The Challenge of Allocating Scarce Medical Resources During a Disaster in a Low Income Country: A Case Study from the 2010 Haitian Earthquake
Journal Title: Palliative Medicine & Hospice Care – Open Journal - Year 2015, Vol 1, Issue 1
Abstract
Scarce medical resources during a natural disaster challenge the existing protocols for medical intervention. Triage decisions about which patient to care for can be extremely stressful for a medical team. This case analysis describes the experience of one mobile field hospital in Haiti in the aftermath of the January 12, 2010 earthquake. The medical team was confronted with the need to choose which of three critically ill patients should receive the remaining, dwindling oxygen supply. The ethical framework around these decisions is discussed. The development of an onsite ethics committee from team members is suggested to help lighten the burden of decision making off of the individual care provider.
Authors and Affiliations
Annekathryn Goodman
Assessing Advance Care Plan Discussions in Hospice Day Care
Background: Advance care planning (ACP) is a voluntary discussion between an individual and their care providers. The primary purpose is to identify and document a person’s wishes and preferences for future care. Method:...
Palliative Care for Nephropathic Patients
A new light has recently been shed on palliative care, especially, on its multidisciplinary approach developed to improve the Quality of life of seriously ill patients and their families. However, palliative care is stil...
Cultural Challenges in Implementing Palliative Services in Turkey
Palliative Care (PC) is a set of approaches that aims to improve physical, social and psychological well-being of both patient and the family. PC should begin at diagnosis and continue throughout treatment till the end o...
Holistic Total Pain Management in Palliative Care: Cultural and Global Considerations
Pain is a significant symptom in patients with chronic and life-threatening illness. While pain is traditionally thought of as a physiological experience, total pain recognizes the interplay of psychological, cognitive,...
Clinical Management of Cancer-Related Cachexia: Review of the Literature
palliative care setting. It represents a metabolic syndrome affecting essential functional circuits involved in the regulation of homeostasis, with symptoms including anorexia, and fat and muscle tissue wasting. Most pat...