Ordinary Medicine: Extraordinary Treatments, Longer Lives, and Where to Draw the Line PDF Download

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Languages : en
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Author: Sharon R. Kaufman
Publisher: Duke University Press
ISBN: 0822375508
Category : Health & Fitness
Languages : en
Pages : 296

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Book Description
Most of us want and expect medicine’s miracles to extend our lives. In today’s aging society, however, the line between life-giving therapies and too much treatment is hard to see—it’s being obscured by a perfect storm created by the pharmaceutical and biomedical industries, along with insurance companies. In Ordinary Medicine Sharon R. Kaufman investigates what drives that storm’s “more is better” approach to medicine: a nearly invisible chain of social, economic, and bureaucratic forces that has made once-extraordinary treatments seem ordinary, necessary, and desirable. Since 2002 Kaufman has listened to hundreds of older patients, their physicians and family members express their hopes, fears, and reasoning as they faced the line between enough and too much intervention. Their stories anchor Ordinary Medicine. Today’s medicine, Kaufman contends, shapes nearly every American’s experience of growing older, and ultimately medicine is undermining its own ability to function as a social good. Kaufman’s careful mapping of the sources of our health care dilemmas should make it far easier to rethink and renew medicine’s goals.

Author: Laura L. Heinemann
Publisher: Rutgers University Press
ISBN: 0813574455
Category : Medical
Languages : en
Pages : 208

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The sudden call, the race to the hospital, the high-stakes operation—the drama of transplant surgery is well known. But what happens before and after the surgery? In Transplanting Care, Laura L. Heinemann examines the daily lives of midwestern organ transplant patients and those who care for them, from pretransplant preparations through to the long posttransplant recovery. Heinemann points out that as efforts to control healthcare costs gain urgency—and as new surgical techniques, drug therapies, and home medical equipment advance—most of the transplant process now takes place at home, among kin. Indeed, the transplant system effectively depends on unpaid care labor, typically provided by spouses, parents, siblings, and others. Drawing on scores of interviews with patients, relatives, and healthcare professionals, Heinemann follows a variety of patients and loved ones as they undertake this uncertain and strenuous “transplant journey.” She also shows how these home-based caregiving efforts take place within the larger economic and political context of a paucity of resources for patients and caregivers, who ultimately must surmount numerous obstacles. The author concludes that the many snags encountered by transplant patients and loved ones make a clear case for more comprehensive health and social policy that treats care as a necessarily shared public responsibility. An illuminating look at the long transplant journey, Transplanting Care also offers broader insight into how we handle infirmity in America—and how we might do a better job of doing so.

Author: Bernhard Hadolt
Publisher: transcript Verlag
ISBN: 3839467624
Category : Social Science
Languages : en
Pages : 279

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In health and medicine, imagining the future is essential in giving meaning to the past and the present and for propelling people into action. This is true not only at the level of individuals as they envision and carry out everyday activities and long-term plans but also for institutional practices framed by and unfolding within various socio-political ecologies and transfigurations. Hope and uncertainty are critical affective and knowledge-related modalities of such imaginations and assume vital meanings in policing, managing, and experiencing health, illness, and well-being. This volume brings together contributions from medical anthropologists who address this theme across various medical spheres, including the pragmatics of hope and uncertainty, the techno-sphere, health management, and individual and socially distributed emotions.

Author: Jeannette Pols
Publisher: UCL Press
ISBN: 1800086024
Category : Social Science
Languages : en
Pages : 390

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Ever since Adam Smith’s musings on ‘the invisible hand’ became more famous than his work on moral sentiments, social theorists have paid less attention to everyday ethics and aesthetics. Smith’s metaphor of the invisible hand posits that social outcomes emerge by dint of the behaviours of individuals rather than their intentions or virtues. Modernist and scientific approaches to determining the common good or good forms of governance have increasingly relied on techniques of generalisation and rationalisation. This shift has meant that we no longer comprehend why and how people display a deep concern for everyday life values in their social practices. People continue to enact these values and live by them while academics lack the vocabulary and methods to grasp them. By reconstructing the history of ideas about everyday-life values, and by analysing the role of such values in contemporary care practices for patients with chronic disease in the Netherlands, Reinventing the Good Life explores new ways to study the values of everyday life, particularly in situations where the achievement of a clear cut or uniform good is unlikely. The book presents a practice-based epistemology and methodology for studying everyday care practices and supporting their goodness. This analytical approach ultimately aims to generate ideas that will allow us to relate in more

Author: Sarah Lamb
Publisher: Rutgers University Press
ISBN: 081358535X
Category : Social Science
Languages : en
Pages : 408

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In recent decades, the North American public has pursued an inspirational vision of successful aging—striving through medical technique and individual effort to eradicate the declines, vulnerabilities, and dependencies previously commonly associated with old age. On the face of it, this bold new vision of successful, healthy, and active aging is highly appealing. But it also rests on a deep cultural discomfort with aging and being old. The contributors to Successful Aging as a Contemporary Obsession explore how the successful aging movement is playing out across five continents. Their chapters investigate a variety of people, including Catholic nuns in the United States; Hindu ashram dwellers; older American women seeking plastic surgery; aging African-American lesbians and gay men in the District of Columbia; Chicago home health care workers and their aging clients; Mexican men foregoing Viagra; dementia and Alzheimer sufferers in the United States and Brazil; and aging policies in Denmark, Poland, India, China, Japan, and Uganda. This book offers a fresh look at a major cultural and public health movement of our time, questioning what has become for many a taken-for-granted goal—aging in a way that almost denies aging itself.

