Approaching death : improving care at the end of life / Committee on Care at the End of Life, Division of Health Care Services, Institute of Medicine ; Marilyn J. Field and Christine K. Cassel, editors
The Need for Consensus and Action -- Initiatives to Improve Care at the End of Life -- Overview of Report -- Guiding Principles -- A Profile of Death and Dying in America -- When People Die: The Aging of America -- Why People Die: Causes of Death -- Where People Die: Death in Institutions and Residences -- How People Die: Symptoms of Impending Death -- Attitudes Toward Dying and Death -- Caring at the End of Life -- Differences in Dying Pathways: Illustrative Cases -- Determining and Communicating Diagnosis and Prognosis -- Establishing Goals and Plans -- Fitting Care to Goals and Circumstances -- The Health Care System and the Dying Patient -- Characterizing Care Systems -- Illustrative Case Histories -- Settings for End-of-Life Care -- Coordinating Care Within and Across Settings -- Revisiting the Care System at the Community and National Levels -- Accountability and Quality in End-of-Life Care -- Concepts of Accountability and Quality -- Evidence of Quality Problems in End-of-Life Care -- Dimensions of Quality in Care at the End of Life -- Measurement Instruments and Issues -- Guidelines for Clinical Practice -- Financial and Economic Issues in End-of-Life Care -- Who Pays for Care at the End of Life? -- What Is Spent for Care at the End of Life? -- Do Financing Mechanisms Impede Good End-of-Life Care? -- What About Proposals to Reduce the Cost of End-of-Life Care? -- Legal Issues -- Prescription Laws and Barriers to Pain Relief -- Informed Consent and Advance Care Planning -- Physician-Assisted Suicide
Bibliography
Includes bibliographical references and index
Notes
Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002. http://purl.oclc.org/DLF/benchrepro0212 MiAaHDL
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