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In Defiance of Death: Exposing the Real Costs of End-of-Life Care, Fisher, Kenne
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Ubicado en: Center Moriches, New York, Estados Unidos
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N.º de artículo de eBay:405551359715
Última actualización el 20 sep 2025 04:11:36 H.EspVer todas las actualizacionesVer todas las actualizaciones
Características del artículo
- Estado
- Book Title
- In Defiance of Death: Exposing the Real Costs of End-of-Life C
- ISBN
- 9780275997106
Acerca de este producto
Product Identifiers
Publisher
Bloomsbury Publishing USA
ISBN-10
0275997103
ISBN-13
9780275997106
eBay Product ID (ePID)
63170061
Product Key Features
Number of Pages
240 Pages
Language
English
Publication Name
In Defiance of Death : Exposing the Real Costs of End-Of-Life Care
Subject
Death & Dying, Medical Law & Legislation, General, Terminal Care, Nursing / Palliative Care
Publication Year
2008
Type
Textbook
Subject Area
Law, Health & Fitness, Social Science, Medical
Format
Hardcover
Dimensions
Item Height
0.6 in
Item Weight
18.3 Oz
Item Length
9.2 in
Item Width
6.1 in
Additional Product Features
Intended Audience
College Audience
LCCN
2007-043726
Reviews
"Nephrology consultant Fisher exposes the interface between economics and compassion issues in the dying process that, in the US, is often protracted and medicalized. He proposes possible solutions to address the economics of dying and provide a more humane death. A historical review of hospital and nursing home development, health professionals' education, and health care legislation, along with data about the US's poorer outcomes and higher costs compared to many Western nations, paints a dismal picture. Interlaced with this material are patients' stories that illustrate the human suffering that results from dysfunctional health care. This book is most valuable in helping to illuminate the issues and raise awareness--for consumers, health professionals, and politicians--about the fallacies of the current system. Fisher's proposed solutions include oversight from a tiered system of appropriate-care committees (which are somewhat emulated by current institutional ethics committees, and likely will not be accepted in today's sociopolitical climate). At the root of many issues is what is so poignantly discussed in the foreword: the importance of having health care professionals who are connected with their patients. Professional-patient communication is not occurring, or not occurring early enough in the illness trajectory--for the many reasons so aptly explained here. Highly recommended." -- Choice "... the beauty and real value of this book is its call for readers to become engaged themselves." -- Journal of the American Medical Association, "… the beauty and real value of this book is its call for readers to become engaged themselves." - Journal of the American Medical Association, "Nephrology consultant Fisher exposes the interface between economics and compassion issues in the dying process that, in the US, is often protracted and medicalized. He proposes possible solutions to address the economics of dying and provide a more humane death. A historical review of hospital and nursing home development, health professionals' education, and health care legislation, along with data about the US's poorer outcomes and higher costs compared to many Western nations, paints a dismal picture. Interlaced with this material are patients' stories that illustrate the human suffering that results from dysfunctional health care. This book is most valuable in helping to illuminate the issues and raise awareness--for consumers, health professionals, and politicians--about the fallacies of the current system. Fisher's proposed solutions include oversight from a tiered system of appropriate-care committees (which are somewhat emulated by current institutional ethics committees, and likely will not be accepted in today's sociopolitical climate). At the root of many issues is what is so poignantly discussed in the foreword: the importance of having health care professionals who are connected with their patients. Professional-patient communication is not occurring, or not occurring early enough in the illness trajectory--for the many reasons so aptly explained here. Highly recommended." - Choice, "… the beauty and real value of this book is its call for readers to become engaged themselves." Journal of the American Medical Association, "Nephrology consultant Fisher exposes the interface between economics and compassion issues in the dying process that, in the US, is often protracted and medicalized. He proposes possible solutions to address the economics of dying and provide a more humane death. A historical review of hospital and nursing home development, health professionals' education, and health care legislation, along with data about the US's poorer outcomes and higher costs compared to many Western nations, paints a dismal picture. Interlaced with this material are patients' stories that illustrate the human suffering that results from dysfunctional health care. This book is most valuable in helping to illuminate the issues and raise awareness--for consumers, health professionals, and politicians--about the fallacies of the current system. Fisher's proposed solutions include oversight from a tiered system of appropriate-care committees (which are somewhat emulated by current institutional ethics committees, and likely will not be accepted in today's sociopolitical climate). At the root of many issues is what is so poignantly discussed in the foreword: the importance of having health care professionals who are connected with their patients. Professional-patient communication is not occurring, or not occurring early enough in the illness trajectory--for the many reasons so aptly explained here. Highly recommended." Choice
Dewey Edition
22
Number of Volumes
1 vol.
