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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."
By all indicators, the reproductive health of Americans has been deteriorating since 1980. Our nation is troubled by rates of teen pregnancies and newborn deaths that are worse than almost all others in the Western world. Science and Babies is a straightforward presentation of the major reproductive issues we face that suggests answers for the public. The book discusses how the clash of opinions on sex and family planning prevents us from making a national commitment to reproductive health; why people in the United States have fewer contraceptive choices than those in many other countries; what we need to do to improve social and medical services for teens and people living in poverty; how couples should "shop" for a fertility service and make consumer-wise decisions; and what we can expect in the futureâ€"featuring interesting accounts of potential scientific advances.
An exquisite novel of North Africans in Paris by "one of the most original and necessary voices in world literature" WINNER OF THE 2021 PEN TRANSLATION PRIZE Paris, Summer 2010. Zahira is 40 years old, Moroccan, a prostitute, traumatized by her father's suicide decades prior, and in love with a man who no longer loves her. Zannouba, Zahira's friend and protege, formerly known as Aziz, prepares for gender confirmation surgery and reflects on the reoccuring trauma of loss, including the loss of her pre-transition male persona. Mojtaba is a gay Iranian revolutionary who, having fled to Paris, seeks refuge with Zahira for the month of Ramadan. Meanwhile, Allal, Zahira's first love back in Morocco, travels to Paris to find Zahira. Through swirling, perpendicular narratives, A Country for Dying follows the inner lives of emigrants as they contend with the space between their dreams and their realities, a schism of a postcolonial world where, as Taïa writes, "So many people find themselves in the same situation. It is our destiny: To pay with our bodies for other people's future."
Was 9/11 engineered and designed to allow the Bush administration to hijack America’s democracy? Did fear mongering allow the US government to convince the American public that conducting huge, expensive wars in Afghanistan and Iraq was a necessary counter to defeat fabricated culprits in the Middle East? Was this all a plot to induce a financial boom that robbed the middle class of its wealth and brought the world to its knees in 2008? Examining the key players within America’s government, as well as the states that supported and carried out the attacks, Death of a Nation attempts to reveal that 9/11 was falsely portrayed by the Bush administration, and in fact carried out by elements within the United States government and military to further their own geopolitical and financial interests. Death of a Nation provides a searing indictment of the role now played by America in global affairs and warns that, with a broken society and body politic, the world is seeing the rise of one of the most overtly fascist nations since the Second World War—creating profoundly disturbing implications for the future of humanity. A generation is coming of age that doesn’t remember 9/11 happening, and knows of no world but this. We can’t allow this to be the new normal. Death of a Nation will change your view of the events of 9/11 and force you to question America’s self-appointed position as leader of the free world.
The death of a child is a special sorrow. No matter the circumstances, a child's death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify "medicine with a heart." At worst, families' encounters with the health care system will leave them with enduring painful memories, anger, and regrets. When Children Die examines what we know about the needs of these children and their families, the extent to which such needs areâ€"and are notâ€"being met, and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving child patients in treatment decisions, communicating with parents, strengthening the organization and delivery of services, developing support programs for bereaved families, improving public and private insurance, training health professionals, and more. It argues that taking these steps will improve the care of children who survive as well as those who do notâ€"and will likewise help all families who suffer with their seriously ill or injured child. Featuring illustrative case histories, the book discusses patterns of childhood death and explores the basic elements of physical, emotional, spiritual, and practical care for children and families experiencing a child's life-threatening illness or injury.
A physician's "provocative" (Boston Globe) and "timely" (Ibram X. Kendi, New York Times Book Review) account of how right-wing backlash policies have deadly consequences -- even for the white voters they promise to help. In election after election, conservative white Americans have embraced politicians who pledge to make their lives great again. But as physician Jonathan M. Metzl shows in Dying of Whiteness, the policies that result actually place white Americans at ever-greater risk of sickness and death. Interviewing a range of everyday Americans, Metzl examines how racial resentment has fueled progun laws in Missouri, resistance to the Affordable Care Act in Tennessee, and cuts to schools and social services in Kansas. He shows these policies' costs: increasing deaths by gun suicide, falling life expectancies, and rising dropout rates. Now updated with a new afterword, Dying of Whiteness demonstrates how much white America would benefit by emphasizing cooperation rather than chasing false promises of supremacy. Winner of the Robert F. Kennedy Book Award
Russia is dying from within. Oligarchs and oil barons may still dominate international news coverage, but their prosperity masks a deep-rooted demographic tragedy. Faced with staggering population decline—and near-certain economic collapse—driven by toxic levels of alcohol abuse, Russia is also battling a deeper sickness: a spiritual one, born out of the country’s long totalitarian experiment. In The Last Man in Russia, award-winning journalist Oliver Bullough uses the tale of a lone priest to give life to this national crisis. Father Dmitry Dudko, a dissident Orthodox Christian, was thrown into a Stalinist labor camp for writing poetry. Undaunted, on his release in the mid-1950s he began to preach to congregations across Russia with little concern for his own safety. At a time when the Soviet government denied its subjects the prospect of advancement, and turned friend against friend and brother against brother, Dudko urged his followers to cling to hope. He maintained a circle of sacred trust at the heart of one of history’s most deceitful systems. But as Bullough reveals, this courageous group of believers was eventually shattered by a terrible act of betrayal—one that exposes the full extent of the Communist tragedy. Still, Dudko’s dream endures. Although most Russians have forgotten the man himself, the embers of hope that survived the darkness are once more beginning to burn. Leading readers from a churchyard in Moscow to the snow-blanketed ghost towns of rural Russia, and from the forgotten graves of Stalin’s victims to a rock festival in an old gulag camp, The Last Man in Russia is at once a travelogue, a sociological study, a biography, and a cri de coeur for a dying nation—one that, Bullough shows, might yet be saved.