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1

United States. Veterans Administration. Office of the Medical Inspector., ed. Self-assessment instruments in informed consent, do not resuscitate (DNR) orders, and cardiopulmonary resuscitation. Washington, DC: Veterans Administration, Office of the Medical Inspector, 1994.

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2

United States. Veterans Administration. Office of the Medical Inspector, ed. Self-assessment instruments in informed consent, do not resuscitate (DNR) orders, and cardiopulmonary resuscitation. Washington, DC: Veterans Administration, Office of the Medical Inspector, 1994.

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3

United States. Veterans Administration. Office of the Medical Inspector, ed. Self-assessment instruments in informed consent, do not resuscitate (DNR) orders, and cardiopulmonary resuscitation. Washington, DC: Veterans Administration, Office of the Medical Inspector, 1994.

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4

United States. Veterans Administration. Office of the Medical Inspector., ed. Self-assessment instruments in informed consent, do not resuscitate (DNR) orders, and cardiopulmonary resuscitation. Washington, DC: Veterans Administration, Office of the Medical Inspector, 1994.

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5

Molloy, William. Let me decide: The health care directive that speaks for you when you can't. 4th ed. Wayzata, Minn: Woodland, 1994.

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6

Affairs, American Medical Association Council on Ethical and Judicial. Reports on end-of-life care. Chicago, IL: American Medical Association, 1998.

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7

Let me decide. Troy, Ont: Newgrange, 2000.

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8

Molloy, William. Let me decide: The health care and personal directive that speaks for you when you can't... 3rd ed. London: Penguin, 1996.

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9

Molloy, William. Let me decide: The health care directive that speaks for you when you can't. Harmondsworth: Penguin, 1993.

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10

Dunn, Hank. Hard choices for loving people: CPR, artificial feeding, comfort measures only, and the elderly patient. 3rd ed. Herndon, VA: A & A Pub.,Inc., 1993.

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11

Association, American Hospital. Effective DNR policies: Development, revision, and implementation. Chicago, Ill: The Association, 1990.

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12

Association, American Hospital. Effective DNR policies: Development, revision, implementation. Chicago, Ill: American Hospital Association, 1990.

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13

Lieberson, Alan D. The physician's guide to advance medical directives. Los Angeles, Calif: PMIC, 1993.

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14

Practical decision making in health care ethics: Cases and concepts. 3rd ed. Washington, D.C: Georgetown University Press, 2009.

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15

Motivating clients in therapy: Values, love, and the real relationship. New York: Routledge, 1997.

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16

Bass, Madeline, and M. Bass. Palliative Care Resuscitation. Wiley & Sons, Incorporated, John, 2006.

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17

Palliative Care Resuscitation. Wiley, 2006.

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18

Self-assessment instruments in informed consent, do not resuscitate (DNR) orders, and cardiopulmonary resuscitation. Washington, DC: Veterans Administration, Office of the Medical Inspector, 1994.

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19

Meyer, Mark J., and Norbert J. Weidner. Do-Not-Resuscitate Orders in the OR. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0006.

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A physician signs a do-not-resuscitate order (DNR) when aggressive resuscitation measures will not benefit the patient in the presence of a life-threatening illness. Many children living with a life-threatening illness derive benefit from invasive diagnostic and therapeutic procedures such as tracheostomies, peripherally inserted central lines, gastrostomy tubes, and tumor debulking procedures. These procedures are considered palliative rather than curative in that they improve or preserve quality of life but do not prevent progression of the underlying condition. In children, the presence of a DNR order may not be a harbinger that death is imminent and can be consistent with pursuing life-prolonging interventions aimed at improving quality of life. However, these orders confound pediatric anesthesiologists who, during the conduct of a routine anesthetic, can cause cardiovascular and respiratory compromise.
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20

Dunn, Hank. Hard Choices for Loving People: CPR, Artificial Feeding, Comfort Measures Only and the Elderly Patient. A & A Publishers, Inc., 1999.

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21

Hard Choices for Loving People: CPR, Feeding Tubes, Palliative Care, Comfort Measures, and the Patient with a Serious Illness, 6th Ed. Quality of Life Publishing Co., 2016.

