The management of AIDS dementia complex Louisa Kreeger and Marie Coughlan pp 112-116 People with HIV are tending to live longer. This is due to changes in antiretroviral therapy and prophylaxis against opportunistic infections.
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A review of the doctrine of double effect Andrew Thorns pp 117-120 As death approaches, healthcare professionals are faced with a number of ethical dilemmas. Life is fragile and unpleasant symptoms may require the use of potentially dangerous treatments. The doctrine of double effect (DDE) is often applied in these situations to justify beneficial action that may hasten death. Is the DDE a helpful guide or does it set a dangerous precedent?
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Anti-discrimination, emotions and professional practice Yasmin Gunaratnam, Isobel Bremner, Lois Pollock and Catherine Weir pp 122-124 As transnational migration in Europe increased in size and complexity during the 1990s, multicultural provision and anti-discriminatory practices became key concerns in many areas, including the palliative care services. Anti-discriminatory regulations are now recognised as a central part of effective organisational structures, policies and procedures in palliative care.
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Palliative care and architecture: fromhospital to people Nils Degrémont pp 127-129 In 1987, the Paris welfare services launched a competition entitled: ‘Places where people die’. It was while studying the results of this competition that I became aware of the changes taking place, both in the conception of hospitals and in patient management, and I became passionate about the subject. Can an architect help improve patient management, particularly in the field of palliative care? This question, one that I had asked myself throughout my architecture studies, led to a degree project on the site of the Hôpital Laênnec, Paris, in September 1995.
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New paradigm research in palliative care Christina Liossi and Kyriaki Mystakidou pp 130-133 Research is a process of systematic enquiry that leads to knowledge stated in propositions. Research generally begins with a hypothesis or prediction about behaviour drawn from a theory. In areas in which there is little or no existing theory, it starts with a research question. In health science research, this enquiry involves an element of observation of, or interaction with, people in order to offer empirical evidence for the research conclusions.
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Palliative care in Canada Eduardo Bruera pp 134-135 The purpose of this article is to provide a brief description of some aspects of the development and current status of palliative care in Canada.
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