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End of life choices - Consensus and controversy (Paperback)
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End of life choices - Consensus and controversy (Paperback)
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A book for nurses, doctors and all who provide end of life care,
this essential volume guides readers through the ethical
complexities of such care, including current policy initiatives,
and encourages debate and discussion on their controversial
aspects. Divided into two parts, it introduces and explains
clinical decision-making processes about which there is broad
consensus, in line with guidance documents issued by WHO, BMA, GMC,
and similar bodies. The changing political and social context where
'patient choice' has become a central idea, and the broadened scope
of patients' best interests, have added to the complexity of
decision-making in end of life care. The authors discuss issues
widely encountered by GPs, nurses, and hospital clinicians. These
include patient choice, consent, life prolonging treatment, and
symptom relief including sedation. Part two explores the more
controversial current end of life care initiatives, such as advance
care planning, preferred place of care and death, euthanasia and
assisted suicide, extended ideas of 'best interests', and the view
that there are therapeutic duties to the relatives of patients.
Throughout their discussion the authors draw attention to loose
ends and contradictions in some of the proposals. Examining the
current policy of consumerist choice, they reject its place in the
health service, proposing a realistic, fair, humane, and widely
adoptable system of end of life care.
As knowledge of ethical theories is required in training courses,
and the vocabulary of ethical theory is widespread in current
discussions, a substantial appendix on ethical theories and terms
is available online.
Written by the same authors as The Philosophy of Palliative Care:
Critique and Reconstruction, which won the Medical Journalists'
Association Specialist Book Award 2007, this new book for
non-specialists is essential reading for all health care
professionals involved in providing end of life care.
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