Deciding for Others PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Deciding for Others PDF full book. Access full book title Deciding for Others by Allen E. Buchanan. Download full books in PDF and EPUB format.
Author: Allen E. Buchanan
Publisher: Cambridge University Press
ISBN: 9780521311960
Category : Law
Languages : en
Pages : 450
Get Book Here
Book Description
This book is the most comprehensive treatment available of one of the most urgent problems in bioethics: decision-making for incompetents.
Author: Allen E. Buchanan
Publisher: Cambridge University Press
ISBN: 9780521311960
Category : Law
Languages : en
Pages : 450
Get Book Here
Book Description
This book is the most comprehensive treatment available of one of the most urgent problems in bioethics: decision-making for incompetents.
Author:
Publisher:
ISBN:
Category : Aged
Languages : en
Pages : 128
Get Book Here
Book Description
Author: Ben A. Rich
Publisher: Springer Science & Business Media
ISBN: 0306468492
Category : Philosophy
Languages : en
Pages : 204
Get Book Here
Book Description
The pervasive influence of law on medical practice and clinical bioethics is often noted with a combination of exasperation and lamentation. Physicians and non-physician bioethicists, generally speaking, consider the willingness of courts, legislatures, and regulatory agencies to insinuate themselves into clinical practice and medical research to be a distinctly negative aspect of contemporary American society. They are quick to point out that their colleagues in other Western developed nations are not similarly afflicted, and that the situation which obtains elsewhere is highly preferable to the legalization and purported over-regulation of medicine that has taken place in the United States during the last fifty years. In this book I offer a decidedly different perspective. It is, admittedly, not entirely without personal and professional bias. Prior to becoming a fu- time academic, teaching bioethics in the setting of an academic medical center, I was, for nearly 20 years, an attorney specializing in health law. Even after earning a doctorate in philosophy, I was frequently considered to be the “resident lawyer” on the bioethics faculty, much more frequently looked to for my insights on the law than my perspective as one who had formally studied moral philosophy and applied ethics. I note this not out ofa sense of frustration or disappointment, but as confirmation that even among physicians and n- physician bioethicists, there is widespread recognition that the law does have important contributions to make in assessing the practice ofmedicine and the conduct of medical research.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309303133
Category : Medical
Languages : en
Pages : 470
Get Book Here
Book Description
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Author: John F. Ryan
Publisher: Saunders
ISBN:
Category : Medical
Languages : en
Pages : 344
Get Book Here
Book Description
Author: Barbara Birriel
Publisher:
ISBN:
Category :
Languages : en
Pages :
Get Book Here
Book Description
Purpose: The purpose of this study was to explore the process of surrogate decision-making during critical illness. The specific aims of the study were to describe the process of surrogate decision-making for critically ill adult patients, including surrogate decision-makers cognitive and moral decision-making processes and to develop a model explaining the process. Background: Critically ill patients are often unable to make independent decisions about their health care, requiring a family member to serve as surrogate decision-maker. Decisions made by surrogates affect not only their individual situations, but have implications for the health care system and society as a whole. The majority of work on surrogate decision-making has been related to chronic or slow progressing illness but little is known about the experiences of surrogate decision-makers during critical illness. Methods: A prospective qualitative approach was used based in grounded theory. The setting included four intensive care units (ICUs) in a large university medical center. The sample consisted of 19 surrogate decision-makers (as identified on patient record) of critically ill patients in the acute phase of critical illness who were unable to make independent health care decisions. Participants were interviewed on enrollment and 14 days later, or at the time the patient for whom they were making decisions was transferred from the ICU if sooner than 14 days. The interviews explored participants cognitive and moral decision-making processes. An interview guide framed the interviews, though participants were encouraged to speak freely. Data analysis was completed per the tenets of grounded theory, beginning with the first interview and concluding when data saturation was achieved.Results: A model of the Process of Surrogate Decision-Making in Critical Illness was developed, grounded in the data, to explain the process of surrogate decision-making in the context of acute critical illness. Four major themes emerged from the data and are included in the model: Understanding the Patients Values and Preferences, Acquiring Health Care Knowledge, Considering Family Perspectives, and Recognizing Personal Values. The overarching theme that explains the connections between the themes is Integration. Conclusions: The findings of this study bring a new perspective to surrogate decision-making during critical illness, intertwining the cognitive and moral processes. Through integration of the four identified themes, the surrogate decision-maker reaches decisions based on a broader understanding of the factors involved. Nurses are well positioned to assist surrogates through this process during the critical illness of a family member. The model of the Process of Surrogate Decision-Making in Critical Illness forms a basis for education of nurses and other healthcare providers and the development of intervention studies to optimize the results of the surrogate decision-making process.
Author: Angela Georgia Catic
Publisher: Springer
ISBN: 3319440845
Category : Medical
Languages : en
Pages : 172
Get Book Here
Book Description
This book is designed to present an overview of common geriatrics ethical issues that arise during patient care and research activities. Each chapter includes a case example and practical learning pearls that are useful in day-to-day patient care. Coverage includes a brief overview of geriatric epidemiology, highlighting the high rates of dementia, use of surrogate decisions makers at the end-of-life, relocation from home to long-term care facilities, and low health literacy in the geriatrics population. Sections are devoted to issues around capacity, surrogate decision making, end-of-life care, hemodialysis in the elderly, and futility as well as challenges presented by independence questions, such as dementia care, driving, feeding, and intimacy in nursing homes. The text also addresses questions around recognizing, reporting, and treating elder abuse and self-neglect, ethics related to research and technology in the geriatric population, and the use of e-mail, Facebook, and open notes. Written by experts in the field, Ethical Considerations and Challenges in Geriatrics is a valuable tool for trainees at a variety of levels including medical students, residents, and fellows. In addition, it provides practical guidance and a useful reference for practicing geriatricians, primary care physicians, geriatric nurses, social workers, nursing home workers, hospice care employees, and all medical health professionals working with the elderly.
Author:
Publisher:
ISBN:
Category : Aged
Languages : en
Pages : 128
Get Book Here
Book Description
Author: New York State Task Force on Life and the Law
Publisher:
ISBN:
Category : Capacity and disability
Languages : en
Pages : 308
Get Book Here
Book Description
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309448093
Category : Medical
Languages : en
Pages : 367
Get Book Here
Book Description
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
