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The 14 chapters in Ethics at the End of Life: New Issues and Arguments, all published here for the first time, focus on recent thinking in this important area, helping initiate issues and lines of argument that have not been explored previously. At the same time, a reader can use this volume to become oriented to the established questions and positions in end of life ethics, both because new questions are set in their context, and because most of the chapters—written by a team of experts—survey the field as well as add to it. Each chapter includes initial summaries, final conclusions, and a Related Topics section.
How should we live? That question was no less urgent for English men and women who lived between the early sixteenth and late eighteenth centuries than for this book's readers. Keith Thomas's masterly exploration of the ways in which people sought to lead fulfilling lives in those centuries between the beginning of the Reformation and the heyday of the Enlightenment illuminates the central values of the period, while casting incidental light on some of the perennial problems of human existence. Consideration of the origins of the modern ideal of human fulfilment and of obstacles to its realization in the early modern period frames an investigation that ranges from work, wealth, and possessions to the pleasures of friendship, family, and sociability. The cult of military prowess, the pursuit of honour and reputation, the nature of religious belief and scepticism, and the desire to be posthumously remembered are all drawn into the discussion, and the views and practices of ordinary people are measured against the opinions of the leading philosophers and theologians of the time. The Ends of Life offers a fresh approach to the history of early modern England, by one of the foremost historians of our time. It also provides modern readers with much food for thought on the problem of how we should live and what goals in life we should pursue.
Decision Making near the End of Life provides a comprehensive overview of the recent developments that have impacted decision-making processes within the field of end-of-life care. The most current developments in all aspects of major underlying issues such as public attitudes, the impact of media, bioethics, and legal precedent provide the background information for the text. The authors examine various aspects of end-of-life choices and decision-making, including communication (between and among family, medical personnel, the dying person), advance directives, and the emergence of hospice and palliative care institutions. The book also explores a variety of psychosocial considerations that arise in decision-making, including religion/spirituality, family caregiving, disenfranchised and diverse groups, and the psychological and psychiatric problems that can impact both the dying person and loved ones. Case studies and first-person stories about decision-making, written by professionals in the field, bring a uniquely personal touch to this valuable text.
Questions that face dying individuals, their families, and the professionals that help them at the end of their lives are explored in this volume. The contributors help the reader to come to terms with issues of mortality complicated by the diversity of cultures within society.
A practical overview of clinical issues related to end-of-life care, including grief and bereavement The needs of individuals with life-limiting or terminal illness and those caring for them are well documented. However, meeting these needs can be challenging, particularly in the absence of a well-established evidence base about how best to help. In this informative guide, editors Sara Qualls and Julia Kasl-Godley have brought together a notable team of international contributors to produce a clear structure offering mental health professionals a framework for developing the competencies needed to work with end-of-life care issues, challenges, concerns, and opportunities. Part of the Wiley Series in Clinical Geropsychology, this thorough and up-to-date guide answers complex questions often asked by patients, their families and caregivers, and helping professionals as well, including: How does dying occur, and how does it vary across illnesses? What are the spiritual issues that are visible in end-of-life care? How are families engaged in end-of-life care, and what services and support can mental health clinicians provide them? How should providers address mental disorders that appear at the end of life? What are the tools and strategies involved in advanced care planning, and how do they play out during end-of-life care? Sensitively addressing the issues that arise in the clinical care of the actively dying, this timely book is filled with clinical illustrations, guidance, tips for practice, and encouragement. Written to equip mental health professionals with the information they need to guide families and others caring for the needs of individuals with life-threatening and terminal illnesses, End-of-Life Issues, Grief, and Bereavement presents a rich resource for caregivers for the psychological, sociocultural, interpersonal, and spiritual aspects of care at the end of life. Also in the Wiley Series in Clinical Geropsychology Psychotherapy for Depression in Older Adults Changes in Decision-Making Capacity in Older Adults: Assessment and Intervention Aging Families and Caregiving
The Segelberg Lecture Series explores the intersection of religious faith and public policy. This book contains the lectures of the Trusts fi rst series, which were focused on The Ends of Life. Dalhousie Universitys School of Public Administration managed the series through a lecture committee under the able leadership of the former Dean of Dalhousie Law School, Professor Innis Christie, Q.C.
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Jacobs, an ordained minister and a hospital chaplain for over 11 years, recognized in the ministerial profession a serious need for and lack of one comprehensive collection of tools to help both new and seasoned clergy guide congregants and their families through end-of-life issues. Gathering her experiences, skills, and insights, she developed the definitive death and dying resource for clergy and pastoral counselors.
The Last Things We Talk About gives readers and their loved ones the opportunity as death approaches to affirm, celebrate, and remember the people and experiences they cherish in life. The author guides readers step-by-step through the process of making aging and death-related decisions. This includes defining personal values and wishes as well as planning for practical medical, financial, and legal considerations. This book will help readers: - Identify the people, experiences, and things that are important to them and help define and celebrate what gives life meaning and purpose - Discover and define their goals and wishes regarding transitions, support, and the legacy they wish to leave behind - Understand important topics such as legal, financial, and medical documents, the continuum of care, and end-of-life decisions - Find professionals to help them put together inventories for financial, legal, and practical matters - Explore options and plan for culturally and spiritually sensitive end-of-life rituals and celebrations - Learn what needs to be done after death and how survivors can begin to piece their lives back together
An updated edition of the most respected book on hospice care—for both patients and caregivers. This warm and informative resource on hospice and other end-of-life care options now gets an update. It receives a new preface and revised guidance on elders who need more long-term care and support, recommendations on pain medications, and advice for those living extended lives with treatable, but not curable, diseases. Written by a hospice nurse, Living at the End of Life reassures us that this difficult time also offers an opportunity to explore and rediscover a richer meaning in life. Drawing on her years of experience, Bell has created a comprehensive, insightful guide to every aspect of hospice care and the final stages of life. For people in hospice, as well as their friends and families, this is an indispensable and trustworthy source of comfort and spiritual healing.