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Biomedical subjects

C M Hertogh

Publications and source records attributed to C M Hertogh.

16 recordsLinked to original sources
PubMed1996

Ethical aspects of medical decision-making in demented patients: a report from the Netherlands.

In the Netherlands, the medical care of demented patients in the last phase of their life is very often the responsibility of the nursing home physician. Against the background of the public debate on euthanasia and related end-of-life decisions, this article discusses the ethical problems encountered in this field of medicine. Special attention is given to the problems of prognosis and the possible contribution of living wills to decision-making on behalf of incompetent demented patients.

Aged↗
PubMed1995

[Delirium in the elderly and DSM IV: is there clarity about confusion?].

On the occasion of the recent presentation of DSM IV, this article offers survey of current insights concerning delirium, an important psychogeriatric disorder. Compared with DSM III and IIIR, diagnostic criteria in DSM IV have been enlarged and simplified. This has been done in order to improve clinical diagnosis, especially of mild manifestations of delirium. Also, some of the former criteria were rather ambiguous and could easily be attributed to preexisting medical conditions. DSM IV diagnostic criteria for delirium allow consideration of this diagnosis, even in the absence of indications for a presumed organic etiological factor. This will facilitate future research into the etiological contribution of non-organic factors. Scientific research over the past decades strongly suggests that delirium in the elderly is far from a benign transient disorder. Besides adequate diagnosis and treatment, preventive measures are therefore of equal relevance.

Aged↗
PubMed1984

Spina bifida: feelings, opinions and expectations of parents.

Interviews with sixty-seven parents of spina bifida children show that a common problem is "shared parenthood" which, in turn, contributes to the child's difficulty in finding its own identity. The history of the parents after the birth of an affected child follows a pattern typified by "breaking points." At these points the parents reformulate the aim of management. When the physicians are unaware of these new aims and continue their regular treatment, they make it impossible for the parents to face the incurability of their child. This gives the physicians a continued responsibility, not unlike the decision to treat after birth.

Adolescent↗