Attentes Et Representations Des Professionnels De Sante Intervenant Dans Le Depistage Du Cancer Du Sein Vis A Vis Dun Outil Daide A La Decision Medicale Partagee

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Attentes et représentations des professionnels de santé intervenant dans le dépistage du cancer du sein vis-à-vis d'un outil d'aide à la décision médicale partagée

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Author : Laurie Bouaziz
Publisher :
ISBN 13 :
Total Pages : 110 pages
Book Rating : 4.:/5 (12 download)

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Book Synopsis Attentes et représentations des professionnels de santé intervenant dans le dépistage du cancer du sein vis-à-vis d'un outil d'aide à la décision médicale partagée by : Laurie Bouaziz

Download or read book Attentes et représentations des professionnels de santé intervenant dans le dépistage du cancer du sein vis-à-vis d'un outil d'aide à la décision médicale partagée written by Laurie Bouaziz and published by . This book was released on 2019 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : le cancer du sein est la première cause de mortalité par cancer chez les femmes en occident. Le dépistage organisé (DO), existant depuis 2004, est sujet à controverse. Face à cette balance bénéfice risque incertaine, la décision médicale partagée (DMP) semble essentielle pour une prise en charge centrée sur le patient. Le projet DEDICACES (DEcision partagée dans le cadre du DépIstage du CanCEr du Sein) a pour but de créer un outil d'aide à la décision (OAD) utilisable en consultation. Objectif : explorer les attentes et les représentations des différents professionnels de santé intervenant dans le DO du cancer du sein vis-à-vis d'un OAD. Méthode : étude qualitative par entretiens semi-dirigés menés auprès de sages-femmes, gynécologues, radiologues et coordinateurs de structure de gestion. Recrutement par convenance en visant la saturation théorique des données. Analyse par théorisation ancrée. Codage manuel des données. Triangulation en groupe de plus d'un tiers des entretiens (5/13). Résultats : 13 entretiens ont été menés dont 3 auprès de sages-femmes, 4 gynécologues, 3 radiologues et 3 coordinateurs de structure de gestion. Des postures communes se sont dessinées : le sachant, le robot et le conciliateur. Malgré cela on a observé un important clivage entre les représentations des différents professionnels interviewés. La DMP était peu connue et interpellait certains professionnels qui remettaient en question l'intérêt d'un OAD. Les attentes des autres professionnels s'orientaient plutôt vers un outil numérique, simple, visuel, réduisant les inégalités sociales de santé. Discussion : il existe une ambivalence chez les professionnels de santé entre la volonté d'informer les femmes et celle de favoriser leur participation au dépistage. En ce sens, l'intérêt des professionnels vis-à-vis d'un OAD est mitigé. Le rôle des sages-femmes est trop méconnu et sa communication au grand public permettrait de favoriser l'accès à la prévention de beaucoup de femmes. Enfin une étude en cours s'intéresse à une nouvelle stratégie de dépistage basée sur le risque individuel.

Attentes et représentations des femmes sur un outil d'aide à la prise de décision partagée dans le cadre du dépistage du cancer du sein en France

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Author : Mélanie Houllemare
Publisher :
ISBN 13 :
Total Pages : 220 pages
Book Rating : 4.:/5 (113 download)

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Book Synopsis Attentes et représentations des femmes sur un outil d'aide à la prise de décision partagée dans le cadre du dépistage du cancer du sein en France by : Mélanie Houllemare

