Palliative Care: Transforming the Care of Serious Illness

Front Cover
Diane E. Meier, Stephen L. Isaacs, Robert Hughes
John Wiley & Sons, Jan 7, 2011 - Medical - 464 pages

Palliative Care is the first book to provide a comprehensive understanding of the new field that is transforming the way Americans deal with serious illness.

Diane E. Meier, M.D., one of the field's leaders and a recipient of a MacArthur Foundation "genius award" in 2009, opens the volume with a sweeping overview of the field. In her essay, Dr. Meier examines the roots of palliative care, explores the key legal and ethical issues, discusses the development of palliative care, and presents ideas on policies that can improve access to palliative care.

Dr. Meier's essay is followed by reprints of twenty-five of the most important articles in the field. They range from classic pieces by some of the field's pioneers, such as Eric Cassel, Balfour Mount, and Elizabeth Kübler-Ross, to influential newer articles on topics such as caregiving and cost savings of palliative care. The reprints cover a wide range of topics including:

  • Why the care of the seriously ill is so important

  • Efforts to cope with advanced illness

  • Legal and ethical issues

  • Pain management

  • Cross-cultural issues

  • Philosophical perspective

The demand for palliative care has been nothing short of stunning largely because of palliative care's positive impact on both the quality and the cost of care provided to seriously ill individuals. By providing a wide-ranging perspective on this growing field, this book will serve as a guide for developing meaningful approaches that will lead to better health care for all Americans.

 

Contents

ORIGINAL ARTICLE
1
WHY IS IT AN IMPORTANT
77
DECISIONS NEAR THE END OF LIFE
93
EFFORTS TO COPE WITH DEATH AND PROVIDE CARE
107
THE NATURE OF SUFFERING AND THE GOALS OF MEDICINE
125
THE NATURE OF SUFFERING AND THE GOALS OF NURSING
137
THE DISTINGUISHED THING
153
EXPANDING BOUNDARIES
159
USE OF HOSPITALS PHYSICIAN VISITS AND HOSPICE CARE
223
FAMILY PERSPECTIVES ON ENDOFLIFE CARE AT THE LAST PLACE
235
PAIN AND MEDICAL DECISION MAKING
249
RESPONDING TO INTRACTABLE TERMINAL SUFFERING
277
RESPONSE TO QUILL AND BYOCK RESPONDING
291
OUTCOMES FROM A NATIONAL MULTISPECIALTY PALLIATIVE
311
VARIABILITY IN ACCESS TO HOSPITAL PALLIATIVE CARE IN
349
DO PALLIATIVE CONSULTATIONS IMPROVE PATIENT OUTCOMES?
369

SOCIAL LEGAL AND ETHICAL ISSUES
165
A TRAGEDY COMPOUNDED
177
RESEARCH INTO ENDOFLIFE CARE
183
FACTORS CONSIDERED IMPORTANT AT THE END OF LIFE
205
COST SAVINGS ASSOCIATED WITH U S HOSPITAL PALLIATIVE
383
UNDERSTANDING ECONOMIC AND OTHER BURDENS
413
FINDING OUR WAY
431
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About the author (2011)

Diane E. Meier, M.D., is director of the Center to Advance Palliative Care and director of the Lilian and Benjamin Hertzberg Palliative Care Institute, Professor of Geriatrics and Internal Medicine, and Catherine Gaisman Professor of Medical Ethics at Mount Sinai School of Medicine in New York City.

Stephen L. Isaacs, J.D., is a partner in Isaacs/Jellinek, a San Francisco-based consulting firm.

Robert G. Hughes, Ph.D., is vice president and chief learning officer at the Robert Wood Johnson Foundation.

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