Academic literature on the topic 'End-of-life decision making'

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Journal articles on the topic "End-of-life decision making"

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Williams, Brian. "End of life decision‐making." Journal of Adult Protection 7, no. 1 (June 2005): 46–47. http://dx.doi.org/10.1108/14668203200500006.

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Pirani, Sehrish, Rozina Karmaliani, and Robyna Irshad Khan. "End-of-Life Decision-Making." Asian Bioethics Review 6, no. 3 (2014): 289–301. http://dx.doi.org/10.1353/asb.2014.0025.

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Morse, Elizabeth Lada. "End of Life Decision Making." International Journal of Knowledge, Culture, and Change Management: Annual Review 5, no. 10 (2006): 121–34. http://dx.doi.org/10.18848/1447-9524/cgp/v05i10/49463.

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Ventres, William B., Gary S. Fischer, Robert M. Arnold, Mary R. Rose, James A. Tulsky, and Laura A. Siminoff. "End-of-life decision making." Journal of General Internal Medicine 14, no. 1 (January 1999): 68. http://dx.doi.org/10.1046/j.1525-1497.1999.00286.x.

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Rosenfeld, Kenneth E., Neil S. Wenger, and Marjorie Kagawa-Singer. "End-of-life decision making." Journal of General Internal Medicine 15, no. 9 (September 2000): 620–25. http://dx.doi.org/10.1046/j.1525-1497.2000.06289.x.

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Virginia, Sharpe. "End-of-life decision making." Women's Health Issues 6, no. 5 (September 1996): 286. http://dx.doi.org/10.1016/1049-3867(96)00038-2.

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Colclough, Yoshiko Yamashita, and Gary M. Brown. "End-of-Life Treatment Decision Making." American Journal of Hospice and Palliative Medicine® 31, no. 5 (June 17, 2013): 503–12. http://dx.doi.org/10.1177/1049909113489592.

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Barrett, Linda L. "Supporting End of Life Decision Making." Activities, Adaptation & Aging 18, no. 3-4 (November 14, 1994): 77–88. http://dx.doi.org/10.1300/j016v18n03_06.

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Rebagliato, Marisa, Marina Cuttini, Lara Broggin, István Berbik, Umberto de Vonderweid, Gesine Hansen, Monique Kaminski, et al. "Neonatal End-of-Life Decision Making." JAMA 284, no. 19 (November 15, 2000): 2451. http://dx.doi.org/10.1001/jama.284.19.2451.

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Bieńkowska, Daria. "End of life decision making in healthcare in the prism of Council of Europe’s Human Rights Standards." Gubernaculum et Administratio 2(24) (2021): 137–55. http://dx.doi.org/10.16926/gea.2021.02.24.

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The issue of decisions made at the end of life relating to the so-called “Right to death”, “death in dignity”, which in the literature on the subject is referred to as end-of-life decision making in the legal and medical space, arouses the interest of lawyers and doctors, and due to the specific gravity of the topic, it is also the subject of public debate. This article presents the issue of end-of-life decision making in health care in the light of the standards of the Council of Europe. The main purpose of the problem outlined in this way will be to analyze the legal admissibility of decisions concerning the end of life at the request of the interested person in the legal and human perspective. The summary indicates that despite the lack of a consensus in contemporary Europe as to the understanding of human rights, and hence the admissibility of active euthanasia and assisted suicide, the situation may change with the increasing emphasis on individual autonomy in medical law.
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Dissertations / Theses on the topic "End-of-life decision making"

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Genot, Carrie J. "A Phenomenological Study: End of Life Decision Making." Connect to full-text via OhioLINK ETD Center, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=mco1116801543.

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Thesis (M.S.)--Medical College of Ohio, 2005.
"In partial fulfillment of the requirements for the degree of Master of Science in Nursing." Major advisor: Joanne Ehrmin. Includes abstract. Document formatted into pages: ii, 63 p. Title from title page of PDF document. Bibliography: pages 59-61.
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Sundin-Huard, Deborah. "Brief encounters: end of life decision-making in critical care." University of Southern Queensland, Faculty of Sciences, 2005. http://eprints.usq.edu.au/archive/00001514/.

