Seven in ten Americans over the age of age of sixty who require medical decisions in the final days of their life lack the capacity to make them. For many of us, our biggest, life-and-death decisions—literally—will therefore be made by someone else. They will decide whether we live or die; between long life and quality of life; whether we receive heroic interventions in our final hours; and whether we die in a hospital or at home. They will determine whether our wishes are honored and choose between fidelity to our interests and what is best for themselves or others. Yet despite their critical role, we know remarkably little about how our loved ones decide for us. Speaking for the Dying tells their story, drawing on daily observations over more than two years in two intensive care units in a diverse urban hospital. From bedsides, hallways, and conference rooms, you will hear, in their own words, how physicians really talk to families and how they respond. You will see how decision makers are selected, the interventions they weigh in on, the information they seek and evaluate, the values and memories they draw on, the criteria they weigh, the outcomes they choose, the conflicts they become embroiled in, and the challenges they face. Observations also provide insight into why some decision makers authorize one aggressive intervention after the next while others do not—even on behalf of patients with similar problems and prospects. And they expose the limited role of advance directives in structuring the process decision makers follow or the outcomes that result. Research has consistently found that choosing life or death for another is one of the most difficult decisions anyone can face, sometimes haunting families for decades. This book shines a bright light on a role few of us will escape and offers steps that patients and loved ones, health care providers, lawyers, and policymakers could undertake before it is too late.
Recounts actual cases of security frauds, explains how the SEC investigates the securities market, and suggests new policies to strengthen the SEC's role as government watchdog
Seven in ten Americans over the age of age of sixty who require medical decisions in the final days of their life lack the capacity to make them. For many of us, our biggest, life-and-death decisions—literally—will therefore be made by someone else. They will decide whether we live or die; between long life and quality of life; whether we receive heroic interventions in our final hours; and whether we die in a hospital or at home. They will determine whether our wishes are honored and choose between fidelity to our interests and what is best for themselves or others. Yet despite their critical role, we know remarkably little about how our loved ones decide for us. Speaking for the Dying tells their story, drawing on daily observations over more than two years in two intensive care units in a diverse urban hospital. From bedsides, hallways, and conference rooms, you will hear, in their own words, how physicians really talk to families and how they respond. You will see how decision makers are selected, the interventions they weigh in on, the information they seek and evaluate, the values and memories they draw on, the criteria they weigh, the outcomes they choose, the conflicts they become embroiled in, and the challenges they face. Observations also provide insight into why some decision makers authorize one aggressive intervention after the next while others do not—even on behalf of patients with similar problems and prospects. And they expose the limited role of advance directives in structuring the process decision makers follow or the outcomes that result. Research has consistently found that choosing life or death for another is one of the most difficult decisions anyone can face, sometimes haunting families for decades. This book shines a bright light on a role few of us will escape and offers steps that patients and loved ones, health care providers, lawyers, and policymakers could undertake before it is too late.
It offers the perfect balance of maternal and child nursing care with the right depth and breadth of coverage for students in today’s maternity/pediatric courses. A unique emphasis on optimizing outcomes, evidence-based practice, and research supports the goal of caring for women, families and children, not only in traditional hospital settings, but also wherever they live, work, study, or play. Clear, concise, and easy to follow, the content is organized around four major themes, holistic care, critical thinking, validating practice, and tools for care that help students to learn and apply the material.
Traversing the Ethical Minefield: Problems, Law, and Professional Responsibility, Fourth Edition offers students accessible, teachable problems and notes that clarify and encourage analysis of the law governing lawyers. The book’s innovative pedagogy (combination of relevant and interesting problems faced by fictitious law firm “Martyn and Fox,” cases, ethics opinions, thematic notes, and short stories) supports its focus of teaching the Model Rules of Professional Conduct and the Restatement of the Law Governing Lawyers as well as conveying the complexities of ethical dilemmas in legal practice. The book’s manageable length makes it short enough to provide focus, but long enough to convey the rich texture of the material.
This volume brings together articles (including two hitherto unpublished pieces) that Susan Reynolds has written since the publication of her Fiefs and Vassals (1994). There she argued that the concepts of the fief and of vassalage, as generally understood by historians of medieval Europe, were constructed by post-medieval historians from the works of medieval academic lawyers and the writers of medieval epics and romances. Six of the essays reprinted here continue her argument that feudalism is unhelpful to understanding medieval society, while eight more discuss other aspects of medieval society, law, and politics which she argues provide a better insight into the history of western Europe in the Middle Ages. Three range outside the Middle Ages and western Europe in considering the idea of the nation, the idea of empire, and the problem of finding a consistent and comprehensible vocabulary for comparative and interdisciplinary history.
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