Geometry.Net - Health_Conditions: Persistent Vegetative State

Ask Jeeves: Search Results For "Persistent Vegetative State"
Popular Web Sites for persistent vegetative state . Search Results1 10 Ranked by Popularity, Next . 1. persistent vegetative state
http://webster.directhit.com/webster/search.aspx?qry=Persistent Vegetative State
Ask Jeeves: Search Results For "Hospital Advance Directive Policy"
http//www.boone.org/directives/index.html 4. persistent vegetative state PersistentVegetative State (PVS) is subject to a high degree of error as a diagnosis
http://webster.directhit.com/webster/search.aspx?qry=Hospital Advance Directive
00NIH.HTM
Coma, Including persistent vegetative state. What is Coma, including PersistentVegetative State? A coma is a profound or deep state of unconsciousness.
http://www.clevelandclinic.org/health/health-info/docs/1200/1265.asp?index=6007
AIM25: King's College London College Archives: King's College London Centre For
ARCHON Contact details. King's College London Centre for Medical Lawand Ethics persistent vegetative state Records. IDENTITY STATEMENT.
http://www.aim25.ac.uk/cgi-bin/search2?coll_id=5366&inst_id=6
Persistent Vegetative State
Category Religion. Word Count 796. Essay Title persistent vegetativestate. Essay Preview The Plague is a fictitious novel
http://www.getfreeessays.com/show_essay/8677.html
Dr. Nicholas Schiff Of Weill Cornell Discusses The Challenge Of Detecting Consc
New York, NY (February 15, 2002) The latest research in the conditions knownas persistent vegetative state and minimally conscious state will be
http://www.med.cornell.edu/news/press/2002/feb_15_schiff.html

Extractions: Advanced Search Dr. Nicholas Schiff of Weill Cornell Discusses "The Challenge of Detecting Consciousness in Severely Brain-Injured Persons", Talk at AAAS Evaluates New Imaging Technologys Usefulness in Understanding "Persistent Vegetative" and "Minimally Conscious" States New York, NY (February 15, 2002) The latest research in the conditions known as "persistent vegetative state" and "minimally conscious state" will be presented by Dr. Nicholas Schiff, Assistant Professor of Neurology and Neuroscience at Weill Cornell Medical College, at the meeting in Boston today of the American Association for the Advancement of Science (AAAS). Displaying images of brain functions obtained with the most advanced technology, Dr. Schiff will discuss the problems and dilemmas posed by persons who whether through stroke, brain injury, cardiac arrest, or other trauma to the central nervous system show some signs of consciousness but cannot fully communicate and respond. Dr. Schiff notes that the National Institutes of Health have identified "epidemic levels" of traumatic brain injury in todays United States population about 2% live with some consequence of such injury. He will discuss differences that exist in a continuum of at least four states:
National Health And Medical Research Council - Persistent Vegetative States Work
diagnosis of persistent vegetative states; the second, will deal with the appropriatecontinuing care of people diagnosed with a persistent vegetative state.
http://www.health.gov.au/nhmrc/advice/vegterms.htm

Extractions: Terms of Reference and Membership Background On 15 May 2000, the New South Wales Health Department wrote to the Department of Health and Aged Care seeking the assistance of the National Health and Medical Research Council (NHMRC) in the development of guidelines on the diagnosis of persistent vegetative states following brain injury. This request has arisen from a recent incident in NSW, where a family became concerned that a health service was going to withdraw treatment to a patient with brain injury. This patient subsequently made a substantial improvement in neurological status. On 9 August 2000 the Health Advisory Committee (HAC) acknowledged that there is a lack of clinical advice in Australia on the diagnosis of persistent vegetative states and agreed that the development of such guidelines should be a joint initiative between HAC and the Australian Health Ethics Committee (AHEC). AHEC also agreed to this approach at its meeting on 11-12 September 2000. Terms of Reference Critically evaluate existing research and clinical evidence for the appropriate diagnosis of persistent vegetative states arising from developmental, acute and degenerative causes.
Laboratory Publications:Consciousness And Brain Dynamics
Res. 22, 267272. Abstract. Schiff, ND (moderator), Fins, JJ, Giacino, JT, Levine,B., Menon, D., and Owen, AM (2000) persistent vegetative state A debate.
http://www-users.med.cornell.edu/~jdvicto/ndspubsc.html
Persistent Vegetative State - No Advance Directive: Right Of Substitute Decision
for the Nursing Profession(4)10 Jul 96 Quick Summary The decision to remove lifesustaining treatment from an adult in a persistent vegetative state, who did
http://www.nursinglaw.com/lifesupport1.htm

