The Dying PatientOrville Gilbert Brim, Sol Levine, Howard E. Freeman Transaction Publishers, 31. okt. 1980 - 390 sider â Recommended for the provocative questions it raises concerning the effect on the patient of the structure of medical care, concerning the important decisions regarding policy facing the medical profession, the hospital administrator, and the public, and for the discussions of legal and economic dimensions which are frequently forgotten by personnel working directly with the patient. â Edmund C. Payne, Psychiatry in Medicine The fourteen original articles in The Dying Patient examine the problems of dying and medical conduct from the perspectives of sociology, economics, medicine, and the law. |
Indhold
What People Think About Death | 30 |
Cultural Beliefs on Life and Death | 42 |
PART TWO HOW DOCTORS NURSES | 65 |
Physicians Behavior Toward the Dying Patient | 83 |
Innovations and Heroic Acts in Prolonging Life | 102 |
Patterns of Dying | 129 |
The Dying Patients Point of View | 145 |
Elisabeth K Ross | 156 |
Dying in a Public Hospital | 191 |
PART THREE TERMINATION OF LIFESOCIAL ETHICAL | 209 |
Control of Medical Conduct | 225 |
Legal and Policy Issues in the Allocation of Death | 253 |
Economic and Social Costs of Death | 275 |
CONCLUSION Dying and Its Dilemmas as a Field | 303 |
Death and Dying a Briefly Annotated Bibliography | 327 |
INDEX | 381 |
Almindelige termer og sætninger
American Journal American Medical Association ANSELM L anxiety Association attitudes toward death autopsy Awareness of Dying behavior bereavement body cancer cardiac causes of death cent clinical concern Cost of Illness costs dead death and dying death instinct deaths occurring decisions discussion doctor donor drugs dying patient dying person economic effective ethical euthanasia example expected experience fatally ill fear of death feel Glaser and Strauss health services heart disease heart transplants hospital human ill patients individual institutions involved issues kidney less lives medi medical profession medicine ment mortality rates norms nurses Nursing Outlook operation organ transplantation personnel physi physician population possible practice problems procedure professional prognosis prolong psychiatric Psychiatry psychological question reactions relationship relatives responsibility role social social death society staff suicide surgeons surgery surgical survival terminally ill therapy tients tion treatment ward York
Populære passager
Side 225 - Into whatever houses I enter, I will go into them for the benefit of the sick, and will abstain from every voluntary act of mischief and corruption ; and further, from the seduction of females or males, of freemen and slaves.
Side 86 - It would kill you then. Even then you wouldn't quit. Old soldier, yet you must have known Inside the animal had grown Sick of the world, made up its mind To stop. Your mind ground on its separate Way, merciless and blind, Into these last weeks when the breath Would only come in fits and starts That puffed out your sections like the parts Of some enormous, damaged bug. You waited, not for life, not for your death, Just for the deadening drug That made your life seem bearable. You still whispered you...
Side 179 - Ilych concluded that things were bad, but that for the doctor, and perhaps for everybody else, it was a matter of indifference, though for him it was bad. And this conclusion struck him painfully, arousing in him a great feeling of pity for himself and of bitterness towards the doctor's indifference to a matter of such importance.
Side 84 - A FLAT ONE Old Fritz, on this rotating bed For seven wasted months you lay Unfit to move, shrunken, gray, No good to yourself or anyone But to be babied — changed and bathed and fed. At long last, that's all done. Before each meal, twice every night We set pads on your bedsores, shut Your catheter tube off, then brought The second canvas-and-black-iron Bedframe and clamped you in between them, tight, Scared, so we could turn You over. We washed you, covered you, Cut up each bite of meat you ate;...
Side 179 - To Ivan Ilych only one question was important: was his case serious or not? But the doctor ignored that inappropriate question. From his point of view it was not the one under consideration, the real question was to decide between a floating kidney, chronic catarrh, or appendicitis. It was not a question of Ivan Ilych's life or death, but one between a floating kidney and appendicitis.
Side 86 - I'd pray That if I came back the next day I'd find you gone. You stayed for me— Nailed to your own rapacious, still self-will. You've shook loose, finally. They'd say this was a worthwhile job Unless they tried it. It is mad To throw our good lives after bad; Waste time, drugs, and our minds, while strong Men starve. How many young men did we rob To keep you hanging on? I can't think we did you much good. Well, when you died, none of us wept. You killed for us, and so we kept You, because we need...
Side 84 - Receive this haddock's body, slain For you, old tyrant; take this blood Of a tomato, shed that you might live. You had that costly food. You seem to be all finished, so We'll plug your old recalcitrant anus And tie up your discouraged penis In a great, snow-white bow of gauze. We wrap you, pin you, and cart you down below, Below, below, because 30 Your credit has finally run out.
Side 141 - ... a screen. When the patient has a private room, kin still may need to be taught not to "get in the way." Often a nurse will ask someone to leave the bedside or the room when she suspects that a nursing or medical procedure may disturb the onlooker. Visitors may also harass the staff by making what the latter considers unjustified, overanxious, or just plain fussy demands. Various tactics are used to make the offending person behave properly or, if that proves impossible, to avoid contact with...
Side 280 - But it is not possible to describe a system without moral judgements creeping in. For to look at a system from the outside implies that it is not the only possible system; in describing it we compare it (openly or tacitly) with other actual or imagined systems. Differences imply choices, and choices imply judgement.
Side 110 - When a vital, single organ is to be transplanted, the death of the donor shall have been determined by at least one physician other than the recipient's physician.