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Biomedical subjects

D M High

Publications and source records attributed to D M High.

28 records · Page 2Linked to original sources
PubMed1989

Truth telling, confidentiality, and the dying patient: new dilemmas for the nurse.

The issues of truth telling and confidentiality, although less dramatic than foregoing life-sustaining treatments, are among the most important for any professionally moral relationship between a dying patient and nurse. The ethical dilemmas for the nurse caught in the middle are described. The interdependence of truth telling and keeping confidences is discussed. Guidelines for open communication and empathic listening are suggested.

Attitude of Health Personnel↗
PubMed1988

Physiological and psychological responses to exercise with an induced attentional focus.

In this study techniques were employed to induce exercising subjects to focus attention on themselves or on an external event. A total of 20 adult subjects (10 men and 10 women) were familiarized with a treadmill exercise protocol and then on two subsequent occasions performed submaximal exercise followed by a run to exhaustion under attentional conditions of self-focus (watching themselves in a mirror while listening to their breathing) and external focus (watching and listening to a movie). The order of focus conditions was counterbalanced among subjects. Analysis of postexperimental responses from subjects indicated that the procedures used to induce each type of attentional focus were successful. However, physiological and psychological responses in the two focus conditions were not always uniform for men and women, particularly during light work when men tended to have higher heart rates and significantly lower Rated Perceived Exertion while women had lower heart rates and higher Rated Perceived Exertion under self-focused conditions than under externally focused conditions. Possible explanations for the incongruence of physiological and psychological responses of men and women to the two types of attentional focus are discussed.

Adaptation, Psychological↗
PubMed1987

Planning for decisional incapacity. A neglected area in ethics and aging.

Practitioners and elderly patients share a common interest in advance planning for future health care decision-making in the event of decisional incapacity. It is argued that advance directives can: assist the elderly person in maximizing self-determination; and help physicians in caring for the elderly and their families by removing conflict potential. Furthermore, the author compares the legal and medical understandings of patient self-determination and the uses of best interest and substituted judgment standards. It is argued that medicine and law differ on the important issues only in degree of emphasis, not in principle. To clarify the issues, a systematic classification of the multiple levels of instruction directives and agent-proxy decision-making models is developed. Finally, it is recommended that health care decision-making for the elderly can be enhanced by encouraging patients to create as much evidence as possible to affirm their preferences and values; and plan the delegation of decisions by appointing a proxy.

Aged↗