The Ethics Of Terminal Care

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Dying in America

Author : Institute of Medicine
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.

Ethics in Palliative Care

Author : Robert C. Macauley
Publisher : Oxford University Press
ISBN 13 : 0199313946
Total Pages : 569 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Ethics in Palliative Care by : Robert C. Macauley

Download or read book Ethics in Palliative Care written by Robert C. Macauley and published by Oxford University Press. This book was released on 2018 with total page 569 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a comprehensive analysis of ethical topics in palliative care, combining clinical experience and philosophical rigor. A broad array of topics are explored from historical, legal, clinical, and ethical perspectives, offering both the seasoned clinician and interested lay reader a thorough examination of the complex ethical issues facing patients suffering from life-threatening illness.

The Ethics of Terminal Care

Author : Erich E.H. Loewy
Publisher : Springer Science & Business Media
ISBN 13 : 0306468360
Total Pages : 190 pages
Book Rating : 4.3/5 (64 download)

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Book Synopsis The Ethics of Terminal Care by : Erich E.H. Loewy

Download or read book The Ethics of Terminal Care written by Erich E.H. Loewy and published by Springer Science & Business Media. This book was released on 2007-05-08 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this volume the authors examine some of the medical social and psychological conditions which affect the way we die. Important topics covered include attitudes toward death; suicide, assisted suicide and euthanasia; hospice and pain management. This volume will be of interest to all who work with terminally ill patients.

A Palliative Ethic of Care

Author : Joseph Fins
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763732929
Total Pages : 324 pages
Book Rating : 4.7/5 (329 download)

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Book Synopsis A Palliative Ethic of Care by : Joseph Fins

Download or read book A Palliative Ethic of Care written by Joseph Fins and published by Jones & Bartlett Learning. This book was released on 2006 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: "An innovative approach to caring for the terminally ill patient, A palliative ethic of care provides deeper insights into why end-of-life care is so challenging and suggests how to improve the care of the dying" -- Back cover.

Hospice Ethics

Author : Timothy W. Kirk
Publisher : Oxford University Press
ISBN 13 : 0199944954
Total Pages : 337 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Hospice Ethics by : Timothy W. Kirk

Download or read book Hospice Ethics written by Timothy W. Kirk and published by Oxford University Press. This book was released on 2014-08-28 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospice care is one of the fastest-growing segments of the U. S. healthcare system, a trend that is expected to accelerate as the median age of the population continues to rise over the next three decades. Despite over forty percent of the population now dying while on hospice care, very little has been published on the ethical opportunities and challenges experienced in the everyday lives of those giving and receiving hospice care. This book is the first comprehensive collection devoted to analyzing distinctive ethical issues arising in the delivery of hospice care and designed to promote best ethical practices for hospice care professionals and organizations. Thirteen newly commissioned chapters by seventeen hospice experts populate three thematic sections of the book, each devoted to an aspect of the intersection between ethics and hospice care. Contributors have unique qualifications and abilities to articulate and respond to ethically significant phenomena that -- while not always unique to hospice care -- arise in especially poignant and complex ways when caring for patients enrolled in hospice. As the shift or return to home-based care at the end of life continues, hospice professionals and programs will be faced with a broader array of terminal illnesses, cultural beliefs and traditions, and patient and family values than ever before. Hospice will no longer be tailored solely to the final stage of cancer, but will need to accommodate patients whose illnesses are variable in their progression and whose treatment plans include many medical options. The ethical orientations and frameworks that have served hospice for the past 50 years will need to be supplemented and refined if hospice is to fulfill this changing social mission. Hospice Ethics explores a new paradigm for hospice ethics from a multi-disciplinary and provides an important educational resource for professional training in end of life care.

Palliative Care and Ethics

Author : Timothy E. Quill
Publisher : Oxford University Press
ISBN 13 : 0199316686
Total Pages : 322 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Palliative Care and Ethics by : Timothy E. Quill

Download or read book Palliative Care and Ethics written by Timothy E. Quill and published by Oxford University Press. This book was released on 2014-02-06 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospice is the premiere end of life program in the United States, but its requirement that patients forgo disease-directed therapies and that they have a prognosis of 6 months or less means that it serves less than half of dying patients and often for very short periods of time. Palliative care offers careful attention to pain and symptom management, added support for patients and families, and assistance with difficult medical decision making alongside any and all desired medical treatments, but it does not include a comprehensive system of care as is provided by hospice. The practice of palliative care and hospice is filled with sometimes overt (requests for hastened death in an environment where such acts are legally prohibited) and other times covert (the delay in palliative care referral because the health care team believes it will undermine disease directed treatment) ethical issues. The contributors to this volume use a series of case presentations within each chapter to illustrate some of the palliative care and hospice challenges with significant ethical dimensions across the three overarching domains: 1) care delivery systems; 2) addressing the many dimensions of suffering; and 3) difficult decisions near the end of life. The contributors are among the most experienced palliative care, hospice and ethics scholars in North America and Western Europe. Each has been given relatively free reign to address what they feel are the most pressing ethical challenges within their domain, so a wide range of positions and vantage points are represented. As a result, the volume provides a very diverse ethical exploration of this relatively young field that can deepen, stretch, and at times confront any simple notion of the challenges facing patients, their families, professional caregivers, and policy makers.

