Produktbild: The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life

The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life Revised and Expanded Second Edition

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Beschreibung

Produktdetails

Einband

Taschenbuch

Erscheinungsdatum

24.05.2013

Verlag

Oxford University Press

Seitenzahl

264

Maße (L/B/H)

24,9/17,5/1,5 cm

Gewicht

454 g

Auflage

2nd Revised, Expanded edition

Sprache

Englisch

ISBN

978-0-19-997455-9

Beschreibung

Zitat

Reports and publications from the Hastings Center have been influential in shaping and defining our professional attitudes to ethics of clinical care, particularly in regard to euthanasia and physician-assisted suicide (PAS) and other matters related to end-of-life care. This second edition of their Guidelines is very welcome and provides a clear and reasoned approach to the different clinical scenarios... It's a pleasure to read as the material is logically sequenced and each statement or recommendation is justified-you feel each bit has been thought through and care taken to write it clearly. If you have an interest in the ethical underpinnings of what we do, this book is for you. If you teach about ethics and clinical practice, or are responsible for it at your institution, this is required reading. Roger Woodruff for IAHPC News, July 2013 This groundbreaking expansion of the Guidelines incorporates research and innovation in clinical care, law, and policy. It is written for physicians, nurses, and other health care professionals and is structured for easy reference in difficult clinical situations. It supports the work of clinical ethicists, ethics committee members, health lawyers, clinical educators, scholars, and policymakers. It includes extensive practical recommendations. Anticancer Research, August 2013

Produktdetails

Einband

Taschenbuch

Erscheinungsdatum

24.05.2013

Verlag

Oxford University Press

Seitenzahl

264

Maße (L/B/H)

24,9/17,5/1,5 cm

Gewicht

454 g

Auflage

2nd Revised, Expanded edition

Sprache

Englisch

ISBN

978-0-19-997455-9

Herstelleradresse

Libri GmbH
Europaallee 1
36244 Bad Hersfeld
DE

Email: gpsr@libri.de

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  • Produktbild: The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life
    • Preface to the Second Edition

    • Contributors

    • How These Guidelines Are Organized

    • Introduction

    • The Function and Sources of These Ethics Guidelines

    • Legal and Ethical Consensus Informing These Guidelines: Rights, Protections, and Key Philosophical Distinctions

    • Part One: Framework and Context

    • Section 1: Ethics Goals for Good Care When Patients Face Decisions about Life-Sustaining Treatment or Approach the End of Life

    • Section 2: Ethics Education Competencies for Health Care Professionals Caring for Patients Facing Decisions about Life-Sustaining Treatment and Patients Approaching the End of Life

    • Section 3: Organizational Systems Supporting Good Care and Ethical Practice

    • Section 4: Social, Economic, and Legal Contexts

    • A. Social Context

    • B. Economic Context

    • C. State and Federal Context

    • Part Two: Guidelines on Care Planning and Decision-Making

    • Section 1: Guidelines for Advance Care Planning and Advance Directives: Using Patient Preferences to Establish Goals of Care and Develop the Care Plan

    • Section 2: Guidelines for the Decision-Making Process

    • A. Evaluating the Patient

    • B. Determining Decision-Making Capacity

    • C. Identifying the Key Decision-Maker

    • D. Surrogate Decision-Making

    • E. Making the Decision at Hand

    • F. Documenting the Decision

    • G. Implementing the Decision

    • H. Changing Treatment Decisions

    • I. Conflict and Challenges Related to Treatment Decision-Making

    • Section 3: Guidelines Concerning Neonates, Infants, Children, and Adolescents

    • A. General Guidelines for Pediatric Decision-Making Concerning the Use of Life-Sustaining Treatments

    • B. Guidelines for Decision-Making and Care Involving Nonviable Neonates and Neonates at the Threshold of Viability

    • C. Guidelines for Decision-Making about Life-Sustaining Treatment for Viable Neonates

    • D. Guidelines for Decision-Making about Life-Sustaining Treatment for Young Children

