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Abortion, Disability Rights, and Reproductive Justice
Published in Joel Michael Reynolds, Christine Wieseler, The Disability Bioethics Reader, 2022
Modern pregnancy involves forms of monitoring, diet management, and genetic technologies that are routinely used to ensure healthy pregnancies and babies. Consequently, pregnant people are faced with individual care choices that bear on their own individual lives and which are often undertaken under conditions of profoundly unequal and under-resourced social worlds. It is possible for a person to, on the one hand, feel abject horror at the systematic elimination of disabled people whose lives they sincerely value and to, on the other hand, live in communities with scarce disability resources, underfunded public schools, inadequate healthcare, and without the networks of companionship and formal and informal kinds of care that might (they don’t know for sure—this person recognizes the unknowability of the future needs a child might have) be required in order for their child to flourish.
Everyday reality at nursing home care facilities experienced during the COVID-19 pandemic
Published in Maria Łuszczyńska, Marvin Formosa, Ageing and COVID-19, 2021
Małgorzata Halicka, Jerzy Halicki, Krzysztof Czykier
Men said that they often felt lonely more frequently than women. Most women, on the other hand, feel lonely at times. Statistical analysis shows a strong relationship between these variables (Ckor = 0.64) and the differences are statistically significant (df = 3; p = 0.0112). Several of the surveyed men stated that they did not experience a sense of loneliness. There were also those who were unable to take an unequivocal position on this issue. The account of a social worker explains this situation in a way. In his opinion, At the stage of introducing further restrictions in the facility, resulting from the general epidemiological situation in the country, a coronavirus outbreak in the facility and staff shortages, the feeling of institutionalization and isolation of the residents was growing. For safety reasons, the activities of therapeutic and physiotherapy laboratories and the gym were suspended. The residents were not able to go out into the fresh air. Thus, social rehabilitation, that is, the organized interdisciplinary work ofempowering residents, treating the participant in a holistic manner, was not possible to a wider extent. This resulted in loneliness, decreased activity, frequent mood swings, depression, as well as excessive agitation, and in extreme cases even acts of aggression.
Examination of Knee Joint in a Child
Published in Nirmal Raj Gopinathan, Clinical Orthopedic Examination of a Child, 2021
The stability of the knee is assessed by applying valgus stress to an extended knee and one that is flexed 30° (Figure 10.16). The posteromedial capsule is an important structure that protects against valgus stress in the knee-extended position; when the knee is flexed, the posteromedial capsule is relaxed and does not participate in restraining valgus stress. Both tests are performed in supine position. A 30° test is typically for MCL and performed first. Keep the hip slightly abducted and flexed. The examiner stabilizes the leg between the waist and elbow. With one hand, feel the medial joint line opening and with the opposite hand, support the leg while the valgus stress is being exerted. In a bulky patient, the thigh may be rested on the table while the ankle and foot are supported by the examiner. Valgus stress in full extension is then applied. Opening of the medial joint line in full extension is suggestive of complete MCL rupture (grade III) and PMC damage. ACL injury, PCL injury, or patellar instability may also be associated.
The Role of Suffering in the “Tired of Life” Debate
Published in The American Journal of Bioethics, 2022
Guy Widdershoven, Aartjan Beekman, Natalie Evans, Sisco van Veen
In the Netherlands, assistance in suicide is forbidden by criminal law. Since the 1970s, through court cases against physicians who had assisted patients in dying on their request, physicians have acquired an exceptional position. It was recognized that physicians can experience a conflict of duties, when they on the one hand feel the need to help patients who suffer from refractory illnesses, and on the other hand are obliged to protect the life of their patients. This resulted in jurisprudence exempting a physician from legal punishment if (s)he has acted in line with so-called due care criteria. The jurisprudence criteria formed the basis of the euthanasia law, which was passed in 2002. One requirement is that the physician must be convinced that the patient’s request is voluntary and well-considered. Another requirement is that the physician must be convinced that the patient’s suffering is unbearable and irremediable. This requirement means that suffering is central to the ethical justification of euthanasia. In other words, the goal of euthanasia is not to end life, but to end suffering.
When Desire Fades: Women Talk About Their Subjective Experience of Declining Sexual Desire in Loving Long-term Relationships
Published in The Journal of Sex Research, 2021
Avigail Moor, Yael Haimov, Shaked Shreiber
Some women experienced frustration as a result of the disparity in desire. This reaction related, above all, to the unpleasantness of not satisfying their partner’s needs: It is not pleasant to reject someone, especially someone you love. It often creates a situation that is uncomfortable for me, that he wants sex and I don’t, and I feel frustrated and think that maybe I’ll just make him a gesture (Maya).I feel a lot of frustration … I did not understand what had happened to me, why I didn’t feel like it anymore … I can also say that it feels unfair toward my partner … he has such needs and I, on the other hand, feel the exact opposite from him (Tammy).
Current devices used for the monitoring of injection pressure during peripheral nerve blocks
Published in Expert Review of Medical Devices, 2018
The use of PNBs is rapidly increasing as evidence accumulates demonstrating reduced morbidity and mortality, as well as improved overall outcomes [35–37]. This expansion may be further compounded by the expected exponential rise in total joint replacements in the next decade, as these procedures frequently employ nerve blocks for postoperative pain [38]. Anesthesiologists are now finding themselves in a novel situation: rather than facing an uphill battle when advocating for the use of nerve blocks, these techniques are now expected components of the perioperative experience, and there is pressure from surgical colleagues, hospital administration and the patients themselves to provide these services [39]. However, training in these techniques is dramatically inconsistent [40], and the potential exists for inexperienced clinicians to cause harm in their enthusiasm for performing nerve block techniques. Frequently, it is a non-anesthesiologist who is tasked with pushing the syringe plunger, and these individuals may lack training and experience in the nuances of subjective ‘hand feel.’ Objective monitoring of injection pressure is simple, inexpensive and has been shown to prevent needle-nerve contact and/or injury in both humans and animals. Although relatively new, the concept of injection pressure monitoring is one that has seen rapid growth and is expected to grow even further, as evidenced by the introduction of devices designed specifically for use during nerve blocks.