Results for 'chronic vegetative state'

994 found
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  1.  33
    Chronic vegetative states: Intrinsic value of biological process.Jack P. Freer - 1984 - Journal of Medicine and Philosophy 9 (4):395-408.
    has been put forth by Rolston, which leads to respect for the irreversibly comatose by virtue of the residual biological (objective) life. By comparing objective and subjective life, he develops a naturalistic principle which he contrasts with the humanistic norm of contemporary medical ethics. He claims there are clinical applications which would necessarily follow. A critique of this viewpoint is presented here, which begins with an analysis of what might be of value in spontaneous objective life. A measure of the (...)
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  2.  23
    When No One Notices: Disorders of Consciousness and the Chronic Vegetative State.Joseph J. Fins - 2019 - Hastings Center Report 49 (4):14-17.
    On January 5, 2019, the Associated Press reported that a woman thought to have been in the vegetative state for over a decade gave birth at a Hacienda HealthCare facility. Until she delivered, the staff at the Phoenix center had not noticed that their patient was pregnant. The patient was also misdiagnosed.Misdiagnosis of patients with disorders of consciousness in institutional settings is more the norm than the exception. Misdiagnosis is also connected to a broad and extremely significant change (...)
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  3.  55
    Long-Term (Six Years) Clinical Outcome Discrimination of Patients in the Vegetative State Could be Achieved Based on the Operational Architectonics EEG Analysis: A Pilot Feasibility Study.Andrew A. Fingelkurts, Alexander A. Fingelkurts, Sergio Bagnato, Cristina Boccagni & Giuseppe Galardi - 2016 - The Open Neuroimaging Journal 10:69-79.
    Electroencephalogram (EEG) recordings are increasingly used to evaluate patients with disorders of consciousness (DOC) or assess their prognosis outcome in the short-term perspective. However, there is a lack of information concerning the effectiveness of EEG in classifying long-term (many years) outcome in chronic DOC patients. Here we tested whether EEG operational architectonics parameters (geared towards consciousness phenomenon detection rather than neurophysiological processes) could be useful for distinguishing a very long-term (6 years) clinical outcome of DOC patients whose EEGs were (...)
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  4.  18
    Conscientious Objection to Aggressive Interventions for Patients in a Vegetative State.Jason Adam Wasserman, Abram L. Brummett, Mark Christopher Navin & Daniel Londyn Menkes - forthcoming - American Journal of Bioethics:1-12.
    Some physicians refuse to perform life-sustaining interventions, such as tracheostomy, on patients who are very likely to remain permanently unconscious. To explain their refusal, these clinicians often invoke the language of “futility”, but this can be inaccurate and can mask problematic forms of clinical power. This paper explores whether such refusals should instead be framed as conscientious objections. We contend that the refusal to provide interventions for patients very likely to remain permanently unconscious meets widely recognized ethical standards for the (...)
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  5. Does the four score correctly diagnose the vegetative and minimally conscious states?Richard Malone, Caroline Schnakers & Kathleen Kalmar - unknown
    Wijdicks and colleagues1 recently presented the Full Outline of UnResponsiveness (FOUR) scale as an alternative to the Glasgow Coma Scale (GCS)2 in the evaluation of consciousness in severely brain-damaged patients. They studied 120 patients in an intensive care setting (mainly neuro-intensive care) and claimed that “the FOUR score detects a locked-in syndrome, as well as the presence of a vegetative state.”1 We fully agree that the FOUR is advantageous in identifying locked-in patients given that it specifically tests for (...)
     
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  6. Right (to a) Diagnosis? Establishing Correct Diagnoses in Chronic Disorders of Consciousness.Kirsten Brukamp - 2012 - Neuroethics 6 (1):5-11.
    Chronic disorders of consciousness, particularly the vegetative and the minimally conscious states, pose serious diagnostic challenges to neurologists and clinical psychologists. A look at the concept of “diagnosis” in medicine reveals its social construction: While medical categorizations are intended to describe facts in the real world, they are nevertheless dependent on conventions and agreements between experts and practitioners. For chronic disorders of consciousness in particular, the terminology has proven problematic and controversial over the years. Novel research utilizing (...)
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  7.  34
    Disorders of Consciousness, Past, Present, and Future.Joseph J. Fins - 2019 - Cambridge Quarterly of Healthcare Ethics 28 (4):603-615.
