Speaking for the dying : life-and-death decisions in intensive care (Book, 2019) [WorldCat.org]
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Speaking for the dying : life-and-death decisions in intensive care

Speaking for the dying : life-and-death decisions in intensive care

Author: Susan P Shapiro
Publisher: Chicago : The University of Chicago Press, 2019. ©2019
Series: Chicago series in law and society.
Edition/Format:   Print book : EnglishView all editions and formats
Seven in ten Americans over the age of age of sixty who require medical decisions in the final days of their life lack the capacity to make them. For many of us, our biggest, life-and-death decisions - literally - will therefore be made by someone else. They will decide whether we live or die; between long life and quality of life; whether we receive heroic interventions in our final hours; and whether we die in a  Read more...

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Genre/Form: Case Reports
Case studies
Document Type: Book
All Authors / Contributors: Susan P Shapiro
ISBN: 9780226615608 022661560X 9780226615745 022661574X
OCLC Number: 1051680736
Description: ix, 336 pages : illustrations ; 23 cm.
Contents: Holding life and death in their hands --
Is this for me? --
The intensive care unit. Personnel ; Rhythms ; Economics --
Actors. Patients ; Friends, family, and significant others ; Health care professionals --
Decisions. Informed consent ; Venues ; Affect ; Conflict --
Prognosis. Evidence ; Timing ; Mixed messages ; Negotiation ; Accuracy ; Prognostic framing --
Decision-making scripts. The legal script ; Cognitive scripts ; Conflicts of interest ; Law at the bedside --
Improvisation: decisions in the real world. The patient should decide ; Reprising patient instructions ; Standing in the patient's shoes ; Beneficence ; It's God's decision ; What we want ; Denial, opting out --
Making a difference? The role of physicians ; Opting for a trajectory ; Outcomes ; I thought the law would take care of this ; Does any of this matter? --
The end. Implications ; Before it's too late ; When it's too late ; When "this" happens to me. Holding life and death in their hands --
The intensive care unit --
Actors --
Decisions --
Prognosis --
Decision-making scripts --
Improvisation --
Making a difference? --
The end. Implications --
Appendix A: The research --
Appendix B.1: Patient occupation --
Appendix B.2: Patient age, gender and marital status --
Appendix B.3: Location and purpose of observed meetings --
Appendix C: Relationship between multiple trajectories traversed --
Appendix D: Decision trajectory by patient and surrogate characteristics --
Appendix E: Advance-directive status and aspects of the decision-making process, outcome, and impact.
Series Title: Chicago series in law and society.
Responsibility: Susan P. Shapiro.


Analyzes how life-and-death decision makers are selected, the interventions they weigh in on, the information they seek and evaluate, the values and memories they draw on, the criteria they weigh,  Read more...


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