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Author Tom Preston, MD, and his terminally ill patients and their families often face the controversial predicament of how to die when suffering has been medically extended. Through their conversations, they demonstrate how dying is a process, how physicians alter when and how we die, and why "natural" death is a misnomer after medical interventions prolong the process. Their cases also explain why patients-not physicians or others-should be able to make their own decisions about when and how to die. Dr. Preston gives compelling reasons as to why aid-in-dying is not suicide when used by terminally ill patients, and why physicians who help them die are not assisting suicide. He shows us the ethical aspects of aid-in-dying and how they are consistent with other current and legal medical practices that help patients end their suffering. He debunks claims that legalized aid-in-dying would be abused for financial, social, or political reasons. Dr. Preston also shows how outdated cultural attitudes impede society's understanding of how we die, why many physicians withdraw from their dying patients, and how the sanctity-of-life principle has become distorted to obstruct physician assisted deaths. Patient-Directed Dying is a powerful manifesto calling for mercy and reason in helping terminally ill patients die a peaceful death.
Physician-Assisted Death is the eleventh volume of Biomedical Ethics Reviews. We, the editors, are pleased with the response to the series over the years and, as a result, are happy to continue into a second decade with the same general purpose and zeal. As in the past, contributors to projected volumes have been asked to summarize the nature of the literature, the prevailing attitudes and arguments, and then to advance the discussion in some way by staking out and arguing forcefully for some basic position on the topic targeted for discussion. For the present volume on Physician-Assisted Death, we felt it wise to enlist the services of a guest editor, Dr. Gregg A. Kasting, a practicing physician with extensive clinical knowledge of the various problems and issues encountered in discussing physician assisted death. Dr. Kasting is also our student and just completing a graduate degree in philosophy with a specialty in biomedical ethics here at Georgia State University. Apart from a keen interest in the topic, Dr. Kasting has published good work in the area and has, in our opinion, done an excellent job in taking on the lion's share of editing this well-balanced and probing set of essays. We hope you will agree that this volume significantly advances the level of discussion on physician-assisted euthanasia. Incidentally, we wish to note that the essays in this volume were all finished and committed to press by January 1993.
Dr. Preston's terminally ill patients and their families face the predicament of how to die when suffering has been medically extended. Through their conversations, they demonstrate how dying is a process, how physicians alter when and how we die, and why natural death is a misnomer after medical interventions prolong the dying process. They explain why patients-not physicians or others-should be able to direct their dying and make decisions for themselves about when and how to die. Dr. Preston gives compelling reasons why aid in dying is not suicide when used by terminally ill patients, and why physicians who help them die are not assisting suicide. He shows why aid-in-dying is ethical and consistent with other current and legal medical practices that help patients die. He debunks claims that legalized aid in dying would be abused for financial, social, or political reasons. He shows how outdated cultural attitudes impede understanding of how we die, why many physicians withdraw from their dying patients, and how the sanctity-of-life principle has become distorted to obstruct aid in dying. "Patient-Directed Dying" is a manifesto calling for mercy and reason in helping terminally ill patients die a peaceful death.
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."
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.
First published in the US in 1991 by the Hemlock Society, it discusses the practicalities of suicide and assisted suicide for those terminally ill, and is intended to inform mature adults suffering from a terminal illness. It also gives guidance to those who may support the option of suicide under those circumstances. The Australian edition was prepared by Dr Helga Kuhse. The author is a US journalist who has written or co-authored books on civil liberties, racial integration and euthanasia and is a past president of the World Federation of Right to Die societies. Sales of the book are category one restricted: not available to persons under 18.
“To prepare yourself to make difficult medical decisions in a distinctly Christian way, you won’t do better than to read Between Life and Death.” —Tim Challies Modern medical advances save countless lives. But for all their merits, sophisticated technologies have created a daunting new challenge, namely a blurring of the expanse between life and death. The dying process is often hidden behind a complex web of medical terminology, statistics, and ethical decisions, making it difficult for patients and loved ones to know how to approach the end of life in a dignity-affirming, Godhonoring, faith-filled way. This book offers a distinctly Christian guide to end-of-life care. It equips readers by explaining common medical jargon, exploring biblical principles that connect to common medical situations, and offering guidance for making critical decisions. In these pages, readers will find the medical knowledge and scriptural wisdom they need to navigate this painful and confusing process with clarity, peace, and discernment.
This book empowers society to understand how to die well. It is overflowing with wisdom, offers historical context and present-day initiatives and describes how end-of-life doulas and health-care advocates can change the face of dying.
In a personal memoir, the author describes her relationships with the two men closest to her--her father and his brother, Joseph, a charismatic pastor with whom she lived after her parents emigrated from Haiti to the United States.
A doctor on the front lines of hospital care illuminates one of the most important and controversial social issues of our time. It is harder to die in this country than ever before. Though the vast majority of Americans would prefer to die at home—which hospice care provides—many of us spend our last days fearful and in pain in a healthcare system ruled by high-tech procedures and a philosophy to “fight disease and illness at all cost.” Dr. Ira Byock, one of the foremost palliative-care physicians in the country, argues that how we die represents a national crisis today. To ensure the best possible elder care, Dr. Byock explains we must not only remake our healthcare system but also move beyond our cultural aversion to thinking about death. The Best Care Possible is a compelling meditation on medicine and ethics told through page-turning life-or-death medical drama. It has the power to lead a new national conversation.