Ethical Issues In Palliative Care

Author : Timothy E. Quill,Franklin G. Miller
Publisher : Oxford University Press, USA
Page : 322 pages
File Size : 55,5 Mb
Release : 2014
Category : Medical
ISBN : 9780199316670

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Palliative Care and Ethics by Timothy E. Quill,Franklin G. Miller Pdf

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.

Author : Pat A. Webb
Publisher : Radcliffe Publishing
Page : 156 pages
File Size : 46,5 Mb
Release : 2005
Category : Medical ethics
ISBN : 1857758250

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Ethical Issues in Palliative Care by Pat A. Webb Pdf

Initial definitions and some theoretical input leads on to a practice-based text which will enable people from a variety of professions to discuss and debate issues familiar to their practice.

Author : Robert C. Macauley
Publisher : Oxford University Press
Page : 569 pages
File Size : 49,7 Mb
Release : 2018
Category : Medical
ISBN : 9780199313945

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Ethics in Palliative Care by Robert C. Macauley Pdf

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

Author : Institute of Medicine,Committee on Approaching Death: Addressing Key End-of-Life Issues
Publisher : National Academies Press
Page : 638 pages
File Size : 44,6 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.

Author : Timothy W. Kirk,Bruce Jennings
Publisher : Oxford University Press
Page : 336 pages
File Size : 42,9 Mb
Release : 2014-08-28
Category : Medical
ISBN : 9780199944958

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Hospice Ethics by Timothy W. Kirk,Bruce Jennings Pdf

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.

Author : David B. Cooper,Jo Cooper
Publisher : Routledge
Page : 404 pages
File Size : 40,9 Mb
Release : 2018-10-10
Category : Medical
ISBN : 9780429879302

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Palliative Care within Mental Health by David B. Cooper,Jo Cooper Pdf

Palliative Care Within Mental Health: Ethical Practice explores the comprehensive concerns and dilemmas that occur surrounding people experiencing mental health problems and disorders. Working beyond narrow, stereotypical definitions of palliative care as restricted to terminal cancer patients, this balanced and thought-provoking volume examines the many interrelated issues that face the individual, families, and caregivers, setting the groundwork for improved, ethical relationships and interventions. Chapters by experts and experienced practitioners detail the challenges, concerns, and best practices for ethical care and responses in a variety of individual and treatment contexts. This is an essential and thoughtful new resource for all those involved in the fast-developing field of palliative mental health.

Author : Kathleen Benton
Publisher : Springer
Page : 81 pages
File Size : 50,6 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.

Author : Patrick Kimuyu
Publisher : GRIN Verlag
Page : 6 pages
File Size : 41,7 Mb
Release : 2018-03-12
Category : Medical
ISBN : 9783668658998

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Ethical Decision Making Issues on Palliative Seduction by Patrick Kimuyu Pdf

Polemic Paper from the year 2018 in the subject Medicine - Medical Frontiers and Special Areas, grade: 1, Egerton University, language: English, abstract: This paper will provide a critical analysis of palliative seduction, especially with regard to ethical decision making in physician-assisted suicide. It is evident that nurses play pivotal roles in the implementation of palliative seduction. Arevalo et al (2013) state “that nurses are important participants in the different phases of implementation of palliative sedation; starting with the day-to-day care of terminally ill patients and their relatives” (p. 618). Palliative seduction has become one of the most contentious ethical issues in the United States of America. Consequently, ethical decision making has also become one of the most challenging issues to baccalaureate prepared nurses and society at large. Nurses experience immense challenges while caring for patients in palliative care, especially in making end-of-life decisions. Fernandes and Moreira (2012) reaffirm the challenges faced by nurses in ethical decision making by stating that nurses “consider that end-of-life decisions, privacy, interaction between nurse/patient and/or family, team work, and access to care arise in their daily life” (p. 81). This is, probably the principal reason as to why current debate over whether palliative seduction in physician-assisted suicide should be legalized or not has evoked unprecedented controversy in the society. From a critical approach, the issue of palliative seduction has been complicated by the doctrine of double effect. However, this doctrine does not have legal, empirical and ethical relevance.

