By Diane E. Meier, Visit Amazon's Stephen L. Isaacs Page, search results, Learn about Author Central, Stephen L. Isaacs, , Robert Hughes
Palliative Care is the 1st ebook to supply a accomplished knowing of the recent box that's remodeling the way in which americans care for critical illness.
Diane E. Meier, M.D., one of many field's leaders and a recipient of a MacArthur starting place "genius award" in 2009, opens the amount with a sweeping assessment of the sphere. In her essay, Dr. Meier examines the roots of palliative care, explores the major felony and moral matters, discusses the improvement of palliative care, and offers principles on regulations which may increase entry to palliative care.
Dr. Meier's essay is by way of reprints of twenty-five of crucial articles within the box. they vary from vintage items by means of the various field's pioneers, reminiscent of Eric Cassel, Balfour Mount, and Elizabeth Kübler-Ross, to influential more moderen articles on subject matters akin to caregiving and price reductions of palliative care. The reprints disguise quite a lot of themes including:
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Why the care of the heavily in poor health is so important
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Efforts to deal with complicated illness
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Legal and moral issues
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Pain management
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Cross-cultural issues
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Philosophical perspective
The call for for palliative care has been not anything in need of stunning—largely due to palliative care's optimistic influence on either the standard and the price of care supplied to significantly in poor health participants. through delivering a wide-ranging standpoint in this becoming box, this publication will function a advisor for constructing significant methods that would bring about greater well-being deal with all Americans.
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Extra resources for Palliative care : transforming the care of serious illness
Sample text
In 1968 Wald took a sabbatical at St. Christopher’s, returning to America to initiate the modern American hospice movement. The greatest fear of the dying and their families is the fear of pain. Sadly, this fear has often been justified. Terminal pain is frequently treated ineptly and the public myth that death from cancer involves unremitting distress is perpetuated. There are many reasons why terminal pain has been so poorly controlled. Until recently, the care of the dying has rarely been included in the training of doctors and nurses.
We should not institutionalize people. ’’ 1974: The first American hospice, the Connecticut Hospice Institute, is established in Branford, Connecticut, by Wald and colleagues. 1975: The first comprehensive palliative medicine program is established at the Royal Victoria Hospital in Montreal by Balfour Mount. ’’ 1976: The New Jersey Supreme Court rules, in the case of Karen Ann Quinlan, that ventilator therapy may be withdrawn from a young woman in a persistent vegetative state. The court rules that decisions to continue or withdraw life support should be guided by evidence of the patient’s preferences or wishes.
After three friends of Cruzan’s came forward with ‘‘clear and convincing’’ evidence of her wishes, a Missouri court gave permission to remove the tube, and it was removed in 1990. Cruzan died twelve days later, amid protests from the pro-life activist group Operation Rescue. The Cruzan case led to the development of federal law requiring that all hospitals and nursing homes inform their patients about advance directives and give them the opportunity to complete one. Almost all states have laws governing decisions to withhold or withdraw life-sustaining treatments, living wills, health care proxies, and durable powers of attorney.