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Clinicians rated patient level of consciousness, ability to tolerate tracheostomy tube capping, cough effectiveness, and secretions as the most important factors in the decision to decannulate a patient.
The patients' levels of consciousness, ability to tolerate tracheotomy tube capping, cough effectiveness and secretions were rated as the most important factors in the decision to remove a tracheotomy tube from a patient.
Clinicians indicated in our survey that, in determining whether to decannulate a tracheostomized patient, the patient's level of consciousness, ability to tolerate tracheostomy capping, cough effectiveness, secretions, and oxygenation needed to be evaluated.
Clinicians rated level of consciousness, ability to tolerate tracheostomy tube capping, cough effectiveness, and secretions as the four most important determinants in the decision to decannulate a tracheostomized patient.
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Arguably, sanctity of life is related not only to its intrinsic value but also to some of its qualities, such as self-consciousness, ability to establish relationship, and ability to derive pleasure [ 30].
Perhaps the corporate monster gobbled up everyone's nerve and consciousness and ability to focus on the larger picture.
If its job is to keep people alive, then those who truly are in PVS are people too – should we keep everyone alive even if they have no consciousness or ability to communicate?
Not of course the rich subjectivity with which the word is imbued today, but what they call sensory consciousness, the ability to respond to and act on the external environment, as when their present-day successors – single-celled animals such as amoeba – detect and navigate towards food sources and withdraw from noxious ones.
Sensazione can be also interpreted as a practicing "whole-brain thinking" in which focus is on the emotional dimension of our cognition ultimately leading to a much more complete understanding of the world, of our environment, and of ourselves, including our consciousness and ability to transform it.
The epistemic privilege of the oppressed is sometimes cast, following W.E.B. DuBois, in terms of "bifurcated consciousness": the ability to see things both from the perspective of the dominant and from the perspective of the oppressed, and therefore to comparatively evaluate both perspectives (Harding 1991, Smith 1974, Collins 1990).
But you have to keep looking with a high level of consciousness and ability to slow down and join the dots... That's one reason meditation is so important.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com