A History of Palliative Care, 1500-1970

Author : Michael Stolberg
Publisher : Springer
ISBN 13 : 3319541781
Total Pages : 219 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis A History of Palliative Care, 1500-1970 by : Michael Stolberg

Download or read book A History of Palliative Care, 1500-1970 written by Michael Stolberg and published by Springer. This book was released on 2017-04-28 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book on the history of palliative care, 1500-1970 traces the historical roots of modern palliative care in Europe to the rise of the hospice movement in the 1960s. The author discusses largely forgotten premodern concepts like cura palliativa and euthanasia medica and describes, how patients and physicians experienced and dealt with terminal illness. He traces the origins of hospitals for incurable and dying patients and follows the long history of ethical debates on issues like truth-telling and the intentional shortening of the dying patients’ lives and the controversies they sparked between physicians and patients. An eye opener for anyone interested in the history of ethical decision making regarding terminal care of critically ill patients.

Contemporary Bioethics

Author : Mohammed Ali Al-Bar
Publisher : Springer
ISBN 13 : 3319184288
Total Pages : 273 pages
Book Rating : 4.3/5 (191 download)

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Book Synopsis Contemporary Bioethics by : Mohammed Ali Al-Bar

Download or read book Contemporary Bioethics written by Mohammed Ali Al-Bar and published by Springer. This book was released on 2015-05-27 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book discusses the common principles of morality and ethics derived from divinely endowed intuitive reason through the creation of al-fitr' a (nature) and human intellect (al-‘aql). Biomedical topics are presented and ethical issues related to topics such as genetic testing, assisted reproduction and organ transplantation are discussed. Whereas these natural sources are God’s special gifts to human beings, God’s revelation as given to the prophets is the supernatural source of divine guidance through which human communities have been guided at all times through history. The second part of the book concentrates on the objectives of Islamic religious practice – the maqa' sid – which include: Preservation of Faith, Preservation of Life, Preservation of Mind (intellect and reason), Preservation of Progeny (al-nasl) and Preservation of Property. Lastly, the third part of the book discusses selected topical issues, including abortion, assisted reproduction devices, genetics, organ transplantation, brain death and end-of-life aspects. For each topic, the current medical evidence is followed by a detailed discussion of the ethical issues involved.

The Ethics of Palliative Care

Author : Henk ten Have
Publisher :
ISBN 13 :
Total Pages : 280 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Ethics of Palliative Care by : Henk ten Have

Download or read book The Ethics of Palliative Care written by Henk ten Have and published by . This book was released on 2002 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a picture of palliative care ethics in the European context. It should interest those involved in the delivery and management of palliative care services, as well as students and researchers.

Contemporary European Perspectives on the Ethics of End of Life Care

Author : Nathan Emmerich
Publisher : Springer Nature
ISBN 13 : 3030400336
Total Pages : 393 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Contemporary European Perspectives on the Ethics of End of Life Care by : Nathan Emmerich

Download or read book Contemporary European Perspectives on the Ethics of End of Life Care written by Nathan Emmerich and published by Springer Nature. This book was released on 2020-05-12 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the ethics of end of life care, focusing on the kinds of decisions that are commonly made in clinical practice. Specific attention is paid to the intensification of treatment for terminal symptoms, particularly pain relief, and the withdrawal and withholding of care, particularly life-saving or life-prolonging medical care. The book is structured into three sections. The first section contains essays examining end of life care from the perspective of moral theory and theology. The second sets out various conceptual terms and distinctions relevant to decision-making at the end of life. The third section contains chapters that focus on substantive ethical issues. This format not only provides for a comprehensive analysis of the ethical issues that arise in the context of end of life care but allows readers to effectively trace the philosophical, theological and conceptual underpinnings that inform their specific interests. This work will be of interest to scholars working in the area as well as clinicians, specialists and healthcare professionals who encounter these issues in the course of their practice.

Clinical Ethics in Anesthesiology

Author : Gail A. Van Norman
Publisher : Cambridge University Press
ISBN 13 : 1139489852
Total Pages : 319 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Clinical Ethics in Anesthesiology by : Gail A. Van Norman

Download or read book Clinical Ethics in Anesthesiology written by Gail A. Van Norman and published by Cambridge University Press. This book was released on 2010-10-28 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ethical issues facing anesthesiologists are more far-reaching than those involving virtually any other medical specialty. In this clinical ethics textbook, authors from across the USA, Canada and Europe draw on ethical principles and practical knowledge to provide a realistic understanding of ethical anesthetic practice. The result is a compilation of expert opinion and international perspectives from clinical leaders in anesthesiology. Building on real-life, case-based problems, each chapter is clinically focused and addresses both practical and theoretical issues. Topics include general operating room care, pediatric and obstetrical patient care, the intensive care unit, pain practice, research and publication, as well as discussions of lethal injection, disclosure of errors, expert witness testimony, triage in disaster and conflicts of interest with industry. An important reference tool for any anesthesiologist, whether clinical or research-oriented, this book is especially valuable for physicians involved in teaching residents and students about the ethical aspects of anesthesia practice.

