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Persistent Vegetative State: more books (68)

Recovery from persistent vegetative state?: the case of Carrie Coons.: An article from: The Hastings Center Report by Bonnie Steinbock, 1989-07-01
Persistent vegetative state: important considerations for the neuroscience nurse.: An article from: Journal of Neuroscience Nursing by Judy Ozuna, 1996-06-01
Ragona v. Preate. (intent of persistent vegetative state patent to refuse life-sustaining treatment) (Lackawanna County, Pennsylvania): An article from: Issues in Law & Medicine by Daniel B. Griffith, 1992-06-22
Not dead, not dying? Ethical categories and persistent vegetative state.: An article from: The Hastings Center Report by Daniel Wikler, 1988-02-01
The persistent vegetative state: the medical reality (getting the facts straight).: An article from: The Hastings Center Report by Ronald E. Cranford, 1988-02-01
Was this 'irreversible coma' really irreversible?(persistent vegetative state petition): An article from: Nursing Law's Regan Report by A. David Tammelleo, 2006-01-01
The persistent problem of PVS. (persistent vegetative state): An article from: The Hastings Center Report by Susan M. Wolf, 1988-02-01
The Catholic Center at Tufts University presents: the Roman Catholic perspective on the morality of withdrawing or withholding food and fluid administered ... in the persistent vegetative state by David M O'Leary, 2001
From Quinlan to Jobes: the courts and the PVS patient. (Karen Ann Quinlan, Nancy Ellen Jobes, persistent vegetative state): An article from: The Hastings Center Report by Paul W. Armstrong, B.D. Colen, 1988-02-01
In re Sue Ann Lawrance. (never-competent patient now in a persistent vegetative state) (Indiana): An article from: Issues in Law & Medicine by Daniel B. Griffith, 1992-03-22
Exile and PVS. (persistent vegetative state): An article from: The Hastings Center Report by Lawrence J. Schneiderman, 1990-05-01
The case of Mr. Stevens. (persistent vegetative state) (Symposium: Current Controversies in the Right to Live, the Right to Die): An article from: Issues in Law & Medicine by Ronald E. Cranford, 1991-09-22
Medical/legal problems of the terminally ill patients: Including those resulting from brain death and the persistent vegetative state (Position paper / Florida Association of Hospital Attorneys) by Joel T Strawn, 1980
Doctors' views on the management of patients in persistent vegetative state (PVS): A UK study

lists with details

Coma And Persistent Vegetative State
By keywords Receive HealthLink via email! Subscribe now . Coma and PersistentVegetative State. A coma is a profound or deep state of unconsciousness.
http://healthlink.mcw.edu/article/921394859.html

Extractions: Subscribe now >> A coma is a profound or deep state of unconsciousness. The affected individual is alive but is not able to react or respond to life around him/her. Coma may occur as an expected progression or complication of an underlying illness, or as a result of an event such as head trauma. A persistent vegetative state, which sometimes follows a coma, refers to a condition in which individuals have lost cognitive neurological function and awareness of the environment but retain noncognitive function and a perserved sleep-wake cycle. It is sometimes described as when a person is technically alive, but his/her brain is dead. However, that description is not completely accurate. In persistent vegetative state the individual loses the higher cerebral powers of the brain, but the functions of the brainstem, such as respiration (breathing) and circulation, remain relatively intact. Spontaneous movements may occur and the eyes may open in response to external stimuli, but the patient does not speak or obey commands. Patients in a vegetative state may appear somewhat normal. They may occasionally grimace, cry, or laugh. Is there any treatment?
Responding To Patients In The Persistent Vegetative State - An Ethical And Legal
Responding to Patients in the persistent vegetative state. Donal P. O Mathuna,Ph.D. 40 Paul Schotsmans, The Patient in a persistent vegetative state.
http://www.xenos.org/ministries/crossroads/donal/pvs.htm

Extractions: Responding to Patients in the Persistent Vegetative State Donal P. O'Mathuna, Ph.D. Philosophia Christi 19.2 (Fall 1996): 55-83. This journal is a publication of the Evangelical Philosophical Society Modern medicine has provided people with many great benefits, but it has also forced people to make difficult ethical decisions. One of the hardest of these is to let a loved one die when medical technology could keep him or her alive. People must now decide if and when they would want certain treatments withheld or withdrawn from themselves or others. The ethical issues involved raise questions about autonomy, quality of life, appropriate use of resources, the wishes of family members, professional responsibilities, and many more. The withdrawing of food and fluids from patients in persistent vegetative state (PVS) is one of these tragic situations. This term was first coined in 1972, and the condition has since been the subject of much ethical and legal debate.
NINDS Coma Information Page
Coma and persistent vegetative state information sheet compiled by theNational Institute of Neurological Disorders and Stroke (NINDS).
http://www.ninds.nih.gov/health_and_medical/disorders/coma_doc.htm

