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Biomedical subjects

S C Klagsbrun

Publications and source records attributed to S C Klagsbrun.

12 recordsLinked to original sources
PubMed1991

Physician-assisted suicide: a double dilemma.

The ethical dilemma posed by the conflicts around physician-assisted suicide require at least three criteria that must be passed as a prerequisite for contemplating assisting someone toward death. 1) The request to die must not stem from a treatable depression. 2) The request must not stem from treatable discomfort, symptoms, and pain. 3) The exploration of the request to die must take place within the context of a relationship between physician and patient of some duration, depth, and intimacy. The moral dilemma posed by such a request also taps into the value system of the physician, which requires exploration and definition. Only then can the request be treated with the seriousness it deserves.

Ethics, Medical↗
PubMed1987

Cost-effective tertiary care.

We have highlighted several key points: There is a discrete subgroup of psychiatric patients who benefit from tertiary care. This treatment demands extraordinary intensity of staffing within the context of a facility whose leadership (and ownership) is committed to that level of care. Treatment should optimally occur within small residential units with clinically homogeneous populations of defined age range. mechanisms of quality control, including extensive programs of orientation, inservice, and utilization review, are paramount in achievement of success. Financial feasibility is dependent on maintenance of a high rate of occupancy, which in turn is reflective of the facility's effectiveness in fulfillment of its clinical mandate. Financial feasibility is dependent on a low relapse rate. Integration of biologic, psychologic antisocial aspects of treatment is the key to effectiveness. An intensively staffed and well-integrated unit is essential.

Adolescent↗