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In June 2000 Peter Houghton, a counselor in palliative care, was weeks from death due to cardiomyopathy. He had made his preparations and had said most of his good-byes. Then he was offered the chance to participate in a clinical trial. Six months later he was not only still alive, but planning a long distance walk for charity and writing this book about his experiences. With humor and honesty, his story chronicles the uneven path back from the brink of death. Combining knowledge drawn from his counseling work with other dying people and his unique personal experience, he describes what dying really feels like and explains the physical processes it involves. He also raises profound questions about medical trials and palliative care, and especially about our attitudes to life and death, and the way we approach death.
Critically ill --- Death --- Terminally ill --- Dying persons --- Fatally ill --- Critical care medicine --- Sick --- Catastrophic illness --- Medical care --- Psychological aspects. --- Psychology. --- Psychology --- getuigenissen --- klinische proef (klinische studie, geneesmiddelenstudie) --- stervensproces (sterven) --- Medical care&delete& --- Psychological aspects --- témoignages --- essai clinique (étude clinique) --- mourir
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""With characteristic clarity, Doka draws on the classic and contemporary literature as well as his own pedagogy and practice in death and dying to offer orienting concepts for the whole spectrum of care people may require when illness intrudes into their lives. For each phase of the illness trajectory...he offers intelligent attention to the problems and prospects people confront, and in countless examples of actual clinical situations he brings to life the concepts that inform compassionate care."". From the Foreword by Robert A. Neimeyer , PhD. University of Memphis. This holistic, family-c
Critically ill --- Death --- Terminal care. --- End-of-life care --- Terminally ill --- Care of the sick --- Critical care medicine --- Sick --- Catastrophic illness --- Counseling of. --- Psychology. --- Psychological aspects. --- Care and treatment --- Medical care --- Psychology
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Critical Care Radiology will enable readers to develop rapid, accurate diagnoses despite the many difficulties associated with the bedside evaluation, including time constants and the low specificity of chest radiographs and postoperative abdominal studies.Written by an interdisciplinary team of experts in radiology and critical care medicine, this book provides a concise overview of how to use the latest diagnostic imaging technology in the intensive care setting. Each chapter contains brief descriptions of normal and morphologic findings, imaging strategies and techniques, differential diagn
Critical care medicine. --- Diagnosis, Radioscopic. --- Critically ill. --- Critical care medicine --- Sick --- Catastrophic illness --- Diagnosis, Radiographic --- Radiodiagnosis --- Radioscopic diagnosis --- Roentgenology, Diagnostic --- X-ray diagnosis --- Diagnosis --- Radiography, Medical --- Intensive care --- Intensive medicine --- Medicine --- Emergency medicine --- Intensive care units
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Clinical research in critical care has exploded in the past several years and we now have a much better understanding of how to care for intensive care unit (ICU) patients in areas such as management of sepsis, fluid resuscitation, mechanical ventilation, antibiotic administration, and sedation and analgesia. However, despite improved clinical care, many critically ill patients continue to experience complications of critical illness - some complications are iatrogenic and preventable, while others are simply a component of the natural history of critical illness. These complications lead to increased mortality, morbidity, cost, and long-term chronic conditions. Non-Pulmonary Complications of Critical Care: A Clinical Guide is a valuable resource for trainees and clinicians who aim to better understand and improve the quality of critical care medicine. Armed with information about potential non-pulmonary complications of ICU care and strategies to minimize or prevent those complications, the critical care clinician will be able to help ICU patients potentially avoid much of the morbidity associated with critical illness. This book is organized by organ system such that it can be easily used as a bedside reference. Complications caused by pharmaceuticals are dispersed throughout every chapter and the concluding chapters provide a special emphasis on meticulous supportive care of the critically ill patient to allow the best chance for recovery. .
Critical care medicine --- Catastrophic illness --- Complications. --- Catastrophic diseases --- Critical illness --- Diseases --- Critically ill --- Pneumology. --- Critical care medicine. --- Internal medicine. --- Pneumology/Respiratory System. --- Intensive / Critical Care Medicine. --- Internal Medicine. --- Medicine, Internal --- Medicine --- Intensive care --- Intensive medicine --- Emergency medicine --- Intensive care units --- Respiratory organs—Diseases.
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Health insurance --- Critically ill --- Catastrophic health insurance --- Health Care Quality, Access, and Evaluation --- Pathologic Processes --- Patient Care Management --- Health Services Administration --- Pathological Conditions, Signs and Symptoms --- Health Care --- Diseases --- Delivery of Health Care --- Disease --- Quality of Health Care --- Public Health --- Health & Biological Sciences --- Medical Care Plans --- Medical care --- Critical care medicine --- Sick --- Catastrophic illness
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This text provides a review of the current knowledge in both the mechanics of nourishing the critically ill and the metabolic and immunological roles nutrients play. In-depth chapters discuss disease related malnutrition as distinct from under-or-over nourishment and the impact of nourishment in either form of malnutrition. The appropriate timing and indications for nutrition support are provided, as well as advanced techniques for improving practice. A broad range of issues related to interdisciplinary practice are also addressed. Useful for a wide variety of practitioners, including ICU doctors, hospitalists, and nutrition support physicians, Nutrition Support of the Critically Ill provides the scientific underpinnings and practical recommendations for practice.
Diet & Clinical Nutrition --- Health & Biological Sciences --- Critically ill --- Diet therapy. --- Nutrition. --- Clinical nutrition --- Diet --- Diet and disease --- Dietotherapy --- Food --- Medical nutrition therapy --- MNT (Medical nutrition therapy) --- Nutrition therapy --- Therapeutic use --- Dietetics --- Therapeutics, Physiological --- Critical care medicine --- Sick --- Catastrophic illness --- Personal health and hygiene. --- Clinical Nutrition. --- Alimentation --- Nutrition --- Health --- Physiology --- Digestion --- Food habits --- Malnutrition --- Health aspects --- Clinical nutrition. --- Nutrition .