    Abstract:This paper, presented as the 2019 Cambridge Quarterly Neuroethics NetworkCharcot Lecture, traces the nosology of disorders of consciousness in light of 2018 practice guidelines promulgated by the American Academy of Neurology, the American College of Rehabilitation Medicine and the National Institute on Disability, Independent Living and Rehabilitation Research. By exploring the ancient origins of Jennett and Plum’s persistent vegetative state and subsequent refinements in the classification of disorders of consciousness—epitomized by the minimally conscious state, cognitive motor dissociation, (...)
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  8.  22
    End-Of-Life Decisions in Chronic Disorders of Consciousness: Sacrality and Dignity as Factors.Rocco Salvatore Calabrò, Antonino Naro, Rosaria De Luca, Margherita Russo, Lory Caccamo, Alfredo Manuli, Bernardo Alagna, Angelo Aliquò & Placido Bramanti - 2016 - Neuroethics 9 (1):85-102.
    The management of patients suffering from chronic disorders of consciousness inevitably raises important ethical questions about the end of life decisions. Some ethical positions claim respect of human life sacredness and the use of good medical practices require allowing DOC patients to live as long as possible, since no one can arbitrarily end either his/her or others’ life. On the other hand, some currents of thought claim respect of human life dignity, patients’ wishes, and the right of free choice (...)
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  9. The Vegetative State and the Science of Consciousness.Nicholas Shea & Tim Bayne - 2010 - British Journal for the Philosophy of Science 61 (3):459-484.
    Consciousness in experimental subjects is typically inferred from reports and other forms of voluntary behaviour. A wealth of everyday experience confirms that healthy subjects do not ordinarily behave in these ways unless they are conscious. Investigation of consciousness in vegetative state patients has been based on the search for neural evidence that such broad functional capacities are preserved in some vegetative state patients. We call this the standard approach. To date, the results of the standard approach (...)
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  10.  96
    Persistent Vegetative State, Akinetic Mutism and Consciousness.Will Davies & Neil Levy - 2016 - In Walter Sinnott-Armstrong (ed.), Finding Consciousness: The Neuroscience, Ethics, and Law of Severe Brain Damage. Oxford University Press. pp. 122-136.
  11. Persistent vegetative state: Clinical and ethical issues.Gastone G. Celesia - 1997 - Theoretical Medicine and Bioethics 18 (3).
    Coma, vegetative state, lock-in syndrome and akinetic mutism are defined. Vegetative state is a state with no evidence of awareness of self or environment and showing cycles of sleep and wakefulness. PVS is an operational definition including time as a variable. PVS is a vegetative state that has endured or continued for at least one month. PVS can be diagnosed with a reasonable amount of medical certainty; however, the diagnosis of PVS must be (...)
     
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  12. Persistent Vegetative State, Prospective Thinking, and Advance Directives.Thomas A. Mappes - 2003 - Kennedy Institute of Ethics Journal 13 (2):119-139.
    : This article begins with a discussion of persistent vegetative state (PVS), focusing on concerns related to both diagnosis and prognosis and paying special attention to the 1994 Multi-Society Task Force report on the medical aspects of PVS. The article explores the impact of diagnostic and prognostic uncertainties on prospective thinking regarding the possibility of PVS and considers the closely related question of how prospective thinkers might craft advance directives in order to deal most effectively with this possibility.
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  13.  77
    The Vegetative State: Medical Facts, Ethical and Legal Dilemmas.Bryan Jennett - 2002 - Cambridge University Press.
    A survey of the medical, ethical and legal issues that surround this controversial topic.
  14. Vegetative State – The Untold Story.Jacqueline A. Laing - 2002 - New Law Journal 152:1272.
    Airedale NHS Trust v Bland establishes three principles among which is the controversial idea that people in a PVS, though not dying, have no best interests and no meaningful life. Accordingly, it is argued, they may have their food and fluids, whether delivered by tube or manually, removed, with the result that they die. Laing challenges this view arguing that not only is this bad medical science, it is unjustly discriminatory and at odds with our duties to the severely disabled. (...)
     
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  15.  36
    Persistent vegetative state, withdrawal of artificial nutrition and hydration, and the patient's "best interests".R. Gillon - 1998 - Journal of Medical Ethics 24 (2):75-76.
