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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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April 2020 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
April 2020 List
URL Address
<a href="http://doi.org/10.1016/j.pec.2020.02.013" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.pec.2020.02.013</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Initiating end-of-life decisions with parents of infants receiving neonatal intensive care
Publisher
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Patient Education and Counseling
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
Subject
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Conversation analysis; Decision making; End-of-life; interest. NM declares personal fees for consultancy from Shire and Novartis; Neonates; outside the submitted work.; Parents; Withdrawing; Withholding
Creator
An entity primarily responsible for making the resource
Shaw C; Connabeer K; Drew P; Gallagher K; Aladangady N; Marlow N
Description
An account of the resource
OBJECTIVE: To investigate whether parent-initiated or doctor-initiated decisions about limiting life-sustaining treatment (LST) in neonatal care has consequences for how possible courses of action are presented. METHOD: Formal conversations (n = 27) between doctors and parents of critically ill babies from two level 3 neonatal intensive care units were audio or video recorded. Sequences of talk where decisions about limiting LST were presented were analysed using Conversation Analysis and coded using a Conversation Analytic informed coding framework. Relationships between codes were analysed using Fisher's exact test. RESULTS: When parents initiated the decision point, doctors subsequently tended to refer to or list available options. When doctors initiated, they tended to use 'recommendations' or 'single-option' choice (conditional) formats (p=0.017) that did not include multiple treatment options. Parent initiations overwhelmingly concerned withdrawal, as opposed to withholding of LST (p=0.030). CONCLUSION: Aligning parents to the trajectory of the news about their baby's poor condition may influence how the doctor subsequently presents the decision to limit LST, and thereby the extent to which parents are invited to participate in shared decision-making. PRACTICE IMPLICATIONS: Explicitly proposing treatment options may provide parents with opportunities to be involved in decisions for their critically ill babies, thereby fostering shared decision-making.
Identifier
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<a href="http://doi.org/10.1016/j.pec.2020.02.013" target="_blank" rel="noreferrer noopener">10.1016/j.pec.2020.02.013</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2020
Aladangady N
April 2020 List
Connabeer K
Conversation Analysis
Decision Making
Drew P
end-of-life
Gallagher K
interest. NM declares personal fees for consultancy from Shire and Novartis
Marlow N
Neonates
outside the submitted work.
Parents
Patient Education and Counseling
Shaw C
Withdrawing
Withholding
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/j.jcrc.2014.05.022" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.jcrc.2014.05.022</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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The Durban World Congress Ethics Round Table: III. Withdrawing Mechanical ventilation-the approach should be individualized
Publisher
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Journal Of Critical Care
Date
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2014
Subject
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Ethics; Life-sustaining treatments; Mechanical ventilation; Withdrawing; Withholding
Creator
An entity primarily responsible for making the resource
Paruk F; Kissoon N; Hartog CS; Feldman C; Hodgson ER; Lipman J; Guidet B; Du Bin; Argent A; Sprung CL
Description
An account of the resource
PURPOSE: The purpose of this study is to determine the approaches used in withdrawing mechanical ventilator support. MATERIALS AND METHODS: Speakers from the invited faculty of the World Federation of Societies of Intensive and Critical Care Medicine Congress in 2013 with an interest in ethics were asked to provide a detailed description of individual approaches to the process of withdrawal of mechanical ventilation. RESULTS: Twenty-one participants originating from 13 countries, responded to the questionnaire. Four respondents indicated that they do not practice withdrawal of mechanical ventilation, and another 4 indicated that their approach is highly variable depending on the clinical scenario. Immediate withdrawal of ventilation was practiced by a large number of the respondents (7/16; 44%). A terminal wean was practiced by just more than a third of the respondents (6/16; 38%). Extubation was practiced in more than 70% of instances among most of the respondents (9/17; 53%). Two of the respondents (2/17; 12%) indicated that they would extubate all patients, whereas 14 respondents indicated that they would not extubate all their patients. The emphasis was on tailoring the approach used to suit individual case scenarios. CONCLUSIONS: Withdrawing of ventilator support is not universal. However, even when withdrawing mechanical ventilation is acceptable, the approach to achieve this end point is highly variable and individualized.
2014-06
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jcrc.2014.05.022" target="_blank" rel="noreferrer">10.1016/j.jcrc.2014.05.022</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2014
Argent A
Backlog
Du Bin
Ethics
Feldman C
Guidet B
Hartog CS
Hodgson ER
Journal Article
Journal of Critical Care
Kissoon N
Life-sustaining treatments
Lipman J
Mechanical Ventilation
Paruk F
Sprung CL
Withdrawing
Withholding