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Dissertations / Theses on the topic 'Ethical end-of-life care'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Adu, Addai Emmanuel. "End-of-life care, death and funerals of the Asante: An ethical and theological vision." Thesis, Boston College, 2016. http://hdl.handle.net/2345/bc-ir:106929.

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Thesis advisor: Melissa M. Kelley<br>Thesis advisor: Lisa Sowle Cahill<br>Thesis (STL) — Boston College, 2016<br>Submitted to: Boston College. School of Theology and Ministry<br>Discipline: Sacred Theology

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Davatgar, Elika. "Nurses’ experiences of ethical problems in the end-of-life care of patients : A literature review." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-4786.

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Background: In the background section the following terms are described: Palliative care and holistic view, care at the end-of-life, ethical problems in the end-of-life care and ethical problem and ethical dilemma. Aim: The purpose of this literature review was to describe nurses’ experiences of ethical problems in the end-of-life care of patients. Method: A literature review was selected as a method in this study based on eightscientific articles. Articles were reviewed and analyzed critically by the author. Travelbees’ theory (1971) “human- to- human relationships” was selected as a theoreti

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Sidler, Daniel. "Medical futility as an action guide in neonatal end-of-life decisions." Thesis, Stellenbosch : Stellenbosch University, 2004. http://hdl.handle.net/10019.1/50017.

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Thesis (MPhil)--University of Stellenbosch, 2004.<br>ENGLISH ABSTRACT: This thesis discusses the value of medical futility as an action guide for neonatal endof- life decisions. The concept is contextualized within the narrative of medical progress, the uncertainty of medical prognostication and the difficulty of just resource allocation, within the unique African situation where children are worse off today than they were at the beginning of the last century. parties actively engage in an interactive deliberation for a plan of action. Both parties ought to accept moral responsibility. S

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Smith-Howell, Esther Renee. "End-of-life decision-making among African Americans with serious illness." Thesis, Indiana University - Purdue University Indianapolis, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3723381.

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<p> African Americans’ tendency to choose life-prolonging treatments (LPT) over comfort focused care (CFC) at end-of-life is well documented but poorly understood. There is minimal knowledge about African American (AA) perceptions of decisions to continue or discontinue LPT. The purpose of this study was to examine AA family members’ perceptions of factors that influenced end-of-life care decision-making for a relative who recently died from serious illness. A conceptual framework informed by the literature and the Ottawa Decision Support Framework was developed to guide this st

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Green, Laura I. "Here, there is nobody. An ethnography of older people's end-of-life care in hospital." Thesis, University of Bradford, 2017. http://hdl.handle.net/10454/17231.

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The alleviation of suffering lies at the core of compassionate end-of-life care, yet little is known about the lived experience of suffering. Motivated by a series of reports on poor care of older people in hospital, this study addresses suffering in older people at the end of life in an acute hospital ward in the United Kingdom. Methods were developed from a synthesis of ethnographic fieldwork and phenomenological interpretation. Data were collected using participant observation on an acute care ward for older people in a hospital in Northern England, over 186 hours between June and A

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Masko, Meganne Kathleen. "Music therapy and spiritual care in end-of-life: ethical and training issues identified by chaplains and music therapists." Diss., University of Iowa, 2013. https://ir.uiowa.edu/etd/5021.

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The overarching purpose of this study was to explore the thoughts and attitudes of hospice chaplains and music therapists (MTs) related to the questions, "Is it appropriate for music therapists to provide spiritual care as part of the hospice team," "What kind of training and preparation do music therapists and chaplains think hospice music therapists should have before engaging in spiritual care work," and "What should the content be of spiritual care training for music therapists?" The study used a sequential exploratory qualitative/quantitative mixed methods design utilizing parallel purpos

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7

Kim, Sanghee. "Development and Initial Psychometric Evaluation of Nurses' Ethical Decision Making around End of Life Care Scale (NEDM-EOLCS) in Korea." Thesis, Boston College, 2009. http://hdl.handle.net/2345/756.