Author: Lauren K. Hall
Publisher: JHU Press
ISBN: 1421433346
Category : Medical
Languages : en
Pages : 350

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Improving how individuals give birth and die in the United States requires reforming the regulatory, reimbursement, and legal structures that centralize care in hospitals and prevent the growth of community-based alternatives. In 1900, most Americans gave birth and died at home, with minimal medical intervention. By contrast, most Americans today begin and end their lives in hospitals. The medicalization we now see is due in large part to federal and state policies that draw patients away from community-based providers, such as birth centers and hospice care, and toward the most intensive and costliest kinds of care. But the evidence suggests that birthing and dying people receive too much—even harmful—medical intervention. In The Medicalization of Birth and Death, political scientist Lauren K. Hall describes how and why birth and death became medicalized events. While hospitalization provides certain benefits, she acknowledges, it also creates harms, limiting patient autonomy, driving up costs, and causing a cascade of interventions, many with serious side effects. Tracing the regulatory, legal, and financial policies that centralize care during birth and death, Hall argues that medicalization reduces competition, stifles innovation, and prevents individuals from accessing the most appropriate care during their most vulnerable moments. She also examines the profound implications of policy-enforced medicalization on informed consent and shows how medicalization challenges the healthcare community's most foundational ethical commitments. Drawing on interviews with medical and nonmedical healthcare providers, as well as surveys of patients and their families, Hall provides a broad overview of the costs, benefits, and origins of medicalized birth and death. The Medicalization of Birth and Death is required reading for academics, patients, providers, policymakers, and anyone else interested in how policy shapes healthcare options and limits patients and providers during life's most profound moments.

Author: Elsa L. Fan
Publisher: U of Minnesota Press
ISBN: 1452961212
Category : Social Science
Languages : en
Pages : 245

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How global health practices can end up reorganizing practices of care for the people and communities they seek to serve Commodities of Care examines the unanticipated effects of global health interventions, ideas, and practices as they unfold in communities of men who have sex with men (MSM) in China. Targeted for the scaling-up of HIV testing, Elsa L. Fan examines how the impact of this initiative has transformed these men from subjects of care into commodities of care: through the use of performance-based financing tied to HIV testing, MSM have become a source of economic and political capital. In ethnographic detail, Fan shows how this particular program, ushered in by global health donors, became the prevailing strategy to control the epidemic in China in the late 2000s. Fan examines the implementation of MSM testing and its effects among these men, arguing that the intervention produced new markets of men, driven by the push to meet testing metrics. Fan shows how men who have sex with men in China came to see themselves as part of a global “MSM” category, adopting new selfhoods and socialities inextricably tied to HIV and to testing. Wider trends in global health programming have shaped national public health responses in China and, this book reveals, have radically altered the ways health, disease, and care are addressed.

Author: Megan-Jane Johnstone
Publisher: Elsevier Health Sciences
ISBN: 0729589943
Category : Medical
Languages : en
Pages : 432

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Now in its eighth edition, Bioethics: A Nursing Perspective provides practical guidance on the ethical issues you might come across in nursing practice, with real-world examples that help to bring this important subject to life. Author Dr Megan-Jane Johnstone AO, Australia's foremost nursing ethics scholar, provides a comprehensive framework for negotiating the ethical challenges, obligations and responsibilities you might face. The text is engaging and easy to follow, and has been fully updated to reflect current issues in health care such as nurse practitioner assisted dying, pandemic ethics, and the moral costs of misinformation and medical conspiracy theories. . This book is a suitable companion to the law and ethics components of both undergraduate and postgraduate nursing studies, and is relevant for all nurses who encounter ethical problems in their everyday practice. - Written in an engaging style – suitable for undergraduate as well as postgraduate students and researchers - Focuses on prominent and topical ethical issues facing individual nurses as well as the broader profession - Covers a broad range of bioethical issues in health care and how these relate to various fundamental traditions in philosophical ethics - Real-life case studies and hypothetical scenarios to encourage debate - Covers hot topics in modern nursing practice, including: - Professional standards - How to make moral decisions - Cross-cultural ethics, including the problem of racism - Dehumanisation and vulnerable populations - Patient rights - Mental health care ethics - End-of-life care - Moral politics of abortion and euthanasia - Moral lessons of COVID-19 Additional resources on Evolve eBook on VitalSource - Questions fostering critical reflection to support learning - Key points and new chapter groupings for easy navigation - New chapter on pandemic ethics

Author: Benjamin S Wilfond
Publisher: CRC Press
ISBN: 1000989879
Category : Law
Languages : en
Pages : 518

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Clinical research ethics consultation has emerged in the last 15 years as a service to those involved in the conduct of clinical research who face challenging issues for which more than one course of action may be justified. To respond to a growing field and need for opportunities to share knowledge and experience, the Clinical Research Ethics Consultation Collaborative, established in 2014, holds monthly webinars for its 90 members to present their most challenging cases to each other and engage in substantive discussion. Every year, the group selects the four most interesting cases with accompanying commentaries for publication in the American Journal of Bioethics. This timely book brings together these cases and commentaries under a range of common themes for the first time, creating a permanent collection in book format that encourages and supports readers to gain a better understanding of the ethical challenges that they may face, and providing them with a convenient and reflective resource to reference in their own deliberations. Key Features: • Comprehensive collection of cases and commentaries, chosen to reflect the range of issues faced by clinical researchers and oversight committees and illustrate the diversity of analysis that can arise • Supplemented by short introductions to each section • Focus on ethical rather than regulatory issues • Essential reading for graduate students in bioethics and post-doctoral bioethics fellows, and useful for all participants in training grants that are funded by either NIH or NSF Presenting challenging cases to stimulate reflection, the book provides invaluable guidance to clinicians in training and in practice and to investigators, bioethics consultants, regulators, and oversight bodies.