Global ETD Search

381	Vad patienten vill och vad patienten får : En litteraturöversikt om dödshjälp / What the patient wants and what the patient gets : A literature review about Euthanasia Stenberg, Anna, Sundström, Elisabeth January 2017 (has links) Background: In 1997 it became legal for patients with a terminal illness to receive assistance to end their lives in Oregon, USA. The same legislative change came into force in the Netherlands in 2002. These changes have not occurred in Sweden, however a debate is ongoing in terms of the option to legalise active and physician assisted suicide and the ethical and moral aspects of this issue. Aim: The aim is to identify factors leading to patients with a diagnosis of cancer or ALS requesting assistance to end their lives. Method: A literature review and analysis was carried out, in combination with an overview of 11 ethically audited scientific articles. Results: The conclusion was divided into four main themes; depression and burden without a sub theme, pain with sub themes suffering and fatigue, existential values with sub theme hope and hopelessness and finally quality of life with the sub theme strength. Discussion: There is an evident interest in the discussion about legalising assisted suicide in Sweden, amongst patients as well as medical professionals. The patient's desire may be overridden as the subject is tabooed, thereby reducing patient autonomy and the patient´s right to self-determination. Patients' attitude towards death assistance has been discussed on the basis of theories of Helga Kuhse, Katie Eriksson and ICN's ethical code. / Bakgrund: År 1997 blev det lagligt för en patient med obotlig sjukdom att få hjälp att avsluta sitt liv i delstaten Oregon i USA. I Nederländerna blev detta ett lagligt alternativ 2002. I Sverige är detta inte lagligt men det pågår en debatt om legaliseringen av aktiv och läkarassisterad dödshjälp ur ett etiskt och moraliskt perspektiv. Syfte: Syftet är att identifiera faktorer till varför patienter med cancer eller ALS ber om dödshjälp. Metod: En litteraturöversikt gjordes med en analys och en sammanställning av 11 etiskt granskade vetenskapliga artiklar. Resultat: Resultatet delades in i fyra huvudteman där tre teman hade underteman. Det första huvudtemat depression och börda hade inget undertema. Det andra huvudtemat smärta har följande underteman: lidande och fatigue. Det tredje huvudtemat existentiella värderingar har undertemat: hopp och hopplöshet och slutligen det fjärde huvudtemat livskvalitet har styrka som undertema. Diskussion: Ett intresse angående en legalisering av dödshjälp finns i Sverige hos både patienter och vårdpersonal. Patientens önskan kan bli åsidosatt då ämnet är tabubelagt och genom detta kan patientens autonomi och rätten till hens självbestämmande sänkas. Patienternas inställning till dödshjälp har diskuterats utifrån teorier av Helga Kuhse, Katie Eriksson och ICN´s etiska kod. ALS Autonomy Cancer Cancer patients End of life Euthanasia Hasten death Oregon death with dignity Patient Physician assisted Physician assisted suicide Wish to die Wish to hasten death ALS Autonomi Cancer Cancerpatienter Livets slut Dödshjälp Påskyndad död Oregon död med värdighet Patient Läkarassisterat Läkarassisterat suicid Önskar att dö Önskan om påskyndad död Nursing Omvårdnad
382	Legal issues relating to the treatment of persons living with cancer Maimela, Charles 06 1900 (has links) Cancer is regarded as a global disease and one of the leading killer diseases in the world. The reason why cancer is so widespread and often misunderstood stems from multiple factors, namely, the lack of knowledge about cancer, unfair discrimination of persons living with cancer, inadequate or inappropriate treatment provided to patients, the stigma attached to cancer, misdiagnosis and late diagnosis of persons living with cancer, as well as the inadequate provision of screening programs to detect cancer at an early stage. The combination of these issues raises alarming medico-legal problems that merit further attention. The thesis will explore the origin, nature, philosophical and clinical aspects pertaining to cancer, as well as legal issues related to cancer and oncology. The study will conclude with recommendations aimed at mitigating and addressing the shortcomings that exist in the medico-legal framework. The study will also draw on a legal comparison of relevant South