Patient Directed Dying
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| Author | : Tom Preston M.D. |
| Publisher | : iUniverse |
| Total Pages | : 203 |
| Release | : 2007-04-26 |
| Genre | : Medical |
| ISBN | : 0595877516 |
Author Tom Preston, MD, and his terminally ill patients and their families often face the controversial predicament of how to die when suffering has been medically extended. Through their conversations, they demonstrate how dying is a process, how physicians alter when and how we die, and why "natural" death is a misnomer after medical interventions prolong the process. Their cases also explain why patients-not physicians or others-should be able to make their own decisions about when and how to die. Dr. Preston gives compelling reasons as to why aid-in-dying is not suicide when used by terminally ill patients, and why physicians who help them die are not assisting suicide. He shows us the ethical aspects of aid-in-dying and how they are consistent with other current and legal medical practices that help patients end their suffering. He debunks claims that legalized aid-in-dying would be abused for financial, social, or political reasons. Dr. Preston also shows how outdated cultural attitudes impede society's understanding of how we die, why many physicians withdraw from their dying patients, and how the sanctity-of-life principle has become distorted to obstruct physician assisted deaths. Patient-Directed Dying is a powerful manifesto calling for mercy and reason in helping terminally ill patients die a peaceful death.
| Author | : Samuel H. LiPuma |
| Publisher | : Rowman & Littlefield |
| Total Pages | : 267 |
| Release | : 2019-03-27 |
| Genre | : Philosophy |
| ISBN | : 1786608596 |
This vitally important book attempts to move beyond the current death-denying culture. The use of euphemistic and defiant phrases when dealing with terminal disease such as “She lost her battle with cancer” was more appropriate when medical doctors could do little to prolong life. But treatments and technologies have significantly changed. Now life prolonging interventions have outpaced our willingness to use medical intervention to secure patient control over death and dying. We now face a new question: When is it morally appropriate for medical intervention to hasten the dying process? LiPuma and DeMarco answer by endorsing expanded options for dying patients. Unwanted aggressive treatment regimens and protocols which reject hastening death should be replaced by a patient’s moral right, in carefully defined circumstances, to hasten death by means of medical intervention. Expanded options range from patient directed continuous sedation without hydration to physician assisted suicide for those with progressive degenerative disorders such as Alzheimer’s. The authors’ overriding goal is to humanize the dying process by expanding patient centered autonomous control.
| 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.
| Author | : Tom Preston |
| Publisher | : iUniverse |
| Total Pages | : 203 |
| Release | : 2006-02-01 |
| Genre | : Medical |
| ISBN | : 0595381448 |
Dr. Preston's terminally ill patients and their families face the predicament of how to die when suffering has been medically extended. Through their conversations, they demonstrate how dying is a process, how physicians alter when and how we die, and why natural death is a misnomer after medical interventions prolong the dying process. They explain why patients-not physicians or others-should be able to direct their dying and make decisions for themselves about when and how to die. Dr. Preston gives compelling reasons why aid in dying is not suicide when used by terminally ill patients, and why physicians who help them die are not assisting suicide. He shows why aid-in-dying is ethical and consistent with other current and legal medical practices that help patients die. He debunks claims that legalized aid in dying would be abused for financial, social, or political reasons. He shows how outdated cultural attitudes impede understanding of how we die, why many physicians withdraw from their dying patients, and how the sanctity-of-life principle has become distorted to obstruct aid in dying. "Patient-Directed Dying" is a manifesto calling for mercy and reason in helping terminally ill patients die a peaceful death.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 457 |
| Release | : 1997-10-16 |
| Genre | : Medical |
| ISBN | : 0309063728 |
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."
| Author | : Joan Berzoff |
| Publisher | : Columbia University Press |
| Total Pages | : 940 |
| Release | : 2004 |
| Genre | : Medical |
| ISBN | : 9780231127943 |
The first resource on end-of-life care for healthcare practitioners who work with the terminally ill and their families, Living with Dying begins with the narratives of five healthcare professionals, who, when faced with overwhelming personal losses altered their clinical practices and philosophies. The book provides ways to ensure a respectful death for individuals, families, groups, and communities and is organized around theoretical issues in loss, grief, and bereavement and around clinical practice with individuals, families, and groups. Living with Dying addresses practice with people who have specific illnesses such as AIDS, bone marrow disease, and cancer and pays special attention to patients who have been stigmatized by culture, ability, sexual orientation, age, race, or homelessness. The book includes content on trauma and developmental issues for children, adults, and the aging who are dying, and it addresses legal, ethical, spiritual, cultural, and social class issues as core factors in the assessment of and work with the dying. It explores interdisciplinary teamwork, supervision, and the organizational and financing contexts in which dying occurs. Current research in end-of-life care, ways to provide leadership in the field, and a call for compassion, insight, and respect for the dying makes this an indispensable resource for social workers, healthcare educators, administrators, consultants, advocates, and practitioners who work with the dying and their families.
| 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.
| Author | : Deanna Cochran |
| Publisher | : |
| Total Pages | : 180 |
| Release | : 2019-02-15 |
| Genre | : Family & Relationships |
| ISBN | : 9780989659352 |
This book empowers society to understand how to die well. It is overflowing with wisdom, offers historical context and present-day initiatives and describes how end-of-life doulas and health-care advocates can change the face of dying.
| Author | : Ira Byock |
| Publisher | : Penguin |
| Total Pages | : 321 |
| Release | : 1998-03-01 |
| Genre | : Medical |
| ISBN | : 110150028X |
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.
| Author | : Kathryn Butler |
| Publisher | : Crossway |
| Total Pages | : 232 |
| Release | : 2019-04-17 |
| Genre | : Religion |
| ISBN | : 1433561042 |
“To prepare yourself to make difficult medical decisions in a distinctly Christian way, you won’t do better than to read Between Life and Death.” —Tim Challies Modern medical advances save countless lives. But for all their merits, sophisticated technologies have created a daunting new challenge, namely a blurring of the expanse between life and death. The dying process is often hidden behind a complex web of medical terminology, statistics, and ethical decisions, making it difficult for patients and loved ones to know how to approach the end of life in a dignity-affirming, Godhonoring, faith-filled way. This book offers a distinctly Christian guide to end-of-life care. It equips readers by explaining common medical jargon, exploring biblical principles that connect to common medical situations, and offering guidance for making critical decisions. In these pages, readers will find the medical knowledge and scriptural wisdom they need to navigate this painful and confusing process with clarity, peace, and discernment.
