Download or read book Voluntarily Stopping Eating and Drinking written by Timothy E. Quill and published by Oxford University Press. This book was released on 2021 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many people who are experiencing unacceptable suffering or deterioration in the present, or who fear them in the near future, do not know their full range of options to hasten death. This is particularly true if they live in jurisdictions that do not allow a physician assisted death - over forty jurisdictions in the U.S. and most countries across the world. Though VSED is readily available, and not illegal, most people are unaware of it as an option. The informationin this book is vital to those considering their options either hypothetically or in real time, providing an integrated, balanced, and nuanced exploration of VSED with contributions from legal, medical, and ethical experts.
Download or read book Choosing To Die written by Phyllis Shacter and published by . This book was released on 2017-02-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Phyllis Shacter courageously shares the first personal story ever written about VSED (voluntarily stopping eating and drinking). This memoir and guidebook follows the journey she took with her husband, Alan, once he decided to VSED so he didn't have to live into the late stages of Alzheimer's disease. This is their love story, their partnership, the brave territory they traversed, including how they prepared themselves with proper medical and legal guidance. They knew they were paving the way for others who would follow in their footsteps. Every detail is shared, including what happened to Alan during the nine-and-a-half days it took for him to die, and how the experience transformed Phyllis. This book is for anyone who wants a deeper understanding of end of life choices, and especially for anyone who has been diagnosed with a degenerative disease. www.PhyllisShacter.com
Download or read book Terminal Sedation Euthanasia in Disguise written by Torbjörn Tännsjö and published by Springer Science & Business Media. This book was released on 2004-06-01 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: TERMINAL SEDATION DURING THE 1990s During the 1990s a discussion took place in scholarly journals concerning a measure within palliative care that had earlier attracted little attention, to wit, the sedation of dying patients. There seem to have been two main reasons why the practice came under debate. On the one hand, some people felt that, when palliative medicine had advanced and methods to control symptoms had improved, it was no longer justified to sedate the patients in a manner that had often been done in the past. The system of 1 terminal sedation had turned into ‘euthanasia in disguise’ or ‘slow euthanasia’. On the other hand, there were people sympathetic to the recently established Dutch system of euthanasia, people who agreed that terminal sedation was euthanasia in disguise, but who felt that, if it is not objectionable to sedate dying patients at their request, then why should it not be permitted for doctors to kill dying patients at 2 request? From these two motives a discussion about terminal sedation gained momentum. The intention behind this anthology is to continue and deepen this discussion. The anthology starts off with a chapter where an influential article from the 1990s has been reprinted.
Download or read book Interdisciplinary Nutritional Management and Care for Older Adults written by Ólöf G. Geirsdóttir and published by Springer Nature. This book was released on 2021 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intro -- Foreword -- Acknowledgements -- Contents -- Part I: Nutritional Care in Geriatrics -- 1: Overview of Nutrition Care in Geriatrics and Orthogeriatrics -- 1.1 Defining Malnutrition -- 1.2 Nutrition Care in Older Adults: A Complex and Necessary Challenge -- 1.3 Malnutrition: A Truly Wicked Problem -- 1.4 Building the Rationale for Integrated Nutrition Care -- 1.5 Managing the Wicked Nutrition Problems with a SIMPLE Approach (or Other Tailored Models) -- 1.5.1 Keep It SIMPLE When Appropriate -- 1.5.2 A SIMPLE Case Example -- 1.5.2.1 S-Screen for Malnutrition -- 1.5.2.2 I-Interdisciplinary Assessment -- 1.5.2.3 M-Make the Diagnosis (es) -- 1.5.2.4 P-Plan with the Older Adult -- 1.5.2.5 L-Implement Interventions -- 1.5.2.6 E-Evaluate Ongoing Care Requirements -- 1.6 Bringing It All Together: Integrated Nutrition Care Across the Four Pillars of (Ortho) Geriatric Care -- 1.7 Summary: Finishing Off with a List of New Questions -- References -- Recommended Reading -- 2: Nutritional Requirements in Geriatrics -- 2.1 Nutritional Recommendations for Older Adults, Geriatric and Orthogeriatric Patients -- 2.2 Nutritional Recommendations for Older Adults -- 2.2.1 Energy Requirement and Recommended Intake -- 2.2.2 Protein Requirement and Recommended Intake -- 2.2.3 Micronutrients and Dietary Fibers -- 2.3 Nutritional Risk Factors in Older Adults -- 2.4 Estimating Intake in Older Adults -- 2.5 Nutritional Status of Older Adults, Geriatric and Orthogeriatric Patients -- 2.6 Summary -- References -- Recommended Reading -- 3: Nutritional Assessment, Diagnosis, and Treatment in Geriatrics -- 3.1 The Nutrition Care Process -- 3.2 Nutritional Screening/Risk Detection -- 3.3 Nutritional Assessment and Diagnosis -- 3.3.1 Nutrition Impact Symptoms -- 3.3.2 Nutritional Diagnosis -- 3.3.3 Etiologic Criteria.
