Families as surrogate decision-makers in critical life-...

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Publisher :
ISBN 13 :
Total Pages : 176 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Families as surrogate decision-makers in critical life-... by : Rebecca A. Steinmann

Download or read book Families as surrogate decision-makers in critical life-... written by Rebecca A. Steinmann and published by . This book was released on 1990 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Families as Surrogate Decision Makers in Critical Life-threatening Situations

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Publisher :
ISBN 13 :
Total Pages : 218 pages
Book Rating : 4.:/5 (687 download)

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Book Synopsis Families as Surrogate Decision Makers in Critical Life-threatening Situations by : Rebecca A. Steinmann

Download or read book Families as Surrogate Decision Makers in Critical Life-threatening Situations written by Rebecca A. Steinmann and published by . This book was released on 1990 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Dying in America

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Publisher : National Academies Press
ISBN 13 : 0309303133
Total Pages : 470 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Dying in America by : Institute of Medicine

Download or read book Dying in America written by Institute of Medicine and published by National Academies Press. This book was released on 2015-03-19 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Strange Bedfellows

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Publisher : Springer Science & Business Media
ISBN 13 : 0306466651
Total Pages : 204 pages
Book Rating : 4.3/5 (64 download)

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Book Synopsis Strange Bedfellows by : Ben A. Rich

Download or read book Strange Bedfellows written by Ben A. Rich and published by Springer Science & Business Media. This book was released on 2001-11-30 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: The relationship between law and bioethics and the influence of both on medical research and clinical practice is a topic that is often mentioned but rarely subjected to sustained critical analysis. This book considers a number of issues in medicine in which the influence of the law has been most profound and positive including: informed consent; advance directives; constitutional liberties and privacy; standards for pain management and end-of-life care. The book provides important background material on significant legal and philosophical concepts, terms and principle necessary to an understanding of the legal process and ethical analysis. This work establishes the role of law in medicine and bioethics as being positive and its continuing involvement in the rights of research subjects and patients as a necessity.

Psychological and Cognitive Impact of Critical Illness

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Publisher : Oxford University Press
ISBN 13 : 0199398690
Total Pages : 241 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Psychological and Cognitive Impact of Critical Illness by : O. Joseph Bienvenu

Download or read book Psychological and Cognitive Impact of Critical Illness written by O. Joseph Bienvenu and published by Oxford University Press. This book was released on 2017 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Personal journeys through understanding the psychological and cognitive problems faced by critical illness survivors / Christina Jones, Peter Gibb, and Ramona O. Hopkins -- Delirium in critically ill patients / Mark van den Boogaard and Paul Rood -- Critical illness and long-term cognitive impairment / Ramona O. Hopkins, PhD, Maria E. Carlo, MD, James C. Jackson, PsyD -- Psychological impact of critical illness / O. Joseph Bienvenu and Christina Jones -- Rehabilitation psychology insights for the treatment of critical illness survivors / Jennifer E. Jutte, James C. Jackson, and Ramona O. Hopkins -- Prevention and treatment of posttraumatic stress and depressive phenomena in critical illness survivors / Christina Jones and O. Joseph Bienvenu -- Supporting pediatric patients and their families during and after intensive care treatment / Gillian Coville -- Family response to critical illness / Judy E. Davidson and Giroa Netzer

Surrogate Decision Making for the Critically Ill Intensive Care Unit Patient

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Publisher :
ISBN 13 :
Total Pages : 270 pages
Book Rating : 4.:/5 (227 download)

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Book Synopsis Surrogate Decision Making for the Critically Ill Intensive Care Unit Patient by : Jeanette Suurdt

