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"Near-death experiences Case studies."
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The science of near-death experiences
\"What happens to consciousness during the act of dying? The most compelling answers come from people who almost die and later recall events that occurred while lifesaving resuscitation, emergency care, or surgery was performed. These events are now called near-death experiences (NDEs). As medical and surgical skills improve, innovative procedures can bring back patients who have traveled farther on the path to death than at any other time in history. Physicians and healthcare professionals must learn how to appropriately treat patients who report an NDE. It is estimated that more than 10 million people in the United States have experienced an NDE. Hagan and the contributors to this volume engage in evidence-based research on near-death experiences and include physicians who themselves have undergone a near-death experience. This book establishes a new paradigm for NDEs.\"-- Provided by publisher.
Book
Near-death experience in survivors of cardiac arrest: a prospective study in the Netherlands
Some people report a near-death experience (NDE) after a life-threatening crisis. We aimed to establish the cause of this experience and assess factors that affected its frequency, depth, and content.
In a prospective study, we included 344 consecutive cardiac patients who were successfully resuscitated after cardiac arrest in ten Dutch hospitals. We compared demographic, medical, pharmacological, and psychological data between patients who reported NDE and patients who did not (controls) after resuscitation. In a longitudinal study of life changes after NDE, we compared the groups 2 and 8 years later.
62 patients (18%) reported NDE, of whom 41 (12%) described a core experience. Occurrence of the experience was not associated with duration of cardiac arrest or unconsciousness, medication, or fear of death before cardiac arrest. Frequency of NDE was affected by how we defined NDE, the prospective nature of the research in older cardiac patients, age, surviving cardiac arrest in first myocardial infarction, more than one cardiopulmonary resuscitation (CPR) during stay in hospital, previous NDE, and memory problems after prolonged CPR. Depth of the experience was affected by sex, surviving CPR outside hospital, and fear before cardiac arrest. Significantly more patients who had an NDE, especially a deep experience, died within 30 days of CPR (p<0·0001). The process of transformation after NDE took several years, and differed from those of patients who survived cardiac arrest without NDE.
We do not know why so few cardiac patients report NDE after CPR, although age plays a part. With a purely physiological explanation such as cerebral anoxia for the experience, most patients who have been clinically dead should report one.
Journal Article
Proof of heaven : a neurosurgeon's journey into the afterlife
As he lay in a coma, neurosurgeon Eben Alexander explains that he \"journeyed beyond this world and encountered an angelic being who guided him into the deepest realms of super-physical existence [where] he met and spoke with the Divine source of the universe itself\"--P. [4] of cover.
Book
An unanticipated cardiac arrest and unusual post-resuscitation psycho-behavioural phenomena/near death experience in a patient with pregnancy induced hypertension and twin pregnancy undergoing elective lower segment caesarean section
A case report of a primigravida, who was admitted with severe pregnancy induced hypertension (BP 160/122 mmHg) and twin pregnancy, is presented here. Antihypertensive therapy was initiated. Elective LSCS under general anaesthesia was planned. After the birth of both the babies, intramyometrial injections of Carboprost and Pitocin were administered. Immediately, she suffered cardiac arrest. Cardio pulmonary resucitation (CPR) was started and within 3 minutes, she was successfully resuscitated. The patient initially showed peculiar psychological changes and with passage of time, certain psycho-behavioural patterns emerged which could be attributed to near death experiences, as described in this case report.
Journal Article
Dancing with broken bones : poverty, race, and spirit-filled dying in the inner city
This book gives voice and face to a vulnerable and disempowered population whose stories often remain untold: the urban dying poor. Drawing on complex issues surrounding poverty, class, and race, the book illuminates the unique sufferings that often remain unknown and hidden within a culture of broad invisibility. The book demonstrates how a complex array of factors, such as mistrust of physicians, regrettable indignities in care, and inadequate communication among providers, patients, and families, shape the experience of the dying poor in the inner city. This book challenges readers to look at reality in a different way. Demystifying stereotypes that surround poverty, the book illuminates how faith, remarkable optimism, and an unassailable spirit provide strength and courage to the dying poor. The book serves as a rallying call for compassionate individuals everywhere to understand and respond to the needs of the especially vulnerable, yet inspiring, people who comprise the world of the inner city dying poor.
eBook
Do leaders learn from near death experiences? Ten years after
Purpose - The aim of this paper is to determine the degree to which a leader of a nonprofit organization changed over time after a near death experience.Design methodology approach - This follow-up case study uses interviews with a leader and other key actors in a nonprofit organization as well as participant and non-participant observation over a ten-year period.Findings - The paper finds that while a leader may change behavior after a near death experience that change is not fully sustained over time.Practical implications - This paper offers leaders who face similar challenges as a result of a near death experience with recommendations for making personal and organizational changes.Originality value - This paper will be of value to leaders who have had near death experiences and return to the workplace.
Journal Article
THE SO WHAT TEST: A Case Study of Strategic Educational Change
This case study answers the question, \"Can strength-based whole systems change benefit educators?\" The project follows a group of educators on a 15-month journey from an appreciative inquiry into their most positive future and the creation of a strategic dream to the enactment of that dream. As a result of the initial phase of the implementation process, the group achieved more efficient communication processes, better working relationships, and the creation of more collaborative capacity. The study explores several reasons why implementation took place. The dream and the struggle to survive in the midst of crisis created energy for the work. Management supported the coordinating committee with sufficient resources, constancy of purpose and accountability. The most important outcome of the journey was the radical transformation in the way the group learned to relate to one another. The result was an authentic learning community. [PUBLICATION ABSTRACT]
Journal Article
Engaging patients to achieve the Triple Aim
According to a Kaiser Foundation analysis of the American population published in aom, 5 percent of individuals consume 50 percent of health care, averaging $43,000 annually/ However, the picture is more nuanced because that 5 percent is not evenly distributed across all ages. [...]to measure the effectiveness of a patient engagement model, ACOs should have technology and processes in place for reporting, outcome analysis, and program optimization.
Journal Article
