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  1. Article ; Online: Children's secondhand smoke exposure in private homes and cars: an ethical analysis.

    Jarvie, Jill A / Malone, Ruth E

    American journal of public health

    2008  Volume 98, Issue 12, Page(s) 2140–2145

    Abstract: Secondhand smoke (SHS) exposure is a known cause of disease among nonsmokers, contributing to lung cancer, heart disease, and sudden infant death syndrome, as well as other diseases. In response to the growing body of scientific literature linking SHS ... ...

    Abstract Secondhand smoke (SHS) exposure is a known cause of disease among nonsmokers, contributing to lung cancer, heart disease, and sudden infant death syndrome, as well as other diseases. In response to the growing body of scientific literature linking SHS with serious diseases, many countries, states, and cities have established policies mandating smoke-free public spaces. Yet thousands of children remain unprotected from exposure to SHS in private homes and cars. New initiatives targeting SHS in these spaces have raised ethical questions about imposing constraints on private behavior. We reviewed legislation and court cases related to such initiatives and used a principlist approach to analyze the ethical implications of policies banning smoking in private cars and homes in which children are present.
    MeSH term(s) Automobiles/ethics ; Automobiles/legislation & jurisprudence ; Child ; Child Welfare/ethics ; Child Welfare/legislation & jurisprudence ; Ethical Analysis ; Government Regulation ; Health Policy/legislation & jurisprudence ; Housing/ethics ; Housing/legislation & jurisprudence ; Humans ; Minors/legislation & jurisprudence ; Parents/education ; Parents/psychology ; Paternalism/ethics ; Principle-Based Ethics ; Private Sector/ethics ; Private Sector/legislation & jurisprudence ; Public Health/ethics ; Public Health/legislation & jurisprudence ; Risk Factors ; Social Responsibility ; Social Values ; Socioeconomic Factors ; Tobacco Smoke Pollution/ethics ; Tobacco Smoke Pollution/legislation & jurisprudence ; Tobacco Smoke Pollution/prevention & control ; United States ; Vulnerable Populations/legislation & jurisprudence
    Chemical Substances Tobacco Smoke Pollution
    Language English
    Publishing date 2008-12
    Publishing country United States
    Document type Journal Article ; Legal Cases ; Review
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2007.130856
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The Progression of End-of-Life Wishes and Concordance with End-of-Life Care.

    Hopping-Winn, Jennifer / Mullin, Juliette / March, Laurel / Caughey, Michelle / Stern, Melissa / Jarvie, Jill

    Journal of palliative medicine

    2018  Volume 21, Issue 4, Page(s) 541–545

    Abstract: Since 2013, Kaiser Permanente Northern California has engaged in a systematic effort to elicit, document, and honor the care preferences of patients as they near the end of life. This is done through its Advanced Steps program, in which selected patients ...

    Abstract Since 2013, Kaiser Permanente Northern California has engaged in a systematic effort to elicit, document, and honor the care preferences of patients as they near the end of life. This is done through its Advanced Steps program, in which selected patients discuss their preferences for future medical care with their healthcare agent during a structured conversation with a trained advance care planning facilitator. The facilitator then translates the patient's wishes into an actionable medical order set using a Physician's Order for Life-Sustaining Treatment (POLST) form. We wanted to know whether these patients' recorded wishes were concordant with care received at the end of life. To evaluate, we conducted an in-depth chart review of 300 patients who died in 2015 and had participated in the program. We determined that 290 patients received concordant care, whereas three patients received care discordant with their wishes before death. Seven patients did not have sufficient information in their record to determine concordance. Interestingly, we found care preferences often changed over time; ∼20% of patients revised their end-of-life preferences after having the facilitated conversation, with most of those patients opting for less intensive care. Most changes to preferences were made verbally in the final setting of care. While advance care planning and the POLST form provide invaluable tools for recording patients' wishes, our study highlights a need to track patients' wishes as they evolve over time and a need for ongoing, real-time conversations about goals of care, even after a POLST is completed.
    MeSH term(s) Advance Care Planning ; California ; Disease Progression ; Female ; Humans ; Male ; Patient Preference ; Terminal Care
    Language English
    Publishing date 2018-01-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1427361-5
    ISSN 1557-7740 ; 1096-6218
    ISSN (online) 1557-7740
    ISSN 1096-6218
    DOI 10.1089/jpm.2017.0317
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Addressing tobacco use in homeless populations: a survey of health care professionals.

    Baggett, Travis P / Anderson, Robert / Freyder, Paul J / Jarvie, Jill A / Maryman, Kristi / Porter, Janet / Rigotti, Nancy A

    Journal of health care for the poor and underserved

    2012  Volume 23, Issue 4, Page(s) 1650–1659

    Abstract: Cigarette smoking is common among homeless individuals, but little is known about health care providers' practices and attitudes in addressing tobacco use in this vulnerable population. We surveyed members of the Health Care for the Homeless Clinicians' ... ...

    Abstract Cigarette smoking is common among homeless individuals, but little is known about health care providers' practices and attitudes in addressing tobacco use in this vulnerable population. We surveyed members of the Health Care for the Homeless Clinicians' Network, a nationwide multidisciplinary organization, to assess their tobacco screening practices, attitudes toward addressing tobacco use, and experience providing tobacco products to homeless individuals. Of 231 clinicians who completed the survey, 86.5% reported routinely screening for tobacco use. Although 74.4% of respondents viewed tobacco use as one of the most important health issues among homeless people, rates of agreement with this and other attitudes toward tobacco use in the setting of homelessness varied significantly by clinical discipline. Overall, 15.3% of respondents reported having ever given patients tobacco to build trust or promote adherence to care. Addressing providers' attitudinal variations and tobacco distribution practices may foster a more consistent anti-smoking message for this population.
    MeSH term(s) Attitude of Health Personnel ; Data Collection ; Directive Counseling ; Female ; Homeless Persons ; Humans ; Male ; Middle Aged ; Smoking Cessation/methods ; Smoking Prevention ; United States
    Language English
    Publishing date 2012-11
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 1142637-8
    ISSN 1548-6869 ; 1049-2089
    ISSN (online) 1548-6869
    ISSN 1049-2089
    DOI 10.1353/hpu.2012.0162
    Database MEDical Literature Analysis and Retrieval System OnLINE

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