Continuous Sedation At The End Of Life

Author: Sigrid Sterckx
Editor: Cambridge University Press
ISBN: 1107435080
File Size: 45,46 MB
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Continuous sedation until death (sometimes referred to as terminal sedation or palliative sedation) is an increasingly common practice in end-of-life care. However, it raises numerous medical, ethical, emotional and legal concerns, such as the reducing or removing of consciousness (and thus potentially causing 'subjective death'), the withholding of artificial nutrition and hydration, the proportionality of the sedation to the symptoms, its adequacy in actually relieving symptoms rather than simply giving onlookers the impression that the patient is undergoing a painless 'natural' death, and the perception that it may be functionally equivalent to euthanasia. This book brings together contributions from clinicians, ethicists, lawyers and social scientists, and discusses guidelines as well as clinical, emotional and legal aspects of the practice. The chapters shine a critical spotlight on areas of concern and on the validity of the justifications given for the practice, including in particular the doctrine of double effect.

Communicating At The End Of Life

Author: Elissa Foster
Editor: Routledge
ISBN: 1135251320
File Size: 10,37 MB
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This enlightening volume provides first-hand perspectives and ethnographic research on communication at the end of life, a topic that has gone largely understudied in communication literature. Author Elissa Foster’s own experiences as a volunteer hospice caregiver form the basis of the book. Communicating at the End of Life recounts the stories of Foster and six other volunteers and their communicative experiences with dying patients, using communication theory and research findings to identify insights on the relationships they form throughout the process. What unfolds is a scholarly examination of a subject that is significant to every individual at some point in the life process. Organized chronologically to follow the course of Foster’s involvement with hospice and the phases of the study, the book opens with Part 1, providing background and contextual information to help readers understand subsequent stories about communication between volunteers and patients. Part 2 of the volume emphasizes the adjustments required by the volunteers as they entered the world of hospice and the worlds of the patients. Part 3 underscores the importance of improvisation and finding balance within the role of volunteer—in particular how to be fully present for patients as well as their family members. The volume concludes with Part 4, which addresses how volunteers coped with the death of their patients and what they learned from the experience of volunteering. Communicating at the End of Life is appropriate for scholars and advanced students studying personal relationships, health communication, gerontology, interpersonal communication, lifespan communication, and communication & aging. Its unique content offers precious and meaningful insights on the communication processes at a critical point in the life process.

Finding Dignity At The End Of Life

Author: Kathleen D. Benton
Editor: Routledge
ISBN: 1000172910
File Size: 46,45 MB
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Finding Dignity at the End of Life discusses the need for palliative care as a human right and explores a whole-person methodology for use in treatment. The book examines the concept of palliative care as a holistic human right from the perspective of multiple aspects of faith, ideology, culture, and nationality. Integrating a humanities-based approach, chapters provide detailed discussions of spirituality, suffering, and healing from scholars from around the world. Within each chapter, the authors address a different cultural and religious focus by examining how this topic relates to questions of inherent dignity, both ethically and theologically, and how different spiritual lenses may inform our interpretation of medical outcomes. Mental health practitioners, allied professionals, and theologians will find this a useful and reflective guide to palliative care and its connection to faith, spirituality, and culture.

