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    Hospice Ethics: Policy and Practice in Palliative Care

    Hospice Ethics by Kirk, Timothy W.; Jennings, Bruce;

    Policy and Practice in Palliative Care

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    Product details:

    • Publisher OUP USA
    • Date of Publication 23 October 2014

    • ISBN 9780199943838
    • Binding Paperback
    • No. of pages332 pages
    • Size 234x155x22 mm
    • Weight 440 g
    • Language English
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    Short description:

    This book is the first comprehensive collection devoted to analyzing distinctive ethical issues arising in the delivery of hospice care and designed to promote best ethical practices for hospice care professionals and organizations in the United States.

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    Long description:

    Hospice care is one of the fastest-growing segments of the U. S. healthcare system, a trend that is expected to accelerate as the median age of the population continues to rise over the next three decades. Despite over forty percent of the population now dying while on hospice care, very little has been published on the ethical opportunities and challenges experienced in the everyday lives of those giving and receiving hospice care.

    This book is the first comprehensive collection devoted to analyzing distinctive ethical issues arising in the delivery of hospice care and designed to promote best ethical practices for hospice care professionals and organizations. Thirteen newly commissioned chapters by seventeen hospice experts populate three thematic sections of the book, each devoted to an aspect of the intersection between ethics and hospice care. Contributors have unique qualifications and abilities to articulate and respond to ethically significant phenomena that -- while not always unique to hospice care -- arise in especially poignant and complex ways when caring for patients enrolled in hospice.

    As the shift or return to home-based care at the end of life continues, hospice professionals and programs will be faced with a broader array of terminal illnesses, cultural beliefs and traditions, and patient and family values than ever before. Hospice will no longer be tailored solely to the final stage of cancer, but will need to accommodate patients whose illnesses are variable in their progression and whose treatment plans include many medical options. The ethical orientations and frameworks that have served hospice for the past 50 years will need to be supplemented and refined if hospice is to fulfill this changing social mission. Hospice Ethics explores a new paradigm for hospice ethics from a multi-disciplinary and provides an important educational resource for professional training in end of life care.

    This is an edited collection of 13 scholarly essays covering all aspects of ethics in relation to hospice care, and what they may mean to us on a personal, professional, organisational and even societal level... This book will be of particular interest to anyone who works in palliative care and has a special interest in ethical issues, and should probably be read by team leaders, administrators and those involved in planning the future development of hospice care.

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    Table of Contents:

    Contributors
    Introduction
    Bruce Jennings and Timothy W. Kirk
    Section I: Hospice: The Emergence of a Philosophy of Care
    1. "From Rites to Rights of Passage": Ideals, Politics, and the Evolution of the American Hospice Movement
    Joy Buck
    2. Hospice Care as a Moral Practice: Exploring the Philosophy and Ethics of Hospice Care
    Timothy W. Kirk
    Section II: The Interdisciplinary Team: Ethical Opportunities and Challenges
    3. The Pharmacist as an Integral Member of the Hospice Interdisciplinary Team
    R. Timothy Tobin
    4. The Continuingly Evolving Role of the Hospice Medical Director
    Joan Harrold
    5. The Interdisciplinary Team - Integrating Moral Reflection and Deliberation
    Terry Altilio and Nessa Coyle
    Section III: Organizational and Policy Ethics in Hospice
    6. Ethical Issues in the Care of Infants, Children and Adolescents
    Marcia Levetown and Stacy Orloff
    7. The 'Patient-Family Dyad' as Interdependent Unit of Hospice Care: Toward an Ethical Justification
    Patrick T. Smith
    8. Inpatient Hospice Care: Organizational and Ethical Considerations
    Tara Friedman
    9. Ethical Issues Associated with Hospice in Nursing Homes and Assisted Living Communities
    Jean C. Munn and Sheryl Zimmerman
    10. Cardiopulmonary Resuscitation in Hospice: Ethically Justified or an Oxymoron?
    Muriel R. Gillick
    11. Moral Meanings of Physician-Assisted Death for Hospice Ethics
    Courtney S. Campbell
    12. Ethics Committees for Hospice: Moving Beyond the Acute Care Model
    Jennifer Ballentine and Pamela Dalinis
    Section IV: Ethics and the Future of Hospice
    13. Design for Dying: New Directions for Hospice and End-of-life Care
    Bruce Jennings

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