pain treatment except in modes of drug delivery. The desire for simple techniques for relieving pain has led doctors, particularly pain clinicians, to see opioids as a useful and valuable…
considerations for practice, ethics and policy James Giordano and Gerhard Höver The Casea A 61-year-old woman with metastatic colon cancer presents with intractable abdominal pain. Since her initial diagnosis 13…
no objective tests for pain, which is by definition a subjective experience. Pain scores, often on a scale of 0 to 10, are useful compare the improvement or lack thereof…
Figure 22.1 Responding to requests for euthanasia or assisted suicide assisted suicide are outlined in Fig. 22.1. First, these requests should be carefully listened to. Many requests for assisted death…
html xmlns=”http://www.w3.org/1999/xhtml”> 20 Ethical issues in organ donation after cardiac death Richard L. Wolman The Case Mr. Gift is a 59-year-old man who is permanently quadraplegic and ventilator dependent due…
html xmlns=”http://www.w3.org/1999/xhtml”> 21 Revising the Uniform Anatomical Gift Act – the role of physicians in shaping legislation Gail A. Van Norman and Michael DeVita The Case In Pennsylvania, a man…
html xmlns=”http://www.w3.org/1999/xhtml”> 19 Brain death Robert B. Schonberger and Stanley H. Rosenbaum The Case A 35-year-old patient is comatose following a drowning. The treating neurologist has found the patient to…
html xmlns=”http://www.w3.org/1999/xhtml”> 18 Discontinuing pacemakers, ventricular assist devices, and implanted cardioverter-defibrillators in end-of-life care Cynthiane J. Morgenweck The Case Mr. K is a 59-year-old who was diagnosed with idiopathic ventricular…
Figure 16.1 Functional reserve is needed when a person faces a stressful situation. As persons age, they draw on their functional reserve to maintain relatively normal function, and as a…
html xmlns=”http://www.w3.org/1999/xhtml”> 14 Informed consent for preoperative testing: pregnancy testing and other tests involving sensitive patient issues Gail A. Van Norman The Case A healthy 15-year-old girl presents for elective…
