000			02889nam a2200361 i 4500
001			CR9781108762595
003			UkCbUP
005			20240910193809.0
006			m|||||o||d||||||||
007			cr||||||||||||
008			190218s2022||||enk o ||1 0|eng|d
020			_a9781108762595 (ebook)
020			_z9781108486804 (hardback)
020			_z9781108708326 (paperback)
040			_aUkCbUP _beng _erda _cUkCbUP
043			_an-us---
050	0	0	_aKF3827.E87 _bR45 2022
082	0	0	_a344.7304/197 _223/eng/20220106
100	1		_aReich, Barbara A., _eauthor.
245	1	0	_aIntimations of mortality : _bmedical decision-making at the end of life / _cBarbara A. Reich, Western New England University School of Law.
264		1	_aCambridge : _bCambridge University Press, _c2022.
300			_a1 online resource (xviii, 248 pages) : _bdigital, PDF file(s).
336			_atext _btxt _2rdacontent
337			_acomputer _bc _2rdamedia
338			_aonline resource _bcr _2rdacarrier
500			_aTitle from publisher's bibliographic system (viewed on 11 Mar 2022).
505	0		_aThe conundrum : how much medical care is 'enough'? -- Our health care 'system' : the good, the bad, and the probably unfixable -- Autonomy and informed consent in the real world -- The denial of death and its sequelae -- Disorders of consciousness and the meaning of life -- More barriers to good communication -- Palliative and hospice care : misunderstandings and lost opportunities -- Rational apathy and the role of uncertainty -- The crucible : making decisions for incapacitated patients -- Resolving conflicts at the end of life : three models -- At the endd of the day -- Coda.
520			_aIn Intimations of Mortality, Barbara Reich offers an empirically-based critique of the failures of end-of-life communication and decision-making in the United States. Using England and Canada as occasional foils, Reich explores why U.S. physicians, patients, and families struggle to have the conversations necessary to provide seriously ill and dying patients with medical care consistent with their preferences. Reich also shows how a number of different factors -including payment mechanisms, liability fears, cultural phenomena, communication avoidance, death denial, and clinical uncertainty -impact physician-patient communication and medical decision-making, leave patients and families without the tools they need to make informed choices, and instead leave the default practices in place. Ultimately, this groundbreaking analysis unveils the interconnectedness of the many obstacles to better communication and decision-making in end-of-life communications and offers much-needed suggestions for improvement.
650		0	_aTerminal care _xLaw and legislation _zUnited States.
776	0	8	_iPrint version: _z9781108486804
856	4	0	_uhttps://doi.org/10.1017/9781108762595
942			_2ddc _cEB
999			_c10203 _d10203