  16.  3
    Persistent Vegetative State: Clinical and Ethical Issues.Gastone G. Celesia - 1997 - Theoretical Medicine 18 (3):221-236.
    Coma, vegetative state, lock-in syndrome and akinetic mutism are defined. Vegetative state is a state with no evidence of awareness of self or environment and showing cycles of sleep and wakefulness. PVS is an operational definition including time as a variable. PVS is a vegetative state that has endured or continued for at least one month. PVS can be diagnosed with a reasonable amount of medical certainty; however, the diagnosis of PVS must be (...)
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  17.  8
    Persistent Vegetative State: A Presumption to Treat.Massimo Reichlin & Paolo Cattorini - 1997 - Theoretical Medicine 18 (3):263-281.
    The article briefly analyzes the concept of a person, arguing that personhood does not coincide with the actual enjoyment of certain intellectual capacities, but is coextensive with the embodiment of a human individual. Since in PVS patients we can observe a human individual functioning as a whole, we must conclude that these patients are still human persons, even if in a condition of extreme impairment. It is then argued that some forms of minimal treatment may not be futile for these (...)
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  18.  26
    Vegetative States in Children.Geoffrey Miller & Stephen Ashwal - forthcoming - Pediatric Bioethics.
  19.  22
    Persistent vegetative state and withdrawal of nutrition and hydration.R. Gillon - 1993 - Journal of Medical Ethics 19 (2):67-68.
  20.  27
    Persistent vegetative state and minimally conscious state: ethical, legal and practical dilemmas.Lindy Willmott & Ben White - 2017 - Journal of Medical Ethics 43 (7):425-426.
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  21. Persistent vegetative state: A presumption to treat.Paolo Cattorini & Massimo Reichlin - 1997 - Theoretical Medicine and Bioethics 18 (3).
    The article briefly analyzes the concept of a person, arguing that personhood does not coincide with the actual enjoyment of certain intellectual capacities, but is coextensive with the embodiment of a human individual. Since in PVS patients we can observe a human individual functioning as a whole, we must conclude that these patients are still human persons, even if in a condition of extreme impairment. It is then argued that some forms of minimal treatment may not be futile for these (...)
     
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  22.  91
    Brain function in coma, vegetative state, and related disorders.Steven Laureys, Adrian M. Owen & Nicholas D. Schiff - 2004 - Lancet Neurology 3:537-546.
  23.  69
    Tube Feedings and Persistent Vegetative State Patients: Ordinary or Extraordinary Means?Peter Clark - 2006 - Christian Bioethics 12 (1):43-64.
    This article looks at the late John Paul II's allocution on artificial nutrition and hydration (ANH) and the implications his statement will have on the ordinary-extraordinary care distinction. The purpose of this article is threefold: first, to examine the medical condition of a persistent vegetative state (PVS); second, to examine and analyze the Catholic Church's tradition on the ordinary-extraordinary means distinction; and third, to analyze the ethics behind the pope's recent allocution in regards to PVS patients as a (...)
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  24.  14
    Persistent vegetative state: A syndrome in search of a name, or a judgement in search of a syndrome?Chris Borthwick - 1995 - Monash Bioethics Review 14 (2):20-25.
  25.  14
    Recovery from Persistent Vegetative State?: The Case of Carrie Coons.Bonnie Steinbock - 1989 - Hastings Center Report 19 (4):14-15.
    How reliable is a diagnosis of irreversible unconsciousness? In a unique case in New York, a state Supreme Court judge vacated an order allowing removal of life‐sustaining treatment after Carrie Coons showed signs of recovery from a diagnosed vegetative state.
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  26.  16
    Memory During the Presumed Vegetative State: Implications for Patient Quality of Life.Nicola Taylor, Mackenzie Graham, Mark Delargy & Lorina Naci - 2020 - Cambridge Quarterly of Healthcare Ethics 29 (4):501-510.
    A growing number of studies show that a significant proportion of patients, who meet the clinical criteria for the diagnosis of the vegetative state, demonstrate evidence of covert awareness through successful performance of neuroimaging tasks. Despite these important advances, the day-to-day life experiences of any such patient remain unknown. This presents a major challenge for optimizing the patient’s standard of care and quality of life. We describe a patient who, following emergence from a state of complete behavioral (...)
