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.

Bioethics tackles the most vexing problems in health care and the biological sciences: from reproductive technologies to euthanasia, the AIDS epidemic, mapping the human genome, human subjects research, and health care reform. Yet surprisingly little attention has been paid to the special problems faced by women and to feminist analyses of current health care issues other than reproduction. This breakthrough volume of original essays authored by leading figures in bioethics and feminist theory moves beyond the areas of reproduction and nursing, taking bioethics into new territory. The book starts with an investigation of the relationship between feminism and bioethics and introduces different approaches to the problem. These chapters stress the importance of liberal feminism that prefers feminist over feminine analysis, integrates the experience of women of color, draws from the women's self-help movement, and uses the feminist stand-point theory. In the second part of the book, the authors apply the feminist perspective to different bioethics problems: euthanasia, AIDS, the definition of health, doctor-patient communication, the Human Genome Project, the conduct of biomedical research, and health care reform. They demonstrate the gain and benefit that results when bioethics pays attention to gender and feminism. This volume will change the way bioethicists, students, patients, and the public think about these profoundly challenging problems.

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.

Guidebook to Community Consulting provides advice for people interested in starting or growing a career in community consulting. Drawing on the authors' years of experience as community consultants, it offers a wealth of practical guidance to anyone considering or establishing a successful career serving and empowering communities. It includes guidance about the personal qualities, values, and technical skills needed; how to start a consulting practice; how to collaborate with colleagues, and most importantly, how to collaborate with communities. Practical advice and tips are motivated by core guiding principles and goals including an understanding of consulting as a partnership between consultants and communities; decoloniality; anti-racism, and equity. The text is animated with illustrative anecdotes and lessons gained from real-world experience.

Drawing upon the wisdom of experts in the field, this reader-friendly volume explores both foundational competencies and the technical how-to skills needed for engaging in community psychology practice. Each chapter explores a core competency and its application in preventing or amending community problems and issues. With case examples throughout, this text offers a practical introduction to community outreach and intervention in community psychology.

Guidebook to Community Consulting provides advice for people interested in starting or growing a career in community consulting. Drawing on the authors' years of experience as community consultants, it offers a wealth of practical guidance to anyone considering or establishing a successful career serving and empowering communities. It includes guidance about the personal qualities, values, and technical skills needed; how to start a consulting practice; how to collaborate with colleagues, and most importantly, how to collaborate with communities. Practical advice and tips are motivated by core guiding principles and goals including an understanding of consulting as a partnership between consultants and communities; decoloniality; anti-racism, and equity. The text is animated with illustrative anecdotes and lessons gained from real-world experience.