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Books > Social sciences > Sociology, social studies > Social institutions > Death & dying
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Values at the End of Life - The Logic of Palliative Care (Hardcover)
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Values at the End of Life - The Logic of Palliative Care (Hardcover)
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This insightful study examines the deeply personal and
heart-wrenching tensions among financial considerations, emotional
attachments, and moral arguments that motivate end-of-life
decisions. America's health care system was built on the principle
that life should be prolonged whenever possible, regardless of the
costs. This commitment has often meant that patients spend their
last days suffering from heroic interventions that extend their
life by only weeks or months. Increasingly, this approach to
end-of-life care is coming under scrutiny, from a moral as well as
a financial perspective. Sociologist Roi Livne documents the rise
and effectiveness of hospice and palliative care, and growing
acceptance of the idea that a life consumed by suffering may not be
worth living. Values at the End of Life combines an in-depth
historical analysis with an extensive study conducted in three
hospitals, where Livne observed terminally ill patients, their
families, and caregivers negotiating treatment. Livne describes the
ambivalent, conflicted moments when people articulate and act on
their moral intuitions about dying. Interviews with medical staff
allowed him to isolate the strategies clinicians use to help
families understand their options. As Livne discovered, clinicians
are advancing the idea that invasive, expensive hospital procedures
often compound a patient's suffering. Affluent, educated families
were more readily persuaded by this moral calculus than those of
less means. Once defiant of death-or even in denial-many American
families and professionals in the health care system are beginning
to embrace the notion that less treatment in the end may be better
treatment.
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