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22

Hard Choices for Loving People: CPR, Artificial Feeding, Comfort Care, and the Patient with a Life-Threatening Illness. A & A Publishers, Incorporated, 2013.

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23

Hard Choices for Loving People: CPR, Artificial Feeding, Comfort Care, and the Patient with a Life-Threatening Illness. A & A Publishers, Incorporated, 2013.

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24

Hard Choices for Loving People : CPR, Artificial Feeding, Comfort Care and the Patient with a Life-Threatening Illness. Not Avail, 2001.

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25

Practical Decision Making in Health Care Ethics: Cases and Concepts. 2nd ed. Georgetown University Press, 2000.

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26

Devettere, Raymond J. Practical Decision Making in Health Care Ethics: Cases and Concepts. Georgetown University Press, 1999.

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27

Devettere, Raymond J. Practical Decision Making in Health Care Ethics: Cases, Concepts, and the Virtue of Prudence. Georgetown University Press, 2016.

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28

Devettere, Raymond J. Practical Decision Making in Health Care Ethics: Cases and Concepts. Georgetown University Press, 2009.

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29

Devettere, Raymond J. Practical Decision Making in Health Care Ethics: Cases, Concepts, and the Virtue of Prudence. Georgetown University Press, 2016.

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30

Macauley, Robert C. Specific Ethical Issues at the End of Life (DRAFT). Edited by Robert C. Macauley. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199313945.003.0004.

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A specific application of advance care planning has to do with determining the “code status” of a patient. Many of the terms used to document this status are misunderstood or carry unfortunate connotations, such as “DNR.” It is more appropriate to refer to a “Do Not Attempt Resuscitation” (DNAR), to emphasize the uncertainty as to whether attempted resuscitation will be successful. Code status is especially relevant to patients who “want everything,” which may include high-burden and low-benefit procedures. Time-limited trials and Do Not Escalate Treatment orders may be considered in those situations. There may also be situations when a patient’s refusal should be overridden, when the patient’s decision-making capacity is compromised.
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31

Living will. Toronto: Centre for Bioethics, University of Toronto, 1994.

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32

Williams, Erin S. Acute Fluid Resuscitation for Intussusception. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0004.

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Intussusception, or telescoping of bowel, is an abdominal emergency. It is typically seen in children younger than 3 years of age with the highest incidence occurring at ages 5 to 9 months. It is paramount that this diagnosis be made as early as possible, within a 24-hour window, in order to prevent significant morbidity and mortality. Presenting signs and symptoms include but are not limited to abdominal pain, vomiting, diarrhea, and a palpable sausage shaped mass on abdominal exam. Given the potential for gastrointestinal fluid losses dehydration is a significant risk; thus it is important to be able to adequately replace fluids in a patient at risk for hypovolemia.
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33

Soar, Jasmeet, and Jerry P. Nolan. Artificial ventilation in cardiopulmonary resuscitation. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0060.

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When cardiac arrest occurs, cardiopulmonary resuscitation (CPR) should be started with chest compressions first. The use of ventilations is determined by the training of rescuers, their ability and willingness to provide rescue breaths, patient characteristics, and the underlying cause of the cardiac arrest. Trained rescuers should give two ventilations after every 30 compressions, or once the airway is secured with a tracheal tube, ventilate the patient at 10 breaths/min without any pause in chest compressions. Rescuers who are unable or unwilling to provide effective ventilation, while awaiting expert help should use compression-only CPR. Ventilations are needed for the treatment of cardiac arrest in children, when arrest is from a primary respiratory cause, or during a prolonged cardiac arrest. Choice of ventilation technique depends on rescuer skills and the airway used. Effective oxygenation and ventilation can be maintained during CPR with a tidal volume of approximately 500 mL given over an inspiratory time of 1 second. Rescuers should give supplemental oxygen in as high a concentration as possible during CPR in order to rapidly correct tissue hypoxia. Once restoration of a spontaneous circulation has been achieved the inspired oxygen should be adjusted to maintain oxygen saturation between 94 and 98%.
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34

Mitchell Sommers, Susan. A Bristol Bookseller. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190687328.003.0004.

