A Palliative Ethic of Care: Clinical Wisdom at Life's EndThis volume explains how to develop a set of patient and physician goals for improving quality of life, resolving end of life issues, and treating dying patients. The author, Dr. Joseph Fins, pragmatically blends ethical theory and clinical practice, presenting readers with theoretical and historical considerations about end of life care and offering practical wisdom about the care of dying patients and their families. A Palliative Ethic of Care employs the ground-breaking Goals of Care Assessment Tool (GCAT) as a framework of knowledge that links practical considerations about patient care with more theoretical concerns to provide deeper insights into why end-of-life care is so challenging and to help foster necessary reform in how people die.Systems of care are impersonal and anonymous. Ultimately, it is the task of the individual practitioner to initiate and sustain the provision of care. A Palliative Ethic of Care: Clinical Wisdom at Life's End is an invaluable resource for helping achieve this objective. |
Contents
Medical Students Residents and the Dying | 3 |
Chapter | 8 |
GoalSetting Near the End of Life | 9 |
Copyright | |
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advance care planning advance directive American Geriatrics Society American Medical Association articulated assisted suicide bioethics brain death challenge choices Clinical Ethics Clinical Pragmatism clinicians comfort communication consensus critical Cruzan cultural curative cure death and dying deci develop diagnosis dialysis discussion disease DNR order doctor dying patients Education end-of-life decisions England Journal ethics committee Ethics Consultation Fins JJ futility disputes GCAT Hastings Center Report Health health care proxy hospice care hospital ical important informed consent Internal Medicine interventions issues Journal of Medicine Journal of Pain life-sustaining therapy medical ethics ment Miller FG nurses opioid Pain and Symptom palliation palliative care Palliative Medicine patient and family patient is dying patient self-determination percent physician-assisted suicide prognosis proxy Psychiatry Quinlan resuscitation right to die Schiavo sion Supreme Court surrogate Symptom Management Terminally Ill Terri Schiavo tion tive treatment triggers truth telling ventilator York