At the coalface, but on the receiving end.

نویسندگان

  • P Dewland
  • J Dewland
چکیده

In dealing with patients the doctor is very often paternalistic. No more so than when the patient is unable to help him--or herself. Modern technology allows people to be kept alive in "intensive care" where they often become an "object" at the centre of proceedings. Fortunately for them, most patients who survive intensive care cannot remember the experience though this does not mean that they were not suffering at the time. There is a strong case for explaining things as much as possible and for making practical procedures as tolerable as possible. The relatives and families of the seriously ill often have great difficulty in understanding what is happening to their loved ones and, in these situations, suffer a great deal of stress and foreboding regarding the ultimate outcome of their illness. The stress on the staff who may become "attached" to their patients often shows through as an indifferent attitude. Peter remembers three out of fourteen days in intensive care and Jane, his wife, remembers the whole experience. Here we tell our stories in the hope that they may help our medical and nursing colleagues to manage better the patients under their care in this situation.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Effect of Hydroethanolic Extract of Rubus fruticosus on Neuropathic Pain in Wistar Diabetic Rats

Background: Diabetes mellitus is the most common metabolic disorder with many complications such as neuropathic pain which relief from it is a dilemma. Objectives: To investigate the effect of hydroethanolic extract of Rubus fruticosus on neuropathic pain in diabetic rats. Materials and Methods: In this experimental case –control study, forty eight male Wistar rats (250±20 g) were ...

متن کامل

Comprehensive Technical Support for High-Quality Anthracite Production: A Case Study in the Xinqiao Coal Mine, Yongxia Mining Area, China

The effective production of high-quality anthracite has attracted increasing global attention. Based on the coal occurrence in Yongxia Mining Area and mining conditions of a coalface in Xinqiao Coal Mine, we proposed a systematic study on the technical support for the production of high-quality anthracite. Six key steps were explored, including coal falling at the coalface, transport, undergrou...

متن کامل

Termination of Nociceptive Bahaviour at the End of Phase 2 of Formalin Test is Attributable to Endogenous Inhibitory Mechanisms, but not by Opioid Receptors Activation

Introduction: Formalin injection induces nociceptive bahaviour in phase I and II, with a quiescent phase between them. While active inhibitory mechanisms are proposed to be responsible for initiation of interphase, the exact mechanisms which lead to termination of nociceptive response in phase II are not clear yet. Phase II is a consequence of peripheral and central sensitization processes, whi...

متن کامل

تاثیر عصاره‌ی سیر بر اسپرماتوژنز و هورمون‌های جنسی در موش نر کوچک آزمایشگاهی تحت استرس گرمایی

Background and Objective: Heat stress is one of the most important environmental pressures which can reduce sexual performance. Garlic has been proposed for increasing resistance against stress. This study dealt with the effects of garlic hydroalcoholic extract on reproductive hormones in male mice under heat stress. Materials and Methods: Fifty male mice were studied in five groups (n=10). ...

متن کامل

Circadian rhythms of body temperature in shift-workers at a coalface.

Colquhoun, W. P., and Edwards, R. S. (1970). Brit. J. industr. Med., 27, 266-272. Circadian rhythms of body temperature in shift-workers at a coalface. The oral temperatures of a group of coalface workers were recorded daily at intervals during their period ofwork underground, over a three-week cycle of day, afternoon and night shifts. The basic mean circadian rhythm of temperature observed in ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Journal of medical ethics

دوره 25 6  شماره 

صفحات  -

تاریخ انتشار 1999