Download or read book Surrogate Decision Making for the Critically Ill Intensive Care Unit Patient written by Jeanette Suurdt and published by . This book was released on 2008 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: The technological complexity of the ICU is often focused on saving lives however, it is frequently a place to support the dying. Because of the serious nature of critical illness, patients are unable to communicate their wishes, values and views. Family members are often called upon to communicate the critically ill patients' wishes and many report feeling burdened with the task. The distress described may lead to difficulty mobilizing coping mechanisms and may affect their ability to make appropriate decisions for their family member's care. Hence, an in depth understanding of the surrogate's experience is critical to plan effective interventions and provide anticipatory guidance to support the process of making decisions around end of life care. Objective The purpose of the study is to describe the surrogate decision makers' appraisals of the demands of decision making for a critically ill adult intensive care unit patient and the coping strategies employed by them during this experience. Method A descriptive study design using a qualitative interviewing approach extracted perceived stressors and coping strategies using systematic, focused thematic analysis guided by Folkman and Lazarus' Stress and Coping Paradigm. Findings Respondents appraisals identified the following perceived stressors: doubt of self efficacy, unknowns, impingement of real life, and problematic relay of information. The surrogates' perception of their ability to manage the decision making process required their awareness of the decision making role and magnitude of illness, their need to form partnerships, time to reflect on prior discussions and experience, and their appraisal of the patients' suffering. Participants described emotion and problem based coping strategies they employed during the task. To emotionally justify their decisions, surrogates' referred to their understanding of patient wishes and sought solace and comfort from the health care staff. In addition, surrogates used strategies to solve problems encountered including dealing with others, employing strategies to decrease their uncertainty and mobilizing time to process the events unfolding. Conclusions End of life decisions in the intensive care are complex and demanding. A better understanding of the process may guide health care professionals in developing focused interventions to assist surrogates through a painful process.

Families Caring for an Aging America

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Publisher : National Academies Press
ISBN 13 : 0309448093
Total Pages : 367 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Families Caring for an Aging America by : National Academies of Sciences, Engineering, and Medicine

Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

Death Foretold

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Publisher : University of Chicago Press
ISBN 13 : 9780226104713
Total Pages : 354 pages
Book Rating : 4.1/5 (47 download)

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Book Synopsis Death Foretold by : Nicholas A. Christakis

Download or read book Death Foretold written by Nicholas A. Christakis and published by University of Chicago Press. This book was released on 2001-04 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: This groundbreaking book explains prognosis from the perspective of doctors, examining why physicians are reluctant to predict the future, how doctors use prognosis, the symbolism it contains, and the emotional difficulties it involves. Drawing on his experiences as a doctor and sociologist, Nicholas Christakis interviewed scores of physicians and searched dozens of medical textbooks and medical school curricula for discussions of prognosis in an attempt to get to the core of this nebulous medical issue that, despite its importance, is only partially understood and rarely discussed. "Highly recommended for everyone from patients wrestling with their personal prognosis to any medical practitioner touched by this bioethical dilemma."—Library Journal, starred review "[T]he first full general discussion of prognosis ever written. . . . [A] manifesto for a form of prognosis that's equal parts prediction-an assessment of likely outcomes based on statistical averages-and prophecy, an intuition of what lies ahead."—Jeff Sharlet, Chicago Reader "[S]ophisticated, extraordinarily well supported, and compelling. . . . [Christakis] argues forcefully that the profession must take responsibility for the current widespread avoidance of prognosis and change the present culture. This prophet is one whose advice we would do well to heed."—James Tulsky, M.D., New England Journal of Medicine

Deciding for Others

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Publisher : Cambridge University Press
ISBN 13 : 9780521311960
Total Pages : 450 pages
Book Rating : 4.3/5 (119 download)

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Book Synopsis Deciding for Others by : Allen E. Buchanan

Download or read book Deciding for Others written by Allen E. Buchanan and published by Cambridge University Press. This book was released on 1989 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the most comprehensive treatment available of one of the most urgent problems in bioethics: decision-making for incompetents.

Neurocritical Care

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Publisher :
ISBN 13 : 0199375348
Total Pages : 329 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Neurocritical Care by : John A. Kellum

Download or read book Neurocritical Care written by John A. Kellum and published by . This book was released on 2018 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neurocritical Care provides 'at the bedside' guidance on the medical knowledge and technical skills required to care for critically ill patients with neurologic conditions. Part of the Pittsburgh Critical Care Medicine series, this compact volume is an ideal reference for physicians and trainees working in either a general ICU or specialty Neuro ICU unit.