Illustrated
Yes
Dewey Decimal
179.7
Table Of Content
List of Illustrations Foreword by Dr. Benjamin Brown Preface Acknowledgments Chapter One: Dying in America Today Chapter Two: Roots of the Problem: The Patient Self-Determination Act, Advance Directives, and the Americans with Disabilities Act Chapter Three: Why We Need Appropriate Care Committees Chapter Four: The Three Most Typical End-of-life Populations Chapter Five: Hospitals, Escalating Costs, and End-of-Life Care Chapter Six: Nursing Homes Chapter Seven: Palliative Care and Hospice Chapter Eight: A Big Step in The Right Direction: The VA Transforms End-of-Life Care Chapter Nine: Results of My Non-Scientific, Revealing Survey Chapter Ten: The Winds of Change: Suggestions for New Directions in End-of-life Care Appendix I: The Survey Questionnaires Appendix II : Family-Physician Interactions Appendix III: The Baby K Case Appendix IV: In Support of Appropriate Care Committees Cardiologists Get Wake-up Call on Stents by Mike Mitkam, (selected text) Journal of the American Medical Association. Geographical Variations in Medicare Spending, Editorial by Kenneth I. Shine, MD, Annals of Internal Medicine. Physician-Owned Specialty Hospitals and Coronary Revascularization Utilization Too Much of a Good Thing? By Peter Cram, MD, MBA Gary E. Rosenthal, MD (Selected Text) Journal of the American Medical Association. How Physicians Can Change the Future of Health Care by Michael E. Porter, PhD, MBA Elizabeth Olmsted Teisberg, PhD, MEngr, MS, (Selected Text) Journal of the American Medical Association. For Further Reading: A Selection of Titles for Further Investigation Appendix V: American Medical Education American Medical Education 100 Years after the Flexner Report by Molly Cooke, M.D., David M. Irby, Ph.D., William Sullivan, Ph.D., and Kenneth M. Ludmerer, M.D., New England Journal of Medicine. Appendix VI: Pharmaceutical Company Issues Surviving Sepsis--Practice Guidelines, Mar Campaigns, and Eli Lilly by Eichacker PQ, Natanson C, Danner RL. New England Journal of Medicine. Appendix VII: The Economic Impact of Our Health Care if We Do Not Change Aging Baby Boom Generation Will Increase Demand and Burden on Federal and State Budgets, GAO Report Appendix VIII: The Truth About Americas Health Care System--Most Expensive Bad Results What Cannot Be Said on Television About Health Care by E.J. Emanuel, MD. (abstract) Journal of the American Medical Association. Appendix IX: Dying in America National Institutes of Health State-of-the-Science Conference Statement on Improving End-of-Life Care, National Institutes of Health,State-of-the-Science Conference Statement Appendix X: Universal Health Care in America: TheLure of a Quick Fix Universal Health Care in America: The Lure of a Quick Fix by Kenneth A. Fisher, M.D. Glossary Index
Synopsis
Death is a natural part of life. But it has become a painful, protracted, humiliating process that is often inappropriate for the healthcare patient, puts an undue financial and emotional burden on the family, and provides a model of improper care for physicians in training. And it's expensive--about 22 percent of all medical expenditures are for people in the last year of their lives. Further, while studies show that 90 percent of all people would prefer to die at home surrounded by family and friends, the reality is that more than 70 percent die in institutions. As Dr. Ken Fisher argues so passionately in this book, it's time for a change. End-of-life care in the U.S. has evolved over the years into a nightmare for patients and family members, and it has created a near-crushing financial burden on the medical system that is not just excessive but unsustainable. It has driven the cost of healthcare out of reach for many people, and it is a large factor in preventing the creation of universal coverage. In Defiance of Death reviews the current state of end-of-life care and highlights its many problems from a variety of economic, political, and social perspectives. Fisher and Rockwell illuminate the ethical dilemmas we all face as technology allows us to prolong life--but at a huge human and financial cost. This book documents these problems and provides a historical perspective of how our medical system evolved. It argues that America's defiance of death is far too costly and recommend that all stakeholders--including the public, medical community, Congress, and business leaders--join together to create a system that improves end-of-life care for everyone involved. This book, with workable solutions to improve our medical system, helps point the way.
LC Classification Number
R726
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