TY - BOOK ID - 8283637 TI - Approaching death : improving care at the end of life AU - Field, Marilyn J. AU - Cassel, Christine K. AU - Institute of Medicine (U.S.). PY - 1997 SN - 0309063728 9786612082177 1282082175 0309518253 0585024278 9780585024271 9781282082175 6612082178 9780309518253 0305063728 9780309063722 9780309090025 0309174600 PB - Washington, D.C. : National Academy Press, DB - UniCat KW - Terminal care -- United States. KW - Terminal care KW - Social Control Policies KW - Socioeconomic Factors KW - Health Care Economics and Organizations KW - Chemicals and Drugs KW - Signs and Symptoms KW - Life KW - Suicide KW - Sensation KW - Investigative Techniques KW - Hospitals, Special KW - Psychology, Social KW - Neurologic Manifestations KW - Patient Care KW - Health Care Quality, Access, and Evaluation KW - Culture KW - Diagnosis KW - Patient Care Management KW - Health Personnel KW - Health Planning KW - Community Health Services KW - Motivation KW - Sociology KW - Persons KW - Adult KW - Morals KW - Attitude KW - Behavioral Symptoms KW - Health Services Administration KW - Patient Care Planning KW - Biomedical Research KW - Organizations KW - Nursing Services KW - Professional-Patient Relations KW - Insurance, Health KW - Information Science KW - Health Services Accessibility KW - Behavior KW - Anthropology, Education, Sociology and Social Phenomena KW - Financing, Organized KW - Social Sciences KW - Medical Assistance KW - Legislation as Topic KW - Jurisprudence KW - Consumer Organizations KW - Psychophysiology KW - Residential Facilities KW - Health Facilities KW - Disclosure KW - Research KW - Health Care Facilities, Manpower, and Services KW - Health Care KW - Philosophy KW - Ethics KW - Behavior and Behavior Mechanisms KW - Health Services KW - Policy KW - Nervous System Physiological Processes KW - Social Problems KW - Analytical, Diagnostic and Therapeutic Techniques and Equipment KW - Self-Injurious Behavior KW - Therapeutics KW - Named Groups KW - Anthropology, Cultural KW - Psychological Phenomena and Processes KW - Population Characteristics KW - Science KW - Insurance KW - Age Groups KW - Public Assistance KW - Occupational Groups KW - Nervous System Diseases KW - Comprehensive Health Care KW - Pathological Conditions, Signs and Symptoms KW - Interpersonal Relations KW - Humanities KW - Diseases KW - Psychiatry and Psychology KW - Natural Science Disciplines KW - Anthropology KW - Nervous System Physiological Phenomena KW - Disciplines and Occupations KW - Musculoskeletal and Neural Physiological Phenomena KW - Phenomena and Processes KW - Financing, Government KW - Health Care Rationing KW - Human Experimentation KW - Palliative Care KW - Public Policy KW - Social Change KW - Suicide, Assisted KW - Consumer Participation KW - Economics KW - Health Services Research KW - Pain KW - Quality of Health Care KW - Quality of Life KW - Delivery of Health Care KW - Hospitals KW - Nursing Homes KW - Social Control, Formal KW - Social Values KW - Terminally Ill KW - Truth Disclosure KW - Communication KW - Home Care Services KW - Physician-Patient Relations KW - Self-Help Groups KW - Family KW - Medicaid KW - Physicians KW - Terminal Care KW - Attitude to Death KW - Hospices KW - Social Responsibility KW - Advance Directives KW - Medicare KW - Organizational Policy KW - Stress, Psychological KW - Aged KW - Resource Allocation KW - Cultural Diversity KW - Pharmaceutical Preparations KW - Prognosis KW - Goals KW - Patient Care Team KW - Advance Care Planning KW - Education KW - Organization and Administration KW - Medicine KW - Health & Biological Sciences KW - Terminal Care. KW - End of Life Care KW - Care End, Life KW - Care Ends, Life KW - Care, Terminal KW - Life Care End KW - Life Care Ends KW - Death KW - End-of-life care KW - Terminally ill KW - Care of the sick KW - Critical care medicine KW - Care and treatment KW - Medical care KW - levenseinde (einde van het leven, levenseindebeslissing) KW - recht (wetgeving, rechtspraak, rechtsbeginselen, juridische aspecten, aansprakelijkheid) KW - biomedisch, medisch-wetenschappelijk onderzoek KW - ethiek (ethische aspecten) KW - gezondheidszorg KW - fin de vie (décision de fin de vie) KW - droit (aspects juridiques, législation, jurisprudence, principes de droit, responsabilité) KW - recherche biomédicale KW - ethique (aspects ethiques) KW - soins de santé KW - Verenigde Staten KW - Etats Unis KW - levenseindezorg KW - levenskwaliteit KW - soins de fin de vie KW - qualité de vie KW - End-Of-Life Care KW - Care, End-Of-Life KW - End-Of-Life Cares UR - https://www.unicat.be/uniCat?func=search&query=sysid:8283637 AB - When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: * Determining diagnosis and prognosis and communicating these to patient and family. * Establishing clinical and personal goals. * Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done." ER -