Clinical and Ethical Dilemmas in Palliative and End-of-Life Care

著者名：Carr, Daniel B. (EDT)/Berger, Ann (EDT)

Oxford University Press（2025/02/26発売）

• 言語：ENG
• ISBN：9780197681541
• eISBN：9780197681565

Description

Part of the "What Do I Do Now: Palliative Care" series, Clinical and Ethical Dilemmas in Palliative and End-of-Life Care bridges the gap between the clear, logical, and harmonious clinical world of textbooks and the chaotic, turbulent, resource-constrained, and often unpredictable world of everyday practice. Each chapter begins with a case and is followed by a diagnosis, explanation of next steps, and rationale for decision-making by experts in the field, mimicking the kind of "curbside consult" that occurs between an experienced clinician and someone new to the field. Tackling dilemmas related to patients, families, healthcare professionals, and the healthcare system, this book comprehensively helps readers learn to apply practical knowledge in challenging circumstances-and often with incomplete information-to achieve clinical competency. The volume is also a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"

Table of Contents

PrefaceForewordContributors ListPart I: Dilemmas Related to PatientsChapter 3: A Choice of Comfort FeedingWesley Boyette & M. Jennifer Cheng Chapter 4: Patients Seeking Alternative Treatments for Cancer Pain Steven Mach & Salahadin Abdi Chapter 6: Delivering Difficult News as a Covering ProviderScott Ian Borison Chapter 8: To Pray or Not to Pray: Is that the Question?Marta Illueca Chapter 9: My Patient with Substance Use Disorder is in Acute Sickle Cell Pain CrisisBaraa O. Tayeb & Antje M. Barreveld Chapter 10: My Dying Patient Receiving Opioids Has a Respiratory Rate of 6Baraa O. Tayeb & Antje M. Barreveld Chapter 11: Video Gaming and Virtual Reality in PediatricsElizabeth Pasternak & Pamela Ressler Chapter 12: Native American Spirituality and HealingMarta Illueca Chapter 27: Dying AloneSharon Kim Part II: Dilemmas Related to FamiliesChapter 1: Navigating Familial Conflict Regarding Information Sharing Nafiisah B.M.H. Rajabalee & Scott Ian BorisonChapter 5: Dis/Continuing Transfusions in a 2 Year Old Dying of LeukemiaElizabeth Pasternak & Pamela Ressler Chapter 13: Managing Family ConflictBetty R. Ferrell Chapter 16: Dilemmas Related to FamiliesAnna Barreiro Albán & Beth B. HogansChapter 20: Complicated GriefZhu Wang & Salahadin Abdi Part III: Dilemmas Related to Healthcare ProfessionalsChapter 23: Moral Distress: My Patient is Suffering and "We Can't Keep Torturing Them"Anthony Eidelman & Regina M. Fink Chapter 24: Work-Nonwork Life Fit: Tensions for Healthcare CliniciansEmily P. Guinee, Angela K.M. Lipshutz, M. Jennifer Cheng, & Deborah J. Snyder Chapter 25: Burnout and ResilienceJennifer Winegarden & Ylisabyth Bradshaw Chapter 26: Planning and Facing RetirementDaniel B. Carr & Stephen Gullo Part IV: Dilemmas Related to the Healthcare SystemChapter 14: Balancing Opioid Benefit and Risk for Subacute or Chronic Noncancer PainScott A. Strassels & Daniel B. Carr Chapter 19: The Emerging Role of Independent Patient AdvocatesShiella Dowlatshahi Chapter 21: Managing Outpatient Workplace ViolencePragya B. Gupta & Daniel B. Carr Chapter 22: Maladaptive Team DynamicsMoe Norton-Westbrook, Sylvia Christie, & Constance Dahlin Chapter 28: Allocation of Scarce ResourcesJustin Price Chapter 29: Introducing Novel Treatments: Navigating Institutional PoliciesJennifer Winegarden Chapter 34: Racial Inequalities in HealthcareCarmen Renee Green V: Dilemmas Related to Ethical IssuesChapter 2: Hydration and Artificial Nutrition at the End of LifeTamara Vesel & Carol Pilgrim Chapter 7: Physician Assisted Death (PAD)Sudha Chandrasekhar Chapter 15: Decision-Making Around Dialysis WithdrawalMary K. Buss & Tamara Vesel Chapter 17: LGBTQ: to Disclose or Not to Disclose Gabriel Lutz Chapter 18: Can Minors Make Major Healthcare Decisions? Sudha Chandrasekhar Chapter 30: Surrogate Decision MakingMargaret M. Mahon Chapter 31: Approaching Palliative Sedation at the End of LifeAbigail Lebovitz & Tamara Vesel Chapter 32: Advance Care PlanningNnamdi C. Iwuala & Lauren Shaiova Chapter 33: Substituted JudgmentGabriel Lutz Index