by gradually reducing the FIO2 and/or the mandatory ventilator rate, leading to the progressive development of hypoxemia and hypercarbia.
· The principle advantage of terminal wean is that patients do not develop any signs of upper airway obstruction during the withdrawal of ventilation. If the wean is performed slowly with the administration of sedatives and analgesics, they do not develop symptoms of air hunger. These advantages not only promote the comfort of the patient but reduce the anxiety of the family and caregivers.
· Terminal extubations have the principal advantages that they do not prolong the dying process and that they allow the patients to be free from and unnatural endotracheal tube. The process of terminal extubation also …show more content…
Respiratory homeostasis Mechanical ventilation, supplemental oxygen artificial airway (endotracheal tube, tracheostomy tube, oral pharyngeal airway) extra- corporeal membrane oxygenation or CO2 elimination diaphragmatic …show more content…
These core functions of assessment, assurance, and policy development are detailed as follows:
Core Public Health Functions (IOM, 1988)
Assessment:
“…every public health agency [should] regularly and systematically collect, assemble, analyze, and make available information on the health of the community, including statistics on health status, community health needs, and epidemiologic and other studies of health problems. …intergovernmental and interagency cooperation is essential. …This basic function of public health cannot be delegated.”
Assurance:
“…public health agencies [should] assure their constituents that services necessary to achieve agreed upon goals are provided, either by encouraging actions by other entities (private or public sector), by requiring such action through regulation, or by providing services directly. …each public health agency [should] involve key policymakers and the general public in determining a set of high priority personal and communitywide health services that governments will guarantee to every member of the community. This guarantee should include subsidization or direct provision of