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Thesis advisor: Pamela J. Grace<br>As supported by extensive literature, nurses have a role to play in helping patients and families in getting their needs understood and met. This ethical responsibility includes decisions made by nurses in the context of end-of-life (EOL) care. Ethical decision-making is known to be influenced by nurses' understanding of their professional accountability and several cognitive processes that underlie moral action. Rest (1986) theorized these processes as: moral sensitivity, judgment, moral motivation, and moral character. However, few instruments have been dev

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McClure, Anne Carey. "Ritualized Futility via Clinical Momentum at the End of Life in the Intensive Care Unit:An Ethical Inquiry into Moral Distress in Nurses as a Response to a Culturally MediatedHealthcare System Failure." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1587082543896911.

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Burdsall, Tina Dawn Lillian. "The Effects of Race, Socioeconomic Status, and Religion on Formal End-of-Life Planning." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/976.

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Individuals who are facing death today are doing so in an environment that is significantly different than it was in the past. Medical technology is increasingly able to keep people alive even with multiple complex chronic conditions. While these advances in medicine are beneficial to many, it can also unnecessarily prolong inevitable deaths. Concerns over the ability to have a death that is in alignment with personal values has increased the interest in the use of formal end-of-life planning including writing an advance instructional directive and assigning a durable power of attorney for hea

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10

Alexander-Goreá, Trenika. "Development of a Guideline for Hospice Staff, Patients, and Families on Appropriate Opioid Use." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4496.

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There is an identified problem with patients receiving suboptimal pain management at a hospice agency in the northwestern United States. At this agency, undertreatment of pain is prevalent. Evidence indicates that this may be a result of a lack of guidelines, education, and knowledge of appropriate prescribing. Known barriers to the correct prescription and administration of potent opioids in the hospice setting include prevailing beliefs, knowledge, skills, and attitudes, all of which can impact care negatively. Contextually, hospice principles mandate patient comfort and caregiver involvemen

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Oliveira, Mariana Leitão de. "Cessação voluntária de alimentação e de hidratação no fim de vida." Bachelor's thesis, [s.n.], 2020. http://hdl.handle.net/10284/9336.

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Trabalho Complementar apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Ciências da Nutrição<br>Objetivo: compreender o conhecimento atual e global relativamente à cessação voluntária de alimentação e nutrição no fim de vida. Metodologia: Revisão da literatura. Resultados: Da literatura consultada emergiram as seguintes temáticas: (1) Definições e terminologia; (2) Motivações; (3) Processo de morte; (4) Comparações entre o suicídio assistido, a eutanásia e a Cessação Voluntária de Alimentação e Hidratação; (5) O papel dos Cuidados Pal

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Ma, Kristina. "Nurses' Moral Experiences of Ethically Meaningful Situations in End-of-Life Care." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/38274.

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Nursing ethics in end-of-life care is often framed in reference to dramatic moral dilemmas and resulting moral distress that nurses experience in practice. While important, this framing obscures the moral significance of nurses’ everyday practice. The purpose of this study was to explore nurses’ moral experiences of palliative and end-of-life care, including situations that are enriching. The research question was: What are the moral experiences of nurses engaged in ethically meaningful situations in end-of-life care? Semi-structured interviews were conducted with five nurses from across Canad

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Sundin-Huard, Deborah. "Brief encounters: end of life decision-making in critical care." University of Southern Queensland, Faculty of Sciences, 2005. http://eprints.usq.edu.au/archive/00001514/.

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The health care system has, in many respects, been developed to oppose suffering. Yet health care’s almost compulsive urge to treat death as the enemy and to battle disease and injury with all available technology unavoidably results in suffering for someone. This paradox and its impact upon the decision-makers in critical care, has attracted some interest overseas, but none to date in Australia. This study sought to understand the interactions between the key stakeholders in end-of-life decision-making in critical care in the interests of developing strategies to ameliorate the avoidable suff

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14

Leung, Edward. "An examination of biblical and Confucian teachings on end-of-life decisions." Fort Worth, TX : Southwestern Baptist Theological Seminary, 2008. http://dx.doi.org/10.2986/tren.049-0495.

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Dean-Haidet, Catherine Anne. "Thanatopoiesis: The Relational Matrix of Spiritual End-of-Life Care." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1342453467.

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Klein, Ellen W. "Changing Landscapes: End-of-Life Care & Communication at a Zen Hospice." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5364.