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Wenn wir durch einen Unfall oder eine nicht heilbare Erkrankung in eine lebensbedrohliche Krise geraten, sind wir stärker als sonst auf Andere angewiesen. Wenn wir uns nicht mehr äußern können, womöglich auf längere Sicht nicht mehr urteilsfähig sind, müssen Andere, in erster Linie die behandelnden Ärzte und Angehörigen, einen guten Weg in Bezug auf Diagnose und Therapie finden. Rasch kann die Frage aufkommen, an welchen ethischen Normen und Kriterien man sich orientieren soll, wenn ein Patient sein Recht auf Selbstbestimmung nicht mehr wahrnehmen kann und sich auch keine schriftliche Vorausverfügung und kein 'mutmaßlicher Wille' zuverlässig feststellen lassen. Ausgehend von historischen, empirisch-sozialwissenschaftlichen und theoretischen Überlegungen zur ärztlichen Praxis werden ethische Argumente auf ihre Tragfähigkeit hin geprüft. Im Zentrum des Buchs stehen u.a. die Unterscheidung von Tun und Unterlassen, die Bewertung von Lebensqualität und Leiden, die argumentative Kraft von Konzepten wie 'medizinische Nutzlosigkeit' 'künstliche' oder 'außerordentliche' Mittel und 'infauste' Prognose sowie der Stellenwert von Wünschen und Bedürfnissen Angehöriger.
Medical ethics. --- Bioethics. --- Decistion making. --- Catastrophic illness. --- Catastrophic diseases --- Critical illness --- Diseases --- Critically ill --- Biology --- Biomedical ethics --- Life sciences --- Life sciences ethics --- Science --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Moral and ethical aspects
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Handbook for Mortals is warmly addressed to all those who wish to approach the final years of life with greater awareness of what to expect and greater confidence about how to make the end of their lives a time of growth, comfort, and meaningful reflection. Written by Dr. Joanne Lynn and a team of experts, this book provides equal measures of practical information and wise counsel, from down-to-earth advice on how to talk to your doctor to inspiring quotes from such writers as Emily Dickinson, W. H. Auden, Jane Kenyon, and others.
Catastrophic illness --- Terminally ill --- Death --- Terminal care --- End-of-life care --- Care of the sick --- Critical care medicine --- Dying --- End of life --- Life --- Thanatology --- Dying persons --- Fatally ill --- Critically ill --- Catastrophic diseases --- Critical illness --- Diseases --- Care and treatment --- Medical care --- Philosophy
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Patients with acute critical illness are often cared for initially in the ED, and the beginning actions can help alter outcomes hours, day and months later. This handbook targets selected common or high risk critical condition or therapies needed to optimize ED care, using the newest research and experiences from respected authors.
Critical care medicine. --- Catastrophic illness --- Hospitals --- Emergency medical services. --- Emergency health services --- Emergency medical care --- Emergency medicine --- Medical care --- Rescue work --- Emergency rooms --- Emergency services in hospitals --- Hospital emergency services --- Emergency medical services --- Catastrophic diseases --- Critical illness --- Diseases --- Critically ill --- Intensive care --- Intensive medicine --- Medicine --- Intensive care units --- Treatment. --- Emergency services. --- Emergency service
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This fourth edition of a comprehensive text/reference that has been valued by students, educators, and practicing nurses for many years, Palliative Care Nursing continues to reflect the fundamental hospice and palliative care nursing competencies---both basic and advanced--that are essential for effective and empathetic care of patients and families. This new edition reflects the tremendous growth of this vital discipline into the mainstream of health care and focuses on palliative care that is responsive to the demand for health care reform in America and globally. It provides the knowledge, scientific evidence, and skills needed by nurses to address the complex physical, emotional, social, sexual, and spiritual needs of patients and families within the context of a changing health care delivery system. With a focus on inter-professional collaboration, the book emphasizes the value of complementary, holistic models in promoting health and wholeness across the illness trajectory, even as death approaches. The book is edited by Project on Death in America Faculty Scholars, who have worked to develop, implement, and evaluate nursing initiatives in palliative care in the U.S. and internationally. With a focus on both quality of life and economic imperatives, interdisciplinary authors describe the management of specific diseases and related physical and psychological symptoms, and care of patients during the dying process. They cover assessment of key symptoms and pharmacological, non-pharmacological, and complementary interventions. Taking a life-span approach, the book includes age-appropriate nursing considerations. Key points at the beginning of each chapter and callouts containing evidenced-based information highlight best practices. The text also examines relevant legal, ethical, and cultural considerations and offers case studies with conclusions in each clinical chapter. New to the Fourth Edition: Thoroughly revised and expanded Three new chapters addressing palliative care amidst health care reform, rehabilitation in chronic or serious illness, and post-traumatic stress disorder A conceptual framework table in each chapter identifying the National Quality Forum Domains of Palliative Care and Basic and Advanced Palliative Care and Hospice Nursing Competencies Updated evidence-based callouts that review the highest-quality studies.
Terminal care. --- Palliative treatment. --- Hospice nurses. --- Catastrophic illness --- Nurses --- Palliation (Medical care) --- Palliative care --- Palliative medicine --- Therapeutics --- End-of-life care --- Terminally ill --- Care of the sick --- Critical care medicine --- Death --- Catastrophic diseases --- Critical illness --- Diseases --- Critically ill --- Nursing. --- Care and treatment --- Medical care
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