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The health care system has, in many respects, been developed to oppose suffering. Yet health care’s almost compulsive urge to treat death as the enemy and to battle disease and injury with all available technology unavoidably results in suffering for someone. This paradox and its impact upon the decision-makers in critical care, has attracted some interest overseas, but none to date in Australia. This study sought to understand the interactions between the key stakeholders in end-of-life decision-making in critical care in the interests of developing strategies to ameliorate the avoidable suffering arising from these processes. A modification of Denzin’s Interpretive Interactionism (Denzin, 1989), was developed to apply the epistemological and ontological principles of the critical paradigm while preserving the advantages of Denzin’s design in the investigation of interactions. Semi-structured interviews with relatives, nurses and doctors from a variety of critical care units in South-East Queensland and New South Wales, provided the data that enriches this study. Using the critical lens, analysis focussed on the interactions (and gaps and silences) between the decision-makers at the key moments of decision-making: initiation, maintenance or withdrawal of life-sustaining treatments. A model of 'best practice' with respect to end-of-life decision-making was produced and concrete recommendations made. This project has found that the amelioration of avoidable suffering in the critical care environment related to end-of-life decision-making requires policy and procedural changes at the organisational level.
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Henley, Lesley D. "End of life decision making in a children's hospital : ethical and practice implications." Master's thesis, University of Cape Town, 2001. http://hdl.handle.net/11427/26589.

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Aims: To evaluate end of life practices among hospitalised children who died of HIV/AIDS. Design: Retrospective chart review. Setting: A public, secondary and tertiary children's teaching hospital in a developing country. Patients: A consecutive series of in-patient deaths among HIV-infected children. Main Outcome Measures: Identification of patients as dying, presence of do not resuscitate (DNR) orders, documentation of comfort care plans, whether end of life decisions were discussed with parents or caretakers, nature of diagnostic and therapeutic interventions in the last 24 hours of life, and presence of pain and distress in the last 48 hours of life. Results: 165 out of 167 in-patient deaths were reviewed. 79% of patients died in the general wards. The median age of patients was 4 months. The median length of hospitalisation was 6 days. 30% of patients fell in Category B. Patients with shorter lengths of stay were more likely to fall in Category B (median 4 days versus 7 days, P=0.0000). About 1 quarter of patients had a median length of stay of 25 days. 84% of patients had a DNR order, with a median of 4 days between admission and documentation of the order. DNR orders appeared simultaneously in only 41 % of medical and nursing entries. 39% and 63% respectively of doctors did not document their justification for the DNR order or whether it had been discussed with parents. 50% of patients were identified as dying. Terminology such as 'TLC' and 'keep comfortable' designated 44% of patients to receive comfort care only. The median time between admission and identifying a patient as dying and documenting a comfort plan was 5 days and 7 days respectively. In 44% of folders there was no indication of whether the comfort plan had been discussed with parents. 73% and 62% respectively of patients with comfort plans received IV fluids and IV antibiotics in their last 24 hours of life. 55% of patients who died in general wards experienced pain and distress in the last 48 hours of life. Respiratory symptomatology and oral and oesophageal candidiasis accounted for most discomfort. 2 in 5 patients with a comfort plan failed to receive analgesia, despite pain and distress. Conclusions: Despite extreme diagnostic and prognostic uncertainty, doctors made key end of life decisions. Doctors' practices often failed to meet procedural and ethical requirements in professional guidelines. Failure to discuss DNR orders or comfort plans with parents ignores their role as principal decision makers for their children. The low rate of comfort plans, compared to DNR orders, suggests doctors had difficulty making the transition from curative to palliative care. Many comfort plans were incoherent and included interventions neither meant for, nor likely to promote patients' comfort. Whilst fear of hastening death may explain doctors' reluctance to prescribe adequate analgesia, undertreating pain and distress in a dying child is of more concern morally and medically than the risk of suppressing respiratory effort. To achieve better end of life care for HIV-infected children, it will be necessary to improve practice patterns. A structured medical treatment plan that focuses on goals of care is proposed to manage transitions from life-sustaining treatment to palliation.
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Smith-Howell, Esther Renee. "End-of-life decision-making among African Americans with serious illness." Thesis, Indiana University - Purdue University Indianapolis, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3723381.

