Through the valley of shadows: living wills, intensive care, and making medicine human
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Oxford
Oxford University Press
2016
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Inhaltsverzeichnis |
| Beschreibung: | Includes index |
| Beschreibung: | xii, 272 Seiten cm |
| ISBN: | 9780199392957 |
Internformat
MARC
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| 650 | 4 | |a Intensive Care | |
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Datensatz im Suchindex
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|---|---|
| adam_text | THROUGH THE VALLEY OF SHADOWS
/ BROWN, SAMUEL MORRIS [AUTHOR.]
: 2016
TABLE OF CONTENTS / INHALTSVERZEICHNIS
A CULTURE IN CRISIS
THE RISE OF THE LIVING WILL
EMPIRICAL AND ETHICAL PROBLEMS WITH LIVING WILLS
LIVING WILLS DON T MAKE DECISIONS : HUMAN BEINGS DO
THE BARBARIC LIFE OF THE ICU
LIFE AFTER THE ICU
REFORM : THE CURRENT STATE OF THE ART
HEALING THE INTENSIVE CARE UNIT
DIESES SCHRIFTSTUECK WURDE MASCHINELL ERZEUGT.
Titel: Through the valley of shadows
Autor: Brown, Samuel Morris
Jahr: 2016
CONTENTS
Acknowledgments xi
Introduction 1
SECTION ONE
PAST
1. A Culture in Crisis 23
Historical Death Culture and the Dying of Death 25
Life Support and the Miracles of Resuscitation 30
The Rise of Intensive Care and Life Support 32
Life in the 1960s 40
2. The Rise of the Living Will 43
The Findings of the Court 47
Legislation 52
Disclosurism and a Focus on Procedures 53
V
CONTENTS
Improving Enforcement 56
Futility, Financial Disaster, and Obligations
to Society 57
Expanding Horizons 60
3. Empirical and Ethical Problems with Living Wills 66
Living Wills Replace Paternalism with a False
Autonomy 68
Legal Documents Miss What s Most
Important to Us 72
The Problems for People of Color 77
Pig Iron underWater: The Conditions Living
Wills Foresee Are Rare 79
Predictions Are Often Wrong 81
Being True to Ourselves, Now and in the Future 88
If I m ever like that, let me die :
Disability Stigma 90
When They ve Been Studied, Living Wills
Don t Work 92
SECTION TWO
PRESENT
4. Living Wills Don t Make Decisions; Human
Beings Do 99
Thinking Like a Human Being 102
What Your Brain Doesn t Know Might Kill You 103
Affective Forecasting and Psychological
Adaptation 107
vi
CONTENTS
Things That Go Bump in the Night: The
Specter of Death 109
Moral Distress Can Blind Clinicians 113
Living Wills Create a Substantial
Moral H azard 118
We Must Choose to See 121
5. The Barbaric Life of the Intensive
Care Unit 130
The Intensive Care Unit is a Brutal Place 134
The Experience of the Ventilator 136
Immobilization 137
Tubes and More Tubes 139
The Brain under Siege 141
Poor Communication is Common
in the Intensive Care Unit 144
We Don t Always Know What We Want 148
Deforming Death in the Rush to Rescue 151
6. Life after the Intensive Care Unit 154
A Few Visionary Researchers 158
Post-Intensive Care Syndrome 161
Bodies 162
Muscles 162
Lungs 164
Brains 165
Psyches 167
Is It All Worth It? 170
The Tension between Outcomes Research
and Advance Directives 173
vii
CONTENTS
SECTION THREE
FUTURE
7. Reform: The Current State of the Art 179
Eliciting Values and Wishes 180
Registration Drives for Advance Directives
in Wisconsin 182
Multimedia Persuasion 184
Tailoring Advance Care Planning 186
Decision Aids 187
Choice Architecture 190
The Science of Communication 191
The Conversation Project 194
Redesigning the Intensive Care Unit 196
Building Partnerships to Support Flourishing 197
8. Healing the Intensive Care Unit 200
Let Families In 203
Fixing Code Status 205
Wrapping Up 209
Recognize the Crossroads 211
Create a Support Community 216
Create Space for Facilitated Farewells 218
Change the Framing to Manage Clinicians
Moral Distress 221
Changing Culture Outside Medicine 222
Not Left Unsaid 225
Authentic Personalization 227
A Possible Map: Five Approaches
to Intensive Care 229
Approach 1: Do Everything 230
viii
CONTENTS
Approach 2: Be Aggressive Only if I Have
a Reasonable Chance of Recovery 231
Approach 3: Only Admit Me to the Intensive
Care Unit if I Have an Excellent Chance
of Recovery 232
Approach 4: Don t Admit Me to the Intensive
Care Unit 233
Approach 5: Don t Admit Me to a Hospital;
Focus Only on My Comfort 234
Epilogue: What Should We Do in the Meanwhile?
Notes
Index
239
243
267
|
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| dewey-sort | 3179.7 |
| dewey-tens | 170 - Ethics (Moral philosophy) |
| discipline | Philosophie |
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| spellingShingle | Brown, Samuel Morris Through the valley of shadows living wills, intensive care, and making medicine human Living Wills Attitude to Death Intensive Care Patient Participation Right to Die Palliativpflege (DE-588)7730204-7 gnd Intensivmedizin (DE-588)4027263-1 gnd Medizinische Ethik (DE-588)4074672-0 gnd Patientenverfügung (DE-588)4140257-1 gnd |
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| title | Through the valley of shadows living wills, intensive care, and making medicine human |
| title_auth | Through the valley of shadows living wills, intensive care, and making medicine human |
| title_exact_search | Through the valley of shadows living wills, intensive care, and making medicine human |
| title_full | Through the valley of shadows living wills, intensive care, and making medicine human Samuel Morris Brown |
| title_fullStr | Through the valley of shadows living wills, intensive care, and making medicine human Samuel Morris Brown |
| title_full_unstemmed | Through the valley of shadows living wills, intensive care, and making medicine human Samuel Morris Brown |
| title_short | Through the valley of shadows |
| title_sort | through the valley of shadows living wills intensive care and making medicine human |
| title_sub | living wills, intensive care, and making medicine human |
| topic | Living Wills Attitude to Death Intensive Care Patient Participation Right to Die Palliativpflege (DE-588)7730204-7 gnd Intensivmedizin (DE-588)4027263-1 gnd Medizinische Ethik (DE-588)4074672-0 gnd Patientenverfügung (DE-588)4140257-1 gnd |
| topic_facet | Living Wills Attitude to Death Intensive Care Patient Participation Right to Die Palliativpflege Intensivmedizin Medizinische Ethik Patientenverfügung |
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