Ethics At The End Of Life

Author: John Davis
Editor: Taylor & Francis
ISBN: 1317541472
File Size: 39,68 MB
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The 14 chapters in Ethics at the End of Life: New Issues and Arguments, all published here for the first time, focus on recent thinking in this important area, helping initiate issues and lines of argument that have not been explored previously. At the same time, a reader can use this volume to become oriented to the established questions and positions in end of life ethics, both because new questions are set in their context, and because most of the chapters—written by a team of experts—survey the field as well as add to it. Each chapter includes initial summaries, final conclusions, and a Related Topics section. TABLE OF CONTENTS John K. Davis, "Introduction" Geoffrey Scarre, "Is it possible to be better off dead?" Taylor W. Cyr, "How Does Death Harm the Deceased?" Benjamin Mitchell-Yellin, "The Significance of an Afterlife" Jens Johansson, "The Severity of Death" John K. Davis, "Defining Death" James Stacey Taylor, "Autonomy, Competence, and End of Life" Eric Vogelstein, "Deciding for the Incompetent" Paul T. Menzel, "Change of Mind: An Issue for Advance Directives" Nancy S. Jecker, "Medical Futility and Respect for Patient Autonomy" Paul T. Menzel, "Refusing Lifesaving Medical Treatment and Food and Water by Mouth" Thomas S. Huddle, "Suicide, Physician-Assisted Suicide, the Doing-Allowing Distinction and Double Effect" Michael Cholbi, "Grief and End of Life Surrogate Decision-making" Bruce Jennings, "Solidarity near the End of Life: The Promise of Relational Decision-making in the Care of the Dying" Colin Farrelly, "Justice and the Aging of the Human Species"

Family Communication At The End Of Life

Author: Maureen P. Keeley
Editor: MDPI
ISBN: 3038425184
File Size: 57,83 MB
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This book is a printed edition of the Special Issue "Family Communication at the End of Life" that was published in Behavioral Sciences

Values At The End Of Life

Author: Roi Livne
Editor: Harvard University Press
ISBN: 0674239873
File Size: 73,75 MB
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Once defiant of death—or even in denial—many American families and health care professionals are embracing the notion that a life consumed by suffering may not be worth living. Sociologist Roi Livne documents the rise and effectiveness of hospice and palliative care, and the growing acceptance that less treatment may be better near the end of life.

Communication And Bioethics At The End Of Life

Author: Lori A. Roscoe
Editor: Springer
ISBN: 3319709208
File Size: 80,45 MB
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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 Oxford Handbook Of Ethics At The End Of Life

Author: Stuart J. Youngner
Editor: Oxford University Press
ISBN: 0190628642
File Size: 19,54 MB
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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.

Spiritual Care At The End Of Life

Author: Steve Nolan
Editor: Jessica Kingsley Publishers
ISBN: 1849051992
File Size: 64,15 MB
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This book examines the services that chaplains provide to dying patients and the unique relationship that palliative care staff construct with people at the end of life. It explores the nature of hope when faced with the inevitable and develops a theory of spiritual care rooted in relationship that has implications for all healthcare professionals.

Aging Decisions At The End Of Life

Author: David N. Weisstub
Editor: Springer Science & Business Media
ISBN: 9401596824
File Size: 64,21 MB
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Decisions at the End of Life is the last volume in a trilogy on Aging conceived for the International Library of Ethics, Law, and the New Medicine. Leading scholars from a range of disciplines examine some of the most emotive topics in the study of aging: assessing quality of life, improving end-of-life care, palliative care, euthanasia, and consent to research.

Communicating With Children When A Parent Is At The End Of Life

Author: Rachel Fearnley
Editor: Jessica Kingsley Publishers
ISBN: 9780857004758
File Size: 45,71 MB
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When a parent is nearing the end of life, children can feel like their world has been turned upside down, and they are often scared and confused about what is happening. Sensitive and clear communication with children is vital to help them understand and cope with their parent's illness. This accessible book demonstrates how to support children through effective and sensitive communication, covering types of communication, language, information sharing, and overcoming common barriers. Developing confidence and skills such as talking, listening, giving children a voice and breaking bad news is also covered. The author outlines the concept of a 'communication continuum' which can be used to assess how much a child knows or understands about their parent's illness and how much they would like to know. The book contains a wealth of practical strategies and ideas, as well as case vignettes, practice tips and reflective exercises. This is an essential resource for anyone working with or supporting a child whose parent is at the end of life, including palliative care workers, nurses, social workers, teachers and counsellors.