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African Americans’ tendency to choose life-prolonging treatments (LPT) over comfort focused care (CFC) at end-of-life is well documented but poorly understood. There is minimal knowledge about African American (AA) perceptions of decisions to continue or discontinue LPT. The purpose of this study was to examine AA family members’ perceptions of factors that influenced end-of-life care decision-making for a relative who recently died from serious illness. A conceptual framework informed by the literature and the Ottawa Decision Support Framework was developed to guide this study. A retrospective, mixed methods design combined quantitative and qualitative descriptive approaches. Forty-nine bereaved AA family members of AA decedents with serious illness who died between 2 to 6 months prior to enrollment participated in a one-time telephone interview. Outcomes examined include end-of-life treatment decision, decision regret, and decisional conflict. Quantitative data were analyzed using descriptive statistics, independent-sample t-tests, Mann-Whitney U tests, chi-square tests, Spearman and Pearson correlations, and linear and logistic regressions. Qualitative data were analyzed using content analysis and qualitative descriptive methods. Family members’ decisional conflict scores were negatively correlated with their quality of general communication (rs = -.503, p = .000) and end-of-life communication scores (rs = -.414, p = .003). There was a significant difference in decisional regret scores between family members of decedents who received CFC versus those who received LPT (p = .030). Family members’ quality of general communication (p = .030) and end-of-life communication (p = .014) were significant predictors of family members’ decisional conflict scores. Qualitative themes related to AA family members’ experiences in end-of-life decision-making included understanding (e.g., feeling prepared or unprepared for death), relationships with healthcare providers (e.g., being shown care, distrust) and the quality of communication (e.g., being informed, openness, and inadequate information). Additional qualitative themes were related to perceptions of the decision to continue LPT (e.g., a lack of understanding, believe will benefit) or discontinue LPT (e.g., patient preferences, desire to prevent suffering). In conclusion, this study generated new knowledge of the factors that influenced AA bereaved family members’ end-of-life decision-making for decedents with serious illnesses. Directions for future research were identified.

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Harman, Thompson Jessica. "END-OF-LIFE DECISION-MAKING IN PATIENTS WITH A CARDIAC DEVICE." UKnowledge, 2019. https://uknowledge.uky.edu/nursing_etds/44.

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Heart failure (HF) is one of the top causes of mortality in the United States and globally. In order to combat the high mortality rates of this disease, medical technology, including internal cardioverter defibrillators (ICD) and left ventricular assist devices (LVAD), have become one of the most common treatments. Over the past 10 years the utilization of these cardiac devices has increased exponentially, which has created a new phenomenon of how we discuss death with patients who have one of these devices. The purpose of this dissertation is to increase understanding of the end-of-life decision making processes and current experiences that patients with a cardiac device are having. This dissertation includes four original manuscripts that focus on patients with a cardiac device and their experiences with decision-making at the end-of-life. The first paper is a data-based paper that examines experiences of patients with an ICD and what factors are associated with having a conversation with their providers about end-of-life. The second paper is an integrative review of the literature regarding what is currently known about end-of-life with an LVAD. The third paper is a psychometric evaluation of the Control Attitudes Scale-Revised (CAS-R) for patients with an LVAD. The fourth paper is a data-based manuscript that looks at patients with an LVAD and their attitudes and experiences with end-of-life conversations with providers and next-of-kin and the impact of cognition on these attitudes and experiences. The findings of this dissertation will hopefully inform providers of patients with cardiac devices about their patients end-of-life decision making processes. It will also demonstrate the gaps that are currently in practice, and ideally be able expand on how to assist patients and providers on improving communication about end-of-life decision making.
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Palmer, Barbara Benson 1958. "Clinical decision making about end-of-life decisions of persons over 65: Perceptions of clinicians." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/278251.

