Infant stimulation cards pdf

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There are several definitions that vary by technical versus laymen’s usage. There are different legal implications in different countries. In the US, courts have required petitions before termination of life support that demonstrate that any recovery of cognitive functions above a vegetative state is assessed as impossible by authoritative medical opinion. Others are equally determined that, if recovery is at all possible, care should continue.

The existence of a small number of diagnosed PVS cases that have eventually resulted in improvement makes defining recovery as “impossible” particularly difficult in a legal sense. This legal and ethical issue raises questions about autonomy, quality of life, appropriate use of resources, the wishes of family members, and professional responsibilities. The vegetative state is a chronic or long-term condition. Patients in a vegetative state may have awoken from a coma, but still have not regained awareness. In the vegetative state patients can open their eyelids occasionally and demonstrate sleep-wake cycles, but completely lack cognitive function.

The vegetative state is also called a “coma vigil”. The chances of regaining awareness diminish considerably as the time spent in the vegetative state increases. This diagnosis does not mean that a doctor has diagnosed improvement as impossible, but does open the possibility, in the US, for a judicial request to end life support. Informal guidelines hold that this diagnosis can be made after four weeks in a vegetative state. Hence, a “continuous vegetative state” in the UK may remain the diagnosis in cases that would be called “persistent” in the US or elsewhere. The UK diagnosis is generally only made after 12 months of observing a static vegetative state.

A diagnosis of a persistent vegetative state in the US usually still requires a petitioner to prove in court that recovery is impossible by informed medical opinion, while in the UK the “permanent” diagnosis already gives the petitioner this presumption and may make the legal process less time-consuming. In common usage, the “permanent” and “persistent” definitions are sometimes conflated and used interchangeably. However, the acronym “PVS” is intended to define a “persistent vegetative state”, without necessarily the connotations of permanence, and is used as such throughout this article. Most PVS patients are unresponsive to external stimuli and their conditions are associated with different levels of consciousness. Some level of consciousness means a person can still respond, in varying degrees, to stimulation. A person in a coma, however, cannot.