Medical Ethics And Meaning At End Of Life


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Medical Ethics and Meaning at End of Life


Medical Ethics and Meaning at End of Life

Author: Richard George Boudreau

language: en

Publisher: Archway Publishing

Release Date: 2021-12-02


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End-of-life issues, including fear of dying, have been recognized as a factor hindering psychosocial functioning in elderly populations. As people age, many focus with increasing intensity on the issues they face as elderly members of society and as people facing end-of-life decision-making. The inevitability of death does not detract from the onset of death anxiety. An emerging strategy is the use of existential philosophical principles in the creation of an operational psychoanalytic praxis. Because end-of-life issues often result in the desire by individuals to confront their existence (existential philosophy), the application of an existential psychotherapeutic approach has been introduced as a part of existing research. This has led to the identification of “death fear” as a major development in the presence of end-of-life assessments. An operational psychoanalytic model that addresses the issue of the fear of death is a major development. The underlying belief shared by researchers is that fear is inherent for both doctors and patients and requires understanding and compassion on both sides of the equation. This research study is designed to assess the models or psychoanalytical praxes introduced when addressing the needs of elderly individuals and to evaluate both the historical context in which they were formed and the support mechanisms for their continuation.

Contemporary Bioethics


Contemporary Bioethics

Author: Mohammed Ali Al-Bar

language: en

Publisher: Springer

Release Date: 2015-05-27


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This book discusses the common principles of morality and ethics derived from divinely endowed intuitive reason through the creation of al-fitr' a (nature) and human intellect (al-‘aql). Biomedical topics are presented and ethical issues related to topics such as genetic testing, assisted reproduction and organ transplantation are discussed. Whereas these natural sources are God’s special gifts to human beings, God’s revelation as given to the prophets is the supernatural source of divine guidance through which human communities have been guided at all times through history. The second part of the book concentrates on the objectives of Islamic religious practice – the maqa' sid – which include: Preservation of Faith, Preservation of Life, Preservation of Mind (intellect and reason), Preservation of Progeny (al-nasl) and Preservation of Property. Lastly, the third part of the book discusses selected topical issues, including abortion, assisted reproduction devices, genetics, organ transplantation, brain death and end-of-life aspects. For each topic, the current medical evidence is followed by a detailed discussion of the ethical issues involved.

Dying in America


Dying in America

Author: Institute of Medicine

language: en

Publisher: National Academies Press

Release Date: 2015-03-19


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For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.