Ernlé W D Young

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CONTEXT Ethics consultations increasingly are being used to resolve conflicts about life-sustaining interventions, but few studies have reported their outcomes. OBJECTIVE To investigate whether ethics consultations in the intensive care setting reduce the use of life-sustaining treatments delivered to patients who ultimately did not survive to hospital(More)
Ethics consultations have been shown to reduce the use of "nonbeneficial treatments," defined as life-sustaining treatments delivered to patients who ultimately did not survive to hospital discharge, when treatment conflicts occurred in the adult intensive care unit (ICU). In this paper we estimated the costs of nonbeneficial treatment using the results(More)
OBJECTIVE To provide a historical perspective, from ancient Greece to the middle of the 20th century, on ethical issues and principles commonly associated with medical care for the dying in Western civilization. SOURCES Writings of noted philosophers, historians, ethicists, and physicians, as well as published legal and ethical guidelines. INFORMATION(More)
In September 1996, the Stanford University Center for Biomedical Ethics convened a conference entitled "Comprehensive Care of the Terminally Ill: The Northern California Consensus Development Conference for Guidelines on Aid-in-Dying." The regionally based, multidisciplinary conference gathered people from a variety of disciplines and diverse perspectives(More)
1. Lesbians in general, and homeless lesbians in particular, are neglected and ignored not only in our culture but in the nursing profession as well. 2. Nurses who work with homeless women must be aware of and sensitive to lesbian issues when interacting with any clients. 3. The problems of individual lesbians cna be as diverse as they are for any client.
The author compares neonatal intensive care and programs for the care of handicapped children in Great Britain, Sweden, and the United States. Recognizing that the free enterprise system is incompatible with the socialist model of health care delivery, he proposes steps that medical teams, parents, and public policy planners could take to bring standards(More)