Extractions: Legal Eagle Eye Newsletter for the Nursing Profession(4)10 Jul 96 Quick Summary: The decision to remove life sustaining treatment from an adult in a persistent vegetative state, who did not leave expressed directions as to the maintenance of life support, can be made by a close family member and two qualified physicians, without court approval. A young man sustained severe head injuries and never regained consciousness. After he had been in a nursing home for seventeen years, his mother asked the nursing home to remove his gastrostomy tube, and to let her son expire. The nursing home refused to terminate life support, unless so ordered by the court. Her son had never expressly stated his wishes concerning life support, but his mother believed he would not have wanted his life prolonged artificially. SUPREME COURT OF PENNSYLVANIA, 1996. In 1972 a twenty-year-old man sustained severe head injuries, but regained consciousness with marked limitations in his cognitive abilities compared to his pre-injury status. In 1976, while being treated in a hospital, he suffered a second head injury, in a manner not specified in the court record, from which he never regained consciousness. Shortly thereafter, he was diagnosed as being in a persistent vegetative state. For purposes of deciding the present case, the Supreme Court of Pennsylvania accepted the definition of persistent vegetative state as:
Life Expectancy For CP, VS, TBI And SCI
MultiSociety Task Force on the persistent vegetative state (1995). Medicalaspects of the persistent vegetative state correction letter.
http://www.lifeexpectancy.com/articles.shtml

Extractions: To view an article left click on the PDF icon preceeding the reference; to download an article (that is, to save the PDF file to your hard drive) right click. Please note that some files are very large. Manuscripts under review or in-press are not available. The Adobe Acrobat Reader is required for viewing most of these. Click on the icon below to download the free software:
University Of Minnesota Human Rights Library -- Links
World Medical Association, Statement on persistent vegetative state (1989).Adopted by problem. persistent vegetative state. Pathologic
http://www1.umn.edu/humanrts/instree/vegetativestate.html

Extractions: Preamble Present requirements of health reporting fails to provide an accurate estimate of the incidence and prevalence of worldwide individuals in a persistent vegetative state (PVS). Ten years ago, a prevalence of 2 to 3 per 100,000 was estimated for Japan. It seems likely that the absolute number of such cases has risen appreciably as a consequence of current practices in critical medicine, cardiorespiratory support, parenteral feeding, and control of infections in severely brain damaged patients. How to deal with this emotionally painful, financially costly, and generally unwanted outcome of modern medical treatment is an increasing problem. Recovery Once qualified clinicians have determined that a person is awake but unaware, the permanence of the vegetative state depends on the nature of the brain injury, the duration of the period of unawareness, and the estimated prognosis. Some persons less than 35 years old with coma after head trauma, as well as an occasional patient with coma after intracranial hemorrhage, may recover very slowly; thus, what appears to be a PVS at one to three months after an event causing coma may in rare cases evolve into a lesser degree of impairment by six months. On the other hand, the chances of regaining independence after being vegetative for three months are vanishingly small. Rare exceptions are claimed, but some of these may have represented patients who entered an unrecognized locked-in state shortly after reawakening from a coma-causing injury. Ultimately, all have been severely disabled.
Bulletin Of Medical Ethics - Sample Copy - 2nd Review Article
Review. persistent vegetative state. The Official Solicitor for Englandand Wales issued in July the following revised practice note
http://ourworld.compuserve.com/homepages/Bulletin_of_Medical_Ethics/review2.htm

