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The Hastings Center guidelines for decisions on life-sustaining treatment and care near the end of life /
This new work updates and significantly expands The Hastings Center's 1987 Guidelines on the Termination of Life-Sustaining Treatment and Care of the Dying. Like its predecessor, this second edition will shape the ethical and legal framework for decision-making on treatment and end-of-life care...
| Clasificación: | Libro Electrónico |
|---|---|
| Autor principal: | |
| Autor Corporativo: | |
| Otros Autores: | , |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Oxford :
Oxford University Press,
[2013]
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| Edición: | Revised and expanded second edition. |
| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- The Function and Sources of These Ethics Guidelines
- Legal and Ethical Consensus Informing These Guidelines: Rights, Protections, and Key Philosophical Distinctions.
- pt. One. Framework and Context. Ethics Goals for Good Care When Patients Face Decisions about Life-Sustaining Treatment or Approach the End of Life
- Section 2 Ethics Education Competencies for Health Care Professionals Caring for Patients Facing Decisions about Life-Sustaining Treatment or Approaching the End of Life
- Section 3 Organizational Systems Supporting Good Care and Ethical Practice
- Section 4 Social, Economic, and Legal Contexts
- A. Social Context
- B. Economic Context
- C. State and Federal Context.
- pt. Two Guidelines on Care Planning and Decision-Making. Section 1 Guidelines for Advance Care Planning and Advance Directives: Using Patient Preferences to Establish Goals of Care and Develop the Care Plan
- Section 2 Guidelines for the Decision-Making Process
- A. Evaluating the Patient
- B. Determining Decision-Making Capacity
- C. Identifying the Key Decision-Maker
- D. Surrogate Decision-Making
- E. Making the Decision at Hand
- F. Documenting the Decision
- G. Implementing the Decision
- H. Changing Treatment Decisions
- I. Conflicts and Challenges Related to Treatment Decision-Making.
- Section 3. Guidelines Concerning Neonates, Infants, Children, and Adolescents. A. General Guidelines for Pediatric Decision-Making Concerning the Use of Life-Sustaining Treatments
- B. Guidelines for Decision-Making and Care Involving Nonviable Neonates and Neonates at the Threshold of Viability
- C. Guidelines for Decision-Making about Life-Sustaining Treatment for Viable Neonates
- D. Guidelines for Decision-Making about Life-Sustaining Treatment for Young Children
- E. Guidelines for Decision-Making with Older Children
- F. Guidelines for Decision-Making with Adolescents
- G. Guidelines for Decision-Making by Mature Minors and Emancipated Minors.
- Section 4. Guidelines for Care Transitions. A. General Guidelines for Hand-Offs between Professionals and Transfers Across Care Settings
- B. Guidelines on Care Transitions for Nursing Home Residents
- C. Guidelines on Portable Medical Orders
- D. Guidelines on Discharge Planning and Collaboration with Nursing Homes, Home Care, Hospice, and Outpatient Care
- E. Guidelines on Care Transitions for Patients Who Will Die in the Hospital.
- Section 5. Guidelines for the Determination of Death. A. Procedural Guidelines for Making a Determination of Death and for Making a Declaration of Death
- B. The Determination of Death: Continuing Ethical Debates.
- Section 6 Guidelines for Institutional Policy. A. Guidelines on Ethics Services in Institutions Providing Care for Patients Facing Decisions about Life-Sustaining Treatment on Approaching the End of Life
- B. Guidelines on Palliative Care Services
- C. Guidelines Supporting Advance Care Planning
- D. Guidelines Supporting Portable Medical Orders
- E. Guidelines Supporting Care Transitions
- F. Guidelines on the Role of Institutional Legal Counsel and Risk Management in Supporting Good Care
- G. Guidelines on Conflict Resolution.
- pt. Three. Communication Supporting Decision-Making and Care. Section 1 Communication with Patients, Surrogates, and Loved Ones
- A. Conducting a Family Conference When a Patient's Condition Is Deteriorating
- B. Supporting the Decision-Maker When Loved Ones Disagree
- C. Discussing Values Concerning Nutrition and Hydration
- D. Using Electronic and Telephone Communications with Seriously Ill Patients or with Surrogates and Loved Ones.
- Section 2. Communication and Collaboration with Patients with Disabilities. A. Life-Sustaining Treatments and Accommodation of Stable or Progressive Disabilities
- B.Communication When a Patient's Disability Affects Speech
- C.Communication When a Patient's Disability Affects Cognition
- D.Communication and Collaboration with Recently Disabled Patients Concerning Life-Sustaining Treatments.
- Section 3. Psychological Dimensions of Decision-Making about Life-Sustaining Treatment and Care Near the End of Life. A. Coping as a Factor in Treatment Decision-Making
- B. Hope as a Factor in Treatment Decision-Making
- C. Ambivalence, Denial, and Grief as Factors in Treatment Decision-Making
- D. Existential Suffering as a Factor in Treatment Decision-Making
- E. Spirituality and Religion as Factors in Treatment Decision-Making
- F. Religious Objections During Treatment Decision-Making
- G. Moral Distress as a Factor in Treatment Decision-Making
- H. Integrating Bereavement Care for Loved Ones and Professionals into Care Near the End of Life.
- Section 4. Decision-Making Concerning Specific Treatments and Technologies. A. Forgoing Life-Sustaining Treatments: Ethical and Practical Considerations for Clinicians
- B. Brain Injuries and Neurological States
- C. Mechanical Ventilation
- D. Cardiopulmonary Resuscitation and Cardiac Treatments
- E. Dialysis
- F. Nutrition and Hydration
- G. Chemotherapy and Other Cancer Treatments
- H. Routine Medications, Antibiotics, and Invasive Procedures
- I. Blood Transfusion and Blood Products
- J. Palliative Sedation.
- Section 5. Institutional Discussion Guide on Resource Allocation and the Cost of Care. A. Developing a Practice of Discussing Resource Allocation and the Cost of Care: Six Strategies
- B. Discussing Uncompensated Care for Patients Without Insurance.