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.

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."

Issues of Death

Issues of Death
Author: Michael Neill
Publisher: Oxford University Press
Total Pages:
Release: 1999-01-07
Genre: Drama
ISBN: 0192517902

Death, like most experiences that we think of as natural, is a product of the human imagination: all animals die, but only human beings suffer Death; and what they suffer is shaped by their own time and culture. Tragedy was one of the principal instruments through which the culture of early modern England imagined the encounter with mortality. The essays in this book approach the theatrical reinvention of Death from three perspectives. Those in Part I explore Death as a trope of apocalypse — a moment of un-veiling or dis-covery that is figured both in the fearful nakedness of the Danse Macabre and in the shameful openings enacted in the new theatres of anatomy. Separate chapters explore the apocalyptic design of two of the periods most powerful tragedies — Shakespeare's Othello, and Middleton and Rowley's The Changeling. In Part 2, Neill explores the psychological and affective consequences of tragedy's fiercely end-driven narrative in a number of plays where a longing for narrative closure is pitched against a particularly intense dread of ending. The imposition of an end is often figured as an act of writerly violence, committed by the author or his dramatic surrogate. Extensive attention is paid to Hamlet as an extreme example of the structural consequences of such anxiety. The function of revenge tragedy as a response to the radical displacement of the dead by the Protestant abolition of purgatory — one of the most painful aspects of the early modern re-imagining of death — is also illustrated with particular clarity. Finally, Part 3 focuses on the way tragedy articulates its challenge to the undifferentiating power of death through conventions and motifs borrowed from the funereal arts. It offers detailed analyses of three plays — Shakespeare's Antony and Cleopatra, Webster's The Duchess of Malfi, and Ford's The Broken Heart. Here, funeral is rewritten as triumph, and death becomes the chosen instrument of an heroic self-fashioning designed to dress the arbitrary abruption of mortal ending in a powerful aesthetic of closure.

The Debate Over Genetically Engineered Food

The Debate Over Genetically Engineered Food
Author: Kathiann M. Kowalski
Publisher: Enslow Publishing
Total Pages: 296
Release: 2002
Genre: Juvenile Nonfiction
ISBN: 9780766016866

Describes how genetic engineering works as well as the problems and solutions it offers.

Crime Victims

Crime Victims
Author: Andrew Karmen
Publisher:
Total Pages: 406
Release: 1990
Genre: Reparation (Criminal justice)
ISBN:

Death Before the Fall

Death Before the Fall
Author: Ronald E. Osborn
Publisher: InterVarsity Press
Total Pages: 200
Release: 2014-02-06
Genre: Religion
ISBN: 083089537X

In this eloquent and provocative "open letter" to evangelicals, Ronald Osborn wrestles with the problem of biblical literalism and the ongoing challenge of animal suffering within an evolutionary understanding of the world. Osborn forces us to ask hard questions, not only of the Bible and church tradition, but also and especially of ourselves.

A Death Prolonged

A Death Prolonged
Author: Jeffrey Paul Gordon
Publisher:
Total Pages: 186
Release: 2009
Genre: Family & Relationships
ISBN: 9780981981802

This novel attacks myths about end-of-life care that lead to unnecessary suffering and financial waste. By addressing this issue through fiction, Dr. Gordon takes his readers into a hospital to witness the perils of delaying the discussions about end-of-life care.

Dying, Death, and Bereavement

Dying, Death, and Bereavement
Author: Lewis R. Aiken
Publisher: Psychology Press
Total Pages: 451
Release: 2000-07-01
Genre: Psychology
ISBN: 113566109X

This book is a brief but comprehensive survey of research, writings, and professional practices concerned with death and dying. It is interdisciplinary and eclectic--medical, psychological, religious, philosophical, artistic, demographics, bereavement, and widowhood are all considered--but with an emphasis on psychological aspects. A variety of viewpoints and research findings on topics subsumed under "thanatology" receive thorough consideration. Questions, activities, and projects at the end of each chapter enhance reflection and personalize the material. This fourth edition features material on: * moral issues and court cases concerned with abortion and euthanasia; * the widespread problem of AIDS and other deadly diseases; * the tragedies occasioned by epidemics, starvation, and war; and * the resumption of capital punishment in many states. The book's enhanced multicultural tone reflects the increased economic, social, and physical interdependency among the nations of the world. Topics receiving increased attention in the fourth edition are: terror management; attitudes and practices concerning death; cross-cultural concepts of afterlife; gallows humor, out-of-body experiences; spiritualism; mass suicide; pet and romantic death; euthanasia; right to die; postbereavement depression; firearm deaths in children; children's understanding of death; child, adolescent, adult, and physician-assisted suicide; religious customs and death; confronting death; legal issues in death, dying and bereavement; death education; death music; creativity and death; longevity; broken heart phenomenon; beliefs in life after death; new definitions of death; children's acceptance of a parent's death; terminal illness; and the politics of death and dying.

Medicolegal Death Investigation System

Medicolegal Death Investigation System
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 85
Release: 2003-08-22
Genre: Law
ISBN: 0309167043

The US Department of Justice's National Institute of Justice (NIJ) asked the Institute of Medicine (IOM) of The National Academies to conduct a workshop that would examine the interface of the medicolegal death investigation system and the criminal justice system. NIJ was particularly interested in a workshop in which speakers would highlight not only the status and needs of the medicolegal death investigation system as currently administered by medical examiners and coroners but also its potential to meet emerging issues facing contemporary society in America. Additionally, the workshop was to highlight priority areas for a potential IOM study on this topic. To achieve those goals, IOM constituted the Committee for the Workshop on the Medicolegal Death Investigation System, which developed a workshop that focused on the role of the medical examiner and coroner death investigation system and its promise for improving both the criminal justice system and the public health and health care systems, and their ability to respond to terrorist threats and events. Six panels were formed to highlight different aspects of the medicolegal death investigation system, including ways to improve it and expand it beyond its traditional response and meet growing demands and challenges. This report summarizes the Workshop presentations and discussions that followed them.