Books > Medicine > Clinical & internal medicine > Geriatric medicine
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Choosing Medical Care in Old Age - What Kind, How Much, When to Stop (Paperback, New Ed)
Loot Price: R849
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Choosing Medical Care in Old Age - What Kind, How Much, When to Stop (Paperback, New Ed)
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You are old, ill, in pain, and your doctor asks you what you want
to do about it. You may be uncertain but you're definitely not
alone. By the year 2020, some 50 million Americans will be over
sixty-five, and as the nation ages we must all ask what we ought to
do about the health and medical care of our elderly. Our response
will have profound consequences, not just for individuals and
families, but for society as a whole. This book helps us start to
form an answer. To make decisions about medical care in old age, we
need to know more about the reality of being elderly and sick, and
Choosing Medical Care in Old Age gives us the opportunity. Muriel
Gillick, a noted physician who specializes in the care of the
elderly and in medical ethics, presents a panoply of stories drawn
from her clinical experience. These encounters, with the robust and
the frail, the demented and the dying, capture the texture of the
experience of being old and faced with critical medical questions.
From the stories of older people struggling to make choices in the
face of acute illness, stories that are often poignant and
sometimes tragic, Gillick develops broad guidelines for medical
decision-making for the elderly. Within this framework, she
confronts particular concerns and questions. When are certain
procedures too burdensome to be justified? What are unacceptable
risks? Should family members serve as exclusive spokespersons for
relatives who can no longer speak for themselves? Gillick's bold
and personal prescription for medical care for the elderly calls
for a change in the way medicine is understood and practiced, as
well as for changes in the institutions that serve the elderly,
such as hospitals and nursing homes. An intelligent and deeply
compassionate inquiry into the difficult issues and real-life
dilemmas raised by current practices, her book offers a first step
toward those changes.
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