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A descriptive study was conducted to explore whether or not there were any differences in perceptions of physicians, acute care nurses, long-term care nurses, and nurse practitioners associated with end-of-life decision making for people over 65 years of age. A convenience sample of 95 health care providers, all of whom were involved in direct patient care was used. Quantitative research techniques were employed for data collection and analysis. Statistically significant differences were found between four individual items on the CDMS and the health care providers. It was found that long-term care nurses believed items associated with pain and suffering, and culture to be more important than either physicians or acute care nurses, where as they found physicians input less important. A statistical significance was also found between the years spent in practice by health care providers and scores on the CDMS.
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Hsieh, Hsiu-Fang. "Deductive content analysis of end-of-life decision-making in the ICU /." Thesis, Connect to this title online; UW restricted, 2004. http://hdl.handle.net/1773/7191.

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Inoue, Megumi. "End-of-life care planning and its implementation." Thesis, Boston College, 2014. http://hdl.handle.net/2345/bc-ir:104093.

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Thesis advisor: Megumi Inoue
End-of-life care planning is an opportunity for people to express how they want to spend the final stage of their lives by directing what type of medical treatment they wish or do not wish to receive. The completion of such planning is a way to exercise their autonomy, which is one of the fundamental ethical principles in medicine in the United States. Many older adults in the U.S., however, do not have such a plan or even discuss the topic with anyone. In order to understand the circumstances in which end-of-life planning is enacted, this study investigated two important research questions: (1) What are the sociodemographic and psychosocial factors that enhance or impede the completion of end-of-life planning? (2) How consistent is the content of a living will with the person's actual dying experience? These research questions were developed and examined as an application of expectancy theory, which explains the concepts of motivation and action. A series of logistic regression analyses were conducted. This study analyzed data from the Health and Retirement Study (HRS), which is a nationally representative sample of Americans over the age of 50. The analytic subsample included those who died between 2000 and 2010 (N = 6,668). The study found that persons who were older, who identified themselves as White, who had higher levels of income and education, and who were widowed or separated were more likely to be motivated to complete end-of-life planning. A higher level of sense of mastery was specifically relevant to documentation of living wills. On the other hand, a lower level of religiosity was specifically associated with having a durable power of attorney for health care. In addition, there was a clear connection between a request for palliative care and less troubling pain. Implications include conducting a community- or workplace-based public educational campaign, incorporating a culturally tailored approach for racial/ethnic minorities (e.g. faith-based interventions), using advance directives written in easy to understand language (e.g. Five Wishes), and funding Medicare provision for end-of-life care consultations between doctors and patients during annual physical exams
Thesis (PhD) — Boston College, 2014
Submitted to: Boston College. Graduate School of Social Work
Discipline: Social Work
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Baeringer, Lauren. "Nursing interventions that facilitate end-of-life decision-making in pediatric oncology." Honors in the Major Thesis, University of Central Florida, 2013. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/820.

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Nearly one-third of all pediatric oncology patients die from their disease, so nurses need to have an evidence-based standard of practice to guide their role in end-of-life decision-making. The purpose of this integrative review is to analyze current research on end-of-life decision-making within pediatric oncology to create a practice guideline for nurses working with this patient population. Eleven studies were examined to identify nursing interventions regarding the role of the nurse in end-of-life care, the role of the nurse in end-of-life decision-making, parent involvement in end-of-life decision-making, and child involvement in end-of-life decision-making, including the child's ability to participate in end-of-life decision-making. Based on the findings, the researcher identified several interventions that can be used by nurses to facilitate end-of-life discussion and decision-making that includes both parent and, when appropriate, the child.
B.S.N.
Bachelors
Nursing
Nursing
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Shirley, Jamie L. "Autonomy at the end of life : a discourse analysis /." Thesis, Connect to this title online; UW restricted, 2005. http://hdl.handle.net/1773/7231.

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Books on the topic "End-of-life decision making"

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Kathryn, Braun, Pietsch James H, and Blanchette Patricia L, eds. Cultural issues in end-of-life decision making. Thousand Oaks, CA: Sage, 2000.

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Kathryn, Braun, Pietsch James H, and Blanchette Patricia L, eds. Cultural issues in end-of-life decision making. Thousand Oaks, Calif: Sage Publications, 2000.

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der, Heide Agnes van, ed. Clinical and epidemiological aspects of end-of-life decision-making. Amsterdam: Koninklijke Nederlandse Akademie van Wetenschappen, 2001.

