End of life choices : consensus and controversy / Fiona Randall, R.S. Downie.

Format:

Book

Author/Creator:

Randall, Fiona.

Contributor:

Downie, R. S. (Robert Silcock)

Language:

English

Subjects (All):

Palliative treatment.

Terminal care.

Physical Description:

1 online resource (214 p.)

Edition:

First edition.

Place of Publication:

Oxford : Oxford University Press, 2009.

Language Note:

English

Summary:

A book for nurses, doctors and all who provide end of life care, this essential volume guides readers through the ethical complexities of such care, including current policy initiatives, and encourages debate and discussion on their controversial aspects. dived into two parts, it introduces and explains clinical decision making-processes about which there is broad consensus, in line with guidance documents issued by WHO, BMA, GMC, and similar bodies. The changing political andsocial context where 'patient choice' has become a central idea, and the broadened scope of potients' best interests, h

Contents:

Title Page; Copyright; Preface; Contents; List of abbreviations and acronyms; Introduction; Part 1; 1 Patient choice and consent; 1.1 Choice: the traditional concept; 1.2 Consumer choice, the free market and the health service; 1.3 Some problems with consumerism in end of life care; 1.3.i Competition; 1.3.ii Prevention from harm; 1.3.iii Alternatives; 1.3.iv Responsibility; 1.3.v Money; 1.4 Implications of a system for end of life care based on consumerism; 1.4.i Consent; 1.4.ii The concept of a profession; 1.4.iii Motivation; 1.4.iv The art of dying lost by consumerism

1.5 The roots of the choice agenda1.6 Conclusions; References; 2 Choice and best interests: clinical decision-making in end of life care; 2.1 Understanding the clinical problem; 2.2 Selecting the treatment options which offer a prospect of net benefit; 2.3 Assessment of capacity; 2.4 Making the final decision with patients who have capacity: consent; 2.4.i How much information?; 2.4.ii The continuing request for what is clinically inappropriate; 2.4.iii A right to consent or a duty to do so?; 2.5 Making the final decision: patients without capacity; 2.6 Conclusions; References

3 Three logical distinctions in decision-making3.1 Intended and foreseen consequences: doctrine of double effect; 3.2 Acts and omissions; 3.3 Killing and letting die; 3.4 Conclusions; References; 4 Choice and best interests: life-prolonging treatments; 4.1 Preliminary issues of ethical importance; 4.2 Understanding the clinical problem; 4.3 Selecting treatment options that offer a prospect of net benefit; 4.4 Making the final decision with patients who have capacity; 4.4.i Disclosure of information; 4.4.ii Patients requesting clinically inappropriate treatments; 4.4.iii Reviewing the decision

4.4.iv Life-prolonging treatments and advance care planning4.5 Making the final decision: patients without capacity; 4.5.i Special features of decision-making regarding life-prolonging treatment; 4.5.ii Consulting the patient; 4.5.iii Consulting those close to the patient; 4.5.iv The basis of the final decision; 4.5.v Reviewing the decision; 4.6 Conclusions; References; 5 Choice and best interests: symptom control and the maintenance of function; 5.1 The basis of most moral problems in symptom control; 5.2 Moral problems of symptom control in patients with capacity

5.3 Moral problems of symptom control in patients who lack capacity5.3.i Moral problems when the patient is imminently dying; 5.3.ii Moral problems when the patient is not imminently dying; 5.4 Conclusions; References; 6 Choice and best interests: sedation to relieve otherwise intractable symptoms (terminal sedation); 6.1 Identifying the problems; 6.2 What makes the analysis difficult; 6.2.i Lack of a clear definition of 'terminal sedation'; 6.2.ii Lack of clarity about the fundamental moral concepts of intention, outcome and causality in decision-making about sedation

6.2.iii Artificial hydration

Notes:

Description based upon print version of record.

Includes bibliographical references and index.

Description based on print version record.

Description based on publisher supplied metadata and other sources.

ISBN:

0-19-100649-1

0-19-157552-6

9786613894090

1-283-58164-7

OCLC:

855504938