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    End of Life Choices,...

    End of Life Choices, Consensus and Controversy

    Paperback in redelijke staat. Aantekeningen en markeringen met pen. Vouwtje.

    Palliative care is undergoing a period of rapid change, both in perceptible ways such as legislation, policy, and clinical guidelines, but also in its philosophy and ethics. There is ambiguity surrounding even the definitions used, ranging from palliative care, to supportive care, to end of life care. Randall and Downie propose that the uncertainties in the current thinking on end of life care may change the two ethical (and legal) principles on which modern medical care has been built -that practitioners must obtain the informed consent of the patient for treatment, and that practitioners must seek the best health interests of their patients. They will examine a wide range of issues, themes and contradictions prevalent in modern palliative/end of life care. These include: choice, assisted suicide, roles and values, responsibility, rights, Advance Care Plans, withdrawal and withholding of treatment, advocacy, the Mental Capacity Act, best interests, definitions, and the newDepartment of Health End of Life Care Strategy. This Palliative care is undergoing a period of rapid change in perceptible ways through legislation, policy, and clinical guidelines, but also in its philosophy and ethics. End of Life Choices: Consensus and Controversies examines a wide range of issues, themes and contradictions prevalent in modern palliative/end of life care. These include: choice, assisted suicide, roles and values, responsibility, rights, Advance Care Plans, withdrawal andwithholding of treatment, advocacy, the Mental Capacity Act, best interests, definitions, and the new Department of Health End of Life Care Strategy. Split into two sections, End of Life Choices: Consensus and Controversies provides guidance through the ethical minefield that has developed for doctors and nurses who care for patients towards the end of life. The first section discusses some of the issues of end of life care as they are still widely encountered by GPs, nurses and hospitalclinicians. It presents a mainly consensus view on patient choice, consent, life-prolonging treatment and symptom relief, including sedation. The second section discusses some current controversies, such as advance care planning, preferred place of care and death, physician assisted suicide, and extended ideas of 'best interests', including the idea that there are therapeutic duties to the relatives of patients. Additional online resources outline the common ethical theories and the vocabularyused in ethical theory which will be useful for readers who are taking part in training courses. The authors hope that this book will provide a guide through the complexity of clinical situations and current regulations, and also stimulate informed debate on current controversial issues. It will be of use to all those involved in care of the terminally ill, both specialists and those outside the current palliative care domain, as well as policy makers, researchers and ethicists.

    Fiona Randall, Robert Silcock Downie;

    € 8,50

    Women's Mental Health...

    Women's Mental Health in Africa

    Hardback in goede staat. Engelstalig. Obscuur.

    This landmark volume looks closely at the mental health of women in Africa, a topic that has been virtually unexplored until now. Replete with some of the most provocative feminist issues of the day, Women's Mental Health in Africa examines the economic, physical, and social factors that have a major impact on the psychological well-being of women in African countries. Feminist researchers unravel the enormously complicated social system and the traditional cultural values and taboos that are directly related to women's self concepts. Because the etiology of women's suicide is central to sexual and reproductive issues, these topics are an important focus of this volume. Authoritative contributors discuss the common practices of clitoridectomy and infibulation and the resulting infections, infertility, problems in childbirth, and lack of sexual response. AIDS, a disease whose widespread transmission in Africa is directly linked to unprotected heterosexual intercourse, is another issue vital to women's physical and mental health. Several enlightening chapters focus on other factors responsible for the perpetuation of the disease, including polygamy; the denial by many African nations of the threat of the disease to its citizens; and the incidence of female genital mutilation, which geographically corresponds to the spread of AIDS in Africa. Marriage, the double standard, infidelity, and family planning are also examined as factors in women's mental health. Several researchers address the reasons for healthy psychological functioning among women in countries where counseling and therapy are not commonly sought. Participation in social support networks, which are abundant in some African societies, lessens the deleterious effects of stress and isolation and provides emotional support that contributes to positive self images, self worth, and reinforcement of desirable coping mechanisms. Education as a means of role fulfillment is also covered in this fascinating and empowering book.

    Esther D. Rothblum en Ellen Cole (red.);

    € 17,50
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