    • E. Guidelines for Decision-Making with Older Children

    • F. Guidelines for Decision-Making with Adolescents

    • G. Guidelines for Decision-Making by Mature Minors and Emancipated Minors

    • Section 4: Guidelines for Care Transitions

    • A. General Guidelines for Hand-Offs between Professionals and Transfers across Care Settings

    • B. Guidelines on Care Transitions for Nursing Home Residents

    • C. Guidelines on Portable Medical Orders

    • D. Guidelines on Discharge Planning and Collaboration with Nursing Homes, Home Care, Hospice, and Outpatient Care

    • E. Guidelines on Care Transitions for Patients Who Will Die in the Hospital

    • Section 5: Guidelines for the Determination of Death

    • A. Procedural Guidelines for Making a Determination of Death and for Making a Declaration of Death

    • B. The Determination of Death: Continuing Ethical Debates

    • Section 6: Guidelines for Institutional Policy

    • A. Guidelines on Ethics Services in Institutions Providing Care for Patients Facing Decisions about Life-Sustaining Treatment or Approaching the End of Life

    • B. Guidelines on Palliative Care Services

    • C. Guidelines Supporting Advance Care Planning

    • D. Guidelines Supporting Portable Medical Orders

    • E. Guidelines Supporting Care Transitions

    • F. Guidelines on the Role of Institutional Legal Counsel and Risk Management in Supporting Good Care

    • G. Guidelines on Conflict Resolution

    • Part Three: Communication Supporting Decision-Making and Care

    • Section 1: Communication with Patients, Surrogates, and Loved Ones

    • A. Conducting a Family Conference When a Patient's Condition Is Deteriorating

    • B. Supporting the Decision-Maker When Loved Ones Disagree

    • C. Discussing Values Concerning Nutrition and Hydration

    • D. Using Electronic and Telephone Communications with Seriously Ill Patients or with Surrogates and Loved Ones

    • Section 2: Communication and Collaboration with Patients with Disabilities

    • A. Life-Sustaining Treatments and Accommodation of Stable or Progressive Disabilities

    • B. Communication When a Patient's Disability Affects Speech

    • C. Communication When a Patient's Disability Affects Cognition

    • D. Communication and Collaboration with Recently Disabled Patients Concerning Life-Sustaining Treatments

    • Section 3: Psychological Dimensions of Decision-Making about Life-Sustaining Treatment and Care Near the End of Life

    • A. Coping as a Factor in Treatment Decision-Making

    • B. Hope as a Factor in Treatment Decision-Making

    • C. Ambivalence, Denial, and Grief as Factors in Treatment Decision-Making

    • D. Existential Suffering as a Factor in Treatment Decision-Making

    • E. Spirituality and Religion as Factors in Treatment Decision-Making

    • F. Religious Objections during Treatment Decision-Making

    • G. Moral Distress as a Factor in Treatment Decision-Making

    • H. Integrating Bereavement Care for Loved Ones and Professionals into Care Near the End of Life

    • Section 4: Decision-Making Concerning Specific Treatments and Technologies

    • A. Forgoing Life-Sustaining Treatments: Ethical and Practical Considerations for Clinicians

    • B. Brain Injuries and Neurological States

    • C. Mechanical Ventilation

    • D. Cardiopulmonary Resuscitation and Cardiac Treatments

    • E. Dialysis

    • F. Nutrition and Hydration

    • G. Chemotherapy and Other Cancer Treatments

    • H. Routine Medications, Antibiotics, and Invasive Procedures

    • I. Blood Transfusion and Blood Products

    • J. Palliative Sedation

    • Section 5: Institutional Discussion Guide on Resource Allocation and the Cost of Care

    • A. Developing a Practice of Discussing Resource Allocation and the Cost of Care: Six Strategies

    • B. Discussing Uncompensated Care for Patients without Insurance

    • Glossary

    • Cited Legal Authorities

    • Selected Bibliography

    • Index