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A Guide to Psychosocial and Spiritual Care at the End of Life.

Author: Henry S Perkins
Publisher: New York, NY : Springer New York, 2017.
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:

The book addresses all caregivers who attend dying patients: doctors, nurses, chaplains, clergy in the pastorate, social workers, clinical psychologists, family caregivers, and others.

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Genre/Form: Electronic books
Additional Physical Format: Print version:
Perkins, Henry S.
A Guide to Psychosocial and Spiritual Care at the End of Life.
New York, NY : Springer New York, ©2017
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Henry S Perkins
ISBN: 9781493968046 1493968041
OCLC Number: 978999925
Notes: Timing for Prognostic Discussions.
Description: 1 online resource (491 pages)
Contents: Preface; References; Foreword; Contents; 1 Psychosocial and Spiritual Care with the End of Life in Sight; One Stimulus for This Book: The "Peace at the Last" Prayer; A Second Stimulus for This Book: Data About Doctors, Patients, and the Nonphysical Domains of End-of-Life Care; A Third Stimulus for This Book: My Own End-of-Life Cases and My Developing Interest in Death and Dying; Case 1; Case 2; Case 3; An Overview of the Book; Summary Points; References; 2 The Symptoms and Signs of Dying; The Case; Pain; Ethnic Similarities and Differences in Pain Experiences; The Case. Three Other Common Symptoms: Dyspnea, Fatigue, and ConfusionThe Case; Cachexia (Loss of Weight) and Anorexia (Loss of Appetite); The Case; Depression; The Case; Symptoms and Signs at the Very End of Life; The Early Decline; The Later Decline; The Very End; The Case; Epilogue to Mrs. W's Case; Which Signs Define the Time of Death?; Summary Points; References; 3 Decisions at the End of Patients' Lives; The Case; How Do Doctors Make Clinical Decisions?; What Is Causing the Patient's Problem?; Hypothesis Generation Based on the Diagnostic Possibilities; Bayesian Probabilities; Pathophysiology. Pattern RecognitionThe Case; How Should the Patient's Problem Be Treated?; The Case; How Do Doctors Judge Medical Futility?; A History of Modern Medical Futility Judgments; Judging Medical Futility in Patient Care; The Case; Who Should Participate in End-of-Life Medical Decisions?; The Case; Conflicts About End-of-Life Care; Negotiating Resolutions to End-of-Life Conflicts; Implementing Decisions to Withdraw Life Support; The Case; An Epilogue to Mr. T.'s Case; Summary Points; References; 4 Risks, Benefits, and Patients' Treatment Decisions at the End of Life; The Case. Breaking Medical Bad NewsPatients' Treatment Assessments; Important Values to Consider; The Physical Domain; The Psychological Domain; The Social Domain; The Spiritual Domain; Miscellaneous Other Values Relating to the Patient; The Family Care Domain; The Case; Methods for Balancing Competing Values; Assessing Individual Treatments; The Case; Health-State Outcomes; The Case; Death with Dignity: A Comment; How Patients' Treatment Assessments Change with Time; The Case; How Patients' Assessments Differ by Demographics; The Therapeutic Misconception; Summary Points; References. 5 The Challenges of Prognosis Near the End of LifeThe Case; Anxieties About the Future with a Potentially Fatal Illness; The Case; A Recent History of Prognosis in Clinical Medicine; The Case; Doctors' Subjective Predictions for Survival in Potentially Fatal Illnesses; Conceptual Aids to Doctors' Subjective Predictions; Conceptual Aids for Predictions About Survival; Conceptual Aids for Predictions About Function; The Case; Patients' Attitudes About Doctors' Clinical Predictions; The Case; Prognostic Discussions with Seriously or Terminally Ill Patients; Timing, Barriers, and Benefits.

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"This impressive book uses many voices to deliver that message. Perkins is an experienced internist and bioethics consultant, but he calls on many others throughout the book-fellow physicians, Read more...

 
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