A Palliative Ethic of Care: Clinical Wisdom at Life's EndThis volume explains how to develop a set of patient and physician goals for improving quality of life, resolving end of life issues, and treating dying patients. The author, Dr. Joseph Fins, pragmatically blends ethical theory and clinical practice, presenting readers with theoretical and historical considerations about end of life care and offering practical wisdom about the care of dying patients and their families. A Palliative Ethic of Care employs the ground-breaking Goals of Care Assessment Tool (GCAT) as a framework of knowledge that links practical considerations about patient care with more theoretical concerns to provide deeper insights into why end-of-life care is so challenging and to help foster necessary reform in how people die.Systems of care are impersonal and anonymous. Ultimately, it is the task of the individual practitioner to initiate and sustain the provision of care. A Palliative Ethic of Care: Clinical Wisdom at Life's End is an invaluable resource for helping achieve this objective. |
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Clinical Wisdom at Life's End Joseph Fins. A Palliative Ethic of Care Clinical Wisdom at Life's End Joseph J. Fins , MD A Palliative Ethic of Care Clinical Wisdom at Life's End. Front Cover.
Clinical Wisdom at Life's End Joseph Fins. A Palliative Ethic of Care Clinical Wisdom at Life's End Joseph J. Fins , MD A Palliative Ethic of Care Clinical Wisdom at Life's End. Front Cover.
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... Ethics Professor of Medicine Professor of Public Health Professor of Medicine in Psychiatry Weill Medical College of Cornell University Director of Medical Ethics New York Presbyterian Hospital - Weill Cornell Medical Center New York ...
... Ethics Professor of Medicine Professor of Public Health Professor of Medicine in Psychiatry Weill Medical College of Cornell University Director of Medical Ethics New York Presbyterian Hospital - Weill Cornell Medical Center New York ...
Page vi
... Ethic of Patients ' Rights 22 Death , Dying , and the Law 29 The Law and the Rise of Patient Self - Determination 29 Quinlan and the Right to Die 30 Quinlan and the Institutionalization of Hospital Ethics Committees 32 Cruzan and the ...
... Ethic of Patients ' Rights 22 Death , Dying , and the Law 29 The Law and the Rise of Patient Self - Determination 29 Quinlan and the Right to Die 30 Quinlan and the Institutionalization of Hospital Ethics Committees 32 Cruzan and the ...
Page viii
... Ethics of Opioid Use 156 Goal - Setting : Gathering Information 163 Introduction 163 Sources of Information 163 Demographics and Local Culture 165 The Power of Diagnosis 167 Forced Prognostication and Patient Expectations 169 Assessment ...
... Ethics of Opioid Use 156 Goal - Setting : Gathering Information 163 Introduction 163 Sources of Information 163 Demographics and Local Culture 165 The Power of Diagnosis 167 Forced Prognostication and Patient Expectations 169 Assessment ...
Page ix
... Ethics Committees 244 The Centrality of Communication and Consensus 250 Working with Nurses 252 Involving the Patient and Family 255 One Good Death 256 Appendix Index 267 The Goals of Care Assessment Tool ( GCAT ) 263 Foreword Over the ...
... Ethics Committees 244 The Centrality of Communication and Consensus 250 Working with Nurses 252 Involving the Patient and Family 255 One Good Death 256 Appendix Index 267 The Goals of Care Assessment Tool ( GCAT ) 263 Foreword Over the ...
Contents
Medical Students Residents and the Dying | 3 |
Chapter | 8 |
GoalSetting Near the End of Life | 9 |
Death Dying and the Law | 29 |
Advance Care Planning in Theory | 36 |
A Consensus on Palliative Care | 45 |
Epilogue | 52 |
EndofLife Care in the Hospital | 63 |
Advance Care Planning | 125 |
Withdrawals of Care | 132 |
Gathering Information | 163 |
Forced Prognostication and Patient | 169 |
Constructing a Shared World of Meaning | 176 |
The Therapeutic Exception | 186 |
The Elusive Advance Directive | 192 |
The Symbionic Family | 198 |
Fostering Communication | 70 |
Ambivalence and Medical Futility | 77 |
GoalSetting A Strategy for Effective | 91 |
Chapter 6 | 100 |
EndofLife Decisions | 119 |
Public Perspectives on Pain and Meaning | 211 |
Formulating the Goals of Care | 225 |
Appendix | 263 |
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Common terms and phrases
advance care planning advance directive American Geriatrics Society articulated assessment assisted suicide attending physician bioethics brain death challenge choices Clinical Ethics Clinical Pragmatism clinicians comfort communication consensus critical Cruzan cultural curative cure death and dying deci develop diagnosis dialysis discussion disease DNR order doctor dying patients Education End-of-Life Decisions England Journal ethics committee Ethics Consultation Fins JJ futility disputes GCAT Hastings Center Report Health health care proxy hospice care hospital ical important informed consent Internal Medicine interventions intubation issues Journal of Medicine Journal of Pain life-sustaining therapy medical ethics ment Miller FG moral nurses opioid Pain and Symptom palliation palliative care patient and family patient is dying patient self-determination percent physician-assisted suicide prognosis proxy Quinlan referral resuscitation right to die role Schiavo sion Supreme Court Symptom Management terminal illness Terri Schiavo therapeutic tion tive treatment triggers truth telling ventilator York