Caring for Patients at the End of Life: Facing an Uncertain Future Together
In Caring for Patients at the End of Life: Facing an Uncertain Future Together, Dr. Quill uses his wide range of clinical experience caring for severely ill patients and their families to illustrate the challenges and potential of end-of-life care. Section one utilizes the near death experiences of two patients to explore values underlying medical humanism, and then presents the case of "Diane" to explore the fundamental clinical commitments of partnership and non-abandonment. Section two explores, illustrates, and provides practical guidance for clinicians, patients, and families about critical communication issues including delivering bad news, discussing palliative care, and exploring the wish to die. In section three, difficult ethical and policy challenges inherent in hospice work, including the rule of double effect, terminal sedation, and physician-assisted suicide, are explored using a mix of real cases and an analysis of underlying clinical, ethical, and policy issues. In a final chapter, Dr. Quill discusses the tragic death of his brother which occurred as this book was being completed, and how his family made the most emotionally challenging decisions of their lives. Dr. Quill exposes readers to an internally consistent and practical way of thinking by simultaneously embracing the potential of palliative care, and also acknowledging that it has limitations. His philosophy of offering forthright discussions with patient and family, mutual decision-making, ensuring medical and palliative care expertise and of committing to see the dying process through to the patient's death is vividly illustrated.
What people are saying - Write a review
We haven't found any reviews in the usual places.
Other editions - View all
acceptable aggressive treatment analgesics Ann Intern approach asked assisted suicide barbiturates cancer cardiopulmonary resuscitation challenges chapter chemotherapy circumstances clinical clinicians commitment congestive heart failure consensus daughter decision depression diagnosis Diane Diane's discussion disease doctor Don's doses double effect Dutch dying patients emotional end-of-life Engl ethical experience experimental therapy explore family members fears feel future goals hastening death health care proxy hospice care hospice program informed informed consent initial intention interventions issues JAMA Johnson last-resort live meaning mechanical ventilation medicine moral Netherlands Nonabandonment opioids options pain and symptom Palliat palliative palliative care patient and family physician physician-assisted death physician-assisted suicide possible potential practice problems prognosis questions Quill reassurance relationship relieve request response Reverend risk rule of double spiritual suffering symptom management terminal sedation terminally ill patients tion treat understand University Press voluntary active euthanasia VSED
A Merciful End: The Euthanasia Movement in Modern America
Limited preview - 2003
All Book Search results »
Communication as Comfort: Multiple Voices in Palliative Care
No preview available - 2008