Download or read book Sedation at the End of life An Interdisciplinary Approach written by Paulina Taboada and published by Springer. This book was released on 2014-10-21 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book’s main contribution is its interdisciplinary approach to the issue of sedation at the end-of-life. Because it occurs at the end of life, palliative sedation raises a number of important ethical and legal questions, including whether it is a covert form of euthanasia and for what purposes it may legally be used. Many of the book chapters address the first question and almost all deal with a specific form of the second: whether palliative sedation should be used for those experiencing “existential suffering”? This raises the question of what existential suffering is, a topic that is also discussed in the book. The different chapters address these issues from the perspectives of the relevant disciplines: Palliative Medicine, Bioethics, Law and Theology. Hence, helpful accounts of the clinical and historical background for this issue are provided and the importance of drawing accurate ethical and legal distinctions is stressed throughout the whole book. So the volume represents a valuable contribution to the emerging literature on this topic and should be helpful across a broad spectrum of readers: philosophers, theologians and physicians.
Download or read book Finishing Our Story written by Gregory L. Eastwood, MD and published by Oxford University Press. This book was released on 2019-02-01 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Death is the destiny we all share, and this will not change. Yet the way we die, which had remained the same for many generations, has changed drastically in a relatively short time for those in developed countries with access to healthcare. For generations, if people were lucky enough to reach old age, not having died in infancy or childhood, in childbirth, in war, or by accident, they would take to bed, surrounded by loved ones who cared for them, and fade into death. Most likely, they would have seen their parents and grandparents die the same way, and so this manner of dying would be familiar: it was part of the natural cycle of life. Now less than 25 per cent of Americans die at home, having reached much older ages than people would have dreamed of in past generations, often after surviving many illnesses and even diseases that would have been terminal for their grandparents. We are fortunate to live (and die) today, supported by myriad scientific, medical, and technological advancements, however we also face new problems as a result of the new way in which we die. We can no longer anticipate a peaceful waning at home with family. We know our lives will likely end in hospitals likely after we have endured grueling treatments to prolong life. We have to decide what decisions we want our loved ones, or care-givers, to make when we cannot choose for ourselves. We have to think about whether in any circumstances we would seek physician-assisted death. We know we face other questions as well, but we may not even know where to start. In the face of these decisions, we can feel daunted and afraid. The best remedy is information and planning. In this book, Gregory Eastwood - a physician who has cared for dying patients, served as an ethics consultant, and taught end of life issues to medical and other health profession students - draws from his substantial experience with patients and families to provide the information that will help us think clearly about the choices and issues we will face at the end of our own lives, and when faced with the deaths of our loved ones. With sensitivity and profound insight, Eastwood guides us through all the important questions about death and dying in straightforward, clear language, enhanced by real-life stories. Throughout, he shows us how we can take ownership of the way we want to die, when we must die, and feel more in control as death approaches.
Download or read book The Last Ten Days Academia Dementia and the Choice to Die written by Martha Risberg Brosio and published by Myers Education Press. This book was released on 2019-06-25 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Last Ten Days addresses the concerns of loved ones and caregivers, providing them not only with information but also acknowledging the sadness and frustration, the heartache and bittersweet memories experienced during this painful time. To these readers, the book says, “You are not alone.” The Last Ten Days: Academia, Dementia, and the Choice to Die is a heartrending memoir of love, scholarship, dignity, courage, and the choices one is forced to make when given the devastating diagnosis of a terminal illness. Spanning sixty years, this extraordinary book recounts the love story of Martha Risberg Brosio and her husband, Richard Brosio, Ph.D., a brilliant scholar and college professor whose communication skills dazzled all with whom he came in contact. Teenage sweethearts who went their separate ways after high school, Martha and Richard reconnected twenty-six years later over a friendly dinner that sparked into passionate love. They married in 1983, enjoying a vibrant life. Then tragedy struck. In late 2013, Richard was diagnosed with Primary Progressive Aphasia, a type of dementia similar to Alzheimer’s that affects the frontal and temporal lobes of the brain. The disease impacted Richard’s ability to communicate. Eventually, he would lose his verbal and processing skills. There was no cure. Determined to have a dignified death at the time and in the manner of his own choosing, Richard hastened his death two years after his diagnosis by voluntarily stopping eating and drinking, seeking only palliative and hospice care until the end. Reminiscent of Still Alice, The Notebook, Tuesdays with Morrie, and When Breath Becomes Air, The Last Ten Days grabs the heartstrings and gives a mighty tug.
