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

Gebundene Ausgabe

Erscheinungsdatum

14.01.2016

Verlag

Oxford Academic

Seitenzahl

266

Maße (L/B/H)

26/18,3/1,9 cm

Gewicht

658 g

Auflage

2. Auflage

Sprache

Englisch

ISBN

978-0-19-997456-6

Beschreibung

Zitat


"This second edition of the classic Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life is a gem. The coverage of issues related to the care of children is a welcome addition, and now makes the document a truly comprehensive textbook for ethical, legal, institutional, and psychosocial aspects of end-of-life care. The format is particularly attractive, allowing the reader to absorb concise "bullet points" on each topic with easy access to more detailed discussion in the text. This excellent organizational format, plus the searchable ebook, makes these Guidelines a uniquely practical resource for all who care for patients near the end-of-life." -- Robert Truog, Professor of Medical Ethics, Anesthesiology, & Pediatrics and Director of Clinical Ethics, Harvard Medical School; Executive Director, Institute for Professionalism & Ethical Practice Senior Associate in Critical Care Medicine, Children's Hospital Boston
"The book is so much more than just guidelines. It is the sourcebook for how the ethics of life-sustaining treatment and care at the end of life should be taught, institutionalized and translated into clinical teaching and practice. Medical students and residents will learn how to think about and approach the care of patients who are dying or who refuse life -sustaining therapies. Healthcare institutions will match their procedures and processes in ethical consultations to the goals and competencies outlined in these guidelines. Healthcare leaders and policy makers will advocate for the full integration of these guidelines into healthcare policy and procedures. By taking a comprehensive view of what healthcare professionals and policy makers need to know to set the standards for "the ethical treatment decision-making and delivery of safe, effective and compassionate care near the end of life, " the three authors, all with extensive experience in ethics and legal policy, have created an
extremely relevant, rea

Produktdetails

Einband

Gebundene Ausgabe

Erscheinungsdatum

14.01.2016

Verlag

Oxford Academic

Seitenzahl

266

Maße (L/B/H)

26/18,3/1,9 cm

Gewicht

658 g

Auflage

2. Auflage

Sprache

Englisch

ISBN

978-0-19-997456-6

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
  • 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