Download Palliative care : transforming the care of serious illness by Diane E. Meier, Visit Amazon's Stephen L. Isaacs Page, PDF

By Diane E. Meier, Visit Amazon's Stephen L. Isaacs Page, search results, Learn about Author Central, Stephen L. Isaacs, , Robert Hughes

Palliative Care is the 1st publication to supply a finished figuring out of the hot box that's reworking the best way americans care for critical illness.

Diane E. Meier, M.D., one of many field's leaders and a recipient of a MacArthur starting place "genius award" in 2009, opens the amount with a sweeping evaluate of the sector. In her essay, Dr. Meier examines the roots of palliative care, explores the major felony and moral concerns, discusses the improvement of palliative care, and provides rules on regulations that could enhance entry to palliative care.

Dr. Meier's essay is through reprints of twenty-five of crucial articles within the box. they vary from vintage items by means of a few of the field's pioneers, equivalent to Eric Cassel, Balfour Mount, and Elizabeth Kübler-Ross, to influential more recent articles on themes reminiscent of caregiving and price discount rates of palliative care. The reprints hide a variety of themes including:

  • Why the care of the heavily ailing is so important

  • Efforts to deal with complicated illness

  • Legal and moral issues

  • Pain management

  • Cross-cultural issues

  • Philosophical perspective

The call for for palliative care has been not anything in need of stunning—largely as a result of palliative care's optimistic effect on either the standard and the price of care supplied to significantly in poor health members. by means of supplying a wide-ranging viewpoint in this growing to be box, this publication will function a advisor for constructing significant ways that may bring about greater overall healthiness take care of all Americans.

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Sample text

As such, it can be delivered concurrently with life-prolonging care or as the main focus of care. 77 36 Palliative Care: Transforming the Care of Serious Illness Many social forces are shaping the emergence of the palliative care movement in the United States. These forces, combined with a strategic infusion of hundreds of millions of private sector philanthropic dollars over the last twenty years, have crystallized palliative care as a solution to many problems facing people with chronic conditions and serious illnesses— a solution that did not require a revolution in health care financing.

S. Supreme Court recognizes in the case of Nancy Cruzan—a young woman in a persistent vegetative state receiving artificial nutrition and hydration by feeding tube—a patient’s rights to refuse unwanted treatment if his or her wishes have been expressed in a ‘‘clear and convincing’’ way. The decision leads to a federal law, the Patient Self-Determination Act, requiring hospitals and other health care settings to counsel patients about their right to complete an advance directive stating their wishes for future care under circumstances of cognitive impairment.

Three years after the passage of the measure, a state legislative effort to strike it down was rejected by 60 percent of the voters, reaffirming the legal status of the measure. Also in 1997, Congress passed legislation barring taxpayer dollars from financing physician-assisted suicide, and the Supreme Court ruled that mentally competent terminally ill people do not have a constitutional right to physician-assisted suicide, leaving the issue up to the states. A subsequent attempt in 2001 by Attorney General John Ashcroft to suspend the medical licenses of physicians prescribing life-ending medications under Oregon law was blocked in 2002 by a federal judge, a decision affirmed 30 Palliative Care: Transforming the Care of Serious Illness by the Ninth Circuit Court of Appeals in 2004.

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