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Intimations of Mortality - Barbara A. Reich

Intimations of Mortality

Medical Decision-Making at the End of Life
Buch | Hardcover
250 Seiten
2022
Cambridge University Press (Verlag)
978-1-108-48680-4 (ISBN)
CHF 174,55 inkl. MwSt
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A thoroughly researched explanation for the failures of end-of-life communication and decision-making in the United States. The book explores the reasons why physicians, patients, and families struggle to have the conversations necessary to provide seriously ill and dying patients with medical care consistent with patient preferences.
In Intimations of Mortality, Barbara Reich offers an empirically-based critique of the failures of end-of-life communication and decision-making in the United States. Using England and Canada as occasional foils, Reich explores why U.S. physicians, patients, and families struggle to have the conversations necessary to provide seriously ill and dying patients with medical care consistent with their preferences. Reich also shows how a number of different factors –including payment mechanisms, liability fears, cultural phenomena, communication avoidance, death denial, and clinical uncertainty –impact physician-patient communication and medical decision-making, leave patients and families without the tools they need to make informed choices, and instead leave the default practices in place. Ultimately, this groundbreaking analysis unveils the interconnectedness of the many obstacles to better communication and decision-making in end-of-life communications and offers much-needed suggestions for improvement.

Barbara A. Reich is a Professor of Law who has taught Bioethics, End-of-Life Law, and other Medical Law subjects for over two decades. She is the author of numerous articles addressing end-of-life issues, including articles about the Theresa Schiavo case, informed consent and shared decision-making, advance directives, and cognitive challenges to making good medical decisions. Barbara is a graduate of Harvard Law School.

Preface; Acknowledgements; 1. The Conundrum: How Much Medical Care is 'Enough'? ; 2. Our Health Care 'System': The Good, the Bad, and the Probably Unfixable; 3. Autonomy and Informed Consent in the Real World; 4. The Denial of Death and Its Sequelae; 5. Disorders of Consciousness and the Meaning of Life; 6. More Barriers to Good Communication; 7. Palliative and Hospice Care: Misunderstandings and Lost Opportunities; 8. Rational Apathy and the Role of Uncertainty; 9. The Crucible: Making Decisions for Incapacitated Patients; 10. Resolving Conflicts at the End of Life: Three Models; 11. What's a Pragmatist to Do? ; 12. At the End of the Day; Index.

Erscheinungsdatum
Zusatzinfo Worked examples or Exercises
Verlagsort Cambridge
Sprache englisch
Maße 158 x 235 mm
Gewicht 525 g
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Medizinethik
Studium Querschnittsbereiche Geschichte / Ethik der Medizin
Recht / Steuern EU / Internationales Recht
Recht / Steuern Privatrecht / Bürgerliches Recht Medizinrecht
ISBN-10 1-108-48680-0 / 1108486800
ISBN-13 978-1-108-48680-4 / 9781108486804
Zustand Neuware
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