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This dissertation examines end-of-life experiences at a small Zen hospice in the Pacific Northwest region of the United States. Through an exploration of how end-of-life communication, sense-making, decision-making, and care in this setting differ from that of typical clinical settings, this project highlights and interrogates the experiences of dying as spiritually, rhetorically, narratively, relationally, and communally bound events. Keywords: Zen hospice, end of life, narrative sensemaking, medical-ethical decision making, spirituality, healing rhetoric, communities of practice

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Robinson, Lisa. "Engaging Personhood at End of Life: A Qualitative Study of Nurses’ Practice in Acute Care." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/38584.

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The acute care setting is designed to provide short-term care for people who require treatment for a severe episode of acute illness and exacerbations of chronic conditions. Yet, more than half of Canadians die in acute hospitals every year. Evidence shows that nurses in acute care units feel limited in their ability to provide quality end-of-life care due to a variety of factors. As a result, the needs of patients that are dying are often overlooked, which can cause them to experience a loss of identity and control, as well as suffering at the end-of-life; a unique time in one’s life trajecto

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Wilson, Monika Anne. "Accompanying them home : the ethics of hospice palliative care." Queensland University of Technology, 2009. http://eprints.qut.edu.au/20536/.

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This inquiry, which employed a narrative research approach, critically explored the ethical dimension of hospice palliative care. Hospice palliative care is the profession specifically developed to care for the dying. The development of this practice has grown significantly since the 1980s in Australia, yet ethical inquiry into this professional practice has largely focused on particular issues, problems or dilemmas, such as euthanasia. Although particular ethical issues are important considerations, a broader investigation of the ethics of hospice palliative care practice has not been give

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Wright, David. "Delirium and the Good Death: An Ethnography of Hospice Care." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23606.

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Delirium is a disturbance of consciousness and cognition that affects many terminally ill patients before death. It can manifest as confusion, hallucinations, and restlessness, all of which are known to be distressing to patients, families, and professional caregivers. Underlying the contemporary palliative care movement is a belief in the idea that a good death is possible; that dying can be made better for patients and families through the proper palliation of distressing symptoms and through proper attention to psychological, social, and spiritual issues that affect wellbeing at the end of

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Houghton, Lindsey C. "Dementia and End-of-Life Decision Making: A Case-Based Approach to the Clinical Application of Bioethical Principles." Master's thesis, Temple University Libraries, 2019. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/549725.

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Urban Bioethics<br>M.A.<br>People with dementia account for a growing number of patients requiring end-of-life medical care each year in the United States. The clinical application of bioethical principles is rarely more important than in the context of end-of-life decision making, and determining the appropriate clinical treatment plan can be difficult and complex for clinicians, patients, and medical proxies. While the current bioethical literature offers a wealth of information on the principles underlying ethical medical practice, real-world clinical scenarios are often fraught with confus

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Chavarria, Brijae Anne. "THE PERCEIVED BARRIERS TO HEALTH CARE ADVANCE DIRECTIVE POSSESSION IN THE BLACK AMERICAN COMMUNITY—SHOULD WE ADDRESS IT AS A RACIAL DISPARITY OR A CULTURAL DIFFERENCE?" Master's thesis, Temple University Libraries, 2019. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/542364.

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Urban Bioethics<br>M.A.<br>Death is an inevitable part of life, yet many Americans fail to plan for this final part of life. Only about 1/3 of our country has an advance directive (Off White Papers, 2014). This underutilization of advance directives is reflected in our health care spending. It is estimated that 30% of all Medicare spending occurs during the last six months of a patient’s life. The numbers are even lower when broken down into sub-categories. Only 24% of older Black Americans possess an advance directive versus 44% of their older White counterparts (Huang, Neuhaus, & Chiong, 201

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Dionne-Odom, James Nicholas. "A Theoretical Model of the Psychological Processes of Surrogate Decision-Making at Adult End-of-Life in the Intensive Care Unit: A Case Study Design Using Cognitive Task Analysis." Thesis, Boston College, 2013. http://hdl.handle.net/2345/3344.

