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. |
From inside the book
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Page i
... Hospital - Weill Cornell Medical Center New York , New York JONES AND BARTLETT PUBLISHERS Sudbury , Massachusetts BOSTON TORONTO LONDON SINGAPORE This One 61PB - RJL - AJ9F World Headquarters Jones and Bartlett Publishers 40 Tall Pine ...
... Hospital - Weill Cornell Medical Center New York , New York JONES AND BARTLETT PUBLISHERS Sudbury , Massachusetts BOSTON TORONTO LONDON SINGAPORE This One 61PB - RJL - AJ9F World Headquarters Jones and Bartlett Publishers 40 Tall Pine ...
Page vi
... Hospital 63 Death in the Modern Hospital 63 Medical Rescue and Intensive Care 64 Fostering Communication 70 Communication , Palliation , and the Road Not Taken 72 Milestones at the End of Life 73 Ambivalence and Medical Futility 77 ...
... Hospital 63 Death in the Modern Hospital 63 Medical Rescue and Intensive Care 64 Fostering Communication 70 Communication , Palliation , and the Road Not Taken 72 Milestones at the End of Life 73 Ambivalence and Medical Futility 77 ...
Page ix
... Hospital Resources 232 Psychiatry Consultation 233 Pastoral Care / Chaplaincy 236 Pain Service / Palliative Care Consult / Referral to Palliative Care Unit 239 Hospice Referral 241 Social Work 242 Ethics Committees 244 The Centrality of ...
... Hospital Resources 232 Psychiatry Consultation 233 Pastoral Care / Chaplaincy 236 Pain Service / Palliative Care Consult / Referral to Palliative Care Unit 239 Hospice Referral 241 Social Work 242 Ethics Committees 244 The Centrality of ...
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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