Decisions about life-sustaining treatment are often ethically
challenging for patients, surrogate decision-makers, and health
care professionals. Providing safe, effective, and compassionate
care near the end of life is a priority for health care
organizations. In times of uncertainty, crisis, or reflection, and
in efforts to improve health care for seriously ill patients,
guidelines can help. This is the first updated, expanded edition of
The Hastings Center's 1987 Guidelines on the Termination of
Life-Sustaining Treatment and Care of the Dying, which shaped the
ethical and legal framework for decision-making on treatment and
end-of-life care in the United States. The new edition, the product
of an authoritative consensus process, incorporates 25 years of
research, innovation, and developments in law and policy. It
summarizes the current framework for making good decisions about
treatment and care and identifies educational and organizational
goals for health care systems. It covers care planning,
decision-making for adults and for children, care transitions, the
determination of death, and the policies and processes that support
good care at the bedside. It also addresses the psychological and
social dimensions of care near the end of life, with attention to
effective communication with patients and loved ones and among team
members. This book is written for physicians, nurses, and other
clinicians in hospitals, nursing homes, home care, and hospice. It
is structured for ease of reference during difficult clinical
situations and includes extensive practical recommendations
supported by print and online resources. This book is also
essential reading for clinical ethicists, ethics committee members,
health lawyers, and medical and nursing directors. As the U.S.
confronts the challenges of health care reform, an aging
population, increasing technological capacity to extend life, and
serious cost implications, The Hastings Center Guidelines are
invaluable to educators, scholars, and policymakers.
General
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