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The inevitable hour : a history of caring for dying patients in America /
Changes in health care have dramatically altered the experience of dying in America. At the turn of the twentieth century, medicine's imperative to cure disease increasingly took priority over the demand to relieve pain and suffering at the end of life. Filled with heartbreaking stories, this b...
| Clasificación: | Libro Electrónico |
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| Autor principal: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Baltimore, Maryland :
Johns Hopkins University Press,
2013
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| Temas: | |
| Acceso en línea: | Texto completo |
| Sumario: | Changes in health care have dramatically altered the experience of dying in America. At the turn of the twentieth century, medicine's imperative to cure disease increasingly took priority over the demand to relieve pain and suffering at the end of life. Filled with heartbreaking stories, this book demonstrates that professional attention and resources gradually were diverted from dying patients. The author challenges three myths about health care and dying in America. First, that medicine has always sought authority over death and dying; second, that medicine superseded the role of families and spirituality at the end of life; and finally, that only with the advent of the high-tech hospital did an institutional death become dehumanized. The author shows that hospitals resisted accepting dying patients and often worked hard to move them elsewhere. Poor, terminally ill patients, for example, were shipped from Bellevue Hospital in open boats across the East River to Blackwell's Island, where they died in hovels, mostly without medical care. Some terminal patients were not forced to leave, yet long before the advent of feeding tubes and respirators, dying in a hospital was a profoundly dehumanizing experience. With technological advances, passage of the Social Security Act, and enactment of Medicare and Medicaid, almshouses slowly disappeared and conditions for dying patients improved - though, as the author argues, the prejudices and approaches of the past are still with us. The problems that plagued nineteenth-century almshouses can be found in many nursing homes, where residents often receive substandard treatment. A frank portrayal of the medical care of dying people past and present, this book helps to explain why a movement to restore dignity to the dying arose in the early 1970s and why its goals have been so difficult to achieve. |
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| Descripción Física: | 1 online resource (viii, 226 pages) : illustrations |
| Bibliografía: | Includes bibliographical references (pages 175-217) and index. |
| ISBN: | 1421409208 9781421409207 |