Palliative medicine

During the 18th century around the time when bedside medicine shifted to hospital medicine and then consequently laboratory medicine, Nicholas Jewson wrote a paper that addresses the issue of how this shift affected the doctor-patient relationship, that ultimately the patient has disappeared in the equation. The tone of the paper suggested that the disappearance of the sick-man (as a catalyst that began the reductionism in medicine) would lead medicine in the wrong direction, somewhere…

Joseph Yourshaw a 93-year-old suffering with a variety of painful illness: end-stage diabetes, heart and cardiovascular disease, stroke, kidney disease and arthritis. His several conditions had made his everyday life misery even taking a breath for air makes excruciating pain ripples throughout his body. Although, few of his disease are curable, with his age and body any surgeries mean, will only worsen his situation and will only increase the current state of pain. Yourshaw would often tell his…

permitted (Belgium, Luxembourg, and the Netherlands) the existence of intolerable suffering is one of several prerequisites for granting euthanasia requests” (Karlsson, 2012). The study was done on a selection of sixty-six patients with cancer in a palliative phase. Each patient was interviewed and “analyzed using qualitative content analysis with no predetermined categories…on [their] perspectives of dying cancer patients on euthanasia, a good death, and dignity” (Karlsson,…

Tawam Hospital was built in 1979; according to the SEHA annual report 2012, the hospital has 461 beds available for use. It has been managed since early 2006 by Johns Hopkins Medicine International and provides comprehensive tertiary care for patients in Abu Dhabi’s Eastern Region. Tawam Hospital includes many departments ambulatory and dental services, also, the hospital provides a wide spectrum of services including Emergency, Critical Care, Medical, Surgical, Oncology, Maternal and Child…

Prelude Darren Billing was admitted to community palliative care services due to progressive motor neuron disease that he was diagnosed with 12 months ago. Darren is still able to walk; however, he has already lost the function in the left arm, and is losing the function in the right arm. Darren and his ex-wife split 7 years ago, and he is living with his two sons, 13-year-old boy Mason and 10-year-old boy Jack. As Darren is unable to perform most activities of daily living, he depends on Jack…

Alexander Thielmann & Paul J Daeninck the author for Correspondence Department of Internal Medicine, Health Sciences Centre, University of Manitoba, Winnipeg, Canada, discussed the use of marijuana in various conditions, however, it has to approve by a licensed physician. In the Canadian legal system, possession of marijuana is still illegal. However…

in this bed for the next three weeks waiting to die’ it’s an odd change in the consent procedure. Suddenly they become wrong and we become right. That does not make sense to me. Dying should not be completely separate from everything else we do in medicine” (“Euthanasia”). As Shavelson…

patients hope and knowing what it is best for that particular patient under that particular circumstance. For the next five years, I hope to join a surgical program at XXXX that will impart a solid foundation in the science and technical practice of medicine while establishing a personal connection with patients I see. As I look toward my future in surgery, I believe my determination and resilience will enable me to succeed and be a valuable asset to the profession. I expect that working in…

confidence” in the Cruzan v. Director, Missouri Department of Health. The limitations of medicine is another reason why the physician-assisted suicide should be legalized. This practice is far from being about suicide. Suicide is seen to respond to personal disintegration, while physician-assisted practice precludes it. Noticeably, it is nothing less of medical arrogance to claim that hospice and palliative care cab sufficiently deal with the end of every individual’s life. In fact, hospice can…

THE NEXT BREATH – WHO DECIDES? PATIENT, DOCTOR, LAW OR GOD? An examination of the ethical dilemmas presented in end of life issues Introduction End of life care is perhaps one of the most sensitive issues in healthcare. It presents with a myriad of elements that must be considered, if care is to be provided in an ethical manner. Essentially, there are the wishes of the patient to take into account, the opinions of the family members of said patient, the legal and medical ramifications of…