MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'directive'. Sat, 03 Sep 2011 02:12:03 +0100 http://www.medworm.com/index.php?rid=5107724&cid=t_158868_118_f&fid=34702&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fmspblog%2F%7E3%2FgVDUE-B6AIo%2F The frail, elderly patient was so pale as to be nearly invisible against the crisp white sheets.  Any ability to give voice to his thoughts had been taken away by the ventilator tubes in his throat.  The soft restraints on his wrists prevented him from dislodging those tubes, either in confusion or by design.  Other tubes silently pumped fluids in or drained them out.  During his lucid moments he wondered how it had come to this… I sit on the Ethics Committee at my hospital; it is a group that deals with complex, challenging and sometimes heartbreaking dilemmas. Participants need a knowledge of state and federal law, an understanding of the essential workings of the healthcare system, and perhaps most importantly, wisdom and compassion. We are fortunate to be led by a p... MSSPNexus Blog blogs http://www.medworm.com/rss/comments.php?id=5107724 Mon, 08 Aug 2011 23:47:38 +0100 5107724 http://www.medworm.com/index.php?rid=4803035&cid=t_158868_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2F9n41YWWgRc4%2F By Jim HarperLate last week, the Project on Government Oversight‘s Danielle Brian took a little umbrage at a Huffington Post piece by former U.S. Deputy Chief Technology Officer Beth Noveck, who had been implementing the Obama Administration’s Open Government Initiative until she recently returned to New York Law School. Brian’s piece suggests a slight schism in the transparency community, between what I believe are the “insider” and “outsider” camps. Brian leaves to the end a crucial point: “[C]an’t the two camps in the open government world peacefully co-exist? There’s just too much work to be done for us to get bogged down in denigrating each others’ agendas.” They most certainly can. Noveck was a bit dismissive of ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4803035 Mon, 09 May 2011 18:58:32 +0100 4803035 http://www.medworm.com/index.php?rid=4664334&cid=t_158868_118_f&fid=34702&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fmspblog%2F%7E3%2Fk7yiYCoqFfc%2F In a word – Yes. Every adult* should give serious thought to having and maintaining this important document. Establishing advance directives regarding future health care decisions can ensure that your wishes are met and can also relieve your family members of the stress of having to make difficult decisions for you. A living will tells others how you feel about care intended to sustain your life.  There are many issues to consider, including The use of dialysis and breathing machines If you want to be resuscitated if breathing or heartbeat stops Tube feeding Organ or tissue donation A durable power of attorney for health care is a document that names someone you trust to make health decisions for you if at any time you are unable to make them. Always carry a copy of your personal... MSSPNexus Blog blogs http://www.medworm.com/rss/comments.php?id=4664334 Thu, 31 Mar 2011 18:06:47 +0100 4664334 http://www.medworm.com/index.php?rid=4653345&cid=t_158868_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FYyCwSBM_XLk%2F Get ready for an insanely edutaining roller-coaster ride through the perils of ruling the resus... Oh, and try to stay out of the courtroom if you can. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4653345 Mon, 28 Mar 2011 23:00:16 +0100 4653345 http://www.medworm.com/index.php?rid=4142737&cid=t_158868_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2F1dQt1jt-1WM%2F By Jim HarperThe recent European Commission proposal to create a radical and likely near impossible-to-implement “right to be forgotten” provides an opportunity to do some thinking about how privacy norms should be established. In 1961, Italian liberal philosopher and lawyer Bruno Leoni published Freedom and the Law, an excellent, if dense, rumination on law and legislation, which, as he emphasized, are quite different things. Legislation appears today to be a quick, rational, and far-reaching remedy against every kind of evil or inconvenience, as compared with, say, judicial decisions, the settlement of disputes by private arbiters, conventions, customs, and similar kinds of spontaneous adjustments on the part of individuals. A fact that almost always goes unnoticed is that a ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4142737 