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The Impact Of Physician Knowledge And Attitudes Toward Death On End Of Life Care Decisions
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Book Synopsis The Impact of Physician Knowledge and Attitudes Toward Death on End of Life Care Decisions by : Shari Lynn Farrar
Download or read book The Impact of Physician Knowledge and Attitudes Toward Death on End of Life Care Decisions written by Shari Lynn Farrar and published by . This book was released on 2003 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :American College of Physicians--American Society of Internal Medicine. End-of-Life Care Consensus Panel Publisher :ACP Press ISBN 13 :1930513283 Total Pages :287 pages Book Rating :4.9/5 (35 download)
Book Synopsis Physician's Guide to End-of-life Care by : American College of Physicians--American Society of Internal Medicine. End-of-Life Care Consensus Panel
Download or read book Physician's Guide to End-of-life Care written by American College of Physicians--American Society of Internal Medicine. End-of-Life Care Consensus Panel and published by ACP Press. This book was released on 2001 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: Identifies clinical, ethical, and public policy challenges in end-of- life care and offers recommendations on how to better address these problems. Part I focuses on building relationships among doctors, patients, and families, cultural differences in attitudes towards palliative care, and what to do when the patient cannot speak for himself. Part II presents practical approaches to common problems, illustrated with clinical cases in management of pain, depression, and delirium. Part III deals with legal, financial, and quality issues. Snyder teaches bioethics at the University of Pennsylvania Center for Bioethics; Quill teaches in the Program for Biopsychosocial Studies at the University of Rochester School of Medicine. c. Book News Inc.
Book Synopsis Death and Dying by : Nicole Piemonte
Download or read book Death and Dying written by Nicole Piemonte and published by MIT Press. This book was released on 2021-09-07 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: An examination of the contemporary medicalization of death and dying that calls us to acknowledge instead death's existential and emotional realities. Death is a natural, inevitable, and deeply human process, and yet Western medicine tends to view it as a medical failure. In their zeal to prevent death, physicians and hospitals often set patients and their families on a seemingly unstoppable trajectory toward medical interventions that may actually increase suffering at the end of life. This volume in the MIT Press Essential Knowledge series examines the medicalization of death and dying and proposes a different approach--one that acknowledges death's existential and emotional realities. The authors--one an academic who teaches and studies end-of-life care, and the other a physician trained in hospice and palliative care--offer an account of Western-style death and dying that is informed by both research and personal experience. They examine the medical profession's attitude toward death as a biological dysfunction that needs fixing; describe the hospice movement, as well as movements for palliative care and aid in dying, and why they failed to influence mainstream medicine; consider our reluctance to have end-of-life conversations; and investigate the commodification of medicine and the business of dying. To help patients die in accordance with their values, they say, those who care for the dying should focus less on delaying death by any means possible and more on being present with the dying on their journey.
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)
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."
Download or read book Dying Well written by Ira Byock and published by Penguin. This book was released on 1998-03-01 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: From Ira Byock, prominent palliative care physician and expert in end of life decisions, a lesson in Dying Well. Nobody should have to die in pain. Nobody should have to die alone. This is Ira Byock's dream, and he is dedicating his life to making it come true. Dying Well brings us to the homes and bedsides of families with whom Dr. Byock has worked, telling stories of love and reconciliation in the face of tragedy, pain, medical drama, and conflict. Through the true stories of patients, he shows us that a lot of important emotional work can be accomplished in the final months, weeks, and even days of life. It is a companion for families, showing them how to deal with doctors, how to talk to loved ones—and how to make the end of life as meaningful and enriching as the beginning. Ira Byock is also the author of The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life.
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.
Book Synopsis Cancer Pain Management in Developing Countries by : Sushma Bhatnagar
Download or read book Cancer Pain Management in Developing Countries written by Sushma Bhatnagar and published by Lippincott Williams & Wilkins. This book was released on 2018-06-29 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. A Comprehensive Handbook of Cancer Pain Management in Developing Countries Written by an international panel of expert pain physicians, A Comprehensive Handbook of Cancer Pain Management in Developing Countries addresses this challenging and vital topic with reference to the latest body of evidence relating to cancer pain. It thoroughly covers pain management in the developing world, explaining the benefit of psychological, interventional, and complementary therapies in cancer pain management, as well as the importance of identifying and overcoming regulatory and educational barriers.
Book Synopsis Impact of a Geriatric and Palliative Medicine Clerkship on Knowledge and Attitudes about End-of-life Care by : Linh M.T. Nguyen
Download or read book Impact of a Geriatric and Palliative Medicine Clerkship on Knowledge and Attitudes about End-of-life Care written by Linh M.T. Nguyen and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Previous interventions of students and residents suggest that those which employ patient encounters increases attitude towards end-of-life care and performance on a palliative care knowledge examination, but those studies did not include geriatric preceptors. From a population of third-year medical students, the researcher surveyed attitudes and tested knowledge before and after a combined geriatric and palliative clerkship to determine the impact on these outcomes and if there were any differences among the preceptor or the clinical site. After the rotation, students’ perceptions of the importance that medical students learn about how to care for dying patients of resident and attending physicians increased from 77.5% to 89.6% (p
Book Synopsis The Oxford Handbook of Health Communication, Behavior Change, and Treatment Adherence by : Leslie R. Martin
Download or read book The Oxford Handbook of Health Communication, Behavior Change, and Treatment Adherence written by Leslie R. Martin and published by Oxford University Press. This book was released on 2013-11 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited volume brings together top-notch scientists and practitioners to illustrate intersections between health communication, behavior change, and treatment adherence.