African, English and American laws and regulations. Since this thesis entails focussing on medico-legal principles, the study will draw on aspects of medical law, labour law, law of contract, law of delict, constitutional law and criminal law. / Private Law / LL. D. Cancer Breast cancer Lung cancer Liver cancer Cervical cancer Colorectal cancer Prostate cancer oncologist Oncology Human rights law Medical law Oncologist malpractice Discrimination Unfair labour practices Unfair dismissal Inherent requirements of the job Cancer registry Informed consent Negligence Unlawfulness Causation Wrongfulness Unprofessional conduct Expert witness 344.4197 Unfair labor practices -- South Africa Unfair labor practices -- Great Britain Unfair labor practices -- United States Human rights -- South Africa Human rights -- Great Britain Human rights -- United States Cancer Association of South Africa
383	Cultural factors associated with management of a breast lump amongst Xhosa women Mdondolo, Nosipho 01 1900 (has links) A qualitative research design and an ethno-nursing research method were used to identify cultural factors influencing Xhosa women's health seeking behaviours associated with breast lumps. Focus group interviews were conducted to obtain data. The research results revealed that these Xhosa women with breast lumps did not disclose some cultural factors which influenced their health seeking behaviours associated breast lumps. Registered nurses, sharing the same culture and language as the Xhosa women, revealed that Xhosa women with breast lumps sought treatment from traditional healers, prior to seeking medical care from the hospital and/or clinics. When they arrive at the hospital/clinics the breast lumps have often progressed to advanced ulcerated breast cancer, with poor prognoses and poor treatment outcomes. Xhosa women lacked knowledge about the management of breast lumps. Health promotion efforts should address this issue at Primary Health Care services in the Eastern Cape. / Health Studies / M.A. (Health Studies) Health seeking behaviours Xhosa women Advanced breast cancer Cultural factors Intra-personal factors 616.99449096875 Cancer -- Patients -- Social conditions
384	Die Begleitung von Schwerkranken und Sterbenden unter Berücksichtigung des Copingmodells von Richard S. Lazarus und dessen Bedeutung für die Seelsorgearbeit = Pastoral counselling of seriously ill and dying humans with regard to the "coping model" by Richard S. Lazarus and its significance for spiritual guidance / Pastoral counselling of seriously ill and dying humans with regard to the "coping model" by Richard S. Lazarus and its significance for spiritual guidance Menn, Gerhard 07 December 2007 (has links) Text in German / Forschungsgegenstand dieser Arbeit ist das Bewältigungsverhalten von schwer kranken und sterbenden Menschen, die in einer Gesellschaft ihren bevorstehenden Tod bewältigen müssen, die ambivalent mit dieser Thematik umgeht. Die unterschiedlichen menschlichen Bewältigungsformen können mit den bisher gängigen Zugangswegen über Phasenmodelle nicht immer befriedigend erklärt werden. Hilfreich erscheint hier das aus der Stressforschung stammende Copingmodell von Richard S. Lazarus und seiner Forschungsgruppe, um Menschen verstehen zu lernen. In wieweit dieses Verstehensmodell aus einem säkularen Forschungszweig für die Seelsorgearbeit unterstützend sein kann, soll in dieser Arbeit geklärt werden. Als Grundlage dienen Seelsorgegespräche mit unterschiedlichen Menschen, die eine große Bandbreite an Bewältigungsverhalten demonstrierten. Die Herausforderung lag darin, Menschen in ihrem Sterben umfassend wahrzunehmen, um möglichst viele Impulse zu erkennen, die ihr Bewältigungsverhalten beeinflussten. Aus der Aufarbeitung dieses Verhaltens ergaben sich Perspektiven für die Begleitung sterbender Menschen. Dies hat gleichbedeutend Konsequenzen für den seelsorgerlichen Umgang mit Sterbenden. Das Wissen um das christlich-biblische Menschenbild und die umfassende Kenntnis der Copingforschung können sich durchaus gegenseitig befruchten, denn beide gehen auf die Individualität des Menschen ein und unterstützen ihn seinen eigenen Zugang zu seinem Leben und seinem Tod finden zu lassen. Dies führt letztlich zu einer intensiven Kommunikation zwischen Patient und Seelsorger, der den Mut und das Vertrauen haben darf, dem Sterbenden eigenständig sein Leben bewältigen zu lassen. Die Ansätze der