Mon, 08 Nov 2010 12:06:11 +0100 4142737 http://www.medworm.com/index.php?rid=3096795&cid=t_158868_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F17%2Fa-guide-to-the-implications-of-the-european-working-time-directive-for-doctors-in-training%2F Title: Guide to the implications of the European Working Time Directive for doctors in training Skinny: Provides clarity on the European Working Time Directive (EWTD) by giving guidance using the views of experts who have already considered most issues arising from the EWTD, implemented in the UK as the Working Time Directive Regulations 1998/the Working Time Regulations (Northern Ireland) 1998 and subsequent amendments. Where a definition already exists by statute or regulation, this is noted; but in other situations a consensus view is given. The purpose of this document is: to address common themes arising to provide clarity around frequently asked questions (FAWs) posed by junior doctors to signpost to the best sources of information Publisher: DH Size of Publication: 41p. Published:... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3096795 Thu, 17 Dec 2009 09:00:51 +0100 3096795 http://www.medworm.com/index.php?rid=2712043&cid=t_158868_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F18%2Fstatutory-instruments-for-human-resources-payroll%2F SI 2009 No. 2050. Income Tax. The Income and Corporation Taxes (Electronic Certificates of Deduction of Tax and Tax Credit) (Amendment) Regulations 2009 SI 2009 No. 2047 Income Tax. The Pensions Schemes (Application of UK Provisions to Relevant Non-UK Schemes) (Amendment) Regulations 2009 SI 2009 No. 2031. Income Tax. The Special Annual Allowance Charge (Application to Members of Currently-Relieved Non-UK Pension Schemes) Order 2009 SI 2009 No. 2029 Income Tax. The Income Tax (Pay As You Earn) (Amendment No. 2) Regulations 2009 SI 2009 No. 1989. Income Tax. The Taxation of Pension Schemes (Transitional Provisions) (Amendment No. 2) Order 2009 SI 2009 No. 1976 (L. 20). Tribunals And Inquiries. The Tribunal Procedure (First-tier Tribunal) (General Regulatory Chamber) Rules 2009 SI 2009 No. ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2712043 Tue, 18 Aug 2009 14:20:10 +0100 2712043 http://www.medworm.com/index.php?rid=2712044&cid=t_158868_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F18%2Frecent-health-related-statutory-instruments-10%2F SI 2009 No. 1993. Health Care And Associated Professions. Osteopaths. The General Osteopathic Council (Registration of Osteopaths with United Kingdom Qualifications that are not Recognised Qualifications) Rules Order of Council 2009 SI 2009 No. 1928. National Health Service, England. The Hillingdon Hospital National Health Service Trust (Transfer of Trust Property) Order 2009 SI 2009 No. 1924. Education, England. The Education (Miscellaneous Amendments relating to Safeguarding Children) (England) Regulations 2009 SI 2009 No. 1918 Human Fertilisation And Embryology. The Human Fertilisation and Embryology (Special Exemption) Regulations 2009 SI 2009 No. 1898. Children And Young Persons, England And Wales. Social Care, England And Wales. The Voluntary Adoption Agencies and the Adoption Agenci... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2712044 Tue, 18 Aug 2009 14:19:18 +0100 2712044 http://www.medworm.com/index.php?rid=2660725&cid=t_158868_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2009%2F08%2Fdangers-of-young-surgeons.html The effects of the Eurpoean working time directive and been creeping in for some years. I wrote about it in 2006Ten to fifteen years ago, the average orthopaedic surgeon would have had approximately 36,000 hours hands-on experience before he was appointed to a consultancy. Dr Andrew O’Brien, a specialist registrar in orthopaedics will have had approximately 8000 hours experience when he becomes a consultant.In a nutshell (nutcase you might prefer) the new consultant will have three hundred per cent less experience than his older colleagues. So the next time you go into hospital make sure your consultant is aged at least fifty.Surgical training crisisSo, the next time you are in the anaesthetic room, awaiting surgery, make sure that the surgeon doing the operatoin is not young. If he is, ... