Communication And Bioethics At The End Of Life

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Communication and Bioethics at the End of Life

Author : Lori A. Roscoe,David P. Schenck
Publisher : Springer
Page : 199 pages
File Size : 46,9 Mb
Release : 2017-12-07
Category : Philosophy
ISBN : 9783319709208

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Communication and Bioethics at the End of Life by Lori A. Roscoe,David P. Schenck Pdf

This casebook provides a set of cases that reveal the current complexity of medical decision-making, ethical reasoning, and communication at the end of life for hospitalized patients and those who care for and about them. End-of-life issues are a controversial part of medical practice and of everyday life. Working through these cases illuminates both the practical and philosophical challenges presented by the moral problems that surface in contemporary end-of-life care. Each case involved real people, with varying goals and constraints,who tried to make the best decisions possible under demanding conditions. Though there were no easy solutions, nor ones that satisfied all stakeholders, there are important lessons to be learned about the ways end-of-life care can continue to improve. This advanced casebook is a must-read for medical and nursing students, students in the allied health professions, health communication scholars, bioethicists, those studying hospital and public administration, as well as for practicing physicians and educators.

The Skill of End-of-Life Communication for Clinicians

Author : Kathleen Benton
Publisher : Springer
Page : 81 pages
File Size : 42,9 Mb
Release : 2017-06-27
Category : Medical
ISBN : 9783319604442

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The Skill of End-of-Life Communication for Clinicians by Kathleen Benton Pdf

With a focus on end-of-life discussion in aging and chronically ill populations, this book offers insight into the skill of communicating in complex and emotionally charged discussions. This text is written for all clinicians and professionals in the fields of healthcare and public health who are faced with questions of ethical deliberation when a patient’s illness turns from chronic to terminal. This skill is required to manage care well in an age of advanced technology, and numerous autonomous choices. With a palliative care and ethics focus, the manuscript provides case studies illustrating issues which occur in the acuity and chronicity of end of life. Clear tools for clinicians, such as scripting and “the advance care planning video library" are included. The book focuses on the unique concept of outpatient ethics, including readmission prevention and shortened length of stay through good communication for clinicians who will be required to conduct this discussion with patients. The ethical undertone in this text provides a perfect opening for application in healthcare ethics classes, both in fields of public health and healthcare. Medical scholars and physicians, nurse practitioners and physician’s assistants, as well as social workers, both in practice and training, will benefit from this text.

Patient-Centred Ethics and Communication at the End of Life

Author : David Jeffrey
Publisher : CRC Press
Page : 182 pages
File Size : 54,8 Mb
Release : 2018-04-17
Category : Medical
ISBN : 9781315358253

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Patient-Centred Ethics and Communication at the End of Life by David Jeffrey Pdf

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.

Dying in America

Author : Institute of Medicine,Committee on Approaching Death: Addressing Key End-of-Life Issues
Publisher : National Academies Press
Page : 638 pages
File Size : 44,7 Mb
Release : 2015-03-19
Category : Medical
ISBN : 9780309303132

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Dying in America by Institute of Medicine,Committee on Approaching Death: Addressing Key End-of-Life Issues Pdf

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.

Textbook of Palliative Care Communication

Author : Elaine Wittenberg,Betty R. Ferrell,Joy Goldsmith,Thomas Smith,Sandra L. Ragan,George Handzo
Publisher : Oxford University Press, USA
Page : 457 pages
File Size : 43,9 Mb
Release : 2015-11-20
Category : Medical
ISBN : 9780190201708

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Textbook of Palliative Care Communication by Elaine Wittenberg,Betty R. Ferrell,Joy Goldsmith,Thomas Smith,Sandra L. Ragan,George Handzo Pdf

'The Textbook of Palliative Care Communication' is the authoritative text on communication in palliative care. Uniquely developed by an interdisciplinary editorial team to address an array of providers including physicians, nurses, social workers, and chaplains, it unites clinicians and academic researchers interested in the study of communication.

A Palliative Ethic of Care

Author : Joseph Fins
Publisher : Jones & Bartlett Learning
Page : 324 pages
File Size : 52,7 Mb
Release : 2006
Category : Advance directives (Medical care)
ISBN : 0763732923

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A Palliative Ethic of Care by Joseph Fins Pdf

"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.

Family Communication at the End of Life

Author : Maureen P. Keeley
Publisher : MDPI
Page : 165 pages
File Size : 52,7 Mb
Release : 2018-03-23
Category : Communication in families
ISBN : 9783038425182

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Family Communication at the End of Life by Maureen P. Keeley Pdf

This book is a printed edition of the Special Issue "Family Communication at the End of Life" that was published in Behavioral Sciences

Contemporary Bioethics

Author : Mohammed Ali Al-Bar,Hassan Chamsi-Pasha
Publisher : Springer
Page : 267 pages
File Size : 42,9 Mb
Release : 2015-05-27
Category : Medical
ISBN : 9783319184289

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Contemporary Bioethics by Mohammed Ali Al-Bar,Hassan Chamsi-Pasha Pdf

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 Patient's Wish to Die

Author : Christoph Rehmann-Sutter,Heike Gudat,Kathrin Ohnsorge
Publisher : OUP Oxford
Page : 272 pages
File Size : 42,5 Mb
Release : 2015-06-04
Category : Medical
ISBN : 9780191023323

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The Patient's Wish to Die by Christoph Rehmann-Sutter,Heike Gudat,Kathrin Ohnsorge Pdf

