A Palliative Ethic of Care: Clinical Wisdom at Life's EndJones & Bartlett Learning, 2006 - 281 Seiten This 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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Inhalt
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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