Book Synopsis Improving Palliative Care for Cancer by : National Research Council
Download or read book Improving Palliative Care for Cancer written by National Research Council and published by National Academies Press. This book was released on 2001-10-19 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: In our society's aggressive pursuit of cures for cancer, we have neglected symptom control and comfort care. Less than one percent of the National Cancer Institute's budget is spent on any aspect of palliative care research or education, despite the half million people who die of cancer each year and the larger number living with cancer and its symptoms. Improving Palliative Care for Cancer examines the barriersâ€"scientific, policy, and socialâ€"that keep those in need from getting good palliative care. It goes on to recommend public- and private-sector actions that would lead to the development of more effective palliative interventions; better information about currently used interventions; and greater knowledge about, and access to, palliative care for all those with cancer who would benefit from it.
Book Synopsis Factors Associated with Health Education Specialists' Attitudes Towards Providing End-of-life Education by : Amy J. Piontek
Download or read book Factors Associated with Health Education Specialists' Attitudes Towards Providing End-of-life Education written by Amy J. Piontek and published by . This book was released on 2017 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: End-of-life decisions are often difficult to make for patients and families, particularly with a new diagnosis of a terminal disease. Completing advance directives can alleviate much of the burden related to the end-of-life decision making process; however, many Americans do not have advance directives established. Additionally, there is a lack of knowledge and use of end- of-life resources available to terminally ill patients and their families, resulting in a poor quality of life. End-of-life and palliative care initiatives have been developed in the United States over the last two decades. There is an increasing number of terminally ill patients receiving end-of- life care due to the Patient Self-Determination Act (PSDA) of 1991 and the credentialing mandates set forth by the accrediting body for baccalaureate nursing programs. However, there are still many Americans who are unaware of end-of-life issues. By broadening the scope of practice among health educators, the general public will have a greater awareness of end-of-life issues, and an opportunity to establish advance directives. The purpose of the current study was to explore attitudinal differences between Certified Health Education Specialists (CHES) and Master Certified Health Education Specialists (MCHES) towards providing end-of-life education based on the factors of age, gender, ethnicity, religious influence, religious affiliation, level of education, additional certifications and licensures, previous coursework with death and dying, experience with terminally ill patients, and experience with loss of a loved one. A purposive, random sample of CHES and MCHES health education specialists whose names and mailing addresses were provided from the National Commission for Health Education Credentialing (NCHEC), was used for this study. Participants completed a demographic survey as well as a survey pertaining to their attitudes towards providing end-of- life education. It was anticipated that, like the attitudes of nurses, health educators would want to take active roles in assisting people with end-of-life decisions and provide end-of-life education for the general population. A sample size of 373 health education specialists participated in this study. The three factors of age, previous education on death and dying, and experience with caring for terminally ill persons and their families were associated with positive attitudes towards providing end-of-life education. This study suggests a need for death and dying education along with experiential learning to be incorporated in the health education curricula in order prepare health educators to advocate and educate the public and terminally ill patients as well as their families about advance care planning and their health care options at the end-of-life. By increasing the job role of the health educator, more people will understand the dying process and make informed healthcare decisions, thus improving their quality of life at the end of life.
Book Synopsis "There's Nothing Wrong with You that an Expensive Operation Can't Prolong" by : Amy Albright
Download or read book "There's Nothing Wrong with You that an Expensive Operation Can't Prolong" written by Amy Albright and published by . This book was released on 2020 with total page 145 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health literacy influences the ways in which individuals access and utilize health information to promote well-being, and the following interrelated studies examined functional health literacy in community-dwelling adults in the context of advance care planning. When assessing health literacy, it is important to first establish basic functional levels of this construct, as this may provide crucial information regarding the ways in which patients interact with the healthcare system. Study One established the importance of assessing functional health literacy among older adults in a primary care context, as significant discrepancies were noted between patients' subjective reports of health literacy and their objective ability to understand and manipulate health information. This is an important trend to monitor, as it is becoming increasingly necessary for U.S. adults to make decisions regarding end-of-life care in collaboration with their medical providers. Functional health literacy is an important factor to consider in this context, as it may influence the care that patients desire at the end of life. Based on the findings in Study One regarding the importance of functional health literacy, Study Two examined ways in which functional health literacy and death exposure influenced preferred end-of-life interventions. It was found that these variables did not influence aggressiveness of end-of-life care choices; however, general knowledge of palliative care was low, and further research is needed to clarify how understanding of palliative care influences advance care planning. Finally, Study Three continued the exploration of end-of-life decision-making by examining attitudes towards physician-assisted death (PAD), an end-of-life intervention that is becoming increasingly common within the United States. Factors such as religiosity and attitudes regarding PAD were found to influence individual support for the legalization of PAD. Furthermore, there was a significant positive association between health literacy and PAD, indicating that those with higher health literacy were more supportive of PAD, even within a sample of adults with low palliative care knowledge. Implications regarding these findings include the necessity of screening for functional health literacy, as well as assisting patients to engage in both informal and formal advance care planning as early as possible.
