This course allows you to engage with debates about the portrayal of patients and reporting of ‘miracle’ recoveries, court cases and scientific breakthroughs. It addresses implications for family and public understandings. This course will help develop your understanding of ‘coma’ and your skills in writing for the media or being a critical media consumer or researcher, or supporting patients and their families.
I like this page which includes interviews and commentaries on key cases like Nancy Cruzan, Aruna Shanbaug, an Eluana Englaro.
by Craig Klugman, Ph.D.
Tommye Austin is senior vice president and chief nursing officer at University Hospital in San Antonio. Like most Texas hospitals, UH has been hard hit by the pandemic in recent weeks and PPE is in short supply. Nurse Austin created a crafty N95 replacement mask that uses cloth fabric and air conditioning filters. She is passionate about masks and people protecting themselves from COVID-19. She regularly posts on social media and has spoken to the media about face coverings.
In late June, to further help her city and social media followers understand why wearing a mask is so important, Austin made a video of recording of her intubation.…
I’m re-reading Black Skin, White Masks as part of a “remember your critical theory so that you can defend it or critique it from a place of knowledge rather than memory” sort of process. I’m alternating between the 2020 best sellers and the critical canon. Between the World and Me was first, now Fanon (going [...]
by Kei Mukohara, MD, Ph.D., Tsunetoshi Mogi, MD
COVID-19 REGISRY JAPAN（COVIREGI-JP, its official website [In Japanese]）is an ongoing government-funded national registry study conducted principally at the National Center for Global Health and Medicine in collaboration with Fujita Health University, Hokkaido University, National Institute of Infectious Diseases and pharmaceutical companies. To create a national registry, it is requesting participating institutions to provide clinical data on hospitalized patients with COVID-19. The study is enrolling patients retrospectively and prospectively from January 1, 2020 to January 31, 2021. One of its objectives is to investigate safety and effectiveness of experimental administration of various candidate medications for COVID-19 including favipiravir, lopinavir-ritonavir, interferons, neuraminidase inhibitors, remdesivir, and ciclesonide, all of which except remdesivir are not yet approved for use in patients with COVID-19 in Japan.…
The national form was created because a single form—as opposed to just state-to-state form reciprocity—will make it easier, among other things:
- For providers to recognize a POLST form and correctly interpret and follow POLST form orders, thereby enabling them to honor patient treatment preferences
- To conduct research and quality assurance activities, creating shared data for generalizable knowledge and ability to improve POLST
- To more broadly educate patients and providers about POLST so the process and form are understood and appropriately implemented consistently everywhere
While not solely for emergencies, the POLST form is valuable in communicating to EMS providers whether the patient wants CPR or not and whether they want to be transported to the hospital or remain in place and made comfortable. Therefore, the POLST form itself must be immediately recognizable to all EMS providers and healthcare professionals.
“POLST exists to provide seriously ill or frail patients a tool to communicate their treatment preferences as they transition across care settings or travel throughout the United States.” (Amy Vandenbroucke, JD, executive director of National POLST).
POLST is an approach to advance care planning for patients who are considered to be at risk for a life-threatening clinical event because they have a serious life-limiting medical condition, which may include advanced frailty. The POLST process emphasizes eliciting, documenting, and honoring patient preferences about the treatments they want to receive during a medical emergency or as they decline in health. These treatment wishes are documented on a portable medical order called a POLST form.
Several states, including Ohio, Alabama, Arkansas, Texas, Iowa, and Oklahoma, declared abortion a nonessential service at some point during the pandemic, meaning that it was effectively banned until the crisis passed. Supporters of the policies maintain that abortion is an elective procedure whose medical resources are better off used in the fight against the pandemic. But abortion opponents have been taking advantage of the current circumstances to limit abortion access.