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Biomedical subjects

Bridgit Dimond

Publications and source records attributed to Bridgit Dimond.

At least 73 records · Page 4Linked to original sources
PubMedDate not supplied

The refusal of treatment: living wills and the current law in the UK.

David Browne was suffering from motor neurone disease and was anxious to ensure that as his disease progressed and he ceased to be mentally capacitated he would not be given artificial feeding and ventilation. He therefore arranged to draw up a living will in which he gave an advanced refusal of such treatments. The document was duly signed and witnessed. Only 3 months after signing the living will he was severely injured in a road accident and brought into hospital unconscious. He was carrying his living will in his pocket. The doctors were concerned that if they operated and he required ventilation in intensive care, would the living will prevent their providing such treatment and care? What is the law?

Accidents, Traffic↗
PubMedDate not supplied

Review of recommendations for reforms to the coroner's office.

The Inquiry that was set up following the conviction of Dr Shipman for the murder of 15 of his patients produced three reports, the third of which considered the present system for death and cremation certification and the investigation of deaths by coroners (Shipman Inquiry, 2003b). The report makes extensive recommendations for reform of the coroner's office regarding the certification of death. This article outlines the recommendations made by the third report of the Shipman Inquiry and reviews the potential implications of such legislation.

Autopsy↗
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Accountability and medicinal products 2: civil law.

Lyndsey Bohanna, 23 years, had mild depression and was prescribed Prozac by doctors to combat insomnia and fatigue. Two months later during a routine check-up a junior doctor changed her prescription. He gave her an antidepressant, dothiepin, which is for severe depression and should not be used with Prozac. It is also an antidepressant with one of the highest chances of overdose. Nine days later she was found dead. An independent review found a host of errors during her treatment at the hospital. The junior doctor had not asked the consultant for advice and had not explained to the patient the risks associated with her new medication. He also failed to inform her GP of how many tablets should be given. What is the law?

Adult↗
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Accountability and medicinal products 3: employment.

Case Scenario: Mohammed had been trained in a previous post as an independent nurse prescriber. He wished to continue to use those skills in his new post as a clinical nurse specialist. He was notified by the trust that it was not its policy to introduce independent nurse prescribing. Can he lawfully refuse to obey these instructions?

Contract Services↗
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The law and the certification, verification and registration of death.

Daisy was a registered nurse who worked in a community hospital. One night, Gwen, who was 85 years old, died and Daisy phoned the GP who was responsible for providing a service to the hospital. She was told that the GP did not come out at night for a death but would come in the morning. Daisy wanted the patient moved from the four-bedded ward to the mortuary, but was told that the procedures did not permit that until a doctor had certified the death. Daisy felt that it was unsettling to the other patients who knew that Gwen had died. What is the law?

Aged↗
PubMedDate not supplied

Exploring common deficiencies that occur in record keeping.

This article discusses many of the common mistakes which occur in record keeping including absence of clarity, failure to record action taken to meet an identified problem, missing information, significant spelling mistakes and failures in communication. It also considers some of the lessons on record-keeping standards which can be drawn from reports of the Health Service Commissioner (Ombudsman).

Documentation↗
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Documentation standards set by the Clinical Negligence Scheme for Trusts.

This article considers the role of the Clinical Negligence Scheme for Trusts in encouraging the establishment of good standards of documentation in those trusts which are members of its clinical risk pool. It considers its assessment scheme, its standards for record keeping and the role of the NHS Litigation Authority.

Documentation↗
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Abbreviations: the need for legibility and accuracy in documentation.

This article explores the use of abbreviations in health care. It considers the current advice of the Nursing and Midwifery Council against the use of any abbreviations and suggests, in the interests of using time effectively, that it would be wise for directorates within trusts to create a list of approved abbreviations and symbols so that the dangers of misunderstandings are removed. It also considers how the problem of illegibility should be dealt with as a clinical governance issue.

Abbreviations as Topic↗
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Electronic health record and electronic patient record.

This article considers the government plans for the development of electronic health and patient records as set out in the NHS Plan and the progress and problems which have been encountered in their realization.

Computer Security↗