Preferring not-for-profit managed care.
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Choice Behavior↗
Biomedical subjects
B B Ott
Publications and source records attributed to B B Ott.
Defining and redefining death.
The definition of death, brain death in particular, is increasingly important to critical care professionals. There are essentially three definitions of death from a theoretical perspective: the traditional heart-lung definition, the whole-brain definition, and the higher-brain definition. These definitions use different underlying assumptions within their own theoretical framework. The differing definitions and theoretical frameworks have encouraged physiological, philosophical, spiritual, and ethical analyses, which have led to spirited debate throughout the healthcare community and especially in critical care.
Brain Death↗
Support of patient autonomy in the do not resuscitate decision.
In this study we examined critical care nurses' beliefs concerning the support of patient autonomy in the do not resuscitate (DNR) decision. The study sample consisted of 251 members of the American Association of Critical-Care Nurses (AACN). Subjects were asked to examine four hypothetical cases and select the agent (patient, family member, physician, or nurse) (1) most appropriate to support patient autonomy in the DNR decision and (2) who would actually make the DNR decision, if these hypothetical cases were to occur on the clinical units where the subjects were employed. The nurses' answers concerning the agent best able to support patient autonomy in the DNR decision were in general agreement with the do not resuscitate decision model developed by the principal investigator (B.B.O.) to demonstrate support for patient autonomy in the DNR decision. However, when asked who would actually make the DNR decision on their units, the nurses frequently responded that the physician would make the decision, regardless of the agent selected as best able to support patient autonomy in the case situation. An ethical conflict concerning the DNR decision appeared to exist for the majority of the subjects in this study.
Attitude of Health Personnel↗
The Human Genome Project: an overview of ethical issues and public policy concerns.
The possibilities of advancement from the Human Genome Project seem endless. But even though we are amazingly similar genetically to other animals, including the mouse, we are uniquely human. And our humanness is our greatest gift. The knowledge of genetic linkages and of how life works does not diminish our religious beliefs or our value system. Understanding the mechanics of human physiology does not decrease the power and beauty of human life. Quite the contrary, this knowledge helps to chart the course in a quest to understand what it means to be human. Let us honor the beauty and uniqueness of human life by making ethically sound decisions surrounding the advances made in this fantastic journey called the Human Genome Project.
Bioethics↗
Percutaneous transluminal coronary angioplasty and nursing implications.
Percutaneous transluminal coronary angioplasty is a new procedure used in the treatment of coronary artery disease. The procedure involves the use of a small balloon-tipped catheter that is advanced into the stenotic coronary artery. The soft atheroma is compressed against the arterial wall by the inflation of the balloon across the lesion, thereby reducing the stenosis. Preoperative nursing care of the PTCA patient includes thorough assessment and preoperative teaching. Post-operative nursing care involves close assessment and prompt attention to potential complications.
Angioplasty, Balloon↗
Readability of written materials: implications for critical care nurses.
Written materials are given to patients every day in critical care units. Unfortunately, some of the materials are written at a reading level that is too difficult for patients to read. Patients and families need understandable materials to help them make the difficult decisions they face.
Critical Care↗