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Thesis advisor: Pamela J. Grace<br>Significance/Background: Surrogate decision-makers (SDMs) take part in 1.5 million end-of-life (EOL) decisions per year. Most find the role burdensome, often do not make decisions concordant with patients' wishes, and many suffer negative psychological aftereffects. Specific Aims: 1) Identify and describe the psychological processes of recent SDMs for adults at EOL in the intensive care unit (ICU) and 2) develop a theoretical model of SDMs' psychological processes. Methods/Analysis: Descriptive, multiple case study research design using a cognitive task analy

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Currier, Erika. "A Study To Investigate The Significance Of Knowing One's Prognosis In People Diagnosed With Life-Limiting Illnesses." ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/432.

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ABSTRACT Background: For patients with life-limiting illnesses, having adequate knowledge of prognosis can strongly impact the choice between curative and supportive treatment. Objectives: The purpose of this research study is to explore patient understanding of prognosis and to illuminate the experience of having or not having prognostic information in people diagnosed with life-limiting illnesses. This study aims to investigate the patient's understanding of the term "prognosis", the significance of the term "prognosis" to the patient, and how prognosis may or may not affect future treatment

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Marklund, Elisabeth. "Musik i palliativ vård : en intervjustudie med vårdpersonal." Thesis, Kungl. Musikhögskolan, Institutionen för musik, pedagogik och samhälle, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kmh:diva-1319.

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Denna uppsats har som syfte att undersöka om musik används i palliativ vård i Sverige och hur det i så fall beskrivs, motiveras och dokumenteras. Det är en kvalitativ intervjustudie med hermeneutisk förståelseansats. Intervjuer har genomförts med fem personer med olika yrkesprofession inom palliativ vård (sjuksköterska, sjukgymnast, arbetsterapeut, kurator och överläkare). Kontakt med de intervjuade har upprättats genom ett upprop i ett nyhetsbrev som ges ut av Svenskt Palliativt Nätverk, SPN. I uppsatsen ges en teoretisk bakgrund om palliativ vård, kris, etik, död, existentiel

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Andrade, Joana Sofia Carvalho Casimiro de. "Suporte nutricional artificial em cuidados paliativos: questões éticas." Bachelor's thesis, [s.n.], 2017. http://hdl.handle.net/10284/7575.

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Trabalho Complementar apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de licenciada em Ciências da Nutrição<br>Os Cuidados Paliativos são o cuidado ativo dos Doentes cuja doença não responde ao tratamento curativo. São cuidados que englobam uma abordagem holística e interdisciplinar, onde se tem em vista não só o Doente, mas também a sua família e a comunidade envolvida. O objetivo principal é preservar a melhor qualidade de vida e conforto até à morte. O Suporte Nutricional Artificial é um dos assuntos mais controversos nesta área do cuidar. O objet

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Emmett, Catherine Parsons. "Exploring the Advance Care Planning Experiences among Persons with Mild Cognitive Impairment: Individual and Spousal Perspectives." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4313.

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Advance Care Planning has been advocated for over 20 years as a way in which individuals who are no longer able to speak for themselves, may still convey their preferences regarding a wide of array of decisions, including medical care. Advance care planning may not be initiated by individuals for many reasons, and even when initiated, may not be specific enough to help guide decision making. Recent advance care planning models have utilized disease specific information to help guide end of life health care decision-making. Persons diagnosed with mild cognitive impairment face an increased p

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Stonestreet, John Ryan. "A Confession of Miraculous Mythological Epistemology for Health Communication." Ohio University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1412942733.

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McCune, Susana Lauraine. "Worlds of Connection: A Hermeneutic Formulation of the Interdisciplinary Relational Model of Care." Antioch University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1404395833.

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Klein, Robert R. "Toward a Good Life in Later Life: Perspectives, Problems, and Responses." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1364341896.

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Brown, Sarah-Jane. "Autonomy, the law, and ante-mortem interventions to facilitate organ donation." Thesis, University of Manchester, 2018. https://www.research.manchester.ac.uk/portal/en/theses/autonomy-the-law-and-antemortem-interventions-to-facilitate-organ-donation(1d8877ef-fa3c-4639-b2ec-6eacb923fe7a).html.