Ethical Dilemmas At The End Of Life

Author: Kenneth J. Doka
Editor:
ISBN:
File Size: 74,24 MB
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Explores a range of issues--including pediatric hospice, historical, religious, spiritual and cultural perspectives on the end of life, hospice in nursing homes, surrogate decision making, physician assisted suicide, organ donation, and our society's legal tenants of end-of-life care. Includes an index.

End Of Life Care And Pragmatic Decision Making

Author: D. Micah Hester
Editor: Cambridge University Press
ISBN: 1139483803
File Size: 23,99 MB
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Every one of us will die, and the processes we go through will be our own - unique to our own experiences and life stories. End-of-Life Care and Pragmatic Decision Making provides a pragmatic philosophical framework based on a radically empirical attitude toward life and death. D. Micah Hester takes seriously the complexities of experiences and argues that when making end-of-life decisions, healthcare providers ought to pay close attention to the narratives of patients and the communities they inhabit so that their dying processes embody their life stories. He discusses three types of end-of-life patient populations - adults with decision-making capacity, adults without capacity, and children (with a strong focus on infants) - to show the implications of pragmatic empiricism and the scope of decision making at the end of life for different types of patients.

Soul Support Spiritual Encounters At Life S End

Author: Joan Paddock Maxwell
Editor: Wipf and Stock Publishers
ISBN: 149824453X
File Size: 73,38 MB
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A young dancer's last hope--a bone marrow transplant--has failed. A homeless man, in the final stages of AIDS, refuses to speak. A newly retired woman has just received a terminal diagnosis and is wailing in despair. What can we learn about death, dying, and the human spirit as we journey with a hospital chaplain into sickrooms like these? Soul Support tells true stories of people coming to terms--or not--with their final days. It offers intimate, behind-the-scenes accounts of the many ways patients, their families and friends, and hospital staff all deal with death and dying. It speaks to readers reflecting on their own mortality or the life-threatening illness of a loved one, and tells of the sometimes-astonishing events that can occur when people are in their last hours of life. The book tells not only their stories, but also the chaplain's. It relates how she listened and learned and stumbled and grew. Soul Support speaks to believers and nonbelievers alike, providing information, inspiration, and hope.

Finding Dignity At The End Of Life

Author: Kathleen D. Benton
Editor: Routledge
ISBN: 9780367206598
File Size: 57,39 MB
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"Finding Dignity at the End of Life discusses the need for palliative care as a human right and explores a whole-person methodology for use in treatment. Mental health practitioners, allied professionals, and theologians will find this a useful and reflective guide to palliative care and its connection to faith, spirituality, and culture"--

Management Of Patients With Dementia

Author: Kristian Steen Frederiksen
Editor: Springer Nature
ISBN: 3030779041
File Size: 55,32 MB
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Longevity And Quality Of Life

Author: Robert N. Butler
Editor: Springer Science & Business Media
ISBN: 1461542499
File Size: 75,94 MB
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Nations around the world are experiencing a spectacular increase in longevity. Society as a whole is being challenged by issues arising from this revolution in longevity. Although the specter of the loneliness and existential suffering of older citizens is such that some people under the age of 65 find it difficult to conceive of a long-term future, persons over 85 have proven that aging does not necessarily preclude a healthy and productive life. Extraordinary progress in both curative and preventive medicine justifies optimism about the quality of life and state of well-being that can be enjoyed even in great old age. We should look to professionals in diverse fields to develop creative solutions to the inevitable issues that will arise with aging. Governments must prepare for the future health of their citizens by making long-term investments to educate all sectors of society in the value of good nutrition, exercise, and lifestyles that enhance well-being throughout life. Also, governments should realize that the main cause of health care expenditure is serious illness which occurs in persons of all ages, and not predominantly in older people. Early detection can help save lives, as well. Health and longevity of life will ultimately end as a political issue. What is needed is long-term government investments necessary for a viable health policy. The question arises: will world leaders be able to commit to such a policy? Two major socioeconomic phenomena may have a regulating effect on this issue. The first is the emergence of pressure groups that have come into being in response to a particular health issue, such as AIDS. The second is the emergence of ethics committees in developed nations that deal solely with health issues.