Extractions: A coma is a profound or deep state of unconsciousness. An individual in a state of coma is alive but unable to move or respond to his or her environment. Coma may occur as a complication of an underlying illness, or as a result of injuries, such as head trauma. A persistent vegetative state (commonly, but incorrectly, referred to as brain-death) sometimes follows a coma. Individuals in such a state have lost their thinking abilities and awareness of their surroundings, but retain non-cognitive function and normal sleep patterns. Even though those in a persistent vegetative state lose their higher brain functions, other key functions such as breathing and circulation remain relatively intact. Spontaneous movements may occur, and the eyes may open in response to external stimuli. They may even occasionally grimace, cry, or laugh. Although individuals in a persistent vegetative state may appear somewhat normal, they do not speak and they are unable to respond to commands.
Persistent Vegetative State
persistent vegetative state (PVS) is subject to a high degree of error as a diagnosis,a high measure of confusion as to definitiuon, and an inflation of the
http://www.thalidomide.ca/gwolbring/pvsilm.htm

Extractions: In 1994 a Multi-Society Task Force made up of representatives of the American Academy of Neurology, the Child Neurology Society, the American Neurological Association, the American Association of Neurological Surgeons, and the American Academy of Pediatrics produced a Consensus Statement on the Medical Aspects of the Persistent Vegetative State (PVS). This Statement presents a picture of the degree of diagnostic certainty achievable in this area that is in many respects misleading. Its attempt to propose a condition called Permanent Vegetative State, which would be based on a high degree of medical certainty either that there is no further hope for recovery of consciousness or that, if consciousness were recovered, the patient would be left severely disabled, confuses two different issues. In 1994 a Multi-Society Task Force made up of representatives of the American Academy of Neurology, the Child Neurology Society, the American Neurological Association, the American Association of Neurological Surgeons, and the American Academy of Pediatrics produced a Consensus Statement on the Medical Aspects of the Persistent Vegetative State (PVS). The vegetative state can be diagnosed according to the following criteria; (1) no evidence of awareness of self or environment and an inability to interact with others; (2) no evidence of sustained, reproducible, purposeful, or voluntary behavioural responses to visual, auditory, tactile, or noxious stimuli; (3) no evidence of language comprehension or expression; (4) intermittent wakefulness manifested by the presence of sleep-wake cycles; (5) sufficiently preserved hypothalamic and brain-stem autonomic function to permit survival with medical and nursing care; (6) bowel and bladder incontinence; and (7) variably preserved cranial-nerve reflexes (pupillary, oculophalic, corneal, vestibulo-ocular, and gag) and spinal reflexes..... A wakeful unconscious state that lasts longer than a few weeks is referred to as a persistent vegetative state.
Persistent Vegetative State/Permanent Vegetatative State
persistent vegetative state/Permanent Vegetative State. 1) persistent vegetative state;A SYNDROME IN SEARCH OF A NAME, OR A JUDGEMENT IN SEARCH OF A SYNDROME?
http://home.vicnet.net.au/~borth/PVS.htm

Extractions: Chris Borthwick may be contacted on cborthwick@vichealth.vic.gov.au He would be very interested to hear from anybody else studying the socioethics of PVS. Almost all medical ethicists discussing post-coma survival have been guilty of pernicious oversimplification of the medical background to their ideas. This oversimplification emerges clearly from any close reading of work on this topic. I have examined different aspects of this issue in articles for a number of journals in this area. ABSTRACT In 1994 a Multi-Society Task Force made up of representatives of the American Academy of Neurology, the Child Neurology Society, the American Neurological Association, the American Association of Neurological Surgeons, and the American Academy of Pediatrics produced a Consensus Statement on the Medical Aspects of the Persistent Vegetative State (PVS). This Statement presents a picture of the degree of diagnostic certainty achievable in this area that is in many respects misleading. Its attempt to propose a condition called Permanent Vegetative State, which would be based on a high degree of medical certainty either that there is no further hope for recovery of consciousness or that, if consciousness were recovered, the patient would be left severely disabled, confuses two different issues.
The Persistent Vegetative State
Addresses the medical facts, describes the landmark cases that have led to research into this condition, defends the position that it is ethical and moral to discontinue lifesustaining treatment of patients, and offers links to other sources of information concerning this condition.
http://www.geocities.com/HotSprings/Oasis/2919/
NEJM -- Medical Aspects Of The Persistent Vegetative State- First Of Two Parts
Special Article from The New England Journal of Medicine Medical Aspects of the persistent vegetative state First of Two Parts The vegetative state is a clinical condition of complete unawarenessof the self and the environment We definepersistent vegetative state as a vegetative state present onemonth
http://www.nejm.org/cgi/content/short/330/21/1499

