Making Sense Of Advance Directives
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Making Sense Of Advance Directives
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Author : N.M. King
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
Making Sense Of Advance Directives written by N.M. King and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Philosophy categories.
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: vague, general, but sincere prior oral statements suggesting that she would not want continued treatment; a family attempting to do what they saw as best for her; and physicians uncertain whether to use medical judgment alone (and if so, what the "right" medical decision was), to preserve her life at all costs, or to honor the family's interpretation of their daughter's choice. Most ironically, once she was removed from her respirator, she did not die. Karen Quinlan - like dozens of other names made famous by court decisions, newspaper stories, and television evening news - has come to symbolize a tangled knot of issues surrounding the end of life and who controls it.
Making Sense Of Advance Directives
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Author : Nancy M.P. King
language : en
Publisher: Georgetown University Press
Release Date : 1996-02-01
Making Sense Of Advance Directives written by Nancy M.P. King and has been published by Georgetown University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996-02-01 with Medical categories.
Advance directives—such as living wills and health care proxies—are documents intended to declare and preserve the health care choices of patients if they become unable to make their own decisions. This book provides a comprehensive overview of advance directives and clear, practical directions for writing and interpreting them. Nancy M.P. King provides a legal, philosophical, and historical analysis of the moral and legal force of advance directives. She explains the types and models of advance directives currently in use and offers guidelines for individuals seeking to write, read, and use directives to promote individuals' health care choices within the laws of their own states. King emphasizes that advance directives are not orders given by patients to their doctors; instead, they are documents that invite conversation between doctors and patients about health care decisions of great importance. The purpose of advance directives is to support patients' health care choices, and the book promotes a thoughtful use of advance directives that is best calculated to achieve that purpose, whatever form individual advance directives may take. This new edition has been updated to reflect the many changes in advance directive statutes since 1991, including expanded discussions of health care proxy statutes, the impact of the Patient Self-Determination Act and the Supreme Court's Cruzan decision. King also has extended her analysis of the implications for advance directives of managed care, resource allocation, resource scarcity, and the debate over futile treatment at the end of life. Making Sense of Advance Directives is a valuable handbook for patients, health care providers and administrators, patient counselors, lawyers, policymakers, and any individual interested in advance directives.
Taking Advance Directives Seriously
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Author : Robert S. Olick
language : en
Publisher: Georgetown University Press
Release Date : 2001-07-18
Taking Advance Directives Seriously written by Robert S. Olick and has been published by Georgetown University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-07-18 with Medical categories.
In the quarter century since the landmark Karen Ann Quinlan case, an ethical, legal, and societal consensus supporting patients' rights to refuse life-sustaining treatment has become a cornerstone of bioethics. Patients now legally can write advance directives to govern their treatment decisions at a time of future incapacity, yet in clinical practice their wishes often are ignored. Examining the tension between incompetent patients' prior wishes and their current best interests as well as other challenges to advance directives, Robert S. Olick offers a comprehensive argument for favoring advance instructions during the dying process. He clarifies widespread confusion about the moral and legal weight of advance directives, and he prescribes changes in law, policy, and practice that would not only ensure that directives count in the care of the dying but also would define narrow instances when directives should not be followed. Olick also presents and develops an original theory of prospective autonomy that recasts and strengthens patient and family control. While focusing largely on philosophical issues the book devotes substantial attention to legal and policy questions and includes case studies throughout. An important resource for medical ethicists, lawyers, physicians, nurses, health care professionals, and patients' rights advocates, it champions the practical, ethical, and humane duty of taking advance directives seriously where it matters most-at the bedside of dying patients.
Dying In America
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2015-03-19
Dying In America written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-03-19 with Medical categories.
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 ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Advance Directives
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Author : Peter Lack
language : en
Publisher: Springer Science & Business Media
Release Date : 2013-10-21
Advance Directives written by Peter Lack and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-10-21 with Medical categories.
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.
Dementia And The Advance Directive
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Author : Marcia Sokolowski
language : en
Publisher: Springer
Release Date : 2018-03-07
Dementia And The Advance Directive written by Marcia Sokolowski and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-03-07 with Medical categories.
