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Approaching Death - Improving Care at the End of Life (Paperback)
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Approaching Death - Improving Care at the End of Life (Paperback)
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When the end of life makes its inevitable appearance, people should
be able to expect reliable, humane, and effective caregiving. Yet
too many dying people suffer unnecessarily. While an "overtreated"
dying is feared, untreated pain or emotional abandonment are
equally frightening. Approaching Death reflects a wide-ranging
effort to understand what we know about care at the end of life,
what we have yet to learn, and what we know but do not adequately
apply. It seeks to build understanding of what constitutes good
care for the dying and offers recommendations to decisionmakers
that address specific barriers to achieving good care. This volume
offers a profile of when, where, and how Americans die. It examines
the dimensions of caring at the end of life: Determining diagnosis
and prognosis and communicating these to patient and family.
Establishing clinical and personal goals. Matching physical,
psychological, spiritual, and practical care strategies to the
patient's values and circumstances. Approaching Death considers the
dying experience in hospitals, nursing homes, and other settings
and the role of interdisciplinary teams and managed care. It offers
perspectives on quality measurement and improvement, the role of
practice guidelines, cost concerns, and legal issues such as
assisted suicide. The book proposes how health professionals can
become better prepared to care well for those who are dying and to
understand that these are not patients for whom "nothing can be
done." Table of Contents Front Matter Summary 1 Introduction 2 A
Profile of Death and Dying in America 3 Caring at the End of Life 4
The Health Care System and The Dying Patient 5 Accountability and
Quality in End-Of-Life-Care 6 Financial and Economic Issues in
End-Of-Life Care 7 Legal Issues 8 Educating Clinicians and Other
Professionals 9 Directions for Research to Improve Care at the End
of Life 10 Conclusions and Recommendations References Appendix A
Appendix B Appendix C Appendix D Appendix E Appendix F Appendix G
Appendix H Appendix I Appendix J Index
General
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