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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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Critically ill patients are at risk for a higher frequency and severity of adverse drug events (ADEs), and special patient populations of the critically ill - requiring for instance individualized dosing due to non-average weight, hepatic or renal dysfunction, extracorporeal circulation devices, advanced age, pharmacogenetic alterations, hemodynamic instability, or therapeutic hypothermia - are particularly challenging. A contributing factor to this is the use of high-risk medications with many administered intravenously (IV). Hypervigilant monitoring of high-risk medications is still essential to prevent patient harm, especially in populations that have dosing challenges, hence, regulatory bodies internationally require active institutional surveillance of high-risk medications. These dosing challenges are a great safety concern, since there is considerable risk of unwanted adverse drug events from overdosing or therapeutic inefficacy from underdosing. High-Risk IV Medications in Special Patient Populations reviews high-risk IV medication dosage considerations for special patient populations and discusses the safety concerns of these medications to aid the clinician in cautious monitoring. The authors provide clinicians with tools to minimize adverse drug events with IV high-risk medications, while maximizing the beneficial clinical effects of these drugs, thus making this book essential reading for all involved with the care of critically ill patients.
Anesthesiology --- Pharmacology. Therapy --- Orthopaedics. Traumatology. Plastic surgery --- Human medicine --- farmacologie --- geneeskunde --- anesthesie --- spoedgevallen --- intensieve zorgen --- Drug Toxicity. --- Critical Illness. --- Infusions, Intravenous --- Drugs --- Catastrophic illness --- Infusion therapy --- Médicaments --- Maladies graves --- Perfusions (Thérapeutique) --- adverse effects. --- Toxicology --- Toxicologie --- EPUB-LIV-FT LIVMEDEC SPRINGER-B --- Drug-Related Side Effects and Adverse Reactions.
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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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"Writing frankly, Weisse discusses how doctors and patients of cancer, heart disease, stroke, infectious disease, AIDS, and other dire diagnoses deal with illness in the twenty-first century, considering, in turn, how such factors as specialization, rising costs, managed care, the insurance industry, and litigation has changed the practice of medicine"--Provided by publisher.
Critically ill --- Physician and patient. --- Health behavior. --- Behavior, Health --- Health habits --- Diseases --- Habit --- Health attitudes --- Human behavior --- Medicine and psychology --- Doctor and patient --- Doctor-patient relationships --- Patient and doctor --- Patient and physician --- Patient-doctor relationships --- Patient-physician relationships --- Patients and doctors --- Patients and physicians --- Physician-patient relationships --- Physicians and patients --- Interpersonal relations --- Fear of doctors --- Narrative medicine --- Critical care medicine --- Sick --- Catastrophic illness --- Psychology. --- Conduct of life. --- Causes and theories of causation
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"Author Kathlyn Conway, a three-time cancer survivor, believes that the triumphalist approach to writing about illness fails to do justice to the shattering experience of disease. By wrestling with the challenge of writing about the reality of serious illness and injury, she argues, writers can offer a truer picture of the complex relationship between body and mind"--Provided by publisher.
Medicine in Literature. --- Critical Illness --- Catastrophic Illness --- Attitude to Health. --- Chronic Disease.. --- Chronically Ill --- Chronic Illness --- Chronic Diseases --- Chronic Illnesses --- Disease, Chronic --- Diseases, Chronic --- Illness, Chronic --- Illnesses, Chronic --- Pain Management --- Health Attitude --- Attitude, Health --- Attitudes, Health --- Health Attitudes --- Health, Attitude to --- Public Opinion --- Literature, Medicine in --- in Literature, Medicine --- Literature --- psychology. --- Sick --- Patients' writings --- Psychology. --- History and criticism. --- Diseases --- Illness behavior --- Sick role --- Medicine and psychology --- Psychology, Applied --- Writings of patients --- Psychological aspects
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