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  27. Understanding the persistent vegetative state and the ethics of care for its patients.Norman Ford - 2015 - The Australasian Catholic Record 92 (3):317.
    Ford, Norman In 1972 Brian Jennett and Fred Plum recommended the term 'persistent vegetative state' to describe a state of continuing 'wakefulness without awareness', which can follow a variety of severe insults to the brain. Their description of the syndrome has stood the test of time, but PVS continues to be a source of medical, legal, and ethical debate.
     
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  28. More dead than dead? Attributing mentality to vegetative state patients.Anil Gomes, Matthew Parrott & Joshua Shepherd - 2016 - Philosophical Psychology 29 (1):84-95.
    In a recent paper, Gray, Knickman, and Wegner present three experiments which they take to show that people perceive patients in a persistent vegetative state to have less mentality than the dead. Following on from Gomes and Parrott, we provide evidence to show that participants' responses in the initial experiments are an artifact of the questions posed. Results from two experiments show that, once the questions have been clarified, people do not ascribe more mental capacity to the dead (...)
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  29. Resolving the Ethical Quagmire of the Persistent Vegetative State.Ognjen Arandjelović - 2023 - Journal of Evaluation in Clinical Practice.
    A patient is diagnosed with the persistent vegetative state (PVS) when they show no evidence of the awareness of the self or the environment for an extended period of time. The chance of recovery of any mental function or the ability to interact in a meaningful way is low. Though rare, the condition, considering its nature as a state outwith the realm of the conscious, coupled with the trauma experienced by the patient's kin as well as health (...)
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  30.  31
    Death, Brain Death, and Persistent Vegetative State.Jeff McMahan - 1998 - In Helga Kuhse & Peter Singer (eds.), A Companion to Bioethics. Malden, Mass., USA: Wiley-Blackwell. pp. 286–298.
    This chapter contains sections titled: The Concept of Brain Death and its Appeal A Critique of Brain Death What Kind of Entity Are We? Persistent Vegetative State References Further Reading.
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  31.  83
    The Chief Role of Frontal Operational Module of the Brain Default Mode Network in the Potential Recovery of Consciousness from the Vegetative State: A Preliminary Comparison of Three Case Reports.Andrew A. Fingelkurts, Alexander A. Fingelkurts, Sergio Bagnato, Cristina Boccagni & Giuseppe Galardi - 2016 - The Open Neuroimaging Journal 10:41-51.
    It has been argued that complex subjective sense of self is linked to the brain default-mode network (DMN). Recent discovery of heterogeneity between distinct subnets (or operational modules - OMs) of the DMN leads to a reconceptualization of its role for the experiential sense of self. Considering the recent proposition that the frontal DMN OM is responsible for the first-person perspective and the sense of agency, while the posterior DMN OMs are linked to the continuity of ‘I’ experience (including autobiographical (...)
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  32.  32
    The Persistent Vegetative State: The Medical Reality (Getting the Facts Straight).Ronald E. Cranford - 1988 - Hastings Center Report 18 (1):27-28.
  33. Pascal's Wager and the persistent vegetative state.Jim Stone - 2007 - Bioethics 21 (2):84–92.
    I argue that a version of Pascal's Wager applies to the persistent vegetative state with sufficient force that it ought to part of advance directives.
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  34.  79
    Withdrawal of artificial nutrition and hydration for patients in a permanent vegetative state: Changing tack.Catherine Constable - 2010 - Bioethics 26 (3):157-163.
    In the United States, the decision of whether to withdraw or continue to provide artificial nutrition and hydration (ANH) for patients in a permanent vegetative state (PVS) is placed largely in the hands of surrogate decision-makers, such as spouses and immediate family members. This practice would seem to be consistent with a strong national emphasis on autonomy and patient-centered healthcare. When there is ambiguity as to the patient's advanced wishes, the presumption has been that decisions should weigh in (...)
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  35. The French Vegetative State.M. H. Boucand & P. Ver Le Gall - forthcoming - Hastings Center Report.
  36.  24
    Neurology, Neuroethics, and the Vegetative State.Christopher M. Mahar - 2012 - The National Catholic Bioethics Quarterly 12 (3):477-488.