Download or read book Attentes et représentations des femmes sur un outil d'aide à la prise de décision partagée dans le cadre du dépistage du cancer du sein en France written by Mélanie Houllemare and published by . This book was released on 2019 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : le dépistage organisé (DO) du cancer du sein a été généralisé en France en 2004. Depuis 2008, la question du rapport bénéfices/risques du DOCS se pose, à l'origine d'une controverse mise en avant dans le rapport du comité d'orientation s'appuyant sur une concertation citoyenne. La décision partagée, plus respectueuse de l'individu, implique un échange bilatéral d'informations, puis une délibération du professionnel et du patient autour des options émergeant et enfin une décision qui résulte d'un accord commun entre les deux parties. L'objectif de ce travail était de déterminer les attentes et représentations des femmes concernant la création d'un outil d'aide à la PDP, dans le cadre du projet DEcision partagée dans le cadre du DépIstage du CAnCEr du Sein (DEDICACES) visant la création d'un outil de PDP utilisable en consultation. Méthodologie : étude qualitative par entretiens semi-dirigés menés auprès de femmes de 40 à 75 ans jusqu'à suffisance des données. Analyse thématique selon une approche phénoménologique avec triangulation par 2 binômes de chercheurs. Résultats : treize femmes ont été interviewées permettant de dégager six thèmes : les représentations des femmes du cancer du sein, les représentations des femmes vis-à-vis du dépistage du cancer du sein, les profils des femmes vis-à-vis du dépistage, les représentations des professionnels de santé selon les femmes, les attentes des femmes vis-à-vis de l'information, les moyens d'information. Discussion : les femmes apparaissent ambivalentes entre modèle paternaliste et informatif. Cela fait écho aux représentations qu'elles ont des profils de pratique des professionnels de santé oscillant entre attitude proactive et passive en matière de dépistage du cancer du sein. La création et l'utilisation d'un outil de PDP dans le DO doit donc se faire conjointement avec une formation des professionnels de santé à l'approche centrée patient et à la PDP.

Comprehensive Cervical Cancer Control

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241547006
Total Pages : 284 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Comprehensive Cervical Cancer Control by : World Health Organization

Download or read book Comprehensive Cervical Cancer Control written by World Health Organization and published by World Health Organization. This book was released on 2006 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.

Global Burden of Disease and Risk Factors

Author : Alan D. Lopez
Publisher : World Bank Publications
ISBN 13 : 0821362631
Total Pages : 511 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Global Burden of Disease and Risk Factors by : Alan D. Lopez

Download or read book Global Burden of Disease and Risk Factors written by Alan D. Lopez and published by World Bank Publications. This book was released on 2006-04-02 with total page 511 pages. Available in PDF, EPUB and Kindle. Book excerpt: Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.

The Patient Will See You Now

Author : Eric Topol
Publisher : Basic Books
ISBN 13 : 0465094473
Total Pages : 386 pages
Book Rating : 4.4/5 (65 download)

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Book Synopsis The Patient Will See You Now by : Eric Topol

Download or read book The Patient Will See You Now written by Eric Topol and published by Basic Books. This book was released on 2016-10-25 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.

Patient Engagement

Author : Marie-Pascale Pomey
Publisher : Springer Nature
ISBN 13 : 3030141012
Total Pages : 317 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Patient Engagement by : Marie-Pascale Pomey

Download or read book Patient Engagement written by Marie-Pascale Pomey and published by Springer Nature. This book was released on 2019-10-10 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.

Altering Frontiers

Author : Corinne Grenier
Publisher : John Wiley & Sons
ISBN 13 : 1786307073
Total Pages : 72 pages
Book Rating : 4.7/5 (863 download)

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Book Synopsis Altering Frontiers by : Corinne Grenier

Download or read book Altering Frontiers written by Corinne Grenier and published by John Wiley & Sons. This book was released on 2021-07-21 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.

Cancer Pain Relief

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9789241544825
Total Pages : 74 pages
Book Rating : 4.5/5 (448 download)

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Book Synopsis Cancer Pain Relief by : World Health Organization

Download or read book Cancer Pain Relief written by World Health Organization and published by World Health Organization. This book was released on 1996 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs.

