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Approaching Death

Approaching Death PDF Author: Committee on Care at the End of Life
Publisher: National Academies Press
ISBN: 0309518253
Category : Medical
Languages : en
Pages : 457

Book Description
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."

Approaching Death

Approaching Death PDF Author: Committee on Care at the End of Life
Publisher: National Academies Press
ISBN: 0309518253
Category : Medical
Languages : en
Pages : 457

Book Description
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."

Death Education for the Health Professional

Death Education for the Health Professional PDF Author: Jeanne Quint Benoliel
Publisher: Taylor & Francis
ISBN: 9780891162483
Category : Family & Relationships
Languages : en
Pages : 138

Book Description
First published in 1982. Routledge is an imprint of Taylor & Francis, an informa company.

Ethnic Variations in Dying, Death and Grief

Ethnic Variations in Dying, Death and Grief PDF Author: Donald P. Irish
Publisher: Taylor & Francis
ISBN: 1317756851
Category : Psychology
Languages : en
Pages : 250

Book Description
This volume is directed towards professionals who work in the fields concerning death and dying. These professionals must perceive the needs of people with cultural patterns which are different from the "standard and dominant" patterns in the United States and Canada. Accordingly, the book includes illustrative episodes and in-depth presentations of selected "ethnic patterns".; Each of the "ethnic chapters" is written by an author who shares the cultural traditions the chapter describes. Other chapters examine multicultural issues and provide the means for personal reflection on death and dying. There are also two bibliographic sections, one general and one geared towards children. The text is divided into three sections - Cross-Cultural and Personal perspectives, Dying, Death, and Grief Among Selected Ethnic Communities, and Reflections and Conclusions.; The book is aimed at those in the fields of clinical psychology, grief therapy, sociology, nursing, social and health care work.

Rational Suicide?

Rational Suicide? PDF Author: James L. Werth Jr.
Publisher: Taylor & Francis
ISBN: 1317763424
Category : Psychology
Languages : en
Pages : 172

Book Description
The idea that suicide may be an acceptable, rational option is rarely presented in professional literature. However, recent events and developments forcefully demonstrate that mental health professionals can no longer ignore the possibility that people can make a rational decision to die. After introducing the concept of rational suicide, the book explores the changing views of suicide over the centuries. Common arguments against rational suicide are examined and rebutted.

Dying in America

Dying in America PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309303133
Category : Medical
Languages : en
Pages : 470

Book Description
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.

Bereavement

Bereavement PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309034388
Category : Medical
Languages : en
Pages : 321

Book Description
"The book is well organized, well detailed, and well referenced; it is an invaluable sourcebook for researchers and clinicians working in the area of bereavement. For those with limited knowledge about bereavement, this volume provides an excellent introduction to the field and should be of use to students as well as to professionals," states Contemporary Psychology. The Lancet comments that this book "makes good and compelling reading....It was mandated to address three questions: what is known about the health consequences of bereavement; what further research would be important and promising; and whether there are preventive interventions that should either be widely adopted or further tested to evaluate their efficacy. The writers have fulfilled this mandate well."

The Science of Near-Death Experiences

The Science of Near-Death Experiences PDF Author: John C. Hagan
Publisher: University of Missouri Press
ISBN: 0826273688
Category : Body, Mind & Spirit
Languages : en
Pages : 184

Book Description
What happens to consciousness during the act of dying? The most compelling answers come from people who almost die and later recall events that occurred while lifesaving resuscitation, emergency care, or surgery was performed. These events are now called near-death experiences (NDEs). As medical and surgical skills improve, innovative procedures can bring back patients who have traveled farther on the path to death than at any other time in history. Physicians and healthcare professionals must learn how to appropriately treat patients who report an NDE. It is estimated that more than 10 million people in the United States have experienced an NDE. Hagan and the contributors to this volume engage in evidence-based research on near-death experiences and include physicians who themselves have undergone a near-death experience. This book establishes a new paradigm for NDEs.

When Children Die

When Children Die PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309084377
Category : Medical
Languages : en
Pages : 713

Book Description
The death of a child is a special sorrow. No matter the circumstances, a child's death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify "medicine with a heart." At worst, families' encounters with the health care system will leave them with enduring painful memories, anger, and regrets. When Children Die examines what we know about the needs of these children and their families, the extent to which such needs areâ€"and are notâ€"being met, and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving child patients in treatment decisions, communicating with parents, strengthening the organization and delivery of services, developing support programs for bereaved families, improving public and private insurance, training health professionals, and more. It argues that taking these steps will improve the care of children who survive as well as those who do notâ€"and will likewise help all families who suffer with their seriously ill or injured child. Featuring illustrative case histories, the book discusses patterns of childhood death and explores the basic elements of physical, emotional, spiritual, and practical care for children and families experiencing a child's life-threatening illness or injury.

In the Face of Death

In the Face of Death PDF Author: Danai Papadatou, PhD
Publisher: Springer Publishing Company
ISBN: 0826103405
Category : Social Science
Languages : en
Pages : 351

Book Description
"Occasionally I read a book and say to myself that this is a book that I wished I had written. This is such a book! It is a delightful, practical, interesting, and inspiring book! Danai has written a soon-to-be classic in the field! Her writing is excellent! Her use of theories, concepts, history, and models are wonderful!"--Illness, Crisis and Loss "Danai PapadatouÖ[presents] an approach of Relational Care, care based on an understanding of relationships, that should be essential readingÖ.[S]he writes in an engaging and non-technical language, and manages to convey complex ideas in a manner that is accessible to all." --Colin Murray Parkes, OBE, MD, FRCPsych President, Cruse: Bereavement Care (From the Foreword) ì[A] wonderful contribution to the literature on caregiving and her well thought out ideas about relational caregiving are on the cutting edge. Congratulations.î -- Lynne Ann DeSpelder CoAuthor, The Last Dance: Encountering Death and Dying, 8th edition "This is no ordinary academic textbook. It is nothing short of a masterpiece in which Papadatou provides the field of death, dying and bereavement with invaluable and constructive insights into the world of caring for the dying and bereaved."--Grief Matters "This is a fascinating book, applying important theoretical modelsÖin order to describe and speculate about how professionals manage to work in an environment where suffering and grief are constantly present. This is an important and substantial addition to the mostly self-help literature about self-care for caregivers."--Doody's Medical Reviews In the Face of Death explores the experiences of health care professionals who care for the seriously ill, the dying, and the bereaved. In this book, Danai Papadatou offers a practical approach to caregiving, as well as a breadth and depth of insight into both the patient's and the caregiver's responses to death. The author discusses the issues and challenges health care professionals face when treating dying and bereaved patients. Topics include: compassion fatigue, the inevitability of suffering and the potential for growth, suffering in the workplace, team functioning in death situations, and team resilience. The main themes are: The Caring Relationship focuses on the relationship between the care provider and the person who is dying or grieving, and proposes a new, relationship-based model of care The Care Provider in Death Situations addresses the health professional's personal responses to death, using a model that illustrates the grieving process of the health professional The Team in the Face of Death provides recommendations for effective, interdisciplinary care services that support dying or bereaved patients as well as the health care provider

To Err Is Human

To Err Is Human PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309068371
Category : Medical
Languages : en
Pages : 312

Book Description
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine