The Patient Self Determination Act

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The Patient Self-Determination Act

Author : Lawrence P. Ulrich
Publisher : Georgetown University Press
ISBN 13 : 9781589014534
Total Pages : 370 pages
Book Rating : 4.0/5 (145 download)

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Book Synopsis The Patient Self-Determination Act by : Lawrence P. Ulrich

Download or read book The Patient Self-Determination Act written by Lawrence P. Ulrich and published by Georgetown University Press. This book was released on 2001-07-18 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Self-Determination Act of 1990 required medical facilities to provide patients with written notification of their right to refuse or consent to medical treatment. Using this Act as an important vehicle for improving the health care decisionmaking process, Lawrence P. Ulrich explains the social, legal, and ethical background to the Act by focusing on well-known cases such as those of Karen Quinlan and Nancy Cruzan, and he explores ways in which physicians and other caregivers can help patients face the complex issues in contemporary health care practices. According to Ulrich, health care facilities often address the letter of the law in a merely perfunctory way, even though the Act integrates all the major ethical issues in health care today. Ulrich argues that well-designed conversations between clinicians and patients or their surrogates will not only assist in preserving patient dignity — which is at the heart of the Act—but will also help institutions to manage the liability issues that the Act may have introduced. He particularly emphasizes developing effective advance directives. Ulrich examines related issues, such as the negative effect of managed care on patient self-determination, and concludes with a seldom-discussed issue: the importance of being a responsible patient. Showing how the Patient Self-Determination Act can be a linchpin of more meaningful and effective communication between patient and caregiver, this book provides concrete guidance to health care professionals, medical ethicists, and patient-rights advocates.

Patient Self-Determination Act

Author : DIANE Publishing Company
Publisher : DIANE Publishing
ISBN 13 : 9780788130380
Total Pages : 48 pages
Book Rating : 4.1/5 (33 download)

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Book Synopsis Patient Self-Determination Act by : DIANE Publishing Company

Download or read book Patient Self-Determination Act written by DIANE Publishing Company and published by DIANE Publishing. This book was released on 1996-07 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides information on the Patient Self-Determination Act (PSDA) implementation & the effectiveness of advance directives in ensuring patient self-determination. Focuses on the extent to which institutional health care providers & the federal government are complying with the provisions of the act & how the public uses advance directives to express their end-of -life treatment wishes. Analyzes how an advance directive effects a patient's desired care.

Patient Self-determination Act

Author : United States. General Accounting Office
Publisher :
ISBN 13 :
Total Pages : 52 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Patient Self-determination Act by : United States. General Accounting Office

Download or read book Patient Self-determination Act written by United States. General Accounting Office and published by . This book was released on 1995 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Patient Self-Determination Act

Author : Fred H. Cate
Publisher :
ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Patient Self-Determination Act by : Fred H. Cate

Download or read book The Patient Self-Determination Act written by Fred H. Cate and published by . This book was released on 1991 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Patient Self-Determination ACT

Author : United States Accounting Office (GAO)
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781719017220
Total Pages : 54 pages
Book Rating : 4.0/5 (172 download)

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Book Synopsis Patient Self-Determination ACT by : United States Accounting Office (GAO)

Download or read book Patient Self-Determination ACT written by United States Accounting Office (GAO) and published by Createspace Independent Publishing Platform. This book was released on 2018-05-12 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Self-Determination Act: Providers Offer Information on Advance Directives but Effectiveness Uncertain

The Limits of Advance Directives

Author : Edward John Larson
Publisher :
ISBN 13 :
Total Pages : 45 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis The Limits of Advance Directives by : Edward John Larson

Download or read book The Limits of Advance Directives written by Edward John Larson and published by . This book was released on 1997 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Self-determination in Health Care

Author : Leroy C. Edozien
Publisher : Routledge
ISBN 13 : 1317057430
Total Pages : 304 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Self-determination in Health Care by : Leroy C. Edozien

Download or read book Self-determination in Health Care written by Leroy C. Edozien and published by Routledge. This book was released on 2016-03-03 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is generally accepted in legal and bioethical discourse that the patient has a right to self-determination. In practice though, this is often not the case. Paternalism is waning and it is increasingly recognised that there are values other than medical factors which determine the choices that patients make. Unfortunately, these developments have not resulted in huge advances for patient self-determination, which is largely because the consent model has fundamental flaws that constrain its effectiveness. This book sets out to offer an alternative model to consent. In the property model proposed here, the patient’s bodily integrity is protected from unauthorised invasion, and their legitimate expectation to be provided with the relevant information to make an informed decision is taken to be a proprietary right. It is argued that the property model potentially overcomes the limitations of the consent model, including the obstacle caused by the requirement to prove causation in consent cases. The author proposes that this model could in the future provide an alternative or complementary approach for the courts to consider when dealing with cases relating to self-determination in health care.

Dying in America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309303133
Total Pages : 638 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 638 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.

The Patient Self-Determination Act

Author : Denise C. Park
Publisher :
ISBN 13 :
Total Pages : 9 pages
Book Rating : 4.:/5 (326 download)

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Book Synopsis The Patient Self-Determination Act by : Denise C. Park

Download or read book The Patient Self-Determination Act written by Denise C. Park and published by . This book was released on 1995 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Self-determination in Health Care

Author : Leroy C. Edozien
Publisher : Routledge
ISBN 13 : 1317057422
Total Pages : 293 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Self-determination in Health Care by : Leroy C. Edozien

Download or read book Self-determination in Health Care written by Leroy C. Edozien and published by Routledge. This book was released on 2016-03-03 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is generally accepted in legal and bioethical discourse that the patient has a right to self-determination. In practice though, this is often not the case. Paternalism is waning and it is increasingly recognised that there are values other than medical factors which determine the choices that patients make. Unfortunately, these developments have not resulted in huge advances for patient self-determination, which is largely because the consent model has fundamental flaws that constrain its effectiveness. This book sets out to offer an alternative model to consent. In the property model proposed here, the patient’s bodily integrity is protected from unauthorised invasion, and their legitimate expectation to be provided with the relevant information to make an informed decision is taken to be a proprietary right. It is argued that the property model potentially overcomes the limitations of the consent model, including the obstacle caused by the requirement to prove causation in consent cases. The author proposes that this model could in the future provide an alternative or complementary approach for the courts to consider when dealing with cases relating to self-determination in health care.