Health System Performance Comparison: an Agenda for Policy, Information and Research

Author : Irene Papanicolas
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 033524727X
Total Pages : 418 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Health System Performance Comparison: an Agenda for Policy, Information and Research by : Irene Papanicolas

Download or read book Health System Performance Comparison: an Agenda for Policy, Information and Research written by Irene Papanicolas and published by McGraw-Hill Education (UK). This book was released on 2013-06-16 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.

World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses

Author : World Health Organization
Publisher :
ISBN 13 : 9789241548120
Total Pages : 166 pages
Book Rating : 4.5/5 (481 download)

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Book Synopsis World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses by : World Health Organization

Download or read book World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses written by World Health Organization and published by . This book was released on 2012 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.

Cervical Cancer Screening in Developing Countries

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241545720
Total Pages : 90 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Cervical Cancer Screening in Developing Countries by : World Health Organization

Download or read book Cervical Cancer Screening in Developing Countries written by World Health Organization and published by World Health Organization. This book was released on 2002 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical cancer is the second most common cancer among women worldwide, with 80 per cent of deaths occurring in developing countries. It is an important area for cancer control programmes because of the burden of the disease and the potential for effective prevention via screening. This publication is based on a comprehensive consultation undertaken by WHO in 2001, involving leading experts in the field of cancer epidemiology, screening and treatment. It focuses on the current situation in low and middle income countries, discusses the efficacy of screening methods available, and assesses potential future developments.

The Nature of Suffering and the Goals of Medicine

Author : Eric J. Cassell
Publisher : Oxford University Press
ISBN 13 : 0199748004
Total Pages : 336 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis The Nature of Suffering and the Goals of Medicine by : Eric J. Cassell

Download or read book The Nature of Suffering and the Goals of Medicine written by Eric J. Cassell and published by Oxford University Press. This book was released on 2004-03-25 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a revised and expanded edtion of a classic in palliative medicine, originally published in 1991. With three added chapters and a new preface summarizing our progress in the area of pain management, this is a must-hve for those in palliative medicine and hospice care. The obligation of physicians to relieve human suffering stretches back into antiquity. But what exactly, is suffering? One patient with metastic cancer of the stomach, from which he knew he would shortly die, said he was not suffering. Another, someone who had been operated on for a mior problem--in little pain and not seemingly distressed--said that even coming into the hospital had been a source of pain and not suffering. With such varied responses to the problem of suffering, inevitable questions arise. Is it the doctor's responsibility to treat the disease or the patient? And what is the relationship between suffering and the goals of medicine? According to Dr. Eric Cassell, these are crucial questions, but unfortunately, have remained only queries void of adequate solutions. It is time for the sick person, Cassell believes, to be not merely an important concern for physicians but the central focus of medicine. With this in mind, Cassell argues for an understanding of what changes should be made in order to successfully treat the sick while alleviating suffering, and how to actually go about making these changes with the methods and training techniques firmly rooted in the doctor's relationship with the patient. Dr. Cassell offers an incisive critique of the approach of modern medicine. Drawing on a number of evocative patient narratives, he writes that the goal of medicine must be to treat an individual's suffering, and not just the disease. In addition, Cassell's thoughtful and incisive argument will appeal to psychologists and psychiatrists interested in the nature of pain and suffering.

Evolution of Awareness

Author : Kia Marlene
Publisher :
ISBN 13 :
Total Pages : 444 pages
Book Rating : 4.8/5 (856 download)

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Book Synopsis Evolution of Awareness by : Kia Marlene

Download or read book Evolution of Awareness written by Kia Marlene and published by . This book was released on 2022-03-08 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evolution of Awareness, the debut poetry collection from Kia Marlene, is a book about a spiritual journey towards enlightenment. The collection consists of 6 chapters, titled "The Egg," "The Caterpillar," "Intermission (heartbreak&love)," "The Cocoon," "The Butterfly," and a chapter titled "Knock Knock." Through numerous poems this book outlines various thoughts, questions and eventual answers concerning our collective greater purpose in life, self love, consciousness, and personhood. The author intends for this book to help broaden the reader's general perception, view of their environment, awareness, and sense of self.