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H, Blank Robert, and Merrick Janna C, eds. End-of-life decision making: A cross-national study. Cambridge, Mass: MIT Press, 2005.

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Institute, Pennsylvania Bar. End-of-life decision making: Law, ethics, and practice. [Mechanicsburg, Pa.] (5080 Ritter Rd., Mechanicsburg 17055-6903): Pennsylvania Bar Institute, 2005.

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Jo, DeMars, ed. Final choices: Making end-of-life decisions. Santa Barbara, Calif: ABC-CLIO, 1992.

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Affairs, American Medical Association Council on Ethical and Judicial. Reports on end-of-life care. Chicago, IL: American Medical Association, 1998.

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L, Werth James, and Blevins Dean, eds. Decision making near the end of life: Issues, development, and future directions. New York: Brunner-Routledge, 2008.

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Hester, D. Micah. End-of-life care and pragmatic decision making: A bioethical perspective. Cambridge: Cambridge University Press, 2010.

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End-of-life care and pragmatic decision making: A bioethical perspective. Cambridge: Cambridge University Press, 2010.

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Book chapters on the topic "End-of-life decision making"

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Cook, D. J. "End-of-Life Decision-Making." In Yearbook of Intensive Care and Emergency Medicine, 906–13. Berlin, Heidelberg: Springer Berlin Heidelberg, 1997. http://dx.doi.org/10.1007/978-3-662-13450-4_76.

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Lentz, Scott E. "End-of-Life Decision Making." In Gynecologic Oncology, 509–37. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2011. http://dx.doi.org/10.1002/9781118003435.ch18.

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Buka, Paul. "End-of-life care, decision-making." In Essential Law and Ethics in Nursing, 137–62. Third edition. | Abingdon, Oxon; New York, NY: Routledge,: Routledge, 2020. http://dx.doi.org/10.4324/9780429292187-9.

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Hartog, Christiane S. "Shared Decision-Making – gemeinsame Entscheidungsfindung." In End-of-Life Care in der Intensivmedizin, 121–26. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-36944-5_19.

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Thorns, Andrew, and Dominique Wakefield. "Medical Decision-Making at the End of Life." In Challenges to the Global Issue of End of Life Care, 67–86. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-86386-9_6.

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Doyle, Kirsty, W. L. Ijomah, and Jiju Antony. "Identifying the End of Life Decision Making Factors." In Design for Innovative Value Towards a Sustainable Society, 530–34. Dordrecht: Springer Netherlands, 2012. http://dx.doi.org/10.1007/978-94-007-3010-6_102.

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Figenshaw, Sharmon. "Compassionate Decision Making Near the End of Life." In When Professionals Weep, 48–64. Second Edition. | New York : Routledge, 2016. | Revised edition of When professionals weep, 2006.: Routledge, 2016. http://dx.doi.org/10.4324/9781315716022-6.

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Spagnolo, Antonio G., Barbara Corsano, and Dario Sacchini. "Shared Decision-Making at the End of Life." In Emergency laparoscopic surgery in the elderly and frail patient, 335–42. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-79990-8_36.

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Perkins, Henry S. "Proxy Decision-Making at the End of Life." In A Guide to Psychosocial and Spiritual Care at the End of Life, 173–216. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4939-6804-6_7.

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Anderson, Patrice L. "Family Involvement: What Does a Loved One Want at the End of Life?" In Surgical Decision Making in Geriatrics, 399–407. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47963-3_31.

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Conference papers on the topic "End-of-life decision making"

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Gonzalez-Torre, Beatriz, and Belarmino Adenso-Diaz. "Optimizing decision making at the end of life of a product." In Photonics Technologies for Robotics, Automation, and Manufacturing, edited by Surendra M. Gupta. SPIE, 2004. http://dx.doi.org/10.1117/12.515493.

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Boyd, David, Madjid Karimirad, Vinayagamoothy Sivakumar, Soroosh Jalilvand, and Cian Desmond. "A Review of End-of-Life Decision Making for Offshore Wind Turbines." In ASME 2022 41st International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2022. http://dx.doi.org/10.1115/omae2022-78352.

