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Caring for Patients at the End of Life: Facing an Uncertain Future Together - Softcover

 
9780195139402: Caring for Patients at the End of Life: Facing an Uncertain Future Together
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Univ. of Rochester, NY. Presents the near death experiences of two patients to explore values underlying medical humanism, and utilizes a case to explore the fundamental clinical commitments of partnership. Also provides practical guidance for clinicians, patients, and families on issues such as delivering bad news, palliative care, and decision making. Softcover. DNLM: Terminal Care.

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Review:
. . . an excellent read for any on the cutting edge of delivering palliative and end-of-life care. (Progress in Palliative Care, Vol 10, No 2)

. . . a compelling narrative, a combination of case history and an analysis of the complex clinical, ethical and policy issues that swirl about end-of-life care. (The New York Times)
Synopsis:
In "Caring for Patients at the End of Life: Facing an Uncertain Future Together", the author uses his wide range of clinical experience caring for severely ill patients and their families to illustrate the challenges and potential of end-of-life care. Section one utilizes the near death experiences of two patients to explore values underlying medical humanism, and then presents the case of "Diane" to explore the fundamental clinical commitments of partnership and non-abandonment. Section two explores, illustrates, and provides practical guidance for clinicians, patients, and families about critical communication issues including delivering bad news, discussing palliative care, and exploring the wish to die. In section three, difficult ethical and policy challenges inherent in hospice work, including the rule of double effect, terminal sedation, and physician-assisted suicide, are explored using a mix of real cases and an analysis of underlying clinical, ethical, and policy issues. In a final chapter, the author discusses the tragic death of his brother which occurred as this book was being completed, and how his family made the most emotionally challenging decisions of their lives.

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