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When Treatment Fails - David J. Bearison

When Treatment Fails

How medicine cares for dying children
Buch | Hardcover
312 Seiten
2006
Oxford University Press Inc (Verlag)
978-0-19-515612-6 (ISBN)
CHF 72,95 inkl. MwSt
Illustrates how clinicians from different professional roles speak about the biological, psychological, spiritual, and social dimensions of caring for terminally ill patients. This book analyzes their ways of making sense and giving meaning to their difficult experiences, unearthing common and distinct themes and issues across disciplines.
Over 50,000 children die of medical causes each year in the U.S. and 85 percent of them do so in hospitals. While great strides have been made in palliative care, many of these children still suffer considerably in the last months of life. Studies have found that pediatricians, who often do not expect to confront death on a frequent basis, and other hospital staff typically feel inadequately trained to manage the situation and are emotionally unprepared for the death. All of the feelings associated with caring for a chronically ill child, guilt, anger, frustration, ambivalence, exhaustion, are magnified when a child's life can no longer be prolonged. When Treatment Fails will be based directly on the voices of those who care for children at the end of their lives, the doctors, nurses, social workers, pastoral counselors, and psychologists. Centered around seven cases, Bearison will elicit and record the stories of these professionals about their experiences caring for a patient. The narratives will illustrate how clinicians coming from different professional roles speak about the biological, psychological, spiritual, and social dimensions of caring for terminally ill patients. Bearison will analyze their ways of making sense and giving meaning to their difficult experiences, unearthing common and distinct themes and issues across disciplines. The book will also identify the ways their interdisciplinary teams facilitate or hinder each others work, and to what extent greater reciprocity can be achieved in providing the highest quality palliative care.

David J. Bearison's many positions include Professor of Developmental Psychology at the Graduate Center of the City University of New York, Adjunct Professor of Medical Psychology in Pediatrics and Psychiatry at the College of Physician and Surgeons of Columbia University, and Attending at the Children's Hospital of New York (CHONY), Columbia Presbyterian Medical Center. He is a member of the American Psychological Association's Task Force on End-of-Life Issues for Children and Adolescents. He lives with his wife, a pediatric oncologist, in New York City and Croton on Hudson, NY.

1. Paediatric end of life care ; 2. Narrative theory, medicine and methods ; 3. Twenty stories about how children die ; 4. Witholding or withdrawing curative treatments ; 5. Pain and suffering ; 6. Staff reacting ; 7. Patients and families reacting ; 8. Conclusions

Erscheint lt. Verlag 20.2.2006
Verlagsort New York
Sprache englisch
Maße 236 x 165 mm
Gewicht 572 g
Themenwelt Geisteswissenschaften Psychologie
Medizin / Pharmazie Medizinische Fachgebiete Pädiatrie
Medizin / Pharmazie Medizinische Fachgebiete Palliativmedizin
ISBN-10 0-19-515612-9 / 0195156129
ISBN-13 978-0-19-515612-6 / 9780195156126
Zustand Neuware
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