Science And Practice Of Pressure Ulcer Management

Author: Marco Romanelli
Editor: Springer
ISBN: 1447174135
File Size: 31,27 MB
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Only comprehensive reference book on pressure ulcers and their management Only book in its field endorsed by the European Pressure Ulcer Advisory Panel, the leading European authority on pressure ulcers

Ethical And Legal Issues In Neurology

Author: James L. Bernat
Editor: Newnes
ISBN: 0444535047
File Size: 45,87 MB
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Advances in our understanding of the brain and rapid advances in the medical practice of neurology are creating questions and concerns from an ethical and legal perspective. Ethical and Legal Issues in Neurology provides a detailed review of various general aspects of neuroethics, and contains chapters dealing with a vast array of specific issues such as the role of religion, the ethics of invasive neuroscience research, and the impact of potential misconduct in neurologic practice. The book focuses particular attention on problems related to palliative care, euthanasia, dementia, and neurogenetic disorders, and concludes with examinations of consciousness, personal identity, and the definition of death. This volume focuses on practices not only in North America but also in Europe and the developing world. It is a useful resource for all neuroscience and neurology professionals, researchers, students, scholars, practicing clinical neurologists, mental health professionals, and psychiatrists. A comprehensive introduction and reference on neuroethics Includes coverage of how best to understand the ethics and legal aspects of dementia, palliative care, euthanasia and neurogenetic disorders Brings clarity to issues regarding ethics and legal responsibilities in the age of rapidly evolving brain science and related clinical practice

Alexander S Nursing Practice E Book

Author: Ian Peate
Editor: Elsevier Health Sciences
ISBN: 0702065021
File Size: 67,14 MB
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The latest edition of this popular volume has been fully updated throughout to meet the needs of the 2018 NMC Standards of Proficiency. Richly illustrated throughout, the book comes with ‘real-life’ Case Studies to help readers contextualise and apply new information, pathophysiology to explain disease processes, enhanced discussion of pharmacology and medicines management to assist with ‘prescribing readiness’, and helpful learning features which include Key Nursing Issues and Reflection and Learning – What Next? Available with a range of supplementary online tools and learning activities, Alexander’s Nursing Practice, fifth edition, will be ideal for all undergraduate adult nursing students, the Trainee Nursing Associate, and anyone returning to practice. New edition of the UK’s most comprehensive textbook on Adult Nursing! Retains the popular ‘three-part’ structure to ensure comprehensive coverage of the subject area – Common Disorders, Core Nursing Issues and Specific Patient Groups Illustrative A&P and pathophysiology help explain key diseases and disorders ‘Real-life’ Case Studies help contextualise and apply new information Explains relevant tests and investigations and, when needed, the role of the nurse in the context of each of them Helpful learning features include Key Nursing Issues and Reflection and Learning – What Next? Encourages readers to critically examine issues that are related to care provision Useful icons throughout the text directs readers to additional online material Glossary contains over 300 entries to explain new terminology and concepts Appendices include notes on Système International (SI) units and reference ranges for common biochemical and haematological values Perfect for second and third-year undergraduate nursing students, senior Trainee Nursing Associates, those ‘returning to practice’ or needing to review practice and prepare for revalidation Edited by the world-renowned Ian Peate – editor of the British Journal of Nursing – who brings together a new line up of contributors from across the UK and Australia Reflects contemporary issues such as the complexity of acute admissions and the increasing importance of the multidisciplinary approach to patient care Reflects the 2018 NMC Standards of Proficiency for Nurses and the NMC 2018 Code Helps prepare students for ‘prescribing readiness’, with basic principles of pharmacology, evidence-based person-centred approaches to medicines management and an understanding of the regulatory, professional legal and ethical frameworks Recognises the introduction of the Nursing Associate role in England