Extractions: Add to Personal Archive ... PubMed Citation ABSTRACT This consensus statement of the Multi-Society Task Force summarizes current knowledge of the medical aspects of the persistent vegetative state in adults and children. The vegetative state is a clinical condition of complete unawareness of the self and the environment, accompanied by sleep-wake cycles, with either complete or partial preservation of hypothalamic and brain-stem autonomic functions. In addition, patients in a vegetative state show no evidence of sustained, reproducible, purposeful, or voluntary behavioral responses to visual, auditory, tactile, or noxious stimuli; show no evidence of language comprehension or expression; have bowel and bladder incontinence; and have variably preserved cranial-nerve and spinal reflexes. We define persistent vegetative state as a vegetative state present one month after acute traumatic or nontraumatic brain injury or lasting for at least one month in patients with degenerative or metabolic disorders or developmental malformations.
The Crossroads Project - Explain And Defend The Christian Message In Today's Cul
This article was published in Philosophia Christi 19.2 (Fall 1996) 5583. This journal is a publication of the Evangelical Philosophical Society.
http://www.crossrds.org/donal/pvs.htm
Catholic Culture : Persistent Vegetative State (Document)
An article which briefly explains what is meant by the expression, a "persistent vegetative state". to include persons in "persistent vegetative state" (PVS) in order to discontinue
http://www.petersnet.net/research/retrieve.cfm?RecNum=831
NOTES ON THE PERSISTENT VEGETATIVE STATE:
NOTES ON THE persistent vegetative state The persistent vegetative state (PVS) is characterized by permanent unconsciousness even though the patient may appear awake. This person can undergo sleep
http://www.ee.cua.edu/~georgvis/religion/olga/PVS.htm

Extractions: NOTES ON THE PERSISTENT VEGETATIVE STATE: The Persistent Vegetative State (PVS) is characterized by permanent unconsciousness even though the patient may appear awake. This person can undergo sleep cycleshe/she is unaware of his/her environment. the higher centers of the brain are destroyedthe lower centers are intact. The patient is insensitive to pain and suffering. In 1972PVS was identified as a new syndrome. Many doctors donít understand the neurology surrounding this diagnosis. The higher centers of the brain such as the cerebral cortex are associated with thinking and feeling. The lower centers of the brain such as the brain stemcontrols such functions such as the opening of the eyes. The higher centers are destroyed because of a higher rate of metabolism of glucose and oxygen. We need a constant supply of thiswhile the lower centers are more resistant to deprivation in this area. This diagnosis is done clinicallyone must establish whether it is due to a lack of oxygen to the brain of if it is a result of a head injury. With the latterespecially in childrenthe full diagnosis may take 6 to 8 months. PVS is an extremely reliable diagnosis though it is not 100% sure. There are some rare cases where people do emerge from a state identified as PVS.
COMA-L
A list offering support and information to people who have a loved one in a coma or PVS (persistent vegetative state). Provides subscription instructions and archived postings.
http://www.lsoft.com/scripts/wl.exe?SL1=COMA-L&H=LISTSERV.TBINET.ORG
Persistent Vegetative State - Information / Diagnosis / Treatment / Prevention
home neurological disorders brain diseases chronic damage persistentvegetative state persistent vegetative state. Information
http://www.healthcyclopedia.com/neurological-disorders/brain-diseases/chronic-da

Extractions: Web Directory: MCW HealthLink A look at coma and persistent vegetative state. Includes a discussion on treatments and prognosis. NINDS Information Page Coma and persistent vegetative state data compiled by The National Institute of Neurological Disorders and Stroke. Responding to Patients in the Persistent Vegetative State - An Ethical and Legal Dilemma.
Persistent Vegetative State
persistent vegetative state. Leif Gustafson. Introduction. Persistent vegetativestate (PVS) has been at the center of much controversy in recent years.
http://www.cwu.edu/~chem/courses/Chem564/finalpapers/PVSfinal.html

Extractions: Persistent Vegetative State Leif Gustafson March 15, 2000 Introduction Determining PVS This definition includes difficult to define terms such as awareness, and this problematic definition has led some people to question the validity of the syndrome. It has also lead to problems in the diagnosis of PVS. The crux of the problem lies in the determination of a persons internal mental state using external proof. Different tests have been used in an attempt to determine criteria for its diagnosis, because in using conventional methods of observation of function it takes weeks to diagnose a patient as being in PVS. Glucose metabolism, EEG, CT scans, and positron-emission tomography (PET) have all been used to increase understanding and diagnostic ability for PVS. However, information from these tests have not been able to provide any conclusive diagnostic information. It is possible that these tests or a combination of them will be useful as diagnostic tools in the future, but more data must be collected before any determinations can be made. This lack of diagnostic certainty has led to the misdiagnosis of many patients as being PVS when they actually are not. One study showed that in a sample of 62 patients in nursing homes who were diagnosed with PVS eleven had been misdiagnosed and another study showed that eighteen of 49 patients were misdiagnosed (Borthwick). These errors have come from the lack of information about the criteria that are necessary for a person to be considered PVS as well as a lack of time and methods used for determining a patient as having PVS.
NEJM -- Medical Aspects Of The Persistent Vegetative State- First Of Two Parts
Special Article from The New England Journal of Medicine MedicalAspects of the persistent vegetative state First of Two Parts.
http://content.nejm.org/cgi/content/abstract/330/21/1499

