Table of contents for A palliative ethic of care : clinical wisdom at life's end / Joseph Fins.

Bibliographic record and links to related information available from the Library of Congress catalog.

Note: Contents data are machine generated based on pre-publication provided by the publisher. Contents may have variations from the printed book or be incomplete or contain other coding.


Counter
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:

Palliative treatment.
Terminal care.
Terminal Care.
Advance Care Planning.
Medical Futility.
Palliative Care.
Right to Die.