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=2660725 Sat, 01 Aug 2009 12:04:00 +0100 2660725 http://www.medworm.com/index.php?rid=2570333&cid=t_158868_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F07%2F03%2Fstatutory-instruments-for-human-resources-3%2F SI 2009 No. 1567. Terms And Conditions Of Employment. The Working Time (Amendment) Regulations 2009 SI 2009 No. 1583 C 82. Pensions. The Pensions Act 2004 (Commencement No.6, Transitional Provisions and Savings) (Amendment) Order 2009 Posted in Human Resources, Legislation, Statutory Instruments Tagged: Employment, European Working Time Directive, Human Resources, Legislation, Pensions, Statutory Instruments (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2570333 Fri, 03 Jul 2009 11:32:31 +0100 2570333 http://www.medworm.com/index.php?rid=2398668&cid=t_158868_88_f&fid=35612&url=http%3A%2F%2Ftheknifeman.blogspot.com%2F2009%2F05%2Fgentlemen-i-have-pleasure-of-informing.html **For reasons that will become apparent to her, I would sugest LBF doesn't bother with this post. Her character isn't in it. I also know that now I've written this, she'll read on...**The aortic aneurysm is a pathological entity to be feared. A weakening of the walls of the aorta, the body's main artery, the original big red, if you will, allows it to stretch and swell, to bulge. Think of old school Tom and Jerry cartoons where Tom stands on a hose, and the hose swells comically behind him.Except it's less funny.I shan't bore you with the details - you'll either know them already, or not want to. But the only curative therapy is surgical, and that carries significant risk. Some cases are felt 'inoperable', or carry such high risks as to be felt inadvisable.Of course, the risk is that, like... The KnifeMan blogs http://www.medworm.com/rss/comments.php?id=2398668 Fri, 08 May 2009 11:24:00 +0100 2398668 http://www.medworm.com/index.php?rid=2147516&cid=t_158868_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F01%2F30%2Fthe-european-working-time-directive-for-trainee-doctors%2F European Working Time Directive for trainee doctors - Implementation update details the absolute commitment to support the NHS in achieving compliance with the WTD by August 1st 2009. The expectation is that all services will strive to be fully compliant and all but a very few services with special difficulties will be compliant by 1 August. Quality and safety of patient care is the key concern, with a good work-life balance and good training for doctors seen as vital. For those services that are finding difficulties in making the August 1st deadline the UK governments intend to take up the option of a derogation under Article 17(5) of the EWTD, permitting an average weekly working time of 52 hours for doctors in training to apply to such services from 1 August 2009. The European Working T... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2147516 Fri, 30 Jan 2009 10:17:03 +0100 2147516 http://www.medworm.com/index.php?rid=1992524&cid=t_158868_118_f&fid=36984&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FHealthManagementRx%2F%7E3%2F466505634%2Fthankful-for-life-talk-with-your-family.html Blogger's Note: Please. Talk with your family, friends, advocates, and caregivers about end of life choices. Do you have an advanced directive? A living will? This is *not* the kind of thing you want to leave til the last minute (literally). Live well. Engage with grace. From the Engage with Grace team: We make choices throughout our lives - where we want to live, what types of activities will fill our days, with whom we spend our time. These choices are often a balance between our desires and our means, but at the end of the day, they are decisions made with intent. But when it comes to how we want to be treated at the end our lives, often we don't express our intent or tell our loved ones about it.This has real consequences. 73% of Americans would prefer to die at home, but up to 50% die... Health Management Rx blogs http://www.medworm.com/rss/comments.php?id=1992524 Wed, 26 Nov 2008 18:25:00 +0100 1992524 http://www.medworm.com/index.php?rid=1980520&cid=t_158868_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F11%2F22%2Fwtd-implcations-and-practical-suggestions-to-achieve-compliance%2F from the Royal College of Anaesthetists follows a survey of hospitals on implementation of the European Working Directive that finds that compliance is poor.  This risks compromising patient safety and medical training unless adequate funding and engagement from senior NHS management to ensure necessary changes are undertaken. The survey found that: 49% of anaesthetic and 42% of surgical rotas were within next year’s limit. 