This unique title offers a novel exploration into the world of advance directives for patients with dementia. Based on real life ethics consultations the expert author has undertaken, the cases depict fascinating and challenging moral issues arising in a variety of healthcare facilities. The dynamics of the interdisciplinary health care teams of these patients, along with the dynamics of the families who are grappling to best serve their loved ones, are outlined and assessed; and the role each player’s personal histories have on the ethical issues and their resolution in real life are explored. Following each case study, the author applies a range of concepts introduced in the beginning of the book to the relevant case study, thus integrating theory with a case-based approach. A user-friendly question-and-answer format provides a thought provoking and accessible learning experience for readers. Dementia and the Advance Directive: Lessons from the Bedside tackles complicated and realistic healthcare scenarios and offers an invaluable addition to the literature on advance directives.
Advance Directives In Mental Health
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Author : Jacqueline Atkinson
language : en
Publisher: Jessica Kingsley Publishers
Release Date : 2007-07-15
Advance Directives In Mental Health written by Jacqueline Atkinson and has been published by Jessica Kingsley Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-07-15 with Medical categories.
An advance directive is a way of making a person's views known if he or she should become mentally incapable of giving consent to treatment, or making informed choices about treatment, at some future time. Advance Directives in Mental Health is a comprehensive and accessible guide for mental health professionals advising service users on their choices about treatment in the event of future episodes of mental illness, covering all ideological, legal and medical aspects of advance directives. Jacqueline Atkinson explains their origins and significance in the context of mental health legislation and compares advance directives in mental health with those in other areas of medicine like dementia or terminal illness, offering a general overview of the differences in the laws of various English-speaking countries. She explores issues of autonomy and responsibility in mental health and gives practical advice on how to set up, implement and change advance directives. The book offers a useful overview of advance directives and is a key reference for all mental health professionals as well as postgraduate students, lawyers who work with mentally ill people, service users and their families and carers.
Advance Directives And The Pursuit Of Death With Dignity
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Author : Norman L. Cantor
language : en
Publisher: Indiana University Press
Release Date : 1993-10-22
Advance Directives And The Pursuit Of Death With Dignity written by Norman L. Cantor and has been published by Indiana University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993-10-22 with Law categories.
"[Cantor provides] both a cogent and provocative text and prodigious references." -- The New England Journal of Medicine "Cantor develops a careful and accessible ethic of autonomy and dignity regarding forgoing life-prolonging medical treatment... " -- Ethics "A thoughtful, informative and sensitive text... " -- European Medical Journal "Professor Cantor of Rutgers University School of Law has created a scholarly and sophisticated, yet quite accessible, legal analysis of the subject of advance directives... detailed, exhaustively referenced... " -- The Florida Bar Journal "This book is an excellent resource for anyone interested in learning about advance directives for health care." -- Doody's Health Sciences Book Review Journal "Cantor provides a very thorough, reliable, and readable guide... " -- Robert M. Veatch, Director, Kennedy Institute of Ethics, Georgetown University Cantor examines the medical, legal, and moral issues surrounding advance medical directives -- those devices aimed at controlling medical intervention during the dying process after the patient is no longer competent.
Clinical Handbook Of Psychiatry The Law
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Author : Paul S. Appelbaum
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2007
Clinical Handbook Of Psychiatry The Law written by Paul S. Appelbaum and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Medical categories.
Thoroughly updated for its Fourth Edition, this award-winning handbook gives mental health professionals authoritative guidance on how the law affects their clinical practice. Each chapter presents case examples of legal issues that arise in practice, clearly explains the governing legal rules, their rationale, and their clinical impact, and offers concrete action guides to navigating clinico-legal dilemmas. This edition addresses crucial recent developments including new federal rules protecting patients' privacy, regulations minimizing use of seclusion and restraint, liability risks associated with newer psychiatric medications, malpractice risks in forensic psychiatry, and new structured assessment tools for violence risk, suicidality, and decisional capacity.
Federal Register
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Author :
language : en
Publisher:
Release Date : 1992-03-02
Federal Register written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1992-03-02 with Administrative law categories.