David Yorston
- Published in print:
- 2004
- Published Online:
- November 2011
- ISBN:
- 9780198510000
- eISBN:
- 9780191730184
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198510000.003.0016
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making
This chapter discusses the role of an ophthalmologist in advanced disease. Although there are only a few fatal eye diseases, this does not exclude ophthalmologists from palliative care. The chapter ...
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This chapter discusses the role of an ophthalmologist in advanced disease. Although there are only a few fatal eye diseases, this does not exclude ophthalmologists from palliative care. The chapter starts with managing a blind and painful eye, which can occur in patients who are terminally ill. Retrobulbar injections, corneal transplant, and eye removal are some of the possible ways to ease eye pain. Eye removal can be done by evisceration and enucleation. However, proper counselling and preoperative preparation, which are the subject of the next section, are needed before any of these procedures can be carried out. Managing advanced periocular disease and eye care in critically and terminally ill patients are also studied.Less
This chapter discusses the role of an ophthalmologist in advanced disease. Although there are only a few fatal eye diseases, this does not exclude ophthalmologists from palliative care. The chapter starts with managing a blind and painful eye, which can occur in patients who are terminally ill. Retrobulbar injections, corneal transplant, and eye removal are some of the possible ways to ease eye pain. Eye removal can be done by evisceration and enucleation. However, proper counselling and preoperative preparation, which are the subject of the next section, are needed before any of these procedures can be carried out. Managing advanced periocular disease and eye care in critically and terminally ill patients are also studied.
K. Kannan
- Published in print:
- 2014
- Published Online:
- April 2014
- ISBN:
- 9780198082880
- eISBN:
- 9780199082827
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198082880.003.0010
- Subject:
- Law, Medical Law
Prolongation of life and improvement of quality of health assumed immense possibilities with organ transplants from live and deceased donors. When a person can be treated as dead in order for organs ...
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Prolongation of life and improvement of quality of health assumed immense possibilities with organ transplants from live and deceased donors. When a person can be treated as dead in order for organs to be harvested for transplant and when life support can be withdrawn from a critically ill patient requires close monitoring and the Organ Transplantation Act contains empowering provisions to mitigate the dilemma. Issues of consent are vital to proper implementation of the Act and since they are emotive, often arising during the time of critical care of the patient, advance directives and the surrogate decisions of near relatives assume significance. Statutory controls have not quelled either the organ trade or manipulation of authorization committees’ recommendations. Prices for organs to check the scourge of black market trade in organs may seem an attractive proposition but in a country of countless indigent persons, they are bound to result in exploitation of the poor.Less
Prolongation of life and improvement of quality of health assumed immense possibilities with organ transplants from live and deceased donors. When a person can be treated as dead in order for organs to be harvested for transplant and when life support can be withdrawn from a critically ill patient requires close monitoring and the Organ Transplantation Act contains empowering provisions to mitigate the dilemma. Issues of consent are vital to proper implementation of the Act and since they are emotive, often arising during the time of critical care of the patient, advance directives and the surrogate decisions of near relatives assume significance. Statutory controls have not quelled either the organ trade or manipulation of authorization committees’ recommendations. Prices for organs to check the scourge of black market trade in organs may seem an attractive proposition but in a country of countless indigent persons, they are bound to result in exploitation of the poor.
