In this "enlightening" (Jane Brody, New York Times) book, Harvard Medical School physician Angelo E. Volandes offers a solution to traumatic end-of-life care: talking, medicine's oldest tool. There is an unspoken dark side of American medicine--keeping patients alive at any price. Two thirds of Americans die in healthcare institutions, tethered to machines and tubes at bankrupting costs, even though research shows that most prefer to die at home in comfort, surrounded by loved ones. Dr. Angelo E. Volandes believes that a life well lived deserves a good ending. Through the stories of seven patients and seven very different end-of-life experiences, he demonstrates that what people with a serious illness, who are approaching the end of their lives, need most is not new technologies but one simple thing: The Conversation. He argues for a radical re-envisioning of the patient-doctor relationship and offers ways for patients and their families to talk about this difficult issue to ensure that patients will be at the center and in charge of their medical care. It might be the most important conversation you ever have.
There is an unspoken dark side of American medicine--keeping patients alive at any price. Two thirds of Americans die in healthcare institutions, tethered to machines and tubes at bankrupting costs, even though research shows that most prefer to die at home in comfort, surrounded by loved ones. Dr. Angelo E. Volandes believes that a life well lived deserves a good ending. Through the stories of seven patients and seven very different end-of-life experiences, he demonstrates that what people with a serious illness, who are approaching the end of their lives, need most is not new technologies but one simple thing: The Conversation. He argues for a radical re-envisioning of the patient-doctor relationship and offers ways for patients and their families to talk about this difficult issue to ensure that patients will be at the center and in charge of their medical care. It might be the most important conversation you ever have.
Living Wills, Intensive Care, and Making Medicine Human
Author: Samuel Morris Brown
Publisher: Oxford University Press
Hospital intensive care units have changed when and how we die--and not always for the better. The ICU is a new world, one in which once-fatal diseases can be cured and medical treatments greatly enhance our chances of full recovery. But, paradoxically, these places of physical healing can exact a terrible toll, and by focusing on technology rather than humanity, they too often rob the dying of their dignity. By some accounts, the expensive medical treatments provided in ICUs also threaten to bankrupt the nation. In an attempt to give patients a voice in the ICU when they might not otherwise have one, the living will was introduced in 1969, in response to several notorious cases. These documents were meant to keep physicians from ignoring patients' and families' wishes in stressful situations. Unfortunately, despite their aspirations, living wills contain static statements about hypothetical preferences that rarely apply in practice. And they created a process that isn't faithful to who we are as human beings. Further confusing difficult and painful situations, living wills leave patients with the impression that actual communication with their physicians has taken place, when in fact their deepest desires and values remain unaddressed. In this provocative and empathetic book, medical researcher and ICU physician Samuel Morris Brown uses stories from his clinical practice to outline a new way of thinking about life-threatening illness. Brown's approach acknowledges the conflicting emotions we have when talking about the possibility of death and proposes strategies by which patients, their families, and medical practitioners can better address human needs before, during, and after serious illness. Arguing that any solution to the problems of the inhumanity of intensive care must take advantage of new research on the ways human beings process information and make choices, Brown imagines a truly humane ICU. His manifesto for reform advocates wholeness and healing for people facing life-threatening illness.
Practical and inspiring, DEATH & DYING, LIFE & LIVING, 8th Edition helps students learn how to navigate encounters with death, dying, and bereavement. The authors integrate classical and contemporary material, present task-based approaches for individual and family coping, and include four chapters devoted to death-related issues faced by children, adolescents, young and middle-aged adults, and older adults. They also discuss a variety of cultural and religious perspectives that affect people's understanding and practices associated with such encounters. Practical guidelines for constructive communication encourage productive living in the face of death. You can use this book as a primary textbook for undergraduate and graduate courses in death, dying, and bereavement; as a supplementary text in related courses; or as a general resource. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Author: Management Association, Information Resources
Publisher: IGI Global
The development of better processes to provide proper healthcare has enhanced contemporary society. By implementing effective collaborative strategies, this ensures proper quality and instruction for both the patient and medical practitioners. Health Care Delivery and Clinical Science: Concepts, Methodologies, Tools, and Applications is a comprehensive reference source for the latest scholarly material on emerging strategies and methods for delivering optimal healthcare and examines the latest techniques and methods of clinical science. Highlighting a range of pertinent topics such as medication management, health literacy, and patient engagement, this multi-volume book is ideally designed for professionals, practitioners, researchers, academics, and graduate students interested in healthcare delivery and clinical science.