Extractions: Add to Personal Archive ... PubMed Citation ABSTRACT This consensus statement of the Multi-Society Task Force summarizes current knowledge of the medical aspects of the persistent vegetative state in adults and children. The vegetative state is a clinical condition of complete unawareness of the self and the environment, accompanied by sleep-wake cycles, with either complete or partial preservation of hypothalamic and brain-stem autonomic functions. In addition, patients in a vegetative state show no evidence of sustained, reproducible, purposeful, or voluntary behavioral responses to visual, auditory, tactile, or noxious stimuli; show no evidence of language comprehension or expression; have bowel and bladder incontinence; and have variably preserved cranial-nerve and spinal reflexes. We define persistent vegetative state as a vegetative state present one month after acute traumatic or nontraumatic brain injury or lasting for at least one month in patients with degenerative or metabolic disorders or developmental malformations.
World Medical Association
WMA policy Statement on persistent vegetative state. Includes a definition, recovery and guidelines.
http://www.wma.net/e/policy/17-v_e.html
NEJM -- The Persistent Vegetative State
Correspondence from The New England Journal of Medicine The PersistentVegetative State. Next Next. The persistent vegetative state.
http://content.nejm.org/cgi/content/short/331/20/1380

Extractions: Add to Personal Archive Add to Citation Manager E-mail When Cited ... Find Similar Articles To the Editor: The duration of survival cited for persons in a persistent vegetative state in the two-part review by the Multi-Society Task Force on PVS (May 26 and June 2 issues) may not reflect the actual chances of a patient's surviving with good care. Physiologically, patients with the locked-in syndrome do not differ much from patients in a persistent vegetative state. But because the consciousness of the former is intact, their care givers may treat them very differently. My colleagues and I followed a cohort of 27 persons who remained in the locked-in state for more than one Full Text of this Article References
NeuroGate.com
COMA Including persistent vegetative state National Institutes of Health Bethesda 1997 COMA including persistent vegetative state Index What are coma and persistent vegetative
http://www.neurogate.com/neuro/result.php3?search=Persistent Vegetative State&am
The Invention Of Persistent Vegetative State
persistent vegetative state; A SYNDROME IN SEARCH OF A NAME, OR A JUDGEMENTIN SEARCH OF A SYNDROME? Chris Borthwick. It is now over
http://home.vicnet.net.au/~borth/PVSPLUM.HTM

Extractions: It is a term that has been widely used since, and the mantraps and spring guns that were built into the definition at the outset are still dangerous. Definitions decided on at the outset have channelled the debate ever since, and are still influential. It is important to re-examine the first steps in this area to see why that course was adopted then and why it is still directing us now. Jennet and Plum noted in 1972 that new methods of treatment were permitting the survival of patients with devastating brain damage resulting from such insults as head trauma, brainstem stroke, or hypoxia - conditions that would previously have resulted in rapid death. They saw this situation as creating a need for a new term. A situation, however, is not necessarily the same thing as a condition, and the situation could have been given a name that did not bring it within the medical diagnostic framework. The contribution of Jennet and Plum was to ensure that the ìconditions that were formerly fatalî were henceforward to be in practical terms one condition, or one state, and not many. The defintion was a response to a perceived need for simplicity.
Introduction: Persistent Vegetative State - WrongDiagnosis.com
Introduction to persistent vegetative state as a medical condition includingsymptoms, diagnosis, misdiagnosis, treatment, prevention, and prognosis.
http://www.wrongdiagnosis.com/p/persistent_vegetative_state/intro.htm

Extractions: Persistent Vegetative State: A persistent vegetative state, which sometimes follows a coma, refers to a condition in which individuals have lost cognitive neurological function and awareness of the environment but retain noncognitive function and a perserved sleep-wake cycle. It is sometimes described as when a person is technically alive, but his/her brain is dead. However, that description is not completely accurate.
NPR : Recovering From A 'Persistent Vegetative State'
Disability rights activist Rus CooperDowda, who had once been diagnosed as beingin a persistent vegetative state, shares her perspective on the Terri
http://www.npr.org/rundowns/segment.php?wfId=1476505

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