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Abstract Offshore wind is set to play a major role in the global shift to renewable energy generation due to its low carbon footprint, high capacity factor and availability of suitable sites close to population centres. Offshore wind is a relatively young industry, with the majority of installed capacity having occurred in the past 10 years. As the industry matures, questions related to the effective management of ageing assets and end-of-life decision making are becoming increasingly important. Broadly speaking, three end-of-life options exist for turbines: life extension, repowering and decommissioning. There is a need to update the end-of-life guidelines and improve the decision-making framework to identify the most sustainable option for a particular offshore wind farm. This paper reviews the current criteria for deciding the most suitable end-of-life solution for offshore wind turbines, with a particular focus on the structural health of monopile foundations. This will lay the groundwork for creating a digital model which can be used to investigate the impact of certain key parameters on the turbine’s health and remaining useful life, as well as for future work in creating a decision support framework to aid in deciding the most sustainable end-of-life solution for offshore wind turbines.
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Behdad, Sara, Minjung Kwak, Harrison Kim, and Deborah Thurston. "Selective Disassembly and Simultaneous End-of-Life Decision Making for Multiple Products." In ASME 2009 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2009. http://dx.doi.org/10.1115/detc2009-87405.

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Environmental protection legislation, consumer interest in “green” products, a trend towards corporate responsibility and recognition of the potential profitability of salvaging operations have resulted in increased interest in product take-back. However, the cost-effectiveness of product take-back operations is hampered by many factors, including the high cost of disassembly and a widely varying feedstock of dissimilar products. Two types of decisions must be made; how to carry out the disassembly process in the most efficient manner to “mine” the value-added that is still embedded in the product, and then how to best utilize that value-added once it is recovered. This paper presents a method for making those decisions. The concept of a transition matrix is integrated with mixed integer linear programming to determine the extent to which products should be disassembled, and simultaneously determine the optimal end of life (EOL) strategy for each resultant component or subassembly. The main contribution of this paper is the simultaneous consideration of selective disassembly, multiple products, and the value added that remains in each component or subassembly. Shared disassembly operations and capacity limits are considered. An example using two cell phone products illustrates application of the model.
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"A CANCER PATIENT RECOMMENDER SYSTEM FOR MANAGING END-OF-LIFE DECISION MAKING." In 14th International Conference on ICT, Society and Human Beings (ICT 2021), the 18th International Conference Web Based Communities and Social Media (WBC 2021). IADIS Press, 2021. http://dx.doi.org/10.33965/eh2021_202106l021.

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Behdad, Sara, Aida Sefic Williams, and Deborah Thurston. "End of Life Decision Making for Used Products With Uncertain Quantity of Return." In ASME 2011 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2011. http://dx.doi.org/10.1115/detc2011-48277.

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The management of end-of-life electronic waste (e-waste) attracts significant attention due to environmental concerns, legislative requirements, consumer interests in green products and market image of manufacturers. However, managing e-waste is complicated by some factors including the high degree of uncertainty of quantity, timing of arrival and quality of the returned products. The variability in the stream of returned end of life (EOL) products makes it difficult to plan for facility materials, equipment and human resource requirements. The aim of this research is to tackle the uncertainty associated with the quantity of received used products. A stochastic programming model for waste stream acquisition systems (compare to market driven systems) is introduced. The model considers the quantity of returned product as an uncertain parameter and determines to what extend the product should be disassembled and what is the best end of life option for each subassembly. The stochastic model is defined in a form of chance constrained programming and is then converted to a mixed integer linear programming. An example is provided to show the application of the model for an uncertain stream of CPUs received in a refurbishing company. Remanufacturers must then decide which proportion of disassembled modules should be processed given specific remanufacturing options.
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Brown, Crystal E., David R. Brush, and G. C. Alexander. ""Physicians" Approaches To Resolving Conflicts With Surrogates Regarding End-Of-Life Decision Making." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a6215.

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Afrina, Feri, Muhamad Zameri Mat Saman, and Awalluddin Mohamad Shaharoun. "A decision making software for end-of-life vehicle disassemblability and recyclability analysis." In 2009 IEEE International Conference on Industrial Engineering and Engineering Management (IEEM). IEEE, 2009. http://dx.doi.org/10.1109/ieem.2009.5373061.

