PubMed Health⌕ Search

Biomedical subjects

N Rango

Publications and source records attributed to N Rango.

10 recordsLinked to original sources

The nursing home resident with dementia. Clinical care, ethics, and policy implications.

How much treatment should be given elderly patients with dementing illness is controversial. Nursing home care should be based on palliation, rehabilitation, and the control of coexisting illness. Ethical standards are advanced from the principle that the life and well-being of the demented nursing home resident should be protected. The decision to forego medical treatment is justified only when the life of an affected person is burdened by severe, unrelieved suffering or by the absence of self-awareness and relational potential. Introducing this philosophy of care to institutions requires a greater societal commitment to nursing home care.

Aged↗

Exposure-related hypothermia mortality in the United States, 1970-79.

This study describes exposure-related hypothermia deaths in the United States from 1970 to 1979. Mortality risk from hypothermia increases with age; at all ages, non-White men are at highest risk and White women at lowest risk. Counts of deaths from hypothermia based on information from death certificate data may be understated. Effective social intervention to prevent hypothermia mortality and morbidity requires better public health surveillance and intensive case-finding.

Adolescent↗

Health and society education in a liberal arts college: a curricular strategy.

This paper examines the curricular response of colleges and universities to conflict among scientific and medical experts regarding the application of professional knowledge and technical expertise to public policy and patient care. Two types of interdisciplinary science programs now exist on many campuses: those that attempt to increase the "scientific literacy" of humanities and social science students and those that try to enrich the "social consciousness" of physical and life science students. An alternative philosophy of education is proposed that is based on three objectives: to introduce the logical processes for establishing causes in the health sciences; to identify limits of scientific and technical knowledge in health-related areas; and to develop familiarity with problems of decision-making under conditions of scientific or clinical uncertainty. Illustrative cases in clinical medicine and public health suggest how to apply this educational philosophy. The paper concludes by observing that premedical education reform is impossible without redefining the "liberal arts" tradition of undergraduate education.

Curriculum↗