Ethical Dilemmas at the End of Life

Author : Kenneth J. Doka
Publisher :
ISBN 13 :
Total Pages : 374 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Ethical Dilemmas at the End of Life by : Kenneth J. Doka

Download or read book Ethical Dilemmas at the End of Life written by Kenneth J. Doka and published by . This book was released on 2005 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explores a range of issues--including pediatric hospice, historical, religious, spiritual and cultural perspectives on the end of life, hospice in nursing homes, surrogate decision making, physician assisted suicide, organ donation, and our society's legal tenants of end-of-life care. Includes an index.

Patient-Centred Ethics and Communication at the End of Life

Author : David Jeffrey
Publisher : CRC Press
ISBN 13 : 1315358255
Total Pages : 182 pages
Book Rating : 4.3/5 (153 download)

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Book Synopsis Patient-Centred Ethics and Communication at the End of Life by : David Jeffrey

Download or read book Patient-Centred Ethics and Communication at the End of Life written by David Jeffrey and published by CRC Press. This book was released on 2018-04-17 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides the best information available on the ways priorities are currently set for health care around the world. It describes the methods now used in the six countries leading the process, and contrasts the differences between them. It shows how, except in the UK, frameworks have now been developed to set priorities. Making Choices for Health Care sets forth the key issues that need to be tackled in the years ahead. Descriptions of the leading trends are accompanied by suggestions to resolve outstanding difficulties. Topics include: the need for national research and development funding for new treatments, ways to shift resources permanently towards prevention and chronic care, and how DALYs may replace QALYs. While the concepts and values underlying priority setting have been discussed elsewhere, Making Choices for Health Care highlights real current practice. It is a vital tool for policy-makers, health care managers, clinicians, patient organizations, academics, and executives in pharmaceutical and medical supply industries.

Issues in Palliative Care Research

Author : Russell K. Portenoy
Publisher : Oxford University Press
ISBN 13 : 0195130650
Total Pages : 427 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Issues in Palliative Care Research by : Russell K. Portenoy

Download or read book Issues in Palliative Care Research written by Russell K. Portenoy and published by Oxford University Press. This book was released on 2003-01-30 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Symptom control, management of psychosocial and spiritual concerns, decision-making consistent with values and goals, and care of the imminently dying that is appropriate and sensitive are among the critical issues in palliative care. This book explores progress made and future goals.

Approaching Death

Author : Committee on Care at the End of Life
Publisher : National Academies Press
ISBN 13 : 0309518253
Total Pages : 457 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Approaching Death by : Committee on Care at the End of Life

Download or read book Approaching Death written by Committee on Care at the End of Life and published by National Academies Press. This book was released on 1997-10-30 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."

When Children Die

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309084377
Total Pages : 713 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis When Children Die by : Institute of Medicine

Download or read book When Children Die written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-09 with total page 713 pages. Available in PDF, EPUB and Kindle. Book excerpt: The death of a child is a special sorrow. No matter the circumstances, a child's death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify "medicine with a heart." At worst, families' encounters with the health care system will leave them with enduring painful memories, anger, and regrets. When Children Die examines what we know about the needs of these children and their families, the extent to which such needs areâ€"and are notâ€"being met, and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving child patients in treatment decisions, communicating with parents, strengthening the organization and delivery of services, developing support programs for bereaved families, improving public and private insurance, training health professionals, and more. It argues that taking these steps will improve the care of children who survive as well as those who do notâ€"and will likewise help all families who suffer with their seriously ill or injured child. Featuring illustrative case histories, the book discusses patterns of childhood death and explores the basic elements of physical, emotional, spiritual, and practical care for children and families experiencing a child's life-threatening illness or injury.

Pediatric Palliative Care

Author : Betty Ferrell
Publisher :
ISBN 13 : 0190244186
Total Pages : 161 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Pediatric Palliative Care by : Betty Ferrell

Download or read book Pediatric Palliative Care written by Betty Ferrell and published by . This book was released on 2016 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric palliative care is a field of significant growth as health care systems recognize the benefits of palliative care in areas such as neonatal intensive care, pediatric ICU, and chronic pediatric illnesses. Pediatric Palliative Care, the fourth volume in the HPNA Palliative Nursing Manuals series, highlights key issues related to the field. Chapters address pediatric hospice, symptom management, pediatric pain, the neonatal intensive care unit, transitioning goals of care between the emergency department and intensive care unit, and grief and bereavement in pediatric palliative care. The content of the concise, clinically focused volumes in the HPNA Palliative Nursing Manuals series is one resource for nurses preparing for specialty certification exams and provides a quick-reference in daily practice. Plentiful tables and patient teaching points make these volumes useful resources for nurses.