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Part I: Death and Dying in Context Ch 1: Medical Students, Residents and the Dying Patient The Challenge of Caring for the Dying Goal-Setting Near the End of Life How this Book is organized Closing Words Ch 2: The Rise of the Bioethics and Palliative Care Movements European Origins of Hospice and Palliative Care The American Context The Rise of Self-determination Towards an Ethic of Patients Rights Ch 3: Death, Dying and the Law The Law and the rise of Patient Self-determination Quinlan and the Right to Die Cruzan and the Patient Self-Determination Act Advance Care Planning in Theory and Practice From Self-Determination to Physician Assisted Suicide Physician Assisted Suicide: Laying out the Arguments Physician Assisted Suicide in the Courts Consensus on Palliative Care Back to the Future: The Schiavo Case Epilogue Ch 4: End-of-Life Care in the Hospital Death in the Modern Hospital Medical Rescue and Intensive Care Fostering Communication Communication, Palliation and the Road not Taken Milestones at the End-of-Life Ambivalence and Medical Futility Futility: A Definitional Primer The Evolution of Futility Disputes Goal Convergence, Palliative Care and the Avoidance of Futility Disputes Part II: Goal-Setting: A Strategy for Effective Palliative Care Ch 5: Goal-Setting: Triggering the Process Goal-Setting as Differential Diagnosis Triggering the Process Concluding Comments Ch 6: Goal-Setting: When Death is Near Introduction Clinical Perceptions Patient Perceptions When a Patient wants to die Surrogate Perceptions Decisionmaking Capacity Helping Surrogates Decide Ch 7: Goal-Setting: End-of-Life Decisions Introduction Do Not Resuscitate Orders Advance Care Planning Working with the Proxy Withdrawals of Care Hospice or palliative care referral Hospice Care Ch 8: Goal-Setting: Medical Developments Introduction A life-threatening illness Prognosis Acute Decompensation and the Use of Life-Sustaining Therapies Consideration of ICU Transfer Symptoms at the End of Life The Ethics of Opioid Use Ch 9: Goal-Setting: Gathering Information Introduction Sources of Information Demographics and Local Culture The Power of Diagnosis Forced Prognostication and Patient Expectations Assessment of Capacity and the Refusal of Life-Sustaining Therapies Knowledge of Diagnosis and Prognosis Constructing a Shared World Meaning with the Patient and Family Breaking Bad News The Therapeutic Exception Articulated Preferences for End-of-Life Care DNR in the OR The Elusive Advance Directive Placing the Patient in Context Family Dynamics The Symbionic Family Cultural Issues: Religious Objections to Brain Death Pain and Symptom Inventory Public Perspectives on Pain and Meaning Biological Symptom Assessment Ch 10: Goal-Setting: Formulating Goals of Care Defining Goals Hospital Resources Psychiatry Consultation Pastoral Care/Chaplaincy Pain Service/Palliative Care Consult/Referral to Palliative Care Unit Hospice Referral Social Work Ethics Committees Collaborative Care The Centrality of Communication & Consensus Working with Nurses Involving the Patient and Family One Good Death Appendix The Goals of Care Assessment Tool (GCAT) Acknowledgements Index
Library of Congress Subject Headings for this publication:
Advance Care Planning.
Right to Die.