...Palliative Care Department and 91% of those patients were considered to have a poor prognosis. These patients were placed in the units earlier compared to those who had more optimistic prognoses. Golan et al. (2008) found that when this plan of care was implemented and Palliative Care was introduced early enough, it granted progressive transition from solely symptom control post diagnosis to quality and appropriate End of Life care. Hendricks-Ferguson, Pradhan, Shih, Gauvain, Kane, Liu, and Haase (2016) conducted a 2-site prospective, single-group pilot study focusing on parents of children with a Brain Tumor relating to their stress and coping outcomes. Their purpose was to determine parent responses and adequacy of providing a timely Pallative and End of Life care Communication Intervention. The study had a sample size of 11 families resulting in a total of 13 parents (Hendricks-Ferguson et al., 2016). Six months after the child’s diagnosis, Hendricks-Ferguson et al. (2016) evaluated parent outcomes four different times. The study found substantial decline in regret to implement Palliative and End of Life Care, increased hope, and diminished uncertainty. The results showed that about 61.5% of parents preferred to have access to palliative care options (Hendricks-Ferguson et al., 2016). A concept analysis was performed by Peterson (2013), in which a final sample of 51 journal articles were analyzed in order to identify the characteristics of spiritual care. The analysis focused...
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...Euthanasia The word Euthanasia comes from Greek roots meaning “good death”. It refers to the practice, which ends a life in a manner, which is to relieve pain and suffering (Gielen, Van Den Branden & Broeckaert, 2009). According to Harris (2001) its meaning is specifically “a deliberate intervention undertaken with the express intention of ending a life, to relieve intractable suffering”. There are different characteristics of euthanasia, and different reasons for the administration of this. The act of intentionally killing a human being in the name of euthanasia is an act of omission, being for the benefit of the individual. If the death was not intentional, it cannot be defined as euthanasia. Different types of Euthanasia are as follows: * Voluntary euthanasia: The individual who was killed had requested to be killed * Non-voluntary euthanasia: The individual who was killed made no request to be killed, and the choice for the euthanasia was either passed on to a family member, loved one or a clinical physician who has decided that euthanasia was necessary * Involuntary euthanasia: The individual who was killed had made an expressed wish to the contrary of euthanasia * Assisted suicide: The individual is provided guidance, information and the means to take his or her own life. When this is done in a hospital, it is called “physician assisted suicide” * Euthanasia by Action: The intentional action causing a person’s death, such as administering a lethal...
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...Introduction The concept of fiduciary obligations or duty is one of the most important areas in Australian law. In this project, I will try to illustrate and explain the duties in three kinds of relationships including the relationship between a director and a company, the relationship between the promoters and the corporation and the relationship between business partners. In each relationship, what kinds of the fiduciary duties should be performed is elaborated in details. The aim of the project is to help the readers to understand what “fiduciary obligations” actually means in Australian law. Fiduciary Duty of Directors According to the general law and the Corporations Act ss181 -184, as fiduciaries, the directors must have the fairness, loyalty and good faith when they implement the discretions and powers entitled to them. They cannot use their position of trust to benefit themselves at the expenses of the business without the company’s consent and full knowledge. In other words, we can say since the directors are acting on behalf of their company, they owe the duties of loyalty and good faith due to the fiduciary relationship with the companies. In addition, refer to the Corporation Act ss180, and the case of Percival v Wright 1902, the directors owed duties to the company but not shareholders individually. On the other hand, in depth, the fiduciary obligations of the directors can be divided into four aspects: 1. Directors have the duty to act in good faith for...
