Today, with most deaths in developed countries occurring in hospitals and the likely exponential increase of this over the coming decades, it is an opportune time to reflect on the care of patients in the hospital setting and how the quality of care can be optimised to ensure that patient needs and expectations are sufficiently met.
Written by Teik E. Oh, author of the internationally acclaimed Oh’s Intensive Care Manual, this timely new title addresses the clinical, ethical, societal and legal imperatives of end-of-life care. Oh includes considered reflections on death and dying in hospitals, which address issues in hospital end-of-life care and the choices that patients, families and healthcare professionals face during this extraordinary journey – all of which improve understanding of dying and end-of-life care in hospitals.
•Provides ‘road maps’ of critical illness and dying in our hospitals that will guide you through end-of-life processes and issues.
•Covers essential topics including treatment choices, rights, ethics, living wills, informed consent, communication, advanced care directives, the dilemmas doctors face, why and how decisions are made, evaluating prognoses and concepts of futility, withdrawing treatment, and how religion and culture influence care.
•Corrects misconceptions of conditions associated with death and dying, including withdrawing treatment, brain death and persistent vegetative states, euthanasia, organ donation, consent and patient autonomy.
•Enhanced eBook version included with purchase.
This is an indispensable and contemporary guide to understanding hospitalbased end-of-life care.
1. Introduction - p. 1 2. Part I Twilight Zone - p. 5 3. Chapter 1 End of life - p. 9 4. Chapter 2 Ethics in death and dying - p. 27 5. Chapter 3 Advance care directives - p. 40 6. Part II Futility - p. 50 7. Chapter 4 Do not resuscitate - p. 53 8. Chapter 5 Prognostications - p. 59 9. Chapter 6 Withdrawing treatment - p. 66 10. Part III Communication - p. 79 11. Chapter 7 Communication - p. 83 12. Chapter 8 Informed consent - p. 98 13. Part IV Death - p. 108 14. Chapter 9 Brain death and vegetative states - p. 111 15. Chapter 10 Euthanasia - p. 123 16. Chapter 11 Organ donation - p. 140 17. Part V Faiths - p. 146 18. Chapter 12 Religions at the end of life - p. 149 19. Chapter 13 Cultures and ethnicities - p. 162 20. Part VI Health Services - p. 171 21. Chapter 14 The healthcare system - p. 175 22. Chapter 15 The intensive care unit - p. 182 23. Chapter 16 Distributive justice - p. 190 24. Chapter 17 Medical mishaps - p. 203 25. Glossary and Acronyms - p. 214 26. Index - p. 216
Today, with most deaths in developed countries occurring in hospitals and the likely exponential increase of this over the coming decades, it is an opportune time to reflect on the care of patients in the hospital setting and how the quality of care can be optimised to ensure that patient needs and expectations are sufficiently met.
Written by Teik E. Oh, author of the internationally acclaimed Oh’s Intensive Care Manual, this timely new title addresses the clinical, ethical, societal and legal imperatives of end-of-life care. Oh includes considered reflections on death and dying in hospitals, which address issues in hospital end-of-life care and the choices that patients, families and healthcare professionals face during this extraordinary journey – all of which improve understanding of dying and end-of-life care in hospitals.
•Provides ‘road maps’ of critical illness and dying in our hospitals that will guide you through end-of-life processes and issues.
•Covers essential topics including treatment choices, rights, ethics, living wills, informed consent, communication, advanced care directives, the dilemmas doctors face, why and how decisions are made, evaluating prognoses and concepts of futility, withdrawing treatment, and how religion and culture influence care.
•Corrects misconceptions of conditions associated with death and dying, including withdrawing treatment, brain death and persistent vegetative states, euthanasia, organ donation, consent and patient autonomy.
•Enhanced eBook version included with purchase.
This is an indispensable and contemporary guide to understanding hospitalbased end-of-life care.
1. Introduction - p. 1 2. Part I Twilight Zone - p. 5 3. Chapter 1 End of life - p. 9 4. Chapter 2 Ethics in death and dying - p. 27 5. Chapter 3 Advance care directives - p. 40 6. Part II Futility - p. 50 7. Chapter 4 Do not resuscitate - p. 53 8. Chapter 5 Prognostications - p. 59 9. Chapter 6 Withdrawing treatment - p. 66 10. Part III Communication - p. 79 11. Chapter 7 Communication - p. 83 12. Chapter 8 Informed consent - p. 98 13. Part IV Death - p. 108 14. Chapter 9 Brain death and vegetative states - p. 111 15. Chapter 10 Euthanasia - p. 123 16. Chapter 11 Organ donation - p. 140 17. Part V Faiths - p. 146 18. Chapter 12 Religions at the end of life - p. 149 19. Chapter 13 Cultures and ethnicities - p. 162 20. Part VI Health Services - p. 171 21. Chapter 14 The healthcare system - p. 175 22. Chapter 15 The intensive care unit - p. 182 23. Chapter 16 Distributive justice - p. 190 24. Chapter 17 Medical mishaps - p. 203 25. Glossary and Acronyms - p. 214 26. Index - p. 216