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Ebenezer Sibly’s friendship with Quaker physician John Till Adams and his brother, William, seems to have been one of Ebenezer’s primary motivations for moving to Bristol in 1783 or 1784. Sibly left Bristol unexpectedly in 1787, after selling forged lottery tickets. He left with a third wife, the second apparently having died. William Till Adams introduced Sibly to masonic lodges in Bristol. Sibly entered high-degree freemasonry in Bristol and began his to collect masonic degrees and orders, forming a vital connection for many of his later partnerships and projects. Through John Till Adams, Sibly became acquainted with occult, spiritual, and medical experimentation. Sibly sold books and became involved in astrological medicine. He picked up many of the enthusiasms that informed his later career here: resuscitation of drowning victims, electrical medicine, Mesmerism, herbal and astrological medicine, and alchemy.
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35

Rappaport, Richard L. Motivating Clients in Therapy: Values, Love and the Real Relationship. Taylor & Francis Group, 1997.

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36

Motivating Clients in Therapy: Values, Love and the Real Relationship. Taylor & Francis Group, 1997.

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37

Rappaport, Richard L. Motivating Clients in Therapy: Values, Love and the Real Relationship. Taylor & Francis Group, 1997.

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38

Pitcher, Joseph H., and David B. Seder. Neuroprotection for Cardiac Arrest. Edited by David L. Reich, Stephan Mayer, and Suzan Uysal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190280253.003.0009.

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This chapter reviews the pathophysiology of brain injury after resuscitation from cardiac arrest and describes a pragmatic approach to neuroprotection. Common mechanisms of brain injury in the postresuscitation milieu are discussed and strategies for optimizing physiological variables such as blood pressure, oxygen, ventilation, and blood glucose in order to minimize secondary injury are presented. Neuroprotective therapies, such as targeted temperature management and pharmacologic neuroprotective agents, are covered in detail. Finally, the use of raw and processed electroencephalography and other diagnostic tools are described for the purposes of determining severity of brain injury, triaging patients to different treatment pathways, and for prognostic value.
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39

König, Matthias W., Mohamed A. Mahmoud, and John J. McAuliffe III. Prone Positioning for Posterior Fossa Tumor Resection. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0031.

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The prone position is employed for minor or major procedures on the dorsal aspect of the body. The more major procedures tend to be prolonged and may be associated with swelling of dependent areas, as well as prolonged pressure on certain pressure points. These possible complications must be adequately addressed with families during the preoperative visit in order to appropriately manage expectations when they see their loved ones in the immediate postoperative phase, especially after a long surgery. In order to prevent complications, proper padding and protection of dependent areas should be performed. This chapter considers the logistic challenges of turning a small patient into the prone position, explores potential complications unique to prone positioning, lists strategies to avoid position-related injuries, and discusses cardiopulmonary resuscitation in the prone position.
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40

Caballero, Catherine, Fiona Creed, Clare Gochmanski, and Jane Lovegrove, eds. Nursing OSCEs. Oxford University Press, 2012. http://dx.doi.org/10.1093/oso/9780199693580.001.0001.

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In order to succeed in an Objective Structured Clinical Examination (OSCE), nursing students need to know not just what an OSCE involves, but how to undertake the skill correctly at each OSCE station. This book is a complete guide on how to prepare for an OSCE with step-by-step instructions for the ten most common OSCE stations that nursing students can face. Specific stations range from asceptic non-touch technique, communication and observations, to more highly pressured skills such as medication administration, resuscitation and assessing a deteriorating patient. Nursing OSCEs: a complete guide to exam success covers these skills and more in a clearly structured and concise way. Each OSCE chapter outlines: DT Key revision material enabling quick and complete revision DT Step by step instructions on how to perform the skill in an OSCE, DT An example examiners marking sheet, so studetns know the criteria they will be measured against DT Typical questions an examiner may ask and suggested answers DT Common errors to avoid and top tips for success. With over 70 illustrations and videos of four OSCE stations, it demonstrates how to pass key stations. Bonus online material includes colour photographs and Powerpoints for revision at www.oxfordtextbooks.co.uk/orc/cabellero/ (http://www.oxfordtextbooks.co.uk/orc/cabellero/) This book is ideal for nursing students preparing for OSCE as well as for lecturers, mentors and practising nurses involved in student education.
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41

Alternatives in Jewish bioethics. Albany: State University of New York Press, 1997.

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