Wish to die statements are becoming a frequent phenomenon in terminally ill patients. Those confronted by these statments need to understand the complexity of such wishes, so they can respond competently and compassionately to the requests. If misunderstood, the statements can be taken at face-value and the practitioner may not recognise that a patient is in fact experiencing ambivalent feelings at the end of life, or they may misinterpret the expressed wish to die as a sign of clinical depression. Public debate about the morality and ethics of various end-of-life care options has exploded in recent years. However, it has never been sensitive to the finer aspects of clinical reality or the experiences of patients. The Patient's Wish to Die: Research, Ethics, and Palliative Care brings together that reality and the patient's voice, combining them with different research approaches. It presents the best available knowledge and research methodologies about patients' wishes at the end-of-life, together with a series of ethical views and a discussion about the clinical implications for palliative care. The book presents material in an open and unbiased manner whilst remaining sensitive to the spiritual and existential dimensions of dying, and to the different cultural views that provide meaning to the individual. Written by the best specialists and ethics scholars from around the world, including palliative care practitioners and end-of-life scholars from countries where assisted dying practices are legalized and from those where it isn't, The The Patient's Wish to Die: Research, Ethics, and Palliative Care will prove essential reading for all those working or studying in the field of palliative care.

Pediatric Palliative Care

Author : Betty R. Ferrell
Publisher : Hpna Palliative Nursing Manual
Page : 161 pages
File Size : 46,6 Mb
Release : 2015-08-31
Category : Medical
ISBN : 9780190244187

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Pediatric Palliative Care by Betty R. Ferrell Pdf

'Pediatric Palliative Care', the fourth volume in the 'HPNA Palliative Nursing Manuals' series, addresses paediatric hospice, symptom management, paediatric pain, the neonatal intensive care unit, transitioning goals of care between the emergency department and intensive care unit, and grief and bereavement in paediatric palliative care.

The Oxford Handbook of Ethics at the End of Life

Author : Stuart J. Youngner,Robert M. Arnold
Publisher : Oxford University Press
Page : 608 pages
File Size : 45,8 Mb
Release : 2016-09-13
Category : Medical
ISBN : 9780190628642

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The Oxford Handbook of Ethics at the End of Life by Stuart J. Youngner,Robert M. Arnold Pdf

This handbook explores the topic of death and dying from the late twentieth to the early twenty-first centuries, with particular emphasis on the United States. In this period, technology has radically changed medical practices and the way we die as structures of power have been reshaped by the rights claims of African Americans, women, gays, students, and, most relevant here, patients. Respecting patients' values has been recognized as the essential moral component of clinical decision-making. Technology's promise has been seen to have a dark side: it prolongs the dying process. For the first time in history, human beings have the ability control the timing of death. With this ability comes a responsibility that is awesome and inescapable. How we understand and manage this responsibility is the theme of this volume. The book comprises six sections. Section I examines how the law has helped shape clinical practice, emphasizing the roles of rights and patient autonomy. Section II focuses on specific clinical issues, including death and dying in children, continuous sedation as a way to relieve suffering at the end of life, and the problem of prognostication in patients who are thought to be dying. Section III considers psychosocial and cultural issues. Section IV discusses death and dying among various vulnerable populations such as the elderly and persons with disabilities. Section V deals with physician-assisted suicide and active euthanasia (lethal injection). Finally, Section VI looks at hospice and palliative care as a way to address the psychosocial and ethical problems of death and dying.

The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life

Author : Nancy Berlinger,Bruce Jennings,Susan M. Wolf
Publisher : Oxford University Press
Page : 352 pages
File Size : 55,7 Mb
Release : 2013-04-26
Category : Medical
ISBN : 9780199974573

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The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life by Nancy Berlinger,Bruce Jennings,Susan M. Wolf Pdf

This major new work updates and significantly expands The Hastings Center's 1987 Guidelines on the Termination of Life-Sustaining Treatment and Care of the Dying. Like its predecessor, this second edition will shape the ethical and legal framework for decision-making on treatment and end-of-life care in the United States. This groundbreaking work incorporates 25 years of research and innovation in clinical care, law, and policy. It is written for physicians, nurses, and other health care professionals and is structured for easy reference in difficult clinical situations. It supports the work of clinical ethicists, ethics committee members, health lawyers, clinical educators, scholars, and policymakers. It includes extensive practical recommendations. Health care reform places a new set of challenges on decision-making and care near the end of life. The Hastings Center Guidelines are an essential resource.

End-of-Life Communication in the ICU

Author : David W. Crippen
Publisher : Springer Science & Business Media
Page : 180 pages
File Size : 40,6 Mb
Release : 2007-11-27
Category : Medical
ISBN : 9780387729664

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End-of-Life Communication in the ICU by David W. Crippen Pdf

Talking to patients and their families about end-of-life issues can be difficult and stressful. This book looks at ways different cultures view death and then further explores how health care providers around the world communicate about such sensitive issues as withholding or withdrawing life support and discussing options when the outcome is uncertain. By offering a better understanding of cultural differences in attitudes about death and methods of communications about end-of-life issues, the coverage in this important book helps prepare healthcare practitioners to be better communicators – both within and outside of their own cultures.

Approaching Death

Author : Institute of Medicine,Committee on Care at the End of Life
Publisher : National Academies Press
Page : 457 pages
File Size : 53,6 Mb
Release : 1997-10-16
Category : Medical
ISBN : 9780309063722

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Approaching Death by Institute of Medicine,Committee on Care at the End of Life Pdf

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."

Intimations of Mortality

Author : Barbara A. Reich
Publisher : Cambridge University Press
Page : 267 pages
File Size : 43,5 Mb
Release : 2022-03-17
Category : Law
ISBN : 9781108486804

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Intimations of Mortality by Barbara A. Reich Pdf

A thoroughly researched explanation for the failures of end-of-life communication and decision-making in the United States. The book explores the reasons why physicians, patients, and families struggle to have the conversations necessary to provide seriously ill and dying patients with medical care consistent with patient preferences.