A5046135068- Medical Malpractice and Liability Issues
- Healthcare Decision-Making and Restraints
- Ethics in medical practice
- Sleep and related disorders
- Geriatric Care and Nursing Homes
- Older Adults Driving Studies
- Traffic and Road Safety
- Smoking Behavior and Cessation
- Ion channel regulation and function
- Ethics in Clinical Research
- Biomedical Ethics and Regulation
- Jury Decision Making Processes
- Palliative Care and End-of-Life Issues
- Healthcare cost, quality, practices
- Community Health and Development
- Sleep and Wakefulness Research
- Healthcare Policy and Management
- Hospital Admissions and Outcomes
- Patient Dignity and Privacy
- Mental Health and Psychiatry
- Sleep and Work-Related Fatigue
- Criminal Law and Evidence
- Health Systems, Economic Evaluations, Quality of Life
- Antimicrobial Resistance in Staphylococcus
- Nursing Roles and Practices
University of Otago
2009-2022
Southern District Health Board
2019-2022
Dunedin Public Hospital
2019
Palmerston North Hospital
2009-2014
Abstract The phrase ‘not safe for discharge home’ is often heard in relation to an older person hospital, commonly due functional limitations or risk of falls. But it remains unclear how such a standard safety should be set this context, who it. In addition, labelling someone ‘unsafe’ return their own home has significant practical and ethical implications. After briefly exploring these issues, Commentary suggests that holistic approach shared decision-making required setting. Instead simply...
Hospital inpatients experience substantial sleep problems that have been linked with worse health outcomes, poor quality of life and the post-hospital syndrome. However, little is known about assessing issues in older hospitalised patients.To conduct an in-depth investigation on adults' challenges methods assessment.Cross-sectional observational study.Public hospital inpatient unit.Long-stay adults.Data were collected using validated questionnaires, actigraphy devices qualitative interviews....
Abstract Hospital discharge planning is valuable in improving care and avoiding delays. This highly relevant to older people. Although usual now well understood applicable most patients, a range of different scenarios exist that involve considerations. These less common appear can be challenging for clinical staff. To improve understanding care, this Commentary suggests basic classification six scenarios. are: planning, premature discharge, rehabilitation selection, safety concerns,...
Abstract The discharge of older people from hospital at night is a topical and emotive issue that has recently gained media attention in New Zealand the United Kingdom, including calls to prevent it occurring. With growing pressures on capacity ageing populations, normative aspects are increasingly relevant. This paper therefore addresses question: Should (say, over eighty years old) ever be discharged home during night? Or given safety concerns, should regulation against night-time put...
A 90-year-old man is diagnosed with early dementia. There are concerns about whether he still fit to drive his car safely, but determined continue driving. In this case, the clinician finds that decision on fitness essentially evaluative and normative. Given conflict of interests involved, how should attempt manage challenging ethical dilemma? This increasingly common clinical ethics scenario warrants further attention. After presenting analysis will consider relevant issues in three...