Current health policy is required to respond to a constantly changing social and political environment characterised, particularly in Europe, by ageing populations, increased migration, and growing inequalities in health and services. With health systems under increasing strain there is a sense that we need to seek new means of determining health policy. Much political debate focuses on managerial issues such as the levels of health funding and the setting and missing of targets. Meanwhile our moral imperatives, our values and principles, go relatively unexamined. What are these values? Can we agree their validity and salience? How do we manage the paradox of competing goods? Can we find new ways of talking about, and resolving, our conflicting values and competing priorities in order to create sound, appropriate, and just health policies for the 21st Century? Written by leading health policy makers and academics from many countries, "Constructive Conversations about Health" examines in depth the underlying values and principles of health policy, and posits a more enlightened public and political discourse. The book will be invaluable for those involved in health policy making and governance, politicians, healthcare managers, researchers, ethicists, health and social affairs media, health rights and patient participation groups. 'The literature on health policy is vast. On offer are models of health services, economic theory, management theory, disquisitions on ethical principles, social analyses, literally thousands of publications. In a globalised and electronically networked world, this literature has already generated its own particular language, a policy jargon replete with terms that look deceptively familiar, terms that will be much in evidence in what now follows, terms whose meanings require our closest attention.' - Marshall Marinker.
My Life Among Democrats: Presidents, Candidates, Donors, Activists, Alligators and Other Wild Animals
Author: Terry McAuliffe
Category: Biography & Autobiography
"I thought I knew Terry McAuliffe as well as anyone, but this time he surprised even me. Who knew Terry could sit still long enough to give us a book this good? What a Party! is a must-read for all of us who love politics, believe in public service, and know that laughter is often the best survival strategy." —President Bill Clinton "No one knows more about American politics than Terry McAuliffe. He gives us some remarkable insights and knows how to make his accounts both humorous and informative." —President Jimmy Carter "I've often said Terry's energy could light up a city, and readers of this book will know why. Terry's excitement for politics—and life—is evident on every page." —Senator Hillary Clinton For more than twenty-five years, Terry McAuliffe has been at the epicenter of American politics. Just out of Catholic University in Washington, Terry took a position with the Carter-Mondale campaign and quickly became one of the campaign's chief fund-raisers—and hasn't looked back since. The list of Terry ́s former mentors, friends, and close associates in the nation's capital reads like a who's who of legendary Democrats: Tip O'Neill. Jimmy Carter. Dick Gephardt. Bill Clinton. Hillary Clinton. Al Gore. The list goes on and on. Terry has fought hard for the Democratic Party his entire life and, as Bill Clinton reveals here for the first time, he was the first one in the party to see opportunity in the Republican gains in the 1994 Congressional elections. Without question the most successful fund-raiser in political history, Terry established himself as a heavyweight Democratic strategist and leader who was George W. Bush ́s most vocal and persistent critic during the first four years of the Bush 43 presidency. He earned rave reviews even from former critics for his groundbreaking work as chairman of the Democratic National Committee from 2001 to 2005, pulling the DNC out of debt for the first time in its history. Terry has served as a confidant and adviser to President Clinton and countless presidential candidates, a mediator among party leaders, the chairman of a national convention and presidential inaugural, and a forceful spokesman for the party—all without losing his reputation as a colorful, fun-loving character liked and respected even by his Republican adversaries. What a Party! is a fascinating, hilarious, and provocative look at the life of one of Washington's legendary figures. From wrestling an alligator to running the Democratic National Committee to his friendship with President Clinton, Terry McAuliffe's wonderful memoir covers it all and is, without doubt, the political book of the year.