Subject(s)
Anencephaly , Ethics, Medical , Patient Advocacy , Refusal to Treat/legislation & jurisprudence , Resource Allocation , Adolescent , Costs and Cost Analysis , Critical Care/economics , Ethicists , Female , Humans , Infant , Twins, Conjoined , Uncertainty , United States , Withholding TreatmentSubject(s)
Alzheimer Disease/complications , Coma/therapy , Decision Making, Organizational , Ethics Committees , Aged , Aged, 80 and over , Female , HumansSubject(s)
Coma/therapy , Ethics Committees , Family/psychology , Quadriplegia/therapy , Resuscitation Orders , Aged , Humans , Male , PrognosisABSTRACT
New Jersey has served as a "social laboratory" by initiating innovations affecting physician-patient relations. Some of these changes include use of ethics committees, influence of the Bioethics Commission, and government review of nursing home decision making.
Subject(s)
Physician-Patient Relations , Ethics Committees/legislation & jurisprudence , New Jersey , Nursing Homes , Organizational Innovation , Right to Die/legislation & jurisprudenceABSTRACT
Musical hallucinations developed in a healthy 57-year-old man after using hypnotic triazolam (Halcion) for eight nights; the hallucinations continued for over one year. Although a causal relationship to triazolam cannot be proved, use of this drug has been associated with other bizarre alterations of memory.
Subject(s)
Hallucinations/chemically induced , Music , Triazolam/adverse effects , Humans , Male , Middle AgedABSTRACT
This study reports on the 12-month experience with one form of artificial feeding, gastrostomy, at a 250-bed community hospital.
Subject(s)
Enteral Nutrition , Gastrostomy , Aged , Aged, 80 and over , Enteral Nutrition/adverse effects , Female , Humans , Middle Aged , Pneumonia, Aspiration/etiologySubject(s)
Ethics, Medical , Euthanasia, Passive , Euthanasia , Informed Consent/legislation & jurisprudence , Humans , New JerseySubject(s)
Dementia/complications , Hip Fractures/therapy , Patient Compliance , Dementia/psychology , Female , Fracture Fixation , Humans , Nursing HomesSubject(s)
Euthanasia, Passive , Euthanasia , Life Support Care/legislation & jurisprudence , Nursing Homes/legislation & jurisprudence , Patient Advocacy/legislation & jurisprudence , Withholding Treatment , Aged , Female , Humans , Intubation, Gastrointestinal/standards , Judicial Role , New Jersey , Personal Autonomy , Risk Assessment , Stress, PsychologicalABSTRACT
Nursing home patients who sustain hip fractures have a much higher than average complication rate after surgical repair, and few ever walk again. Operation is not necessary to ensure the patient's survival in the postfracture period. The majority of these patients are better off managed without surgery. For patients with little or no chance to walk again, a nonsurgical treatment regimen in the nursing home is safer, more humane, and far less expensive than hospitalization.
