 2009 were collected. Thirty experts were invited to assess the appropriateness of test items for medical students and residents, while content validity of the items was computed by Lawshe's Content Validity Ratio (CVR) approach. Results: 140 items (mean CVR value = 0.49; ranged from 0.33 to 0.87) for medical students and …

Anticipatory Grief And Compassion Fatigue: Definitions And Guidelines For Caregivers, Mary Kay Haupt

Counselor Education Capstones

Anticipatory grief is characterized as grief that an individual experiences prior to an expected loss of a terminally ill loved one. Anticipatory grief can occur in advance of losses other than death, and is considered a normal grief reaction. Anticipatory grief follows a distinct pattern, though no two individuals process grief the same way. The beneficial effects of anticipatory mourning have prompted caregivers to help individuals and families cope with future losses so that when such losses occur they will be more prepared for them. Professionals who serve as caregivers to those who will experience grief and loss have the …

To Be, Or Not To Be: New Jersey’S Proposed Death With Dignity Act, Rocco Seminerio

Student Works

No abstract provided.

Terminal Sedation: Ethical And Legal Concerns, Jennifer Pauline Starr

Student Works

No abstract provided.

Mid-Atlantic Ethics Committee Newsletter, Spring 2014

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Today's Registered Nurse, Kellie Brennan

ESSAI

No abstract provided.

Throwing Dirt On Doctor Frankenstein’S Grave: Access To Experimental Treatments At The End Of Life, Michael J. Malinowski

Journal Articles

All U.S. federal research funding triggers regulations to protect human subjects known as the Common Rule, a collaborative government effort that spans seventeen federal agencies. The Department of Health and Human Services has been in the process of re-evaluating the Common Rule comprehensively after decades of application and in response to the jolting advancement of biopharmaceutical science. The Common Rule designates specific groups as “vulnerable populations”—pregnant women, fetuses, children, prisoners, and those with serious mental comprehension challenges—and imposes heightened protections of them. This article addresses a question at the cornerstone of regulations to protect human subjects as biopharmaceutical research and …

Throwing Dirt On Doctor Frankenstein’S Grave: Access To Experimental Treatments At The End Of Life, Michael J. Malinowski

UC Law Journal

U.S. federal research funding triggers regulations to protect human subjects known as the Common Rule, a collaborative government effort that spans seventeen federal agencies. The Department of Health and Human Services has been in the process of comprehensively reevaluating the Common Rule, which designates specific groups as “vulnerable populations”—pregnant women, fetuses, children, prisoners, and those with serious cognitive challenges—and imposes heightened protections of them. Given the vulnerabilities of those who confront end-of-life decisionmaking, should the regulatory standard be raised to more effectively protect the terminally ill from additional suffering and the loss of quality time with family and friends? Alternatively, …

Communicating With Patients And Families About Difficult End Of Life Decisions: A Guide For Medical Providers, Jim Demaine, Joi Murotani Dennett

Hamline Law Review

abstract

The Nursing Home As Part Of The Polst Paradigm, Marshall B. Kapp

Hamline Law Review

abstract

Using “Expert Employees” To Identify Duties And Tasks For Cadd Technicians In North Central Idaho: Lessons Learned From A Modified Dacum Process, Raymond A. Dixon Ph.D., Linda S. Stricklin Ph.D.

Online Journal for Workforce Education and Development

Objective: We conducted a job analysis to identify the competency profile of an entry level CADD technician in North central Idaho. Background: In 2011, the Clearwater Economic Development Association and NIMA collaborated with Lewis-Clark State College and the University of Idaho in a project to strengthen the capacity of Career and Technology Education (CTE) teachers to teach computer aided drafting and designing (CADD). An application to the National Science Foundation, Advanced Technology Education (NSF ATE) program was made and funding began July of 2011. Method: A modified DACUM was used. A total of seven expert workers from …

End Of Life-Decisions: An Islamic Perspective, Nasser Ibrahim Abu-El-Noor Dr., Mysoon Khalil Abu-El-Noor Dr

Journal of Health Ethics

Patients who live with a low quality of life and suffer from chronic pain may wish to end their suffering through different means such as active euthanasia, passive euthanasia, and physician-assisted suicide. These alternatives to end one’s own life create many ethical dilemmas for health care professionals, patients, and family members. Some of these decisions are forbidden in Islamic Religion, while others are permitted. In this paper, the authors will discuss how Islam looks at these decisions. Knowing about how Islam deals with such decisions will be of great help for health care providers who take care of Muslim patients. …

Utilizing Watson's Theory Of Caring To Develop A Palliative Care Proposal For Olmsted Medical Center, Tammie Johnson

Theses and Graduate Projects

Palliative care is aimed at alleviating the suffering of patients with serious or chronic illnesses. Literature examined to determine the needs of seriously or chronically ill patients and their farnilies found patients to have physical, psychosocial, and spiritual needs while coping with their illness. In addition, patients' family needed support in physical care of their loved ones, as well as information and psychosocial needs for themselves. The purpose of this project is to develop a proposal for an inpatient palliative care program for Olmsted Medical Center's (OMC's) consideration, Watson's Theory of Caring was utilized in the development of a palliative …