18% of responding Trusts said all their surgery staff were meeting the target; the figure for anaesthesia was 33%. Trusts that have been successful in compliance have each done so from a variety of starting points and with a range of different solutions. It takes them between six to twelve months to properly plan and implement the necessary changes. For those yet t... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1980520 Sat, 22 Nov 2008 10:08:29 +0100 1980520 http://www.medworm.com/index.php?rid=1975915&cid=t_158868_158_f&fid=36018&url=http%3A%2F%2Fcaregiversbeacon.blogspot.com%2F2008%2F11%2Fvideo-power-of-attorney-in-california.html (Source: The Caregiver's Beacon - Resources, Links, Ideas, News) The Caregiver's Beacon - Resources, Links, Ideas, News blogs http://www.medworm.com/rss/comments.php?id=1975915 Thu, 20 Nov 2008 03:15:00 +0100 1975915 http://www.medworm.com/index.php?rid=1975917&cid=t_158868_158_f&fid=36018&url=http%3A%2F%2Fcaregiversbeacon.blogspot.com%2F2008%2F11%2Fvideo-advance-healthcare-directives.html To have your healthcare wishes followed you need to have an Advance Healthcare Directive. Some people want to have as much medical care as possible if they are near the end of life, and others wish to have as little as possible. (Source: The Caregiver's Beacon - Resources, Links, Ideas, News) The Caregiver's Beacon - Resources, Links, Ideas, News blogs http://www.medworm.com/rss/comments.php?id=1975917 Wed, 19 Nov 2008 19:13:00 +0100 1975917 http://www.medworm.com/index.php?rid=1701442&cid=t_158868_129_f&fid=36035&url=http%3A%2F%2Fblog.healthtalk.com%2Fchronic-pain%2Flife-with-chronic-pain%2Fwho-do-you-love-in-a-life-with-chronic-pain%2F This may sound like silliness, such as “who’s your Mama?” as well as “who do you love?” but when it comes to self-care, it’s an important question. It’s not as easy as it sounds, to love one’s self. We all grew up being told to “love your neighbor…” but the rest of that quote is, “as yourself.” I have learned that you can’t give away what you do not have. If you don’t love or at least like yourself, how can you love others? You are the primary vessel from which your life flows. You have to be the leading lady/guy in your own life story. When it comes to living with a chronic illness and/or chronic pain, you have to be your own best friend. To look out for yourself, your health and your welfare is your prime responsibility. I’ve always been amazed, as a nurse... Life with Chronic Pain blogs http://www.medworm.com/rss/comments.php?id=1701442 Tue, 12 Aug 2008 22:15:40 +0100 1701442 http://www.medworm.com/index.php?rid=1211994&cid=t_158868_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F06%2F368%2F To use this journal you’ll need your NHS Athens password from Liverpool PCT (You can register here to get one if you work for the PCT.  If you need any training for this or any other electronic resources and you work for the PCT use the contact form at the bottom of this post to request it. Quality Lines David P Stevens Qual Saf Health Care 2008; 17: 1. [Extract] [Full text] [PDF] Handovers and Debussy D P Stevens Qual Saf Health Care 2008; 17: 2-3. doi:10.1136/qshc.2007.025916 [Extract] [Full text] [PDF] Structuring flexibility: the potential good, bad and ugly in standardisation of handovers E S Patterson Qual Saf Health Care 2008; 17: 4-5. doi:10.1136/qshc.2007.022772 [Extract] [Full text] ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1211994 Wed, 06 Feb 2008 13:49:23 +0100 1211994 http://www.medworm.com/index.php?rid=1064203&cid=t_158868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2007%2F12%2F01%2Flearning-about-psychiatric-advance-directives%2F Last week the topic of a psychiatric advance directive, or PAD, came up in the Wall Street Journal in an article entitled, Helping Mental Patients Gain Some Control Over Treatment. A psychiatric advance directive allows a person with a mental illness to state preferences for, or dislikes of, specific treatments, designate a proxy decision-maker or make other advance decisions about their mental health care and treatment. For instance, if you know you have a bad reaction to Haldol, but may not be believed when you’re in a manic or delusional state, a psychiatric advance directive helps communicate that vital information to a treatment team. Why wouldn’t a doc just consult your medical chart for such information? Well, largely because charts are still paper and institutional or ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1064203 Sun, 02 Dec 2007 00:42:06 +0100 1064203