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Zhao, Yuan, and Deborah Thurston. "Integrating End-of-Life and Initial Profit Considerations in Product Life Cycle Design." In ASME 2010 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2010. http://dx.doi.org/10.1115/detc2010-28830.

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Growing concerns from customers and the government about product disposal highlight the necessity of improving product take-back systems to retain the embedded values in disposed products. Progress has been made towards minimizing the cost of the disassembly process. While some progress has been made in improving end-of-life (EOL) value through decision making in the early design stage, contradictive objectives make it difficult to simultaneously optimize initial sales profits and EOL value. In this paper, a mathematical model is developed to integrate end-of-life recovery value considerations with product design decisions. The improvement of component reuse value or recycling value is achieved by linking design decisions in the early design stage with end-of-life decisions in order to maximize total product value across the span of the life cycle. A matrix based representation that can group components into several end-of-life modules with similar end-of-life decisions is also presented. The results are discussed to compare different design alternatives to understand their influence on product lifecycle value. The proposed method is illustrated through an example involving cell phone product design decisions and end-of-life strategies.
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Joseph, Aaron T., James H. Schreiner, and Deborah Thurston. "Design Decision Tradeoffs for Environmental Impact and End of Life Recovery of Cellphones." In ASME 2015 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/detc2015-46769.

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Tradeoff decision making is a difficult problem in design, and even more so when designing for the product lifecycle. Tradeoffs must be made among a broader set of issues, including environmental impact. In addition, normative methods such as utility analysis can become more difficult to implement because of decision modeling issues. This paper presents formal, normative methods for overcoming these difficulties. The method includes a lifecycle analysis which reveals elements of the cellphone design that are most impactful on the environment. A baseline estimate of impacts provides insight into possible redesign options based on minimization of negative environmental impacts. The proposed method also employs a multiattribute utility copula approach, which can be useful when the condition of utility independence is not easily satisfied when formulating a multiattribute utility function. An example using the decision process for end of life (EOL) processing alternatives for cellphones illustrates the method. The extraction of sub-assemblies was determined to be the best decision alternative to recapture value at the disposal stage of the product lifecycle. The copula structure is shown to be effective in analyzing a firm’s tradeoff preferences as well as attribute valuation, providing a straightforward tool for tradeoff decision making.
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Dura, Lucia, Laura Gonzales, and Guillermina Solis. "Creating a bilingual, localized glossary for end-of-life-decision-making in borderland communities." In SIGDOC '19: The 37th ACM International Conference on the Design of Communication. New York, NY, USA: ACM, 2019. http://dx.doi.org/10.1145/3328020.3353940.

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Reports on the topic "End-of-life decision making"

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Abdulhalim, Ashraf, Jacqueline DePorre, Justin Kuhlman, and Michelle McCullers. Novel Strategies to Improve End-of-Life Care Decision Making in Volusia County. Florida State University College of Medicine, August 2019. http://dx.doi.org/10.17125/1569613701_fa4ed6bb.

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Kopka, Jan-Philip, Anna Preut, and Christian Hohaus. Understanding Decision Making for Reuse, Repair, and Refurbishment in the Dismantling of End-of-Life Heating Pumps. University of Limerick, 2021. http://dx.doi.org/10.31880/10344/10220.

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Rast, Jessica E., Anne M. Roux, Kristy A. Anderson, Lisa A. Croen, Alice A. Kuo, Lindsay L. Shea, and Paul T. Shattuck. National Autism Indicators Report: Health and Health Care. A.J. Drexel Autism Institute, December 2020. http://dx.doi.org/10.17918/healthandhealthcare2020.

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Health and health care are critical issues for many children and adults on the autism spectrum. They may experience more frequent use of services and medications. They may need more types of routine and specialty healthcare. And their overall health and mental health care tends to be more complex than people with other types of disabilities and special health care needs. This report provides indicators of health and health care for autistic persons across the lifespan. Topics covered include overall health, health services, medication, insurance, and accessing services. We need to understand health and healthcare needs across the life course to support recommendations on how to improve health and health care at critical points across a person's life. The purpose of this report is to catalogue indicators to aid in decision making to this end.
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