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Zusatztext This outstanding essay collection, edited by Quill (Univ. of Rochester) and Miller (National Institutes of Health), provides a survey of the clinical and ethical dilemmas clinicians face in palliative care contexts, mainly, but not exclusively, at life's end. The volume helpfully provides perspectives from the diverse disciplines represented in a contemporary palliative care team, general physicians, psychiatrists, nurses, etc. and the diverse locations in which palliative care takes place, from in-home hospice to inpatient hospital settings. Informationen zum Autor Timothy E. Quill is a Professor of Medicine, Psychiatry, Medical Humanities and Nursing at the University of Rochester School of Medicine where he directs their Palliative Care Division. He is a board member and the immediate past president of the American Academy of Hospice and Palliative Medicine. He was the lead physician plaintiff on a US Supreme Court Case Quill v Vacco testing the legal permissibility of physician assisted death. Quill is a practicing palliative care physician, the previous author/editor of seven books, multiple peer-reviewed articles in major medical journals, and a regular lecturer and commentator on medical decision making, physician patient relationships, palliative care, and end of life issues.Franklin G. Miller. is a member of the senior faculty in the Department of Bioethics, National Institutes of Health (NIH) and Special Expert, National Institute of Mental Health Intramural Research Program. His principal current research interests are examination of ethical issues in clinical research, death and dying, and the placebo effect. Dr. Miller has co-authored Death, Dying, and Organ Transplantation (with Robert Truog), Oxford University Press (2012), edited five books and written numerous published articles in medical and bioethics journals on the ethics of clinical research, ethical issues concerning death and dying, professional integrity, health policy, pragmatism and bioethics, and the placebo effect. Klappentext Hospice is the premiere end of life program in the United States, but its requirement that patients forgo disease-directed therapies and that they have a prognosis of 6 months or less means that it serves less than half of dying patients and often for very short periods of time. Palliative care offers careful attention to pain and symptom management, added support for patients and families, and assistance with difficult medical decision making alongside any and all desired medical treatments, but it does not include a comprehensive system of care as is provided by hospice. The practice of palliative care and hospice is filled with sometimes overt (requests for hastened death in an environment where such acts are legally prohibited) and other times covert (the delay in palliative care referral because the health care team believes it will undermine disease directed treatment) ethical issues. Zusammenfassung The practice of palliative care and hospice is filled with overt and sometimes covert ethical challenges. These challenges are addressed by leading international palliative care and hospice scholars under three main domains: care delivery systems; addressing the many dimensions of suffering; and difficult decisions near the end of life. Inhaltsverzeichnis Section I: Introduction and Overview Chapter 1: Introduction (Timothy E. Quill and Franklin G. Miller) Chapter 2: Hospice (Charles von Gunten) Chapter 3: Palliative Care (Susan D. Block) Section II. Ethical Challenges within Current Systems of Care Chapter 4: Emerging Complexities in Pediatric Palliative Care (Renee Boss and Nancy Hutton) Chapter 5: Patient-Centered Ethos in an Era of Cost Control: Palliative Care and Healthcare Reform (Diane E. Meier and Emily Warner) Chapter 6: Palliative Care, Ethics and Interprofessional Teams (Sally A. Norton, Deborah Waldrop, and Robert Gramling...