Reaching The End : An Exploration Of Attachment And Existential Theory As A Path To Assist In The Dying Process, Jillian Debenedetto

Theses, Dissertations, and Projects

In this exploration I will utilize the theory of Attachment as well as Existential Theory to assist in expounding upon available paths to assist elderly individuals in their journey at the end of life. I will present an overview of the two selected theories of Attachment as well as Existential Theory and argue that such approaches honor the venerable end stage of life. A discussion pertaining to these two theories will shed light on the question of how a clinician can seek to improve the quality of life for an individual during the end of life process and therefore assist …

The Making Of A Myth: Unreliable Data On Access To Palliative Care In Canada, Jocelyn Downie, Georgia Lloyd-Smith

Articles, Book Chapters, & Popular Press

Assisted death is now the subject of conversation in the media, in public meetings, and around kitchen tables across the country. A frequent part of many conversations about assisted death law reform is access to quality palliative care in Canada. Throughout the literature and other forms of media, the claim is made that only 16-30% of Canadians have access to palliative care (or, its derivative, 70% are without access). The “16-30%” claim has been widely accepted as a fact. But is it, in fact, true? We are driven to the conclusion that the oft-repeated claim that only 16-30% of Canadians …

Impact Of Work Environment On Nurses' Job Satisfaction And Well-Being: Improving End-Of-Life Care And Services, Lise Fillion, Manon Truchon, Michel L'Heureux, Céline Gélinas, Marie Bellemare, Lyse Langlois, Jean-François Desbiens, Clémence Dallaire, Réjeanne Dupuis, Geneviève Roch, Marie Anik Robitaille

Rapports de recherche scientifique

Cliquez ici pour la version française de ce rapport

Avec le vieillissement de la population, la demande de soins palliatifs (SP) de fin de vie est croissante et les services de santé s’organisent. Au Québec, les SP de fin de vie sont surtout intégrés aux soins curatifs et on retrouve peu d’unités de SP spécialisées. Ces soins s'incorporent alors aux soins à domicile ou à ceux dispensés dans les unités de soins spécialisés en centre hospitalier, comme l’oncologie et les soins critiques. Les infirmières y jouent un rôle majeur. Selon ce choix organisationnel, les infirmières vivent un contexte de travail …

Social Workers' Attitudes About Physician-Assisted Suicide, Ann W. Wheeler

Theses, Dissertations, and Projects

This study was conducted with the hope of better understanding the factors that shape social workers' opinions about physician-assisted suicide (PAS). A survey was designed, based on past research, to explore the opinions of social workers regarding PAS depending on the social worker's age, gender, religion, years in the field, state in which they practice, and professional experience with those at the end of life. This study was conducted through an online quantitative survey developed by the authors using mostly questions from a variety of past studies. Fifty-five practicing social workers or social work students over the age of 18 …

The Effect Of Family Centered Music Therapy Sessions On Relaxation States Of Informal Caregivers Of Hospice And Palliative Care Patients, Adrienne Claire Steiner

Theses and Dissertations--Music

Advances in healthcare and shifts toward patient and family centered care have allowed healthcare professionals to focus on the entirety of a patient and what affects his/her health. In noting such changes, and in consideration of what affects quality of life, findings in the literature address the physiological and physiological differences between those who are caregivers versus those who are not caregivers. This study investigated the relaxation state of those who were considered informal caregivers of hospice and palliative patients in an acute hospitalized setting.

A family centered music therapy session was conducted utilizing a music-­‐ assisted relaxation intervention incorporating …

“Comfort, Comfort My People”: A Qualitative Study Examining Dying Persons’ And Their Caregivers’ Experience Of Spiritual Care As An Aid To Having A Good Death In Grey And Bruce Counties, Ontario, Dwight Biggs

Theses and Dissertations (Comprehensive)

Dying persons and their caregivers encounter several needs as part of the dying journey. Spiritual care, when offered effectively, can help address many of those needs. When people’s needs are fulfilled, their suffering is lessened and there is an increased possibility of them experiencing a good death. However, when spiritual care is not offered effectively, dying persons and their caregivers often continue to face unalleviated suffering which limits their ability to experience a good death. This research project explores how dying persons and their caregivers experience spiritual care in their homes as an aid to dying well and having a …

The Role Of The Musical - Self In Promoting Career Longevity Among Music Therapists, Peter Davis

Theses & Dissertations

To attend to the musical and clinical needs of music therapy consumers, music therapists must attend to their own music so as to nurture their musical-self (Bruscia, 1987; Priestley, 1994; Robbins & Robbins, 1998). Yet, despite the fact that music is the basic tool music therapists rely upon to conduct their work (Aigen, 2005b; Brookins, 1984), the topic of nurturing the musical-self has received scarce, if any attention in the music therapy literature. The purpose of this study was to understand the views of professional music therapists in regard to the role of the musical-self in promoting career longevity among …

Mysticism In Patañjali’S Yoga Sūtras And In Carl Jung’S Psychology, Harold Coward

Journal of Hindu-Christian Studies

In this article we will examine the understandings of mysticism as offered by Patañjali’s Yoga Sūtras I:41-51 and Carl Jung’s Western psychology. For our purposes, mysticism is not to be understood as something “misty,” vague or emotional (to list but three current misinterpretations). Rather, as understood by the great mystics of all religious traditions, mysticism is experienced as something like sensory perception – only more direct and more vivid! In Patañjali’s Yoga, for example, mysticism is a case of intuition or supersensuous perception (pratibhā) from which distorting emotions have been purged by disciplined meditation. While Western philosophers such as Bertrand …

Business Ethics: The Impact On Healthcare Professionals, Paul D. Longenecker

Health and Sport Sciences Faculty Scholarship

No abstract provided.

