Articles Tagged With: autonomy
-
Higher Mortality for Neurosurgery Patients with Pre-Existing DNRs
Neurosurgeons at University of Rochester Medicine observed that patients with pre-existing do-not-resuscitate (DNR) orders receiving cranial neurosurgery tended to have poor outcomes. To see if their clinical observations were reflected in actual data, the neurosurgeons analyzed 30,384 patients who underwent cranial neurosurgery in 2018-2020.
-
Informed Consent Practices for Acute Stroke Treatment Vary
Currently, the two cornerstones of acute ischemic stroke treatment are intravenous thrombolysis and, for patients with large vessel occlusions, endovascular thrombectomy. For treating clinicians, the question becomes: How do clinicians ensure that patients (or their surrogate decisionmakers) make an informed decision while avoiding treatment delays that can result in worse outcomes?
-
Patients’ Decisions on Contraceptives Are Fluid and Can Change Within Months
Contraception decisions rarely are consistent, especially when patients undergo a major life change, such as giving birth to their first child, new data show. These findings reinforce the idea that contraceptive counseling should be a dynamic and fluid process. -
Ethical Considerations for Complex Discharges
What will you do if a patient refuses prescribed treatment? If the patient does not follow doctor’s orders, how will you advise them? If adult children will not let you tell the patient his diagnosis, what will you do? These are common situations in healthcare. Each raises an ethical dilemma for hospital case managers.
-
Impact of Intensive Care Unit Personnel Decisions and Staffing on Patient Outcomes
Nurses with relatively high autonomy, alongside a dedicated intensive care unit (ICU) clinical pharmacist and 24/7 intensivist coverage, were associated with the lowest hospital mortality, shortest ICU lengths of stay, and shortest mechanical ventilator durations compared to other staffing models.
-
Beyond Efficacy: Applying a Reproductive Justice Framework to Contraceptive Counseling for Young People
A counseling approach that supports bodily autonomy, dignity, and agency of persons works toward ensuring reproductive justice.