An Intervention to Involve Family in Decisions about Life Support

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (833 download)

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Book Synopsis An Intervention to Involve Family in Decisions about Life Support by : Jennifer Kryworuchko

Download or read book An Intervention to Involve Family in Decisions about Life Support written by Jennifer Kryworuchko and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose. To systematically develop and field test an intervention to engage families and healthcare teams in the decision-making process about life support for critically ill patients in the Intensive Care Unit (ICU). Setting. Adult medical-surgical ICU at a Canadian academic teaching hospital. Methods. The International Patient Decision Aid Standards (IPDAS) criteria and the Interprofessional Shared Decision Making (SDM) model guided the study of families facing decisions about life support for their relative in ICU that involved:1) systematic review; 2) qualitative descriptive study; 3) mixed methods field test of a novel patient decision aid (DA). Systematic review findings. Of 3162 citations, four trials evaluated interventions to improve communication between health professionals and patients/families. One intervention met eight of nine criteria for SDM but did not evaluate its effect on the benefit to communication. Qualitative study findings. Six family members and nine health professionals identified two options (life support or comfort care) and values associated with these options. Values included maintaining quality of life, surviving critical illness, minimizing pain and suffering, not being attached to machines, giving the family enough time to adapt emotionally to the patient's health situation, and the judicious use of healthcare resources. Families were unlikely to become engaged without healthcare professionals making the decision explicit and minimizing other barriers across the decision-making process. Field test findings. Family members and health professionals for eight patients indicated that the DA was feasible to use, acceptable to users, had the potential to do what was intended, and did not seem to present adverse consequences to users. An enhanced delivery strategy is needed for future evaluation of its effect on facilitating patient/family involvement in decisions. Conclusions. Limited involvement of families in the process of decision-making about life support in the ICU reinforced the need for effective interventions to facilitate SDM. These studies validated the operationalization of the IPDAS criteria, as part of a systematic process for developing and field testing DAs. However, IPDAS criteria stop short of elements necessary to consider when implementing the DA in the processes of care.

Through the Patient's Eyes

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Publisher : John Wiley & Sons
ISBN 13 : 0787962201
Total Pages : 374 pages
Book Rating : 4.7/5 (879 download)

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Book Synopsis Through the Patient's Eyes by : Margaret Gerteis

Download or read book Through the Patient's Eyes written by Margaret Gerteis and published by John Wiley & Sons. This book was released on 2002-05-03 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sponsored by the Picker/Commonwealth Program for Patient-Centered Care In this comprehensive, research-based look at the experiences and needs of patients, the authors explore models of care that can make hospitalization more humane. Through the Patient's Eyes provides insights into why some hospitals are more patient-centered than others; how physicians can become more involved in patient-centered quality efforts; and how patient-centered quality can be integrated into health care policy, standards, and regulations. The authors show how, by bringing the patient's perspective to the design and delivery of health services, providers can improve their ability to meet patient's needs and enhance the quality of care.

Families in the Intensive Care Unit

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Publisher : Springer
ISBN 13 : 3319943375
Total Pages : 400 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Families in the Intensive Care Unit by : Giora Netzer

Download or read book Families in the Intensive Care Unit written by Giora Netzer and published by Springer. This book was released on 2018-10-30 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text is one of the first comprehensive resources on understanding and working with families in the intensive care unit. The text provides a conceptual overview of the Family ICU Syndrome, a constellation of physical morbidity, psychopathology, cognitive deficits, and conflict. Outlining its mechanisms, the book presents a guide to combating the syndrome with an interdisciplinary team. The text represents the full array of the interdisciplinary team by also spotlighting administrative considerations for health care management and approaches to training different members of the health care team. Family voices are featured prominently in the text as well. The book also addresses the complete trajectory of needs of care, including survivorship and end-of-life care. Written by experts in the field, Families in the Intensive Care Unit: A Guide to Understanding, Engaging and Supporting at the Bedside is a state-of-the-art reference for all clinicians who work with families in the ICU.

