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R D Orr

Publications and source records attributed to R D Orr.

At least 55 records · Page 3Linked to original sources
PubMed1994

Post-Christian bioethics.

Agreeing in large part with Cameron, Robert D. Orr nonetheless raises some questions. He points out the theological origins of bioethics in the 1960s, while admitting that the field has since become secularized. Autonomy's challenge to Hippocratic paternalism has brought real benefits but also abuses. Bioethics addresses more than procedural matters; it deals in issues of real substance.

Bioethics↗
PubMed1993

Effectiveness of an ethics consultation service.

BACKGROUND: Ethics consultation is a relatively new service in clinical medicine. Most such services have been developed in departments of internal medicine. Few studies have evaluated the results of such consultations, and none have examined whether a family practice perspective enhances the consultation process. METHODS: An ethics consultation service was established in the Department of Family Medicine at Loma Linda University School of Medicine in 1990. Data were collected from the consultations performed during the first year. A questionnaire was sent to the attending physicians for their evaluation of the service. RESULTS: Ethics consultations were provided to the health care teams of 46 patients in five clinical departments. The attending physicians found the consultations to be important in clarifying ethical issues, educating the team, increasing confidence in decisions, and in patient management in more than 90% of the cases; however, the consultations resulted in significant changes in patient management only 36% of the time. CONCLUSIONS: It is feasible to establish an ethics consultation service within a department of family medicine in a university hospital and to provide consultations to physicians in other specialties.

Academic Medical Centers↗
PubMed1990

Planetree update.

Explore the source record for details and available documents.

California↗
PubMed1989

Ethics committees in small hospitals.

Ethics committees at small hospitals confront most of the same ethical dilemmas present at large hospitals, but must usually deal with them with fewer resources and less access to recognized expertise. Nonetheless small hospital committees can function effectively in the areas of education, policy deliberation, and case consultation. The development of ethics committees at two small Vermont hospitals is described, noting some of the problems associated with smallness and making suggestions about how to surmount them.

Ethics↗
PubMed1979

Nutritional care in pregnancy: the patient's view. I. Amount, type, and sources of dietary advice and treatment.

Interviews were conducted with ninety-two pregnant women who attended an out-patient clinic of a major obstetrical teaching hospital. All were between thirty-four and thirty-eight weeks pregnant when interviewed. Information was obtained on the amount, type, and sources of professional dietary advice; current dietary treatments; and the patterns and nature of the patients' contacts with dietitian. The dietitian was the major source of prenatal dietary advice. Only one-third of subjects received additional advice from other professionals, usually the nurse. Physicians were rarely identified as a source of dietary advice. Approximately one-third of subjects reported receiving dietary instructions to restrict intakes of calories and/or sodium. Physicians instituted these restrictions more frequently than did nurses. Few patients were referred to the dietitian for advice on these diets. Multivitamin and iron supplements were prescribed routinely. Three-quarters of subjects made at least one visit to the nutrition service, generally early in their prenatal care. For most subjects, this was their first experience with a dietitian. Nurses made considerably more referrals to the dietitian than did physicians. There would appear to be a need to educate other health professionals, especially physicians, on the advantages of more liberal diets and weight gain in pregnancy and on the special skills of the dietitian in promoting sound nutritional habits.

Adolescent↗
PubMed1979

Nutritional care in pregnancy: the patient's view. II. Perceptions, satisfaction, and response to dietary advice and treatment.

Ninety-two pregnant women attending the out-patient clinic of a major obstetrical teaching hospital were interviewed. Information on their perception of diet during pregnancy, response to dietary advice, and satisfaction with the type and amount of dietary information given was collected. Almost all subjects considered diet to be important during pregnancy. Prenatal dietary advice was perceived as somewhat restrictive, and for approximately a third of the subjects, compliance with dietary advice was a serious concern. Most subjects indicated making some dietary changes during pregnancy, usually as a result of the advice received. Poor compliance was reported with iron supplementation, and many of the women attributed adverse symptoms to this medication. Subjects appeared more satisfied with the amount than the type of dietary advice received, and negative or noncommittal attitudes toward nutrition services were expressed by half of the subjects. Feeling of guilt, attitudes of other professionals, and perceived difficulties of complying with dietary instructions were the major reasons given for these negative feelings. Rescheduling and better integration of nutrition services in the prenatal visit are suggested to improve patient satisfaction with dietary counseling.

Adolescent↗