Exploring Of Action Reflection Teaching To Nursing Students' Spiritual Status And Reflection In The Course Of Spiritual Nursing For Elders, Ya Lie Ku, Jen-Kuei Ko, Pi-Yu Lee

International Nursing Research Congress (INRC)

Session presented on Wednesday, July 24, 2013:

Purpose: The purpose of this study was to explore action reflection teaching to nursing students' spiritual status and reflection in the course of spiritual nursing for elders.

Methods: The first period was preparation period for the researcher and two faculties in the long-term care for the elders and three two- years nursing students to construct the process of life-review and reminiscence activities for the elders. The second period was conducting period for the researcher to inspire nursing students reflecting and experiencing the meaning of each unit in the course of spiritual nursing for …

Learner-Based Teaching In Hospice And Palliative Care, Paul D. Longenecker

Health and Sport Sciences Faculty Scholarship

No abstract provided.

Palliative Care For The Medically Complex Child, Melanie Anspacher, Neha H. Shah

E-Learning Modules

**From the AAMC website: Contains time-sensitive information that will likely be inaccurate, obsolete, or irrelevant by August 12, 2016**

Children with special health care needs are increasingly prevalent in US hospitals. The pediatric hospitalist is often the primary provider of inpatient care for these patients. The Complex Care Curriculum was developed to provide a multi-modal educational curriculum for providers with the overall goal of improving inpatient care for this population. The curriculum is composed primarily of a series of topic-specific learning modules. This particular resource was created to provide pediatricians with educational materials related to palliative care for the medically …

Thanatology For Medical College Students-Cultivation Of Medical Humanity, Wai-Ming Kan, Co-Shi Chao, Shio-Jean Lin, Ching-Huey Chen, Jui-Ying Feng, Feng-Hwa Lu, Peng-Chan Lin, Tzong-Shiann Ho

Journal of Medical Education

The medical professions, among all professions, are exposed most frequently to death and dying. Despite the clear need, the design and implementation of thanatology courses is rarely explored in Taiwan. The aim of this report is to share our experience in teaching the course ”Medical Professions and Thanatology” offered in National Cheng Kung University Medical College. We discuss the course design, teaching strategy and preliminary results indicating teaching effectiveness. The course was a 2 credit general education elective course offered in 2010 to a total of 170 students. The teaching staffs were professionals from 7 different medical disciplines. From their …

Ethics Of Shared Decision-Making For Advanced Heart Failure Patients, Catherine Lauridsen Rn, Bsn

Journal of Health Ethics

This article argues that caregivers have an ethical duty to ensure that shared decision making and palliative care measures are fully discussed with and understood by their advanced heart failure patients. This is not a trivial issue. Heart failure is reaching epidemic proportions, while advances in treatment options available for heart failure patients have made it possible to prolong the life of many patients. The potential benefits and burdens of available treatments must be clearly understood by the heart failure patient so the patient can make decisions consistent with his or her values and wishes. However, too often patients are …

Lgbt Affirming Environments In Hospice Care Settings, Maria Gore

HIM 1990-2015

The documented experiences and perceptions of lesbian, gay, bisexual, and transgender (LGBT) patients receiving hospice or palliative care gives merit to the need for the implementation of LGBT affirming environments in hospice care settings. The guidelines for creating these affirming environments are described in this paper. Applying the Donabedian (1988) model of structure, process, and outcome this thesis project analyzes identified interventions relevant to the implementation of LGBT affirming environments in hospice care settings. Utilizing a formal PICO questioning method, a search strategy was devised and studies were identified based on established criteria. The results suggest that there is a …

The Role Of Leadership In Maximizing Ethical Hospice Care By Volunteers, Paul D. Longenecker

Health and Sport Sciences Faculty Scholarship

No abstract provided.

Communication Metaphor Of Patient Prognosis In The Spirit Of Hope, Dory Hanks

Theses and Graduate Projects

Prognosis for terminally ill patients is intended to serve the purpose of educating patients on the expected clinical outcome of their illness. This information is generally communicated to a patient by their primary physician when options for fufiher treattnent or "cure" are limited. Learning a prognosis may be helpful to some patients, while burdensome to others. A review of the literature reveals many barriers to effective communication of prognosis. The purpose of this project is to develop a metaphor for enhanced communication of prognosis to be used by hospice nurses that incorporates a caring perspective on living with hope during …