Geriatrics

Download Care at the Close of Life: Evidence and Experience by Stephen McPhee, Margaret A. Winker, Michael W. Rabow, Steven PDF

By Stephen McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz

From one of many world’s top scientific journals comes the definitive evidence-based, full-color advisor to end-of-life and palliative care "...represents a huge milestone within the evolution of take care of individuals with complex disease—-for which its editors and authors and JAMA might be rightly proud. it really is impressive that JAMA had the foresight to submit a sequence in this subject, which, as medication has develop into extra technologically complex and subspecialized, is usually missed and, occasionally worse, avoided....this ebook can be worthwhile for front-line clinicians, and certainly all healthiness care practitioners—as care on the shut of lifestyles is part of just about all of medicine’s specialties and settings."--Irene J. Higginson, BMBS, PhD, FPPHM, FRCP; Dept. of Palliative Care, coverage, & Rehabilitation; Cicely Saunders Institute; King's collage London (from the foreword) a brand new addition to the JAMAevidence sequence, Care on the shut of lifestyles: facts and adventure bargains evidence-based and medical specialist suggestions on taking good care of sufferers with life-limiting affliction, incorporating the phrases and views of affected sufferers, their households, and treating clinicians. geared up through those genuine medical situations, the booklet is predicated at the acclaimed 7-year sequence of forty two articles, initially released in JAMA as “Perspectives on Care on the shut of Life,” and now completely up to date as chapters and that includes huge never-before-published fabric. Care on the shut of lifestyles covers are a variety of medical syndromes, ailment strategies, communique demanding situations, health-care supply settings, and concerns confronted via sufferers, together with withdrawal of dialysis and different life-sustaining measures, cross-cultural techniques, and the position of chemotherapy. during the ebook, emphasis is at the rules of palliative care, with the sufferer and relatives on the middle of care, and with recognition given to all problems—physical, mental, social, and non secular. Reflecting this concentration, each one bankruptcy starts off with a sufferer case examine to introduce the medical challenge, by means of “perspectives” that draw on wide, real-world discussion among clinicians, sufferers, and households. across the world well known authors then evaluation the common demanding situations illustrated via the case, supplying state of the art, evidence-based evaluation and remedy methods. positive aspects absolutely revised and up-to-date textual content with new facts and references, together with the quest technique for every chapter’s replace Evidence-based orientation offers the present nation of information within the care of terminally unwell sufferers and help for his or her households and caregivers sensible scientific advice and methods from foreign specialists in palliative care Self-assessment Q&A, for boosting your wisdom of every chapter’s content material and for getting ready for assessments an invaluable thesaurus of acronyms, phrases, and assessments up to date assets for every bankruptcy supply present, authoritative resources of diagnostic and remedy details which can assist you optimize palliative care Medline PubMed identity numbers facilitate quickly, handy entry to references

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I wasn’t sure how they were going to react. I said, ”You need to talk about this with Becky who is your [durable power of attorney for health care] because you’ve now made a decision that you’ve told me about so it’s sort of official. ” MR B’S SON: I’d like him to hang around for a while because I enjoy him very much. I would hate to lose the guy. Mr B clearly has full capacity to be the central decision maker for his life, yet his family is very invested in his continued longevity. 49,50 (“I was baptized a Catholic, but I never followed up on it.

There are always thousands of things that you need to take care of now. Oh, well, everybody does that, don’t they? Don’t they look back and say, “If I’d only…”? I have a very good doctor. She’s told me herself I can count on her. That made me feel very good. I’ve gotten over the scary part. There are times in your life when you know it’s going to end, and you just have to make up your mind about it ahead of time. … He has pulmonary fibrosis and heart disease, and it’s hard to know…not really knowing what to tell him and not knowing if I’m doing this kind of thing too soon…was hard.

All of the above. 2. Hospice is underused even for patients dying of advanced cancer because of all of the following factors except for the: A. Requirement that patients forgo continued curative, disease-directed therapy, such as radiation therapy, in favor of palliative, comfort care, such as as-needed opioid use for pain relief. B. Necessity that a physician certify a terminal illness with a prognosis of 6 months or less. C. Requirement that patients or families hire home health aides to help provide in-home care.

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