Download or read book Voluntarily Stopping Eating and Drinking written by Timothy E. Quill and published by . This book was released on 2021 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Four stories of real patients who considered and then activated plans to voluntarily stop eating and drinking (VSED) are presented. Each had unique personal and clinical circumstances, but all wanted to know what "escape options" might be possible if their anticipated or actual suffering or deterioration became unacceptable to them. Most were initially unaware of VSED as a life-ending option until informed by the treating clinicians, and some were disappointed that they could not receive medical aid-in-dying which they clearly would have preferred. The process of becoming aware and then ultimately choosing and completing VSED are explored. The prospect of losing decision-making capacity late in VSED and expressing a basic desire for food and drink should be anticipated and planned for. VSED was ultimately effective in helping these patients achieve a wished-for death, but the process was not without challenges"--
Download or read book Finish Strong Second Edition written by Barbara Coombs Lee and published by . This book was released on 2022-08-26 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Finish Strong by Barbara Coombs Lee is for those of us who want an end-of-life experience to match the life we've enjoyed-defined by love, purpose, and agency. Written with candor and clarity by a former nurse, physician assistant and attorney, Finish Strong's stories, facts and dialogue will help prepare for latter days that reflect your values and priorities. The second edition of Finish Strong, published in September 2022, features valuable new material, including a brand new chapter called "Race and Culture Matter;" an Afterword by Kim Callinan, the President/CEO of Compassion & Choices; and a detailed index for the book. -----Praise for FINISH STRONG----- "Barbara Coombs Lee covers all the issues we must address. Read Finish Strong and use it as a guide to consider your own final decisions." - Diane Rehm, executive producer of The Diane Rehm Show and author of When My Time Comes. "Finish Strong will help people who want to pass the gift of life back into the hands of their God thankfully and with dignity. It is a blessing." - Archbishop Emeritus Desmond Tutu
Download or read book Ethics in Palliative Care written by Robert C. Macauley and published by Oxford University Press. This book was released on 2018 with total page 569 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a comprehensive analysis of ethical topics in palliative care, combining clinical experience and philosophical rigor. A broad array of topics are explored from historical, legal, clinical, and ethical perspectives, offering both the seasoned clinician and interested lay reader a thorough examination of the complex ethical issues facing patients suffering from life-threatening illness.
Download or read book Choosing to Live Choosing to Die written by Nikki Tate and published by Orca Book Publishers. This book was released on 2019-09-17 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: ★ “Tate’s sprawling work is a fascinating guide that belongs in all middle school, high school, and public libraries. This resource will help tweens and teens looking to better understand death and dying for personal or academic purposes.”—School Library Journal, starred review With many jurisdictions considering whether or not to implement new assisted-death legislation, Choosing to Live, Choosing to Die is a timely look at the subject for teen readers who may not yet have had much experience with death and dying. Readers are introduced to the topic of assisted dying through the author's own story. The issue continues to be hotly debated in families, communities and countries around the world, and there are no easy answers. Choosing to Live, Choosing to Die looks at the issue from multiple perspectives and encourages readers to listen with an open mind and a kind heart and reach their own conclusions.
Download or read book With the End in Mind written by Kathryn Mannix and published by Little, Brown Spark. This book was released on 2018-01-16 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: For readers of Atul Gawande and Paul Kalanithi, a palliative care doctor's breathtaking stories from 30 years spent caring for the dying. Modern medical technology is allowing us to live longer and fuller lives than ever before. And for the most part, that is good news. But with changes in the way we understand medicine come changes in the way we understand death. Once a familiar, peaceful, and gentle -- if sorrowful -- transition, death has come to be something from which we shield our eyes, as we prefer to fight desperately against it rather than accept its inevitability. Dr. Kathryn Mannix has studied and practiced palliative care for thirty years. In With the End in Mind , she shares beautifully crafted stories from a lifetime of caring for the dying, and makes a compelling case for the therapeutic power of approaching death not with trepidation, but with openness, clarity, and understanding. Weaving the details of her own experiences as a caregiver through stories of her patients, their families, and their distinctive lives, Dr. Mannix reacquaints us with the universal, but deeply personal, process of dying. With insightful meditations on life, death, and the space between them, With the End in Mind describes the possibility of meeting death gently, with forethought and preparation, and shows the unexpected beauty, dignity, and profound humanity of life coming to an end.
