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Advance Care Planning in End of Life Care
Advance Care Planning (ACP) is an essential part of end of life care in the UK and most developed countries. It enables more people to live well and die as they would choose, and has significant implications for the individual person, their family and carers, and our wider society. In the context of an ageing population and increasing possibilities for medical interventions, ACP is a particularly important aspect of quality care. Expanded and fully updated throughout, this new edition gives a comprehensive overview of ACP and explores a wide range of issues and practicalities in providing end of life care. Written by experts from around the world, the book takes a comprehensive look at the s...
Advance Directives
This volume gives an overview on the currently debated ethical issues regarding advance directives from an international perspective. It focuses on a wider understanding of the known and widely accepted concept of patient self-determination for future situations. Although advance directives have been widely discussed since the 1980s, the ethical bases of advance directives still remain a matter of heated debates. The book aims to contribute to these controversial debates by integrating fundamental ethical issues on advance directives with practical matters of their implementation. Cultural, national and professional differences in how advance directives are understood by health care professions and by patients, as well as in laws and regulations, are pinpointed.
Dying in America
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ...
Making Sense of Advance Directives
The first time I read the medical consent and authorization. it had registered in my mind simply as a legal document. Now I began to understand what it meant. It was a letter of ultimate love and trust. (Schucking. 1985. p. 268) Ever since Karen Ann Quinlan slipped into permanent unconsciousness in 1975 and her father agonized publicly over whether she should remain indefinitely on a respirator (In re Quinlan, 1976), the desires of patients, their families, and their friends to limit the application of apparently limitless medical technology have been a pressing concern for ethics, law, and public policy. Ms. Quinlan's case contained nearly all the elements of the problems we still face: vag...
Advance Directives in Medicine
Modern medicine has put a new twist on one of our most fundamental values . . . self-determination. A patient's right to self-determination becomes a poignant and volatile issue in the context of modern life-sustaining technologies. When the benefit of medical treatment is overshadowed by the resulting burdens, treatment may ethically be withdrawn. Patients have the right to make this decision, assuming they still have the capacity to make it. Through advance directives a competent patient can extend his right to consent to or refuse medical treatment indefinitely into the future. Whether in the form of informal oral instructions or formal written documents, advance directives insure patient...
Advance Care Planning
Information for physicians on how to explain to patients such topics as power of attorney for health care, choosing a proxy, acting as a proxy, organ donation, and filling out forms such as advance directives and living wills. Samples of forms are included.
Withholding and Withdrawing Life-prolonging Medical Treatment
An authoritative book on one of the most fundamental and contentious issues for health care professionals Fully updated to include provisions of the Mental Capacity Act (April 2007); the latest policy on advance directives and the impact of the Human Rights Act on such decisions Provides guidance on the appointment of welfare attorneys to make health care decisions once capacity is lost Discusses recent cases, including Burke, baby MB, and Wyatt Written by medical ethics professionals in consultation with the appropriate medical and legal experts and in agreement with the General Medical Council's guidelines