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Over the last few years, policies have been introduced in the UK which aim to improve organ transplantation rates by changing the way that potential organ donors are treated before death. Patients incapacitated due to catastrophic brain injury may now undergo ante-mortem donor optimisation procedures to facilitate deceased organ donation. As I identify in this thesis, the most significant ethical and legal problem with these policies is that they are not based on what the patient would have chosen for themselves in the specific circumstances. The policies identify and treat patients meeting ce

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Debue, Anne-Sophie. "Un autre regard : enjeux de la participation infirmière durant les décisions de limitations et d'arrêts de traitements en réanimation." Thesis, université Paris-Saclay, 2021. http://www.theses.fr/2021UPASK006.

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Les prises de décision de limitations et d’arrêts des traitements chez les patients de réanimation suscitent encore de nombreuses insatisfactions au sein des équipes de soin, et ces insatisfactions sont source de détresse morale et de conflits. Nous nous sommes donc intéressés à la mise en œuvre de la « procédure collégiale » dans les services de réanimation français. Dans un premier temps, nous avons étudié en détail les processus décisionnels et avons découvert qu’ils suivaient 5 étapes : 1) Le déclenchement, 2) La divulgation, 3) La réunion pluri-professionnelle, 4) L’information des proche

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Tranchant, Blandine. "De l'invention du mourant à la figure de l'agonie. Recherche sur l'ultime épiphanie de la personne incarnée." Thesis, Lyon, 2017. http://www.theses.fr/2017LYSE3010/document.

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A l’heure où la prise en charge médicale s’avère de plus en plus nécessaire pour accompagner la fin de vie, il nous apparait que sa place est de plus en plus importante et de moins en moins questionnée. Or, réduire la fin de vie à la question du mourant et de sa prise en charge est pour le moins problématique. L’arrêt d’hydratation et d’alimentation, les différentes formes de sédation, l’euthanasie, le suicide assisté, les soins palliatifs résument-ils à eux seuls ce que l’on peut dire de la fin de vie ? Peut-elle se résumer uniquement à une question d’ordre médical ? N’est-elle pas avant tout

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Liu, Ying-Chun, and 劉盈君. "Constructing the ethical self of nurses through providing end-of -life care within intensive care units." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/4psh45.

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博士<br>國立陽明大學<br>護理學系<br>106<br>The modern medicine field in the intensive care unit (ICU) is geared by advanced technologies, which mainly aim at disease management leading to maintain the patients’ lives. In this kind of modernized technology-driven medical workplace, to provide end-of-life (EOL) care create a complicated phenomenon and experience. To explore and analyze the process experienced by ICU nurses who provide EOL care turns out to be the main theme of this study. This study was conducted by using interpretative phenomenological qualitative research method to analyze the data drawn

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Jhang, Huei-Yu, and 張慧玉. "Ethical and Legal Issues in Practice of Advance Directives and Living Will in End of Life Care." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/79579046024796862503.

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碩士<br>臺北醫學大學<br>護理學研究所<br>97<br>“Hospice-Palliative Care Act” was approved on June 7, 2000.The purpose of this study is to explore the status of the implementation of advance directives, Living Will, durable power of attorney for health care (DPAHC), the legal and ethical issues of advance directives, and push the development of Communication skills and advance directives implementation of the Guidelines. Design: The study is an exploratory and descriptive study. Methods: Investigates death medical records and questionnaires. Using independent t-test, χ2, pearson correlation & Binary logistic

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Alves, Raquel Ferreira Pedrosa. "Has end-of-life decisions or advance directives become an economic strategy to contain health care cost as much as a way to respect patient´s informed consent and private autonomy rights? : what can we learn from the american advance care model?" Master's thesis, 2018. http://hdl.handle.net/10400.14/27119.

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Nash, Michael Woods. "Ethics in times of plague home care, obligations to treat, end of life, and public policies /." 2006. http://etd.utk.edu/2006/NashMichaelWoods.pdf.

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"Participatory theological bioethics of Lisa Sowle Cahill and its relevance to end-of-life care in Hong Kong." 2010. http://library.cuhk.edu.hk/record=b5896620.

