Hospice Ethics: Policy and Practice in Palliative Care

Paperback | October 8, 2014

EditorTimothy W. Kirk, Bruce Jennings

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Hospice care is one of the fastest-growing segments of the U. S. healthcare system, a trend that is expected to accelerate as the median age of the population continues to rise over the next three decades. Despite over forty percent of the population now dying while on hospice care, verylittle has been published on the ethical opportunities and challenges experienced in the everyday lives of those giving and receiving hospice care. This book is the first comprehensive collection devoted to analyzing distinctive ethical issues arising in the delivery of hospice care and designed to promote best ethical practices for hospice care professionals and organizations. Thirteen newly commissioned chapters by seventeen hospice expertspopulate three thematic sections of the book, each devoted to an aspect of the intersection between ethics and hospice care. Contributors have unique qualifications and abilities to articulate and respond to ethically significant phenomena that - while not always unique to hospice care - arise inespecially poignant and complex ways when caring for patients enrolled in hospice.As the shift or return to home-based care at the end of life continues, hospice professionals and programs will be faced with a broader array of terminal illnesses, cultural beliefs and traditions, and patient and family values than ever before. Hospice will no longer be tailored solely to the finalstage of cancer, but will need to accommodate patients whose illnesses are variable in their progression and whose treatment plans include many medical options. The ethical orientations and frameworks that have served hospice for the past 50 years will need to be supplemented and refined if hospiceis to fulfill this changing social mission. Hospice Ethics explores a new paradigm for hospice ethics from a multi-disciplinary and provides an important educational resource for professional training in end of life care.

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Hospice care is one of the fastest-growing segments of the U. S. healthcare system, a trend that is expected to accelerate as the median age of the population continues to rise over the next three decades. Despite over forty percent of the population now dying while on hospice care, verylittle has been published on the ethical opportun...

Timothy W. Kirk, PhD is currently assistant professor of philosophy at the City University of New York-York College where he specializes in philosophy of nursing and healthcare ethics with an emphasis on hospice and palliative care. In addition to his appointment at CUNY, he serves as ethics consultant to VNSNY Hospice and Palliative C...

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Kobo ebook|Aug 28 2014

$29.39 online$38.06list price(save 22%)
Format:PaperbackDimensions:336 pages, 9.25 × 6.12 × 0.68 inPublished:October 8, 2014Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199943834

ISBN - 13:9780199943838

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Table of Contents

ContributorsBruce Jennings and Timothy W. Kirk: IntroductionSection I: Hospice: The Emergence of a Philosophy of Care1. Joy Buck: "From Rites to Rights of Passage": Ideals, Politics, and the Evolution of the American Hospice Movement2. Timothy W. Kirk: Hospice Care as a Moral Practice: Exploring the Philosophy and Ethics of Hospice CareSection II: The Interdisciplinary Team: Ethical Opportunities and Challenges3. R. Timothy Tobin: The Pharmacist as an Integral Member of the Hospice Interdisciplinary Team4. Joan Harrold: The Continuingly Evolving Role of the Hospice Medical Director5. Terry Altilio and Nessa Coyle: The Interdisciplinary Team - Integrating Moral Reflection and DeliberationSection III: Organizational and Policy Ethics in Hospice6. Marcia Levetown and Stacy Orloff: Ethical Issues in the Care of Infants, Children and Adolescents7. Patrick T. Smith: The 'Patient-Family Dyad' as Interdependent Unit of Hospice Care: Toward an Ethical Justification8. Tara Friedman: Inpatient Hospice Care: Organizational and Ethical Considerations9. Jean C. Munn and Sheryl Zimmerman: Ethical Issues Associated with Hospice in Nursing Homes and Assisted Living Communities10. Muriel R. Gillick: Cardiopulmonary Resuscitation in Hospice: Ethically Justified or an Oxymoron?11. Courtney S. Campbell: Moral Meanings of Physician-Assisted Death for Hospice Ethics12. Jennifer Ballentine and Pamela Dalinis: Ethics Committees for Hospice: Moving Beyond the Acute Care ModelSection IV: Ethics and the Future of Hospice13. Bruce Jennings: Design for Dying: New Directions for Hospice and End-of-life Care