Textbook of Critical Care E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323759300
Total Pages : 2078 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Textbook of Critical Care E-Book by : Jean-Louis Vincent

Download or read book Textbook of Critical Care E-Book written by Jean-Louis Vincent and published by Elsevier Health Sciences. This book was released on 2022-12-21 with total page 2078 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bridging the gap between medical and surgical specialties in critical care, Textbook of Critical Care, 8th Edition, offers a practical, multidisciplinary approach to the effective management of adult and pediatric patients in the ICU. An outstanding editorial team, led by world-renowned intensivist Dr. Jean-Louis Vincent, assisted by Dr. Frederick A. Moore and new editors Drs. Rinaldo Bellomo and John J. Marini, provides the evidence-based guidance you need to overcome a full range of practice challenges. A full-color art program, relevant basic science and key summary points in every chapter, and expert contributing authors from all over the world make this an indispensable resource for every member of the critical care team. Provides a concise, readable understanding of the pathophysiology of critical illness and new therapeutic approaches to critical care. Addresses both medical and surgical aspects in critical care for adult and pediatric patients in one comprehensive, easy-to-use reference. Shares the knowledge and expertise of the most recognized and trusted leaders in the field, with more international contributing authors than in previous editions. Covers new information on procedural and diagnostic ultrasound, prone positioning, ECMO, and VADs. Discusses key topics such as organ support, telemedicine, echocardiography, antibiotic stewardship, antiviral agents, coagulation and anti-coagulation, and more. Features a wealth of tables, boxes, algorithms, diagnostic images, and key points that clarify important concepts and streamline complex information for quick reference. Includes companion videos and exclusive chapters online that cover commonly performed procedures. Takes a multidisciplinary approach to critical care, with contributions from experts in anesthesia, surgery, pulmonary medicine, and pediatrics.

Medical Prophecy in Critical Illness

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Publisher :
ISBN 13 :
Total Pages : 222 pages
Book Rating : 4.:/5 (35 download)

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Book Synopsis Medical Prophecy in Critical Illness by : Lucas Stange Zier

Download or read book Medical Prophecy in Critical Illness written by Lucas Stange Zier and published by . This book was released on 2007 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Confucian Bioethics

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Publisher : Springer Science & Business Media
ISBN 13 : 0306468670
Total Pages : 314 pages
Book Rating : 4.3/5 (64 download)

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Book Synopsis Confucian Bioethics by : Ruiping Fan

Download or read book Confucian Bioethics written by Ruiping Fan and published by Springer Science & Business Media. This book was released on 2006-04-11 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume explores Confucian views regarding the human body, health, virtue, suffering, suicide, euthanasia, `human drugs,' human experimentation, and justice in health care distribution. These views are rooted in Confucian metaphysical, cosmological, and moral convictions, which stand in contrast to modern Western liberal perspectives in a number of important ways. In the contemporary world, a wide variety of different moral traditions flourish; there is real moral diversity. Given this circumstance, difficult and even painful ethical conflicts often occur between the East and the West with regard to the issues of life, birth, reproduction, and death. The essays in this volume analyze the ways in which Confucian bioethics can clarify important moral concepts, provide arguments, and offer ethical guidance. The volume should be of interest to both general readers coming afresh to the study of bioethics, ethics, and Confucianism, as well as for philosophers, ethicists, and other scholars already familiar with the subject.

Medical Care at the End of Life

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Publisher : Georgetown University Press
ISBN 13 : 1589011120
Total Pages : 193 pages
Book Rating : 4.5/5 (89 download)

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Book Synopsis Medical Care at the End of Life by : David F. Kelly

Download or read book Medical Care at the End of Life written by David F. Kelly and published by Georgetown University Press. This book was released on 2006 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Outlining eight major issues regarding end-of-life care as seen through the lens of the Catholic medical ethics tradition, this work looks at the distinction between ordinary and extraordinary means; the difference between killing and allowing to die; and criteria of patient competence.