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Law, Wai Yan.<br>Thesis (M.Phil.)--Chinese University of Hong Kong, 2010.<br>Includes bibliographical references (leaves 83-92).<br>Abstracts in English and Chinese.<br>ABSTRACT --- p.I<br>論文摘要 --- p.II<br>TABLE OF CONTENTS --- p.III<br>Chapter CHAPTER 1 --- INTRODUCTION --- p.1<br>Chapter CHAPTER 2 --- LISA SOWLE CAHILL´ةS THEOLOGICAL BACKGROUND --- p.5<br>Chapter 2.1 --- Introduction --- p.5<br>Chapter 2.2 --- Cahill´ةs theological approach to Christian Ethics --- p.5<br>Chapter 2.2.1 --- Catholicism --- p.6<br>Chapter 2.2.2 --- Feminism --- p.9<br>Chapter 2.2.3 --- Theological An

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Smith, Karen L. "Terminal Sedation." 2011. http://trace.tennessee.edu/utk_graddiss/1127.

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This dissertation will support full ethical endorsement of terminal sedation for those most urgently in crisis and need of beneficence, those who are dying and in the final hours or days and suffering. To clarify the practice I first detail ethical differences between euthanasia, physician assisted suicide and terminal sedation. Moreover, I identify new areas where harms and benefits need to be evaluated as affecting not only patients, but also families and caregivers. I evaluate the current practice to allow the development of ethical guidelines and greater consensus on deciding the hard case

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Pinto, Diogo Marcelo Fragueiro. "Ética na Geriatria." Master's thesis, 2018. http://hdl.handle.net/10316/81873.

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Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina<br>Introdução: Numa sociedade que demonstra uma tendência para envelhecer, é esperado que cada vez mais o médico se encontre a ter de cuidar de doentes idosos. Estes doentes merecem uma atenção singular pois as suas particularidades, médicas e psicossociais, frequentemente levam ao conflito de princípios da ética médica e, assim, ao surgimento de dilemas éticos. Deste modo, é crucial que os médicos estejam não só familiarizados com estas vicissitudes, mas também capazes de as solucionar. Neste cenário, a relaç

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Nkulu, Kabamba Olivier. "L’assistance médicalisée pour mourir demandée dans le cadre des soins de fin de vie : enjeux d’une éthique réflexive et critique pour l’humanisation de la mort." Thèse, 2011. http://hdl.handle.net/1866/5029.

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Par une approche analytique, cette étude en éthique clinique a examiné la problématique de la demande d’assistance médicalisée pour mourir formulée dans le cadre des soins de fin de vie. Partant du fait que cette demande sollicite les soignants dans leur savoir et leur savoir-faire, surtout dans leur savoir-être, cette étude rend d’abord compte d’un fait : bon gré mal gré l’interdit de l’euthanasie par la loi et la déontologie médicale, ainsi que le débat contradictoire à son sujet qui dure déjà voici quelques décennies, il arrive de temps à autres que les soignants œuvrant en soins de fin de

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Frenette, Marjolaine. "Utilisation des formulaires de niveaux d’interventions médicales (NIM) en fin de vie chez les patients qui décèdent en milieu hospitalier au Québec." Thèse, 2015. http://hdl.handle.net/1866/12490.

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Abstract:

Ce mémoire porte sur l’utilisation des niveaux d’interventions médicales (NIM) en centre hospitalier (CH) au Québec. Les NIM sont des formulaires organisés sous forme d’échelle, qui ont été développés afin de faciliter la prise de décision en lien avec la réanimation, les traitements de maintien en vie et de prolongation de la vie, et les soins à offrir. L’objectif de ce mémoire est d’offrir un portrait de l’utilisation actuelle des NIM au Québec en CH afin d’émettre des recommandations pour les professionnels de la santé, les institutions et les décideurs politiques. Dans un premier temps, un

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Dorval, Geneviève. "La transition du curatif aux soins de fin de vie en néonatologie : une ethnographie de la prise de décision chez les soignants." Thèse, 2016. http://hdl.handle.net/1866/18401.

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Abstract:

Ce mémoire de maîtrise en anthropologie est le résultat d’une recherche de terrain menée au service de néonatologie du CHU Sainte-Justine et ayant pour objectif de documenter les pratiques décisionnelles entourant l’arrêt des traitements curatifs chez les patients. La fin de vie de ces patients est traversée par des enjeux de nature éthique, socioculturelle et professionnelle. Par le biais d’observations prolongées et d’entretiens menés auprès de soignants de ce service, ces fins de vie se sont révélées tissées d’incertitude et propices aux divergences d’opinions. Loin d’être distribuées de ma

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