Copingforschung bieten weitreichende Impulse für vielfältige seelsorgerliche Fragestellungen auch außerhalb der Sterbebegleitung. Object of research of this thesis is the specific behaviour of seriously ill and dying humans coping with their impending death and being members of a society having an ambivalent attitude towards death. People's different and individual ways of coping cannot always be sufficiently explained by the current use of phasing models. In this context the "Coping Model" by Richard S. Lazarus and his stress research group seems to be helpful in understanding dying humans. In how far this comprehension model from a secular branch of research can be supportive of pastoral counselling is the objective of this thesis. Counselling dialogues with different persons who show a wide range of coping form the basis of this research. The challenge of this paper was to observe and sense humans in their death experiences from a broader point of view in order to identify as much as possible kinds of impulses crucial to their coping behaviour. Analysing the behaviour of dying humans led to new perspectives on spiritual guidance. Tantamountly, this has its consequences for spiritual dealing with dying humans. The comprehension of the biblical Christian idea of man and a detailed knowledge of coping research can, by all means, be interactive and thus show positive results as both respond to a person's individuality and support them in their own ways of approach to life and death. Finally, this leads to an intensive dialogue between patient and pastor who can have the courage and the confidence in letting the person find his own way of coping. The different kinds of approach of the coping model research offer far-reaching impulses to various pastoral questions going even beyond terminal care. / Philosophy, Practical & Systematic Theology / D.Th. (Practical Theology) Abwehr Allgemeines Adaptionssyndrom Angst Auferstehung BeFo Begleiten Bewältigungsformen Distress Eustress Heilsdimension Kognitive Bewertung Kommunikation Krebskranke Elisabeth Kübler-Ross Richard S. Lazarus Menschenbild Schwerkranke Seelsorge Sterbebegleitung Sterben Sterbephasen Stress Tod Transaktionales Stresskonzept Wahrnehmung Defence/Repulsion General Adaption Syndrome Fear Resurrection Counselling Coping Models Coping Positive Stress Healing Dimension Cognitive Assessment Communication Cancer Patients Idea of Man Terminal Ill Terminal Care Dying Phases of Dying Death Transactional Stress Concept Perception 259.4175 Lazarus, Richard S. Kübler-Ross, Elisabeth Church work with the terminally ill Terminally ill -- Pastoral counseling of Terminally ill -- Mental health Death -- Psychological aspects
385	Cultural factors associated with management of a breast lump amongst Xhosa women Mdondolo, Nosipho 01 1900 (has links) A qualitative research design and an ethno-nursing research method were used to identify cultural factors influencing Xhosa women's health seeking behaviours associated with breast lumps. Focus group interviews were conducted to obtain data. The research results revealed that these Xhosa women with breast lumps did not disclose some cultural factors which influenced their health seeking behaviours associated breast lumps. Registered nurses, sharing the same culture and language as the Xhosa women, revealed that Xhosa women with breast lumps sought treatment from traditional healers, prior to seeking medical care from the hospital and/or clinics. When they arrive at the hospital/clinics the breast lumps have often progressed to advanced ulcerated breast cancer, with poor prognoses and poor treatment outcomes. Xhosa women lacked knowledge about the management of breast lumps. Health promotion efforts should address this issue at Primary Health Care services in the Eastern Cape. / Health Studies / M.A. (Health Studies) Health seeking behaviours Xhosa women Advanced breast cancer Cultural factors Intra-personal factors 616.99449096875 Cancer -- Patients -- Social conditions