Author : Henk ten Have,David Clark
Publisher : Unknown
Page : 280 pages
File Size : 50,5 Mb
Release : 2002
Category : Health & Fitness
ISBN : UOM:39015055085420

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The Ethics of Palliative Care by Henk ten Have,David Clark Pdf

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.

Author : Michael Stolberg
Publisher : Springer
Page : 219 pages
File Size : 46,7 Mb
Release : 2017-04-28
Category : Medical
ISBN : 9783319541785

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A History of Palliative Care, 1500-1970 by Michael Stolberg Pdf

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.

Author : Betty R. Ferrell
Publisher : Hpna Palliative Nursing Manual
Page : 161 pages
File Size : 43,7 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.

Author : John Lombard
Publisher : Routledge
Page : 262 pages
File Size : 53,7 Mb
Release : 2018-05-16
Category : Law
ISBN : 9781351716727

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Law, Palliative Care and Dying by John Lombard Pdf

Law, Palliative Care and Dying critically examines the role of the legal framework in shaping the boundaries of palliative care practice. The work underlines the importance of a distinct legal framework for specialist palliative care which can provide clarity for both the healthcare professional and the patient. It examines the legal and ethical justifications for specialist palliative care practices and, in doing so, it questions the legitimacy of the distinction between euthanasia and practices such as palliative sedation. Moreover, this work discusses the influence of a human rights discourse on palliative care and examines the contribution of autonomy, dignity, and the right to palliative care. This book includes detailed comparative research on several European jurisdictions. The jurisdictions illustrate varied approaches to palliative care regulation and promotion. In this manner, the role of professional guidelines and legislation are drawn out and common themes in the regulation of palliative care emerge.

Author : Robert C. Macauley
Publisher : Oxford University Press, USA
Page : 128 pages
File Size : 42,9 Mb
Release : 2018
Category : Electronic
ISBN : 0190652365

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Ethics in Palliative Care by Robert C. Macauley Pdf

Author : Ólöf G. Geirsdóttir,Jack J. Bell
Publisher : Springer Nature
Page : 274 pages
File Size : 44,5 Mb
Release : 2021
Category : Geriatric nursing
ISBN : 9783030638924

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Interdisciplinary Nutritional Management and Care for Older Adults by Ólöf G. Geirsdóttir,Jack J. Bell Pdf

This open access book aims to primarily support nurses as leaders and champions of multimodal, Interdisciplinary nutrition care for older adults. A structured approach to fundamentals of nutrition care across Interdisciplinary settings is combined with additional short chapters about special topics in geriatric nutrition. The book is designed to provide highly accessible information on evidence-based management and care for older adults, with a focus on practical guidance and advice across acute, rehabilitation, and primary and secondary malnutrition prevention settings.The cost of malnutrition in England alone has been estimated to be £19.6 billion per year, or more than 15% of the total public expenditure on health and social care. ^65 years). The importance and benefit of specialised nutrition care, delivered by experts in field, is well established for those with complex nutrition care needs. However, despite the substantial adverse impact of malnutrition on patient and healthcare outcomes, specialised management of this condition is often under-resourced, overlooked and under-prioritised by both older adults and their treating teams. As an alternative, timely, efficient, and effective supportive nutrition care opportunities may be appropriately implemented by nurses and non-specialist Interdisciplinary healthcare team members, working together with nutrition specialists and the older adults they care for. Practical, low-risk opportunities should be considered across nutrition screening, assessment, intervention, and monitoring domains for many patients with, or at risk of malnutrition. Whilst a variety of team members may contribute to supportive nutrition care, the nursing profession provide a clear focal point. Nurses across diverse settings provide the backbone for Interdisciplinary teamwork and essential patient care. The nursing profession should consequently be considered best placed to administer Interdisciplinary, multimodal nutrition care, wherever specialist nutrition care referrals are unlikely to add value or are simply not available. As such, the book is a valuable resource for all healthcare providers dedicated to working with older patients to improve nutrition care. .

Author : Joseph Fins
Publisher : Jones & Bartlett Learning
Page : 324 pages
File Size : 41,8 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.