Extractions: The Official Solicitor for England and Wales issued in July the following revised practice note on how applications to discontinue the treatment of patients in PVS should be made. PRACTICE NOTE : VEGETATIVE STATE The need for the prior sanction of a High Court judge 1. The termination of artificial feeding and hydration for patients in a vegetative state will in virtually all cases require the prior sanction of a High Court judge: Airedale NHS Trust v Bland [1993] 1 All ER 821 @ 833, [1993] AC 789 @ 805 per Sir Stephen Brown P and Frenchay Healthcare Trust v S [1994] 2 All ER 403, [1994] 1 WLR 601. 2. The diagnosis should be made in accordance with the most up-to-date generally accepted guidelines for the medical profession. A working group of the Royal College of Physicians issued guidance on the diagnosis and management of permanent vegetative state (PVS) in March 1996 (JR Coll Physns 1996; 30: 119-21). This has been endorsed by the Conference of Medical Royal Colleges. The working group advises that the diagnosis of permanent vegetative state is not absolute but based on probabilities. Such a diagnosis may not reasonably be made until the patient has been in a continuing vegetative state following head injury for more than 12 months or following other causes of brain damage for more than 6 months. Before then, as soon as the patients condition has stabilised, rehabilitative measures, such as coma arousal pro- grammes, should be instituted (see
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in a persistent vegetative state. June 2000 from Medscape Nurses.Caring for Patients in a persistent vegetative state. Kaufman SR.
http://www.medscape.com/viewarticle/408393_9
References
Cambridge, England Cambridge University Press; 1989; Steinbock B. Recoveryfrom persistent vegetative state? The case of Carrie Coons.
http://www.medscape.com/content/2001/00/42/28/422861/422861_ref.html

Extractions: References for: Pearls and Pitfalls of Ethical Issues in Neurology Rothman DJ. Strangers at the Bedside: A History of How Law and Bioethics Transformed Medical Decisionmaking. New York: Basic Books; 1991 In re Quinlan, 70 NJ 10, 355 A2d 647 (1976) Cruzan v Director, Missouri Department of Health, 110 SCt 2841 (1990) A definition of irreversible coma: Report of the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death. JAMA 1968;205:337-340 Castenada CJ. A new question amid suicide debate. USA Today. August 23, 1996:3A President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. Screening and Counseling for Genetic Conditions: The Ethical, Social, and Legal Implications of Counseling and Education Programs. Washington, DC: Government Printing Office; 1968 McQuillen MP, Leone MG. A treatment carol: thymectomy revisited. Neurology 1977;27:1103-1106 Khatri BO, McQuillen MP, Harrington GJ, Schmoll D, Hoffman RG. Chronic progressive multiple sclerosis: double-blind controlled study of plasmapheresis in patients taking immunosuppressive drugs. Neurology 1985;35:312-319 Bernat JL. Ethical Issues in Neurology. Boston: Butterworth-Heinemann; 2002
Medizinische Fachliteratur
Translate this page Caronna J. et al. persistent vegetative state Report of the American NeurologicalAssociation Committee on Ethical Affairs, Annals of Neurology April 1993 Vol.
http://www.wachkoma.at/Informationen/Medizinische-Fachliteratur.htm
KCL: ISS Archives Summary Guide: King's College London Centre For Medical Law An
King's College London Archives Services Summary Guide. King's College LondonCentre for Medical Law and Ethics persistent vegetative state Records.
http://www.kcl.ac.uk/depsta/iss/archives/collect/10ki4507.html

Extractions: King's College London Archives Services - Summary Guide 3.1 IDENTITY STATEMENT AREA 3.1.1 Reference code(s) : GB 0100 KCLCA 1996/KFLE 3.1.2 Title: King's College London Centre for Medical Law and Ethics Persistent Vegetative State Records 3.1.3 Date(s) 3.1.4 Level of description : Sub-fonds of King's College London Archives 3.1.5 Extent and medium of the unit of description (quantity, bulk or size) : 31.5 boxes 3.2 CONTEXT AREA 3.2.1 Name of creator(s) 3.2.2 Administrative/Biographical history : The Centre, part of the School of Law, was opened in 1978 to undertake research, organise teaching and publish papers concerning issues in medicine involving law and ethics. It draws on the expertise of staff in numerous schools and departments including medicine and theology and offers undergraduate course units and an MA and Diploma programme. The ECBIOMED-1 Project into Persistent Vegetative State was funded by the European Commission under the auspices of their European Biomedical Health Record Programme. Work commenced in 1994 and was co-ordinated by the Centre under the Directorship of Professor Andrew Grubb. It constituted a comparative survey undertaken in eight European countries of the opinions of doctors and health care professionals with experience of patients suffering from trauma of the brain. 3.2.3 Archival history
Removing Feeding Tubes
population. Consequently, there are now more patients in a chronic,persistent vegetative state who are surviving longer. As patients
http://www.kolpan.com/pages/journal/tubes.html

