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Biomedical subjects

M S Bosek

Publications and source records attributed to M S Bosek.

At least 19 recordsLinked to original sources

The patient who could not be discharged. How far should patient autonomy extend?

A male patient was admitted to the acquired immune deficiency syndrome (AIDS) unit for hemodialysis. His history revealed that he was homeless and that he had tested positive for human immunodeficiency virus (HIV+). He also had a history of alcohol and intravenous drug abuse and tuberculosis. Based on the results of a chest X-ray, he was placed in respiratory isolation. During the next few days of his hospitalization, he exhibited nonadherent behavior toward the treatment regime. Because of previous verbal and physical abuse to staff and patients, all local hemodialysis centers refused to accept him as a patient. Thus, he became a patient who seemingly could never be discharged. A discussion related to the theoretical and practical scope of patient autonomy, institutional altruism vs. institutional self-interest, and the need for social policy to facilitate a just and humane resolution to this ethical situation is presented here.

AIDS-Related Opportunistic Infections↗

The nurse's role in assisted suicide.

Assisted suicide is creating intense discussion and controversy within the health care system and society in general. As a result, nurses may be placed in situations where they are asked to participate in the suicide of an individual. Very little has been written about the role and responsibility of the nurse in assisted suicide. The purpose of this article is to provide insight into the history of suicide, address legal and ethical issues in assisted suicide, and provide information on the nurse's role in assisted suicide.

Ethics, Nursing↗

When care is futile.

Explore the source record for details and available documents.

Acquired Immunodeficiency Syndrome↗

Intershift report: a quality improvement project.

Staff nurse complaints about the length and quality of intershift report led to a quality improvement project. After identifying current intershift strengths and weakness, recommendations for improving intershift report were implemented. Periodic audits document the ongoing quality of intershift report.

Communication↗