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When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."
Health Care Administration: Managing Organized Delivery Systems, Fifth Edition provides graduate and pre-professional students with a comprehensive, detailed overview of the numerous facets of the modern healthcare system, focusing on functions and operations at both the corporate and hospital level. The Fifth Edition of this authoritative text comprises several new subjects, including new chapters on patient safety and ambulatory care center design and planning. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.
The proliferation of giant multi-organizational agencies in the last decade has fostered a rethinking of inter-organizational interactions. By synthesizing emerging planning theories with the most recent research in the field, How Organizations Act Together offers a unique and comprehensive perspective on how modern organizations interact. From missions to the moon to management and modern public policy, Alexander unravels the complexities of interorganizational coordination, providing students and scholars with the tools for understanding.
The US healthcare system has many excellent components; strong scientific input, extraordinary technology for diagnosis and treatment, dedicated staff and top-class facilities among them. But the system has evolved haphazardly over time and although it has not failed entirely, the authors argue that like any system where attention, is paid to individual components at the expense of the system as a whole, it can never hope to succeed. Above all, they point out that the US system does not provide high value healthcare; it has the highest costs in the world and yet many other countries have lower infant mortality rates and better life expectancy. --
The crucial role of speech-language pathologists (SLPs) in hospice and palliative settings receives a long-overdue focus in End-of-Life Care Considerations for the Speech-Language Pathologist, the fifth volume in Plural’s Medical Speech-Language Pathology book series. Seasoned clinicians provide a practical guide to the terminology, context, and knowledge needed to employ best practices and address the specific needs of patients nearing the end of life. As a profession, speech-language pathology focuses primarily on rehabilitation, with the expectation that patients’ function will improve with intervention. For patients with life-limiting conditions, SLPs play an important role in supporting patients’ communication, cognition, eating, drinking, and swallowing with an emphasis on quality of living. Clinical professionals require tailored resources to develop their knowledge and skills related to appropriate care and treatment in hospice and palliative care contexts, which have been hard to find until now. Nearly all patients experience difficulties with communication and eating as they near the end of life. Patients, family members, and professionals benefit if the patient can communicate their symptoms, indicate the effectiveness of symptom management strategies, participate in setting care goals, and engage in social-emotional and spiritual conversations with family and members of the care team. This book provides SLP professionals guidance in how to offer meaningful assessments and interventions that meet patients’ needs. The book contains case examples together with the latest research and contributing clinicians’ years of experience. Supported by these effective and thoughtful strategies, SLPs can offer both comfort and care for patients in their final days. Key Features: * An overview of and introduction to the key concepts and benefits of hospice and palliative care * Guidance on terminology and standard models of end-of-life care * Adult and pediatric case studies with frequently encountered scenarios * Chapters authored by a renowned team of contributors * Discussion of legal and ethical considerations * Practical techniques and strategies for assessment and intervention