386	Begleitung von Schwerkranken und Sterbenden unter Berücksichtigung des Copingmodells von Richard S. Lazarus und dessen Bedeutung für die Seelsorgearbeit / Pastoral counselling of seriously ill and dying humans with regard to the "coping model" by Richard S. Lazarus and its significance for spiritual guidance Menn, Gerhard 07 December 2007 (has links) Text in German / Forschungsgegenstand dieser Arbeit ist das Bewältigungsverhalten von schwer kranken und sterbenden Menschen, die in einer Gesellschaft ihren bevorstehenden Tod bewältigen müssen, die ambivalent mit dieser Thematik umgeht. Die unterschiedlichen menschlichen Bewältigungsformen können mit den bisher gängigen Zugangswegen über Phasenmodelle nicht immer befriedigend erklärt werden. Hilfreich erscheint hier das aus der Stressforschung stammende Copingmodell von Richard S. Lazarus und seiner Forschungsgruppe, um Menschen verstehen zu lernen. In wieweit dieses Verstehensmodell aus einem säkularen Forschungszweig für die Seelsorgearbeit unterstützend sein kann, soll in dieser Arbeit geklärt werden. Als Grundlage dienen Seelsorgegespräche mit unterschiedlichen Menschen, die eine große Bandbreite an Bewältigungsverhalten demonstrierten. Die Herausforderung lag darin, Menschen in ihrem Sterben umfassend wahrzunehmen, um möglichst viele Impulse zu erkennen, die ihr Bewältigungsverhalten beeinflussten. Aus der Aufarbeitung dieses Verhaltens ergaben sich Perspektiven für die Begleitung sterbender Menschen. Dies hat gleichbedeutend Konsequenzen für den seelsorgerlichen Umgang mit Sterbenden. Das Wissen um das christlich-biblische Menschenbild und die umfassende Kenntnis der Copingforschung können sich durchaus gegenseitig befruchten, denn beide gehen auf die Individualität des Menschen ein und unterstützen ihn seinen eigenen Zugang zu seinem Leben und seinem Tod finden zu lassen. Dies führt letztlich zu einer intensiven Kommunikation zwischen Patient und Seelsorger, der den Mut und das Vertrauen haben darf, dem Sterbenden eigenständig sein Leben bewältigen zu lassen. Die Ansätze der Copingforschung bieten weitreichende Impulse für vielfältige seelsorgerliche Fragestellungen auch außerhalb der Sterbebegleitung. Object of research of this thesis is the specific behaviour of seriously ill and dying humans coping with their impending death and being members of a society having an ambivalent attitude towards death. People's different and individual ways of coping cannot always be sufficiently explained by the current use of phasing models. In this context the "Coping Model" by Richard S. Lazarus and his stress research group seems to be helpful in understanding dying humans. In how far this comprehension model from a secular branch of research can be supportive of pastoral counselling is the objective of this thesis. Counselling dialogues with different persons who show a wide range of coping form the basis of this research. The challenge of this paper was to observe and sense humans in their death experiences from a broader point of view in order to identify as much as possible kinds of impulses crucial to their coping behaviour. Analysing the behaviour of dying humans led to new perspectives on spiritual guidance. Tantamountly, this has its consequences for spiritual dealing with dying humans. The comprehension of the biblical Christian idea of man and a detailed knowledge of coping research can, by all means, be interactive and thus show positive results as both respond to a person's individuality and support them in their own ways of approach to life and death. Finally, this leads to an intensive dialogue between patient and pastor who can have the courage and the confidence in letting the person find his own way of coping. The different kinds of approach of the coping model research offer far-reaching impulses to various pastoral questions going even beyond terminal care. / Philosophy, Practical and Systematic Theology / D.Th. (Practical Theology) Abwehr Allgemeines Adaptionssyndrom Angst Auferstehung BeFo Begleiten Bewältigungsformen Distress Eustress Heilsdimension Kognitive Bewertung Kommunikation Krebskranke Elisabeth Kübler-Ross Richard S. Lazarus Menschenbild Schwerkranke Seelsorge Sterbebegleitung Sterben Sterbephasen Stress Tod Transaktionales Stresskonzept Wahrnehmung Defence/Repulsion General Adaption Syndrome Fear Resurrection Counselling Coping Models Coping Positive Stress Healing Dimension Cognitive Assessment Communication Cancer Patients Idea of Man Terminal Ill Terminal Care Dying Phases of Dying Death Transactional Stress Concept Perception 259.4175 Lazarus, Richard S. Kübler-Ross, Elisabeth Church work with the terminally ill Terminally ill -- Pastoral counseling of Terminally ill -- Mental health Death -- Psychological aspects

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