Download or read book Physician Assisted Death written by James M. Humber and published by Springer Science & Business Media. This book was released on 1994-02-04 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physician-Assisted Death is the eleventh volume of Biomedical Ethics Reviews. We, the editors, are pleased with the response to the series over the years and, as a result, are happy to continue into a second decade with the same general purpose and zeal. As in the past, contributors to projected volumes have been asked to summarize the nature of the literature, the prevailing attitudes and arguments, and then to advance the discussion in some way by staking out and arguing forcefully for some basic position on the topic targeted for discussion. For the present volume on Physician-Assisted Death, we felt it wise to enlist the services of a guest editor, Dr. Gregg A. Kasting, a practicing physician with extensive clinical knowledge of the various problems and issues encountered in discussing physician assisted death. Dr. Kasting is also our student and just completing a graduate degree in philosophy with a specialty in biomedical ethics here at Georgia State University. Apart from a keen interest in the topic, Dr. Kasting has published good work in the area and has, in our opinion, done an excellent job in taking on the lion's share of editing this well-balanced and probing set of essays. We hope you will agree that this volume significantly advances the level of discussion on physician-assisted euthanasia. Incidentally, we wish to note that the essays in this volume were all finished and committed to press by January 1993.
Download or read book Giving Death a Helping Hand written by Dieter Birnbacher and published by Springer. This book was released on 2014-10-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Public policy surrounding the hotly debated issue of physician-assisted suicide is examined in detail. You’ll find an analysis of the current legal standing and practice of physician-assisted suicide in several countries. Authors discuss the ethical principles underlying its legal and professional regulation. Personal narratives provide important first-hand accounts from professionals who have been involved in end-of-life issues for many years.
Download or read book Contemporary Bioethics written by Mohammed Ali Al-Bar and published by Springer. This book was released on 2015-05-27 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book discusses the common principles of morality and ethics derived from divinely endowed intuitive reason through the creation of al-fitr' a (nature) and human intellect (al-‘aql). Biomedical topics are presented and ethical issues related to topics such as genetic testing, assisted reproduction and organ transplantation are discussed. Whereas these natural sources are God’s special gifts to human beings, God’s revelation as given to the prophets is the supernatural source of divine guidance through which human communities have been guided at all times through history. The second part of the book concentrates on the objectives of Islamic religious practice – the maqa' sid – which include: Preservation of Faith, Preservation of Life, Preservation of Mind (intellect and reason), Preservation of Progeny (al-nasl) and Preservation of Property. Lastly, the third part of the book discusses selected topical issues, including abortion, assisted reproduction devices, genetics, organ transplantation, brain death and end-of-life aspects. For each topic, the current medical evidence is followed by a detailed discussion of the ethical issues involved.
Download or read book At Peace written by Samuel Harrington and published by Grand Central Life & Style. This book was released on 2018-02-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authoritative, informative, and reassuring guide on end-of-life care for our aging population. Most people say they would like to die quietly at home. But overly aggressive medical advice, coupled with an unrealistic sense of invincibility or overconfidence in our health-care system, results in the majority of elderly patients misguidedly dying in institutions. Many undergo painful procedures instead of having the better and more peaceful death they deserve. AT PEACE outlines specific active and passive steps that older patients and their health-care proxies can take to ensure loved ones live their last days comfortably at home and/or in hospice when further aggressive care is inappropriate. Through Dr. Samuel Harrington's own experience with the aging and deaths of his parents and of working with patients, he describes the terminal patterns of the six most common chronic diseases; how to recognize a terminal diagnosis even when the doctor is not clear about it; how to have the hard conversation about end-of-life wishes; how to minimize painful treatments; when to seek hospice care; and how to deal with dementia and other special issues. Informed by more than thirty years of clinical practice, Dr. Harrington came to understand that the American health-care system wasn't designed to treat the aging population with care and compassion. His work as a hospice trustee and later as a hospital trustee drove his passion for helping patients make appropriate end-of-life decisions.
Download or read book This Is Assisted Dying written by Stefanie Green and published by Simon and Schuster. This book was released on 2022-03-29 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: An international bestseller, this compassionate memoir by a leading pioneer in medically assisted dying who helps suffering patients explore and fulfill their end of life choices is “written with sensitivity, grace, and candor...not to be missed” (Publishers Weekly, starred review). Dr. Stefanie Green has been forging new paths in the field of medical assistance in dying since 2016. In her landmark memoir, Dr. Green reveals the reasons a patient might seek an assisted death, how the process works, what the event itself can look like, the reactions of those involved, and what it feels like to oversee proceedings and administer medications that hasten death. She describes the extraordinary people she meets and the unusual circumstances she encounters as she navigates the intricacy, intensity, and utter humanity of these powerful interactions. Deeply authentic and powerfully emotional, This Is Assisted Dying contextualizes the myriad personal, professional, and practical issues surrounding assisted dying by bringing readers into the room with Dr. Green, sharing the voices of her patients, her colleagues, and her own narrative. As our population confronts issues of wellness, integrity, agency, community, and how to live a connected, meaningful life, this progressive and compassionate book by a physician at the forefront of medically assisted dying offers comfort and potential relief. “A humane, clear-eyed view of how and why one can leave the world by choice” (Kirkus Reviews), This Is Assisted Dying will change the way people think about their options, and ultimately is less about death than about how we wish to live.
