Approaching Death

Approaching Death
Author: Committee on Care at the End of Life
Publisher: National Academies Press
Total Pages: 457
Release: 1997-10-30
Genre: Medical
ISBN: 0309518253

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."

Dying in America

Dying in America
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 470
Release: 2015-03-19
Genre: Medical
ISBN: 0309303133

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.

U.S. Health in International Perspective

U.S. Health in International Perspective
Author: National Research Council
Publisher: National Academies Press
Total Pages: 421
Release: 2013-04-12
Genre: Social Science
ISBN: 0309264146

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

Code of Ethics for Nurses with Interpretive Statements

Code of Ethics for Nurses with Interpretive Statements
Author: American Nurses Association
Publisher: Nursesbooks.org
Total Pages: 42
Release: 2001
Genre: Business & Economics
ISBN: 1558101764

Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.

The End of Life Advisor

The End of Life Advisor
Author: Susan R. Dolan
Publisher:
Total Pages: 163
Release: 2013-02
Genre: Education
ISBN: 9781478716501

A source of reliable information and guidance for lifes last and most difficult situations?ǪNatural story-tellers, the authors deftly tell lively, colorful stories of people caught in extraordinary circumstances to convey lessons that we all would be wise to learn. I will recommend this book to patients and families. -Ira Byock, MD, Director of Palliative Care, Dartmouth-Hitchcock Medical Center, New Hampshire, author of Dying Well and The Four Things that Matter Most Packed with wisdom, compassion, humor, and most of all hope?Ǫan invaluable handbook that touches on every aspect of planning and preparing for excellent end-of-life care. -Barbara Dossey, PhD, RN, AHN-BC, FAAN, International Co-Director, Nightingale Initiative for Global Health, author of Holistic Nursing Once I started reading this book I couldnt stop. It seemed like I was reading a diary of my last 25 years as a hospice physician. What a wonderful, extraordinary and uplifting gift. For a long-time ?Çÿhospice road warrior, the book brought not only many smiles and frank laughter, but many tearful moments for me, too?Ǫall reminding me that this chosen work is, too, a gift. -Perry Fine, MD, Professor of Anesthesiology, Pain Research Center, School of Medicine, University of Utah, author of The Hospice Companion Weaving stories from their decades of experience with patients, this mother-daughter team has crafted a true gem. This approachable book illuminates the need for conversations about end-of-life choices and demonstrates the grace of hospice. It is a wonderful tool to enable people of all ages to follow the sage advice, From the start, consider the finish. -Nathan A. Kottkamp, JD, Chairman, National Healthcare Decisions day, Healthcare Attorney, McGuire woods LLP, Richmond, Virginia

Encountering Life in the Universe

Encountering Life in the Universe
Author: Chris Impey
Publisher: University of Arizona Press
Total Pages: 284
Release: 2013-10-17
Genre: Science
ISBN: 0816528705

Encountering Life in the Universe examines the intersection of scientific research and society to determine the philosophy and ethics of relating to the Earth and beyond.

Textbook of Palliative Care

Textbook of Palliative Care
Author: Roderick Duncan MacLeod
Publisher: Springer
Total Pages: 0
Release: 2025-05-29
Genre: Medical
ISBN: 9783031489907

This second edition provides the most up-to-date information on all aspects of palliative care including recent developments (including COVID-19), global policies, service provision, symptom management, professional aspects, organization of services, palliative care for specific populations, palliative care emergencies, ethical issues in palliative care, research in palliative care, public health approaches and financial aspects of care. This new Textbook of Palliative Care remains a unique, comprehensive, clinically relevant and state-of-the art book, aimed at advancing palliative care as a science, a clinical practice and as an art. Palliative care has been part of healthcare for over fifty years but we still needs to be explained. Healthcare education and training has been slow to recognize the vital importance of ensuring that all practitioners have a good understanding of what is involved in the care of people with serious or advanced illnesses and theirfamilies. However, the science of palliative care is advancing and this new edition will contribute to a better understanding of this specialty. This new edition offers 20 new chapters out of over 120, written by experts in their given fields provide up-to-date information on a wide range of topics of relevance to those providing care towards the end of life no matter what the disease may be. We present a global perspective on contemporary and classic issues in palliative care with authors from a wide range of disciplines involved in this essential aspect of care. The Textbook includes sections addressing aspects such as symptom management and care provision, organization of care in different settings, care in specific disease groups, palliative care emergencies, ethics, public health approaches and research in palliative care. This new Textbook will be of value to practitioners in all disciplines and professions where the care of people approaching death is important, specialists as well as non-specialists, in any setting where people with serious advanced illnesses are residing. It is also an important resource for researchers, policy-and decision-makers at national or regional levels. Neither the science nor the art of palliative care will stand still so the Editors and contributors from all over the world aim to keep this Textbook updated so that the reader can find new evidence and approaches to care.

Physician-Assisted Death

Physician-Assisted Death
Author: James M. Humber
Publisher: Springer Science & Business Media
Total Pages: 159
Release: 1994-02-04
Genre: Medical
ISBN: 1592594484

Physician-Assisted Death is the eleventh volume of Biomedical Ethics Reviews. We, the editors, are pleased with the response to the series over the years and, as a result, are happy to continue into a second decade with the same general purpose and zeal. As in the past, contributors to projected volumes have been asked to summarize the nature of the literature, the prevailing attitudes and arguments, and then to advance the discussion in some way by staking out and arguing forcefully for some basic position on the topic targeted for discussion. For the present volume on Physician-Assisted Death, we felt it wise to enlist the services of a guest editor, Dr. Gregg A. Kasting, a practicing physician with extensive clinical knowledge of the various problems and issues encountered in discussing physician assisted death. Dr. Kasting is also our student and just completing a graduate degree in philosophy with a specialty in biomedical ethics here at Georgia State University. Apart from a keen interest in the topic, Dr. Kasting has published good work in the area and has, in our opinion, done an excellent job in taking on the lion's share of editing this well-balanced and probing set of essays. We hope you will agree that this volume significantly advances the level of discussion on physician-assisted euthanasia. Incidentally, we wish to note that the essays in this volume were all finished and committed to press by January 1993.

Improving Health in the Community

Improving Health in the Community
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 497
Release: 1997-05-21
Genre: Medical
ISBN: 0309055342

How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

Keywords;

Keywords;
Author: A Community of Inquiry
Publisher: Princeton University Press
Total Pages: 114
Release: 2018-02-13
Genre: Literary Criticism
ISBN: 1400890020

An irreverent critical lexicon of academic life and culture The university: The very name evokes knowledge, culture, and the magnificently universal ambition at the heart of this essential institution. Bastions of free inquiry and a free society, engines of social transformation and economic progress, enclosed gardens of ennobling reflection and creation, universities encompass the wisdom of the past and the hope of the future. Or do they? This critical glossary—written by a group of Princeton graduate students and faculty—defines fifty-eight terms common to academic life in a style that will prick both egos and consciences. From “academia” to “vocation,” “canon” to “peer review,” “discipline” to “methodology,” the book scrutinizes the often stultifying structures of modern disciplinary life, calls out a slavish devotion to “knowledge production” as the enemy of thought, and even dissects the notion of “academic excellence.” Feisty and darkly funny, passionate and deeply insightful, this book raises hard questions about teaching, research, theory, practice, and academic labor. The result is a must-read dispatch from today’s academic trenches—one that is sure to provoke discussion and debate.