Bringing the Hospital Home: Ethical and Social Implications of High-tech Home Care
Johns Hopkins University, Jan 1, 1995 - Political Science - 259 pages
High-technology medical devices - for treatments such as kidney dialysis, total parenteral nutrition, the infusion of antibiotics, and respiratory ventilation - are making it possible for people with chronically acute conditions to live longer. And with the current fiscal pressures to reduce the length of hospital stays, these people are being discharged to their homes, assisted by portable life-support systems. But the introduction of high-tech devices into the home setting - the fastest growing sector of the health care economy - poses a new set of ethical and social challenges. Bringing the Hospital Home was conceived to examine the nature and implications of care in areas such as pediatrics, geriatrics, AIDS, and cancer. The book brings together scholars, clinicians, and advocates from a variety of fields to address topics that include the uses of the technologies, the impact of high-tech home care on patients and families, and policy questions bearing on program design, rationing and access to care, economics, and death and dying in the home.
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Ethical and Social Implications of HighTech
The History of Respirators and Total Parenteral Nutrition
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administration advance directives AIDS antibiotic Bellagio benefits burdens cancer cancer patients caregivers catheter child clinical complications costs death decision decubitus ulcers dependent dialysis disabled discharge disease drugs Dubler dying elderly equipment ethical example family members feeding Fisher geriatric high-tech home high-tech home care home care agencies home care industry home care program home care services home health agencies Home parenteral nutrition hospital individuals infection infusion pumps intravenous Iobates issues Journal Kohrman lives long-term machine Medicaid Medicare Medicine ment monitoring moral nasogastric tube nursing home outcomes outpatient oxygen pain parents patients and families Pediatrics pentamidine percent persons physical physicians pressure sores problems procedures professional psychological rationing reimbursement require respirators risk role short bowel syndrome social tech home technology-dependent children therapy tients tion total parenteral nutrition tracheostomy treatment tube U.S. Congress ventilator ventilator-dependent visits York
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