System End Of Life
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Introduction to Civil Engineering Systems
This book presents an integrated systems approach to the evaluation, analysis, design, and maintenance of civil engineering systems. Addressing recent concerns about the world's aging civil infrastructure and its environmental impact, the author makes the case for why any civil infrastructure should be seen as part of a larger whole. He walks readers through all phases of a civil project, from feasibility assessment to construction to operations, explaining how to evaluate tasks and challenges at each phase using a holistic approach. Unique coverage of ethics, legal issues, and management is also included.
Family Communication at the End of Life
This book is a printed edition of the Special Issue "Family Communication at the End of Life" that was published in Behavioral Sciences
Caring for Patients at the End of Life
Author: Timothy E. Quill
language: en
Publisher: Oxford University Press
Release Date: 2001-03-22
In Caring for Patients at the End of Life: Facing an Uncertain Future Together, Dr. Quill uses his wide range of clinical experience caring for severely ill patients and their families to illustrate the challenges and potential of end-of-life care. Section one utilizes the near death experiences of two patients to explore values underlying medical humanism, and then presents the case of "Diane" to explore the fundamental clinical commitments of partnership and non-abandonment. Section two explores, illustrates, and provides practical guidance for clinicians, patients, and families about critical communication issues including delivering bad news, discussing palliative care, and exploring the wish to die. In section three, difficult ethical and policy challenges inherent in hospice work, including the rule of double effect, terminal sedation, and physician-assisted suicide, are explored using a mix of real cases and an analysis of underlying clinical, ethical, and policy issues. In a final chapter, Dr. Quill discusses the tragic death of his brother which occurred as this book was being completed, and how his family made the most emotionally challenging decisions of their lives. Dr. Quill exposes readers to an internally consistent and practical way of thinking by simultaneously embracing the potential of palliative care, and also acknowledging that it has limitations. His philosophy of offering forthright discussions with patient and family, mutual decision-making, ensuring medical and palliative care expertise and of committing to see the dying process through to the patient's death is vividly illustrated.