Suchergebnisse

Annotation.

Der medizinisch-technische Fortschritt führt verbunden mit der demographischen Entwicklung dazu, dass immer mehr, und v.a. ältere und vorerkrankte Menschen intensivmedizinisch behandelt werden. Die Vorhersage des Behandlungsergebnisses bleibt dabei häufig schwierig. Im Verlauf einer intensivmedizinischen Behandlung geraten Ärzte und Pflegekräfte oft in ein Spannungsfeld zwischen dem, was technisch möglich ist, und dem, was dem Patientenwillen entspricht. Immer wieder wird man deshalb bei Intensivpatienten mit sehr ernster Prognose entscheiden müssen, den Therapieumfang zu begrenzen oder das Therapieziel vom kurativen Ansatz zur Symptomkontrolle und Begleitung zu verändern. Hier sind für das therapeutische Team Entscheidungshilfen und konkrete Handlungsanleitungen, basierend auf ethischen Überlegungen, dem Willen des Patienten und juristischen Regularien, hilfreich. Das vorliegende Werk beschäftigt sich u.a. mit folgenden Themen: ethische Prinzipien, juristische Grundlagen, Patientenautonomie, Entscheidungsfindung und operative Umsetzung bei Therapiebegrenzung und Therapiezieländerung, Einheit von Patient und Familie, kulturelle und religiöse Einflüsse sowie Konflikte und Burnout im Behandlungsteam. Für alle auf Intensivstationen tätigen Ärzte und Pflegekräfte, die sich mit schwierigen Entscheidungen auseinandersetzen

Communication is at the heart of any complete understanding of the end of life. While it is true that individuals physically die as a single entity, the process of ending an individual life is located within a complex system of relationships and roles connected and constructed through communicative processes. In this volume, top scholars from numerous disciplines showcase the latest empirical investigations and theoretical advances that focus on communication at the end of life. This multi-contextual approach serves to integrate current findings, expand our theoretical understanding of the end of life, prioritize the significance of competent communication for scholars and practitioners, and provide a solid foundation upon which to build pragmatic interventions to assist individuals at the end of life as well as those who care for and grieve for those who are dying. This book is suitable for undergraduate and graduate courses in Death and Dying, Communication and Aging, Health Communication, Life Span Development, Life Span Communication, Long term care, Palliative care and Social Work

In the summer of 1996, Ruth Ray, a gerontologist in her forties, befriended an eighty-two-year-old man suffering from Parkinson's. The two remained close until the end of his life, sharing stories and memories while building a deep relationship. Part memoir, part biography, Endnotes explores how people construct meaning through their interactions with others. With grace and wit, Ray situates her friend's past experiences and present relationships within the theories and literature of gerontology, providing a deeper understanding of autonomy at the end of life. She also delves into the complexi

ch. 1. Death through the ages : a brief overview -- ch. 2. Redefining death -- ch. 3. The end of life : ethical considerations -- ch. 4. The end of life : medical considerations -- ch. 5. Older adults -- ch. 6. Infant and child death -- ch. 7. Suicide, euthanasia, and assisted suicide -- ch. 8. Advance care planning -- ch. 9. Courts and the end of life -- ch. 10. The cost of health care.

Intro -- New Perspectives on the End of Life: Essays on Care and the Intimacy of Dying -- Table of Contents -- Introduction -- PART 1 Medical and Clinical Perspectives -- Code Levels in Cardiology: Who, When and How? -- Nursing the Dying in the Emergency Department: The Importance of Therapeutic Intimacy -- The Final Cut: End-of-Life Empowerment through Autobiographical Video Documentary -- PART 2 Cultural Perspectives -- Palliative Care at the End of Life in Western Europe: The Scandinavian Paradox -- Kodokushi ('Dying Alone'): Japanese Perspectives -- 'Good Death' in the Americas: Do North and South Americans Die Well Differently? -- Managing Death in Twenty-First Century Scotland -- PART 3 Philosophical and Ethical Perspectives -- Moral Death -- Accepting One's Death as a Condition of One's Happiness? -- Confronting Mortality: Reflections from Bedsides of the Dying and Workshops with the Living -- PART 4 Care-Giving Perspectives -- Drawing Lines/Making Connections: The Problem of Distinguishing Disability from Dying in PAD Law -- Risk of Burnout and Protective Factors in Palliative Care -- Making Life rather than Making Sense: Integrating Spirituality into the Daily Practices in a Hospice -- The Institutional Belief in Replaceability: On Systematic Discontinuity in the Treatment of Patients at the End of Life.

Advance care planning is an essential part of the new NHS national programme on end of life care, aiming to improve the chances of 'a good death' by discussing and planning how this might be managed. This work helps readers explore a wide range of issues and practicalities in providing ACP for patients nearing the end of life.