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Advance Directives in Medicine (Hardcover)
Loot Price: R2,685
Discovery Miles 26 850
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Advance Directives in Medicine (Hardcover)
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Total price: R2,695
Discovery Miles: 26 950
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Modern medicine has put a new twist on one of our most fundamental
values . . . self-determination. A patient's right to
self-determination becomes a poignant and volatile issue in the
context of modern life-sustaining technologies. When the benefit of
medical treatment is overshadowed by the resulting burdens,
treatment may ethically be withdrawn. Patients have the right to
make this decision, assuming they still have the capacity to make
it. Through advance directives a competent patient can extend his
right to consent to or refuse medical treatment indefinitely into
the future. Whether in the form of informal oral instructions or
formal written documents, advance directives insure patients that
their treatment wishes will be carried out. They also alleviate the
uncertainty, guilt, and/or fear of legal consequences facing the
family and caregivers. This volume is a collection of fourteen
essays investigating the advantages and disadvantages of different
kinds of directives, the role of professionals in making and
honoring them, policy issues that need to be addressed, and future
directions which directives may take. Although such documents may
be used to request treatment, this volume limits its focus to their
more common function . . . the refusal of treatment. Timely and
comprehensive, Advance Directives in Medicine provides a
stimulating overview of this relevant topic. The papers in this
volume were originally presented at a multidisciplinary conference
on advance directives. Revised and edited for this text, they
address a variety of questions and issues, for instance: What are
the individual and societal benefits of advance directives? Does an
advance directive tamper with thesanctity of life? Will normalizing
directives have an adverse effect on the practice of medicine?
Should a patient specify treatments to be withheld within a
directive, such as the use of CPR, nutrition, or hydration? What
legal sanctions should apply against those who ignore directives?
Should directives be used to reduce health care expenditures by
insurance companies, Medicare, and Medicaid? What is a physician's
role in helping his patient formulate an appropriate directive and
when is a patient ready to confront his own mortality?
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