Book Synopsis Dignity Therapy by : Harvey Max Chochinov
Download or read book Dignity Therapy written by Harvey Max Chochinov and published by OUP USA. This book was released on 2012-01-04 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Maintaining dignity for patients approaching death is a core principle of palliative care. Dignity therapy, a psychological intervention developed by Dr. Harvey Max Chochinov and his internationally lauded research group, has been designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as they grapple with the reality of life drawing to a close. In the first book to lay out the blueprint for this unique and meaningful intervention, Chochinov addresses one of the most important dimensions of being human. Being alive means being vulnerable and mortal; he argues that dignity therapy offers a way to preserve meaning and hope for patients approaching death. With history and foundations of dignity in care, and step by step guidance for readers interested in implementing the program, this volume illuminates how dignity therapy can change end-of-life experience for those about to die - and for those who will grieve their passing.
Book Synopsis Whole Person Care by : Tom A. Hutchinson
Download or read book Whole Person Care written by Tom A. Hutchinson and published by Springer Science & Business Media. This book was released on 2011-05-06 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: A ground-breaking new volume and the first of its kind to concisely outline and explicate the emerging field of whole person care process, Whole Person Care: A New Paradigm for the 21st Century organizes the disparate strains of literature on the topic. It does so by clarifying the concept of 'whole person' and also by outlining the challenges and opportunities that death anxiety poses to the practice of whole person care. Whole person care seeks to study, understand and promote the role of health care in relieving suffering and promoting healing in acute and chronic illness as a complement to the disease focus of biomedicine. The focus is on the whole person -- physical, emotional, social, and spiritual. Using concise, easy-to-read language, the early chapters offer practitioners a thorough understanding of the concepts, skills and tools necessary for the practice of whole person care from a clinician-patient interaction standpoint, while the last two chapters review the myriad implications of whole person care for medical practice. An invaluable resource for all areas of medical practice and for practitioners at all stages of development, from medical students to physicians and allied health providers with many years of experience, Whole Person Care: A New Paradigm for the 21st Century will have a profound impact on western medical practice in North America and elsewhere.
Book Synopsis Surgical Palliative Care by : Anne C. Mosenthal
Download or read book Surgical Palliative Care written by Anne C. Mosenthal and published by Oxford University Press, USA. This book was released on 2019-11-12 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: Palliative care has become increasingly important across the spectrum of healthcare, and with it, the need for education and training of a broad range of medical practitioners not previously associated with this field of care. Part of the Integrating Palliative Care series, this volume on surgical palliative care guides readers through the core palliative skills and knowledge needed to deliver high value care for patients with life-limiting, critical, and terminal illness under surgical care. Chapters explore the historical, philosophical, and spiritual principles of surgical palliative care, and follow the progression of the seriously ill surgical patient's journey from the pre-operative encounter, to the invasive procedure, to the post-operative setting, and on to survivorship. An overview of the future of surgical palliative care education and research rounds out the text. Surgical Palliative Care is an ideal resource for surgeons, surgical nurses, intensivists, and other practitioners who wish to learn more about integrating palliative care into the surgical field.
Book Synopsis End of Life Care in the ICU by : Graeme Rocker
Download or read book End of Life Care in the ICU written by Graeme Rocker and published by Oxford University Press, USA. This book was released on 2010-01-28 with total page 403 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book highlights real clinical issues which need to be addressed if quality palliative care within ICUs is to be consistently delivered. It is presented in an easily accessible, bullet pointed style, and is illustrated with case histories from real-life patients, and drug tables.
Book Synopsis How To Break Bad News by : Robert Buckman
Download or read book How To Break Bad News written by Robert Buckman and published by University of Toronto Press. This book was released on 1992-08-08 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many health care professionals and social service providers, the hardest part of the job is breaking bad news. The news may be about a condition that is life-threatening (such as cancer or AIDS), disabling (such as multiple sclerosis or rheumatoid arthritis), or embarrassing (such as genital herpes). To date medical education has done little to train practitioners in coping with such situations. With this guide Robert Buckman and Yvonne Kason provide help. Using plain, intelligible language they outline the basic principles of breaking bad new and present a technique, or protocol, that can be easily learned. It draws on listening and interviewing skills that consider such factors as how much the patient knows and/or wants to know; how to identify the patient's agenda and understanding, and how to respond to his or her feelings about the information. They also discuss reactions of family and friends and of other members of the health care team. Based on Buckman's award-winning training videos and Kason's courses on interviewing skills for medical students, this volume is an indispensable aid for doctors, nurses, psychotherapists, social workers, and all those in related fields.
