Titlebook: Legal and Ethical Concerns in Treating Kidney Failure; Case Study Workbook Eli A. Friedman Book 2000 Springer Science+Business Media Dordre

Hdl348

Book 2000oduction of peritoneal dialysis and kidneytransplantation compounded the physician‘s dilemma by underscoringthose left untreated. Who should be selected for uremia therapy?Should exclusion from treatment be properly delegated toadministrators or physicians, or better left to a committee? Are somecan

PIZZA

Withdrawal from Dialytic Therapy,oing maintenance hemodialysis for two years. Progressive deafness — now profound — prevents the patient’s use of talking books or even the radio. Distressed over worsening urinary and bowel incontinence, the patient requests that dialysis treatments be discontinued. She states that her decision is t

Fulminate

Failure to Understand Dialytic Therapy,hritis. It has been over six years since the patient conversed with anyone in a rational manner. Initial hemodialyses were accomplished by sedating the patient who awoke repeatedly, shouting and clashing with her attendants. Both arterial and venous lines were pulled out by the patient during each d

instulate

外來

Active Heroin Abuse,in addiction began during a three year prison term for armed robbery, his seventh felony arrest and fourth conviction. His dialysis course of two years has been complicated by bacterial endocarditis and multiple skin abscesses, the result of continue use of “dirty” needles and syringes. Neither his

–LOUS

No Dialysis for Aids Nephropathy,atening complications of AIDS, including fungal infection of the brain and Kaposi’s sarcoma. During the past month, urinary protein excretion rose above 10 grams per day as kidney function declined inexorably. A nephrologist noting typical large kidneys and normal blood pressure made the diagnosis o

PARA

Futile Dialysis,after admission to the intensive care unit, aspiration pneumonia necessitated placement of an endotracheal tube with mechanical ventilation. After seven weeks of machine support (ten weeks of intensive care) the patient developed a rigid abdomen which was found to be caused by infarction of most of

Mosaic

Physician Bias,tenance peritoneal dialysis rather that maintenance hemodialysis. By contrast, another nephrologist at the same facility, who is expert in hemodialysis, does not even consider peritoneal dialysis in the choices presented to newly uremic patients. At some facilities, home hemodialysis is not mentione

合唱隊

Self Referral of Dialysis Patients,referrals. He notes that after stabilizing newly evaluated kidney failure patients, continuing long-term care is arranged with one of several surrounding free standing dialysis units. The unit selected for transfer of the new patient is a proprietary facility owned by a partnership held by three of

聯(lián)邦

Game Playing Families, In his view, the patient is too fragile to bear the news that she is at risk of near-term loss of vision, dialysis and/or kidney transplantation, with a substantive probability of dying. Despite presentation of the argument that his wife will be better able to bear the stresses ahead if she is info