Contrary to the widespread concern about over-treatment at the end of life, today, patient preferences for palliative care at the end of life are frequently respected. However, ethically challenging situations in the current healthcare climate are, instead, situations in which a competent patient requests active treatment with the goal of life-prolongation while the physician suggests best supp...

Abstract Case studies are used to reflect on the treatment of patients with dementia hospitalized at Geriatric Department Faculty hospital in Prešov, emphasizing human dignity clinical practice. The discussion is focused palliative care severe dementia. biomedical method, which respects defined by means inductive, deductive, and normative bioethical methods. They make it possible provide guidel...

background: medial educations' models should train physicians with competencies and commitment to meet health needs in the community. this social accountability in medical education is not a new concept but provides equity, quality, relevance and cost-effectiveness in health care system. the aim of this study was to assess the knowledge of faculty members towards the situation and activiti...

introduction: increasing pressure on available funds in health care section especially hospitals, enhances the need of analyzing different strategies in economic terms. one of the solutions for the optimal use of financial resources and potentials in hospitals and health care centers is using elements of the marketing mix. in this way we could make the best use of the resources and cause a retu...

conclusions finally, in order to prevent the occurrence and reduce the consequences of identified errors the following suggestions were proposed : appropriate training courses, applying work guidelines and monitoring their implementation, increasing the number of work shifts, hiring professional workforce, equipping work space with appropriate facilities and equipment. background although healt...

Cancer is a leading cause of death in children. In the past decades, there has been a marked increase in overall survival of children with cancer. However, children whose treatment includes hematopoietic stem cell transplantation still represent a subpopulation with a higher risk of mortality. These improvements in mortality are accompanied by an increase in complications, such as respiratory a...

INTRODUCTION Despite concern that many nursing home residents who become acutely unwell are admitted to hospital for often futile and distressing treatment, no previous studies analysing survival and readmission rates of this cohort were found in the literature. OBJECTIVE To study survival and readmission rates of nursing home patients admitted acutely to general medicine. METHOD Analysis o...

Transcatheter aortic valve implantation (TAVI) has emerged as the standard of care for older patients with symptomatic severe aortic stenosis (AS) at high or excessive operative risk. There remain patients that are of such considerable risk that even TAVI can be futile. Such patients present ethical conundrums for institutional heart teams. Herein we present a case of a 90-year-old female patie...

Today, the hopelessly ill who are insured must choose between futile treatment and prolonged morbidity. Legalizing physician-assisted death for the hopelessly ill would broaden patient choice and conserve scarce resources. To ensure that the saved resources will not be re-channeled to more futile treatments for other hopelessly ill patients, those who choose dignified passage should be allowed ...