BookNancy Berlinger, Bruce Jennings, and Susan M. Wolf.
Summary: This new work updates and significantly expands The Hastings Center's 1987 Guidelines on the Termination of Life-Sustaining Treatment and Care of the Dying. Like its predecessor, this second edition will shape the ethical and legal framework for decision-making on treatment and end-of-life care in the United States. This groundbreaking work incorporates 25 years of research and innovation in clinical care, law, and policy. It is written for physicians, nurses, and other health care professionals and is structured for easy reference in difficult clinical situations. It supports the work of clinical ethicists, ethics committee members, health lawyers, clinical educators, scholars, and policymakers. It includes extensive practical recommendations. Health care reform places a new set of challenges on decision-making and care near the end of life.
Contents:
Ethics goals for good care when patients face decisions about life-sustaining treatment or approach the end of life
Ethics education competencies for health care professionals caring for patients facing decisions about life-sustaining treatment or approaching the end of life
Organizational systems supporting good care and ethical practice
Social, economic, and legal contexts
Guidelines for advance care planning and advance directives: using patient preferences to establish goals of care and develop the care plan
Guidelines for the decision-making process
Guidelines concerning neonates, infants, children, and adolescents
Guidelines for care transitions
Guidelines for the determination of death
Guidelines for institutional policy
Communication with patients, surrogates, and loved ones
Communication and collaboration with patients with disabilities
Psychological dimensions of decision-making about life-sustaining treatment and care near the end of life
Decision-making concerning specific treatments and technologies
Institutional discussion guide on resource allocation and the cost of care.
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