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An Extraordinary Journey
What matters at the end of life
- 1st Edition - July 15, 2020
- Author: Teik Oh
- Language: English
- Paperback ISBN:9 7 8 - 0 - 7 2 9 5 - 4 3 7 4 - 3
- eBook ISBN:9 7 8 - 0 - 7 2 9 5 - 8 8 9 3 - 5
- eBook ISBN:9 7 8 - 0 - 7 2 9 5 - 8 8 8 6 - 7
Today, with most deaths in developed countries occurring in hospitals and the likely exponential increase of this over the coming decades, it is an opportune time to reflect on th… Read more
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Request a sales quoteToday, with most deaths in developed countries occurring in hospitals and the likely exponential increase of this over the coming decades, it is an opportune time to reflect on the care of patients in the hospital setting and how the quality of care can be optimised to ensure that patient needs and expectations are sufficiently met.
Written by Teik E. Oh, author of the internationally acclaimed Oh’s Intensive Care Manual, this timely new title addresses the clinical, ethical, societal and legal imperatives of end-of-life care. Oh includes considered reflections on death and dying in hospitals, which address issues in hospital end-of-life care and the choices that patients, families and healthcare professionals face during this extraordinary journey – all of which improve understanding of dying and end-of-life care in hospitals.
- Provides ‘road maps’ of critical illness and dying in our hospitals that will guide you through end-of-life processes and issues
- Covers essential topics including treatment choices, rights, ethics, living wills, informed consent, communication, advanced care directives, the dilemmas doctors face, why and how decisions are made, evaluating prognoses and concepts of futility, withdrawing treatment, and how religion and culture influence care
- Corrects misconceptions of conditions associated with death and dying, including withdrawing treatment, brain death and persistent vegetative states, euthanasia, organ donation, consent and patient autonomy
- Enhanced eBook version included with purchase
- Cover image
- Title Page
- Table of Contents
- Copyright
- Foreword
- Preface
- Introduction
- References
- Part I Twilight Zone
- 1 End of life
- End of life
- A good death
- What does the patient want?
- What do families want?
- Making hard decisions
- Limits of patient autonomy
- End-of-life care
- Old age and end-of-life practice
- Choosing a good death
- References
- 2 Ethics in death and dying
- Definition of death
- Chronic obstructive pulmonary disease
- Medical ethics
- The Hippocratic Oath
- Principlism – principles of medical ethics
- Codes of conduct for doctors
- Hierarchy of ethical principles in clinical decision making
- Ethics in end-of-life care
- References
- 3 Advance care directives
- Scope of advance care directives
- Origins of advance care directives
- Advance care directives and the law
- Problems with advance care directives
- References
- Part II Futility
- 4 Do not resuscitate
- DNR – do not resuscitate order
- Legality of DNR orders
- DNR order – responsibility and consent
- Advance care plans
- References
- 5 Prognostications
- Prognostications and futility
- Predicting outcome
- Doctors’ and families’ notions of futility
- References
- 6 Withdrawing treatment
- History of withdrawing treatment
- Withdrawing and withholding treatment
- Legal status of withdrawing or withholding treatment
- Withdrawing treatment in overseas jurisdictions
- Family discussions and consent
- References
- Part III Communication
- 7 Communication
- What is communication?
- Doctors communicate poorly
- Factors affecting how families communicate
- Communication skills
- References
- 8 Informed consent
- What is informed consent?
- Legal basis for informed consent
- Informed consent in other jurisdictions
- References
- Part IV Death
- 9 Brain death and vegetative states
- Brain death
- Persistent vegetative state
- References
- 10 Euthanasia
- What is euthanasia?
- History of euthanasia
- Definition of euthanasia
- Terminology or classification
- Doctrine of double effect
- Countries with legalised euthanasia
- Arguments for legalising euthanasia
- Arguments against legalising euthanasia
- Ethical and moral issues in medicine
- What of the future?
- References
- 11 Organ donation
- Organ and tissue donation
- Consent
- Refusal of organ donation
- Donation after brain death (DBD)
- Donation after circulatory death (DCD)
- Organ retrieval surgery
- Organ transplantation
- Religions
- References
- Part V Faiths
- 12 Religions at the end of life
- Judaism
- Catholicism
- Protestantism
- Eastern Orthodox Christianity
- Islam
- Buddhism
- Hinduism
- References
- 13 Cultures and ethnicities
- Autonomy
- Family
- Indigenous cultures
- After death
- Communication
- References
- Part VI Health Services
- 14 The healthcare system
- Healthcare system
- Australian healthcare system
- Comparisons of healthcare systems,
- References
- 15 The intensive care unit
- Intensive care units
- Origins of ICUs
- ICU casemix
- Standards for ICUs
- Levels of ICUs
- References
- 16 Distributive justice
- Healthcare costs
- Resource allocation
- Distributive justice principles
- Models and guidelines for distributive justice
- Distributive justice in clinical practice
- References
- 17 Medical mishaps
- Terminology
- Incidence
- Common adverse events and causes
- Root cause analysis
- Swiss cheese errors
- Human and financial costs
- A systems approach to mishaps
- References
- Glossary and Acronyms
- Index
- No. of pages: 236
- Language: English
- Edition: 1
- Published: July 15, 2020
- Imprint: Elsevier
- Paperback ISBN: 9780729543743
- eBook ISBN: 9780729588935
- eBook ISBN: 9780729588867
TO
Teik Oh
Affiliations and expertise
Emeritus Professor of Anaesthesia, The University of Western Australia.