    This paper examines neuroethics as a discipline in which ongoing formation and development in both ethics and medicine are shedding new light on the care of patients diagnosed as being in a vegetative state. From the perspective of the Catholic moral tradition, the author proposes that ethics and recent developments in functional neuroimaging form a complementary relationship that gives rise to an ethical imperative: because we can care for patients in a vegetative state, we should do (...)
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  37. The persistent vegetative state.David L. Coulter - 2010 - In Sandra L. Friedman & David T. Helm (eds.), End-of-life care for children and adults with intellectual and developmental disabilities. Washington, DC: American Association on Intellectual and Developmental Disabilities.
  38. Diagnosing the permanent vegetative state.Ronald Cranford - 2006 - In Arthur L. Caplan, James J. McCartney & Dominic A. Sisti (eds.), The Case of Terri Schiavo: Ethics at the End of Life. Prometheus Books.
     
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  39.  34
    Consciousness, coma, and the vegetative state: Physical basis and definitional character.C. M. de Giorgio & M. F. Lew - 1991 - Issues in Law and Medicine 6:361-371.
  40.  31
    Best interests in persistent vegetative state.A. J. Fenwick - 1999 - Journal of Medical Ethics 25 (1):59-60.
  41.  2
    Tube Feeding and the “VegetativeState.William E. May - 1998 - Ethics and Medics 23 (12):1-2.
  42.  2
    Tube Feeding and the “Vegetative State”.William E. May - 1999 - Ethics and Medics 24 (1):3-4.
  43. Postmodernism and the Persistent Vegetative State.Rev Joseph Torchia - 2002 - The National Catholic Bioethics Quarterly 2 (2):257-275.
     
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  44.  4
    The French vegetative state.Sandro Spinsanti & Angela Schneider O'Connell - 1992 - Hastings Center Report 22 (4):36.
  45.  38
    Best interests and persistent vegetative state.J. A. Stewart - 1998 - Journal of Medical Ethics 24 (5):350-350.
  46.  57
    Court applications for withdrawal of artificial nutrition and hydration from patients in a permanent vegetative state: family experiences.Celia Kitzinger & Jenny Kitzinger - 2016 - Journal of Medical Ethics 42 (1):11-17.
    Withdrawal of artificially delivered nutrition and hydration (ANH) from patients in a permanent vegetative state (PVS) requires judicial approval in England and Wales, even when families and healthcare professionals agree that withdrawal is in the patient9s best interests. Part of the rationale underpinning the original recommendation for such court approval was the reassurance of patients’ families, but there has been no research as to whether or not family members are reassured by the requirement for court proceedings or how (...)
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  47.  23
    Postmodernism and the Persistent Vegetative State.Joseph Torchia - 2002 - The National Catholic Bioethics Quarterly 2 (2):257-275.
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  48.  49
    Morally Managing Medical Mistakes.Martin L. Smith & Heidi P. Forster - 2000 - Cambridge Quarterly of Healthcare Ethics 9 (1):38-53.
    Mistakes and errors happen in most spheres of human life and activity, including in medicine. A mistake can be as simple and benign as the collection of an extra and unnecessary urine sample. Or a mistake can cause serious but reversible harm, such as an overdose of insulin in a patient with diabetes, resulting in hypoglycemia, seizures, and coma. Or a mistake can result in serious and permanent damage for the patient, such as the failure to consider epiglottitis in an (...)
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  49.  7
    The persistent vegetative state.D. S. Short - 1991 - Ethics and Medicine: A Christian Perspective on Issues in Bioethics 7 (3):39.
  50.  30
    Moral dilemmas and conflicts concerning patients in a vegetative state/unresponsive wakefulness syndrome: shared or non-shared decision making? A qualitative study of the professional perspective in two moral case deliberations.Conny A. M. F. H. Span-Sluyter, Jan C. M. Lavrijsen, Evert van Leeuwen & Raymond T. C. M. Koopmans - 2018 - BMC Medical Ethics 19 (1):1-12.
    Patients in a vegetative state/ unresponsive wakefulness syndrome (VS/UWS) pose ethical dilemmas to those involved. Many conflicts occur between professionals and families of these patients. In the Netherlands physicians are supposed to withdraw life sustaining treatment once recovery is not to be expected. Yet these patients have shown to survive sometimes for decades. The role of the families is thought to be important. The aim of this study was to make an inventory of the professional perspective on conflicts (...)
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