Extractions: REMOVING FEEDING TUBES FROM PATIENTS IN PERSISTENT A VEGETATIVE STATE Kenneth I. Kolpan, JD (Editor) With advances in the medical treatment of patients with traumatic brain injury, health care providers are seeing increased numbers of head-injured patients surviving accidents that they would have previously died from. Rehabilitation modalities specifically designed to treat head injuries, the use of pulmonary therapies, aggressive use of antibiotics, and improved nursing care are responsible for extending the long-term survival of this population. Consequently, there are now more patients in a chronic, persistent vegetative state who are surviving longer. As patients live in this condition sometimes described as "worse than-death," families, physicians, and attorneys debate society's obligation to provide them with life-sustaining treatment. The debate inevitably ends up in the courtroom. Earlier cases established the principle that an incompetent patient has the same right as a competent patient to accept or reject medical treatment. These cases involved such treatments as chemotherapy, dialysis, respiration, and the issue of life-saving treatments. Each of these cases involved invasive treatments that had side effects. Now courts are being asked to extend the incompetent patient's right of self-determination to less invasive treatments such as artificial feeding. In other words, where the courts previously acknowledged an incompetent patient's right to refuse intrusive life-sustaining treatments, courts are being asked to extend this right to the removal of feeding tubes. (This is the position taken by the Massachusetts Medical Society in a recently adopted policy.)
Vegetative State
This condition differs from a persistent vegetative state (PVS, a state of comathat lacks both awareness and wakefulness) since patients have awakened from
http://www.hendrickhealth.org/healthy/002192.htm

Extractions: Resources A coma-like state characterized by open eyes and the appearance of wakefulness is defined as vegetative. The vegetative state is a chronic or long-term condition. This condition differs from a persistent vegetative state (PVS, a state of coma that lacks both awareness and wakefulness) since patients have awakened from coma, but still have not regained awareness. In the vegetative state patients can open their eyelids occasionally and demonstrate sleep-wake cycles. They also completely lack cognitive function. The vegetative state is also called coma vigil. The vegetative state can be caused by: Patients in a vegetative state apparently have functioning of a special area in the brain called the reticular activating system (RAS) responsible for sleep-wake cycles. The connections that integrate more complex abilities such as awareness are interrupted. Patients in the vegetative state can open and close eyes spontaneously. They may appear to track or follow objects with their eyes. Patients may chew and swallow food placed in the mouth. The vegetative patient does not respond to sound, hunger, or
Thieme Medical Publishers : Product Pages: Dolce, The Post-Traumatic Vegetative
have compiled into a practical text their experiences encompassing over 20 yearsof work in the rehabilitation of patients in a persistent vegetative state.
http://www.thieme.com/SID2088980784223/productsubpages/pubid1479838620.html

Extractions: The authors have compiled into a practical text their experiences encompassing over 20 years of work in the rehabilitation of patients in a persistent vegetative state. In addition to the partial or complete recovery of mental and neurological functions, another condition has been gaining in recognition in recent years: the state of minimal responder, which they elucidate in their book. This title bridges a gap in the specialized literature by providing neurologists, emergency physicians, physiatrists, and internists, as well as therapists, with a new set of tools to aid them in obtaining more rapid progress in the treatment of these patients, whose improvement is wholly dependent upon them.
InteliHealth:
Coma And persistent vegetative state. Health A to Z, Reviewed by the Facultyof Harvard Medical School Coma And persistent vegetative state
http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/29843.html

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