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...Terminally Ill Patients' and End of Life Care: A Multidisciplinary Concept Analysis Jennifer Thompson UTA Analysis of Theories in Nursing Nurs 5327 Ronda Mintz-Binder, RN, MSN, DNP April 19, 2014 Terminally Ill Patients' and End of Life Care: A Multidisciplinary Concept Analysis With an aging population in our country we are facing an increasing number of patients’ that are coming to the end of their lives and are presenting with terminal illness. As life expectancy increases we are seeing more and more patent that are 65 year old and older in need of end of life care. Research and medical developments have provided a vast array of treatment options available to our patients’. After patients’ have exhausted all available treatment options for their disease processes they face the reality that their life is coming to an end. Patients’ near the end choose between quality of life over quantity of life. One service available to terminal patients’ is hospice care which offers palliative care to patients’ at the end of life. Health care providers must be able to face and appropriately care for patients’ with terminal illness and end of life care. At times it may be difficult for health care providers to face or present the truth to a patient that further treatment is futile and end of life care would be appropriate. Advanced practice nurses’ will face terminal illness and it is required of them to be able to sufficiently treat, manage, and discuss end of life care with these...
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...CHAPTER I THE PROBLEM This chapter consists of six parts, the introduction, theoretical framework, statement of the problem, scope and limitations of the study, significance of the study, and definition of terms. INTRODUCTION Health has been defined by the World Health Organization (1999) as “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”. An additional description says that “health is defined by what does not constitute health, namely disease” (Risse, 1999). Disease, on the other hand, has been defined as a “biological abnormality” or distress and disability that are based on abnormal processes and structural alterations of the human organism. These definitions represent what medical anthropologists call as ethic definitions or “behavioral phenomena considered in isolation from a particular system or in relation to predetermined general concepts” (Mish, 1990). Predetermined general concepts may be most applicable to people who are not in the medical field and may have different perceptions about health and how to sustain healthiness and well-being. Less exposure in the “real medical field” and lack of proper health education may result for them to have different ways on how to cope up with health or on the other side is to have no way to handle it due to lack of knowledge, skills, capabilities, and attitude towards the health problem. Others consider on the “healing powers”...
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...Emerging Trends in Healthcare A Journey from Bench to Bedside 17 February 2011 © 2011 KPMG, an Indian Partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved. Acknowledgement India’s competitive advantage lies in the lower production and research cost, its large pool of low cost technical and scientifically trained personnel, and large number of compliance certified manufacturers and service providers, which make us different from others. ASSOCHAM feels that technology incubation is no longer confined to a few institutions; it is a responsibility that we have to share, if we wish to see a better and a healthy future ahead. There is an immense need to develop skilled manpower in the area of healthcare and modern as well as traditional medicines. I am glad that this Summit on Emerging trends in Healthcare will bring forth the journey from research desk to the bedside of patient, as we will look at healthcare at the frontline to identify some common challenges that may help explain the complex nature of healthcare and the scale of the “change” challenge. I wish to thank KPMG for unanimously contributing towards this Knowledge Paper, which gives a rich and comprehensive insight of the trend in healthcare. I would also take the opportunity to thank QCI for supporting this event. The case studies contributed providing the best of...
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...Reference Manual on Best Management Practices for PM-10 and Fugitive Dust Control BEST MANAGEMENT PRACTICES For Maricopa County, Arizona Rule 310 Written by Zbigniew D. Czupak Dr. Edward Kavazanjian, P.E. Arizona State University Ira A. Fulton School of Engineering School of Sustainable Engineering and the Built Environment Sponsored by 1 ACKNOWLEDGEMENTS The authors gratefully acknowledge the financial support provided by the Arizona Pavements, Materials, and Transportation Conference steering committee for preparation of this Reference Manual. The authors would also like to thank Amanda McGennis of the Phoenix Chapter of the Association of General Contractors and Cameron Flowers of Kitchell Engineering for their technical assistance in manual preparation, including their review comments on the document and many of the pictures used in the document. 2 QUICK REFERENCE GUIDE Application Control Method Watering Paved Roads p. 19 Unpaved Roads p. 20 Construction Entrances p.21 As needed (excessive watering increases track out, requires catch basins) Staging Areas p.23 Storage Piles p.24 Disturbed Flat and Sloped Surfaces p.26-28 Water to form visible crust Weed Abatement p.29 Use prior and during weeding Demolition/Blasting p.30-32 Backfilling p.33 Stacking, Loading, Unloading p.34 Use prior and during Trenching, Excavating p.35 Pre-wet, maintain moisture content Expensive, Can mix with water Hauling p.36-37 - Periodic reapplication Polymer...
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