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."

Planning for Uncertainty

Author : David John Doukas
Publisher : JHU Press
ISBN 13 : 0801886082
Total Pages : 166 pages
Book Rating : 4.8/5 (18 download)

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Book Synopsis Planning for Uncertainty by : David John Doukas

Download or read book Planning for Uncertainty written by David John Doukas and published by JHU Press. This book was released on 2007 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: It won't happen to me. I'm too busy to worry about a living will. My family will know what to do. No one wants to plan for death or incapacitating illness. But, as the emotional legal battle in the Terri Schiavo case made all too clear, people of all ages need to document and communicate clear decisions about the final details of their lives while they are healthy and have time to fully consider their own values and preferences. Here, Drs. David Doukas and William Reichel help individuals make decisions and communicate their wishes to health care providers and family members and other loved ones. Drs. Doukas and Reichel use a question-and-answer format to guide readers through the process—emphasizing the crucial connection between values and treatment preferences. They explain advance directives and the health care decision-making process, including the values history, family covenants, proxies, and proxy negation. The appendix includes resources and Web links for learning about advance directive requirements and obtaining legal forms in all fifty states. This practical guide helps people navigate the important but often intimidating process of thinking about, and planning for, an uncertain future.

Communications and the Patient Self-Determination Act

Author :
Publisher :
ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Communications and the Patient Self-Determination Act by :

Download or read book Communications and the Patient Self-Determination Act written by and published by . This book was released on 1993 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Implementation and Impact of the Patient Self Determination Act

Author : Henry R. Glick
Publisher :
ISBN 13 :
Total Pages : 17 pages
Book Rating : 4.:/5 (312 download)

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Book Synopsis Implementation and Impact of the Patient Self Determination Act by : Henry R. Glick

Download or read book Implementation and Impact of the Patient Self Determination Act written by Henry R. Glick and published by . This book was released on 1993 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Taking Care

Author : President's Council on Bioethics (U.S.)
Publisher : Executive Office of the President
ISBN 13 :
Total Pages : 336 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Taking Care by : President's Council on Bioethics (U.S.)

Download or read book Taking Care written by President's Council on Bioethics (U.S.) and published by Executive Office of the President. This book was released on 2005 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Advance Directives

Author : Vijay A. D'Souza
Publisher :
ISBN 13 : 9781457868375
Total Pages : 33 pages
Book Rating : 4.8/5 (683 download)

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Book Synopsis Advance Directives by : Vijay A. D'Souza

Download or read book Advance Directives written by Vijay A. D'Souza and published by . This book was released on 2015-06-05 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advance directives, such as living wills or health care powers of attorney, specify -- consistent with applicable state law -- how individuals want medical decisions to be made for them should they become unable to communicate their wishes. Many individuals receive medical care from Medicare and Medicaid funded providers during the last 6 months of life, and may benefit from having advance directives that specify treatment. This report examines: (1) how the Centers for Medicare & Medicaid Services (CMS) oversees providers' implementation of the Patient Self Determination Act (PSDA) requirement; (2) what is known about the approaches providers use and challenges they face to inform individuals about advance directives; and (3) what is known about the prevalence of advance directives and how it varies across provider types and individuals' demographic characteristics. Figures. This is a print on demand report.

Making Sense of Advance Directives

Author : Nancy M.P. King
Publisher : Georgetown University Press
ISBN 13 : 9781589018600
Total Pages : 308 pages
Book Rating : 4.0/5 (186 download)

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Book Synopsis Making Sense of Advance Directives by : Nancy M.P. King

Download or read book Making Sense of Advance Directives written by Nancy M.P. King and published by Georgetown University Press. This book was released on 1996-02-01 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advance directives—such as living wills and health care proxies—are documents intended to declare and preserve the health care choices of patients if they become unable to make their own decisions. This book provides a comprehensive overview of advance directives and clear, practical directions for writing and interpreting them. Nancy M.P. King provides a legal, philosophical, and historical analysis of the moral and legal force of advance directives. She explains the types and models of advance directives currently in use and offers guidelines for individuals seeking to write, read, and use directives to promote individuals' health care choices within the laws of their own states. King emphasizes that advance directives are not orders given by patients to their doctors; instead, they are documents that invite conversation between doctors and patients about health care decisions of great importance. The purpose of advance directives is to support patients' health care choices, and the book promotes a thoughtful use of advance directives that is best calculated to achieve that purpose, whatever form individual advance directives may take. This new edition has been updated to reflect the many changes in advance directive statutes since 1991, including expanded discussions of health care proxy statutes, the impact of the Patient Self-Determination Act and the Supreme Court's Cruzan decision. King also has extended her analysis of the implications for advance directives of managed care, resource allocation, resource scarcity, and the debate over futile treatment at the end of life. Making Sense of Advance Directives is a valuable handbook for patients, health care providers and administrators, patient counselors, lawyers, policymakers, and any individual interested in advance directives.