9780226615608 hardcover ; alkaline paper 022661560X hardcover ; alkaline paper 9780226615745 paperback ; alkaline paper 022661574X paperback ; alkaline paper 9780226615882 electronic book
Chicago series in law and society.
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.
Bibliography, etc. Note
Includes bibliographical references and index.
Formatted Contents Note
Holding life and death in their hands. Is this for me? The intensive care unit. Personnel Rhythms Economics Actors. Patients Friends, family, and significant others Health care professionals Decisions. Informed consent Venues Affect Conflict Prognosis. Evidence Timing Mixed messages Negotiation Accuracy Prognostic framing Decision-making scripts. The legal script Cognitive scripts Conflicts of interest Law at the bedside Improvisation: decisions in the real world. The patient should decide Reprising patient instructions Standing in the patient's shoes Beneficence It's God's decision What we want Denial, opting out Making a difference? The role of physicians Opting for a trajectory Outcomes I thought the law would take care of this Does any of this matter? The end. Implications Before it's too late When it's too late When "this" happens to me.
K3611.E95 S52 2019
Chicago : The University of Chicago Press, 2019.