Office Emergencies

Author : Marjorie A. Bowman
Publisher :
ISBN 13 :
Total Pages : 420 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Office Emergencies by : Marjorie A. Bowman

Download or read book Office Emergencies written by Marjorie A. Bowman and published by . This book was released on 2003 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inside, you'll find practical information on how to handle the most common emergencies that present in primary care offices and urgent care centers -- whether in person or over the telephone.

A Two-Spirit Journey

Author : Ma-Nee Chacaby
Publisher : Univ. of Manitoba Press
ISBN 13 : 0887555039
Total Pages : 322 pages
Book Rating : 4.8/5 (875 download)

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Book Synopsis A Two-Spirit Journey by : Ma-Nee Chacaby

Download or read book A Two-Spirit Journey written by Ma-Nee Chacaby and published by Univ. of Manitoba Press. This book was released on 2016-05-03 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: A compelling, harrowing, but ultimately uplifting story of resilience and self-discovery. A Two-Spirit Journey is Ma-Nee Chacaby’s extraordinary account of her life as an Ojibwa-Cree lesbian. From her early, often harrowing memories of life and abuse in a remote Ojibwa community riven by poverty and alcoholism, Chacaby’s story is one of enduring and ultimately overcoming the social, economic, and health legacies of colonialism. As a child, Chacaby learned spiritual and cultural traditions from her Cree grandmother and trapping, hunting, and bush survival skills from her Ojibwa stepfather. She also suffered physical and sexual abuse by different adults, and in her teen years became alcoholic herself. At twenty, Chacaby moved to Thunder Bay with her children to escape an abusive marriage. Abuse, compounded by racism, continued, but Chacaby found supports to help herself and others. Over the following decades, she achieved sobriety; trained and worked as an alcoholism counsellor; raised her children and fostered many others; learned to live with visual impairment; and came out as a lesbian. In 2013, Chacaby led the first gay pride parade in Thunder Bay. Ma-Nee Chacaby has emerged from hardship grounded in faith, compassion, humour, and resilience. Her memoir provides unprecedented insights into the challenges still faced by many Indigenous people.

Managing Epidemics

Author :
Publisher :
ISBN 13 : 9789240698345
Total Pages : pages
Book Rating : 4.6/5 (983 download)

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Book Synopsis Managing Epidemics by :

Download or read book Managing Epidemics written by and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Living with Dying

Author : Joan Berzoff
Publisher : Columbia University Press
ISBN 13 : 9780231127943
Total Pages : 940 pages
Book Rating : 4.1/5 (279 download)

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Book Synopsis Living with Dying by : Joan Berzoff

Download or read book Living with Dying written by Joan Berzoff and published by Columbia University Press. This book was released on 2004 with total page 940 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first resource on end-of-life care for healthcare practitioners who work with the terminally ill and their families, Living with Dying begins with the narratives of five healthcare professionals, who, when faced with overwhelming personal losses altered their clinical practices and philosophies. The book provides ways to ensure a respectful death for individuals, families, groups, and communities and is organized around theoretical issues in loss, grief, and bereavement and around clinical practice with individuals, families, and groups. Living with Dying addresses practice with people who have specific illnesses such as AIDS, bone marrow disease, and cancer and pays special attention to patients who have been stigmatized by culture, ability, sexual orientation, age, race, or homelessness. The book includes content on trauma and developmental issues for children, adults, and the aging who are dying, and it addresses legal, ethical, spiritual, cultural, and social class issues as core factors in the assessment of and work with the dying. It explores interdisciplinary teamwork, supervision, and the organizational and financing contexts in which dying occurs. Current research in end-of-life care, ways to provide leadership in the field, and a call for compassion, insight, and respect for the dying makes this an indispensable resource for social workers, healthcare educators, administrators, consultants, advocates, and practitioners who work with the dying and their families.