Biomedical subjects
M R Kraft
Publications and source records attributed to M R Kraft.
Refusal of treatment: an ethical dilemma.
When a patient with a new spinal cord injury (SCI) refuses all care, the treatment team struggles with an ethical dilemma. The issues of patients' rights and autonomy are in conflict with the concepts of beneficence and nonmaleficence. Thomasma (1978) recommended a model useful in addressing situations in which values are in conflict. This model for an ethical workup is applied retrospectively to review a specific clinical case. The need to recognize and respect as many ethical principles as possible is identified as useful in reaching some acceptable resolution of an ethical dilemma.
A comparison of Epi-Lock and saline dressings in the treatment of pressure ulcers.
The use of Epi-Lock dressings was compared to moist saline dressings as a treatment for Stage II and III pressure ulcers in 38 patients. Demographic and clinical data were collected at the onset of the investigation. At the time of enrollment and during weeks six, 12 and 24, pressure ulcers were inspected and measured, and laboratory data were collected. More healing occurred with Epi-Lock dressing than with moist saline dressing for Stage II and III pressure ulcers. Although individual Epi-Lock dressings were more expensive than saline dressings, they required less dressing changes. Therefore considering cost of nursing time, Epi-Lock dressings are more cost effective.
Quality monitoring in long-term care.
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Community health nursing education in a long-term-care setting.
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