Search results for: dying-in-america

Dying in America

Author : Institute of Medicine
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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.

Dying in America

Author : Crystal A. Britt
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Abstract: The right-to-die movement has a rich history in the United States. It is a topic that has been vigorously debated on television and in courtrooms. This historical analysis explores the societal, political and historical context as it relates to right-to-die legislation. The effects of eugenics as well as relatively recent advances in medical technology are also explored as related to complications within the dying process. Cultural implications of right-to-die legislation are explored in regard to both patients who utilize these bills and the physicians who face their own cultural barriers. The effects of right-to-die legislation are examined as they relate to social work and medical ethics in order to understand implications for practice and future research.

Death and Dying in America

Author : Andrea Fontana
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This engaging new book takes a fresh approach to the major topics surrounding the processes and rituals of death and dying in the United States. It emphasizes individual experiences and personal reactions to death as well as placing mortality within a wider social context, drawing on theoretical frameworks, empirical research and popular culture. Throughout the text the authors highlight the importance of two key factors in American society which determine who dies and under what circumstances: persistent social inequality and the American consumerist ethic. These features are explored through a discussion of topics ranging from debates about euthanasia to deaths resulting from war and terrorism; from the death of a child to children's experience of grieving and bereavement; and from beliefs about life after death to more practical issues such as the disposal of the dead body. Drawing on sociological, anthropological, philosophical, and historical research the authors present the salient features of death and dying for upper-level students across the social sciences. For anyone interested in learning more about the end of life, this book will provide a useful and accessible perspective on the uniquely American understanding of death and dying.

Death American Style

Author : Lawrence R. Samuel
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DEATH, AMERICAN STYLE: A CULTURAL HISTORY OF DYING IN AMERICA is the first comprehensive cultural history to explore America’s uneasy relationship with death over the past century.

The Good Death

Author : Ann Neumann
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"Following the death of her father, journalist and hospice volunteer Ann Neumann sets out to examine what it means to die well in the United States. If a good death exists, what does it look like? This question lies at the heart of Neumann's rigorously researched and intimately told journey along the ultimate borderland of American life: American death. From church basements to hospital wards to prison cells, Neumann charts the social, political, religious, and medical landscape to explore how we die today. The Good Death weaves personal accounts with a historical exploration of the movements and developments that have changed the ways we experience death. With the diligence of a journalist and the compassion of a caregiver, Neumann provides a portrait of death in the United States that is humane, beautifully written, and essential to our greater understanding of the future of end-of-life care"--

Death and Dying in Colonial Spanish America

Author : Martina Will de Chaparro
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When the Spanish colonized the Americas, they brought many cultural beliefs and practices with them, not the least of which involved death and dying. The essays in this volume explore the resulting intersections of cultures through recent scholarship related to death and dying in colonial Spanish America between the sixteenth and eighteenth centuries. The authors address such important questions as: What were the relationships between the worlds of the living and the dead? How were these relationships sustained not just through religious dogma and rituals but also through everyday practices? How was unnatural death defined within different population strata? How did demographic and cultural changes affect mourning? The variety of sources uncovered in the authors’ original archival research suggests the wide diversity of topics and approaches they employ: Nahua annals, Spanish chronicles, Inquisition case records, documents on land disputes, sermons, images, and death registers. Geographically, the range of research focuses on the viceroyalties of New Spain, Peru, and New Granada. The resulting records—both documentary and archaeological—offer us a variety of vantage points from which to view each of these cultural groups as they came into contact with others. Much less tied to modern national boundaries or old imperial ones, the many facets of the new historical research exploring the topic of death demonstrate that no attitudes or practices can be considered either “Western” or universal.

Describing Death in America

Author : National Research Council
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National expenditures for medical care in the months and days preceding death are enormous. But we do not know whether that money is buying good quality care or optimizing the quality of life of those dying, or whether the situation is getting better or worse over time. The information that exists “describing death†at a national level â€" though some of it is very informative â€" is fragmentary. This report recommends ways to fill the information gaps by better use of existing nationally-representative data, and through some new measures, in particular, a new, ongoing National Mortality Followback Survey. The aim is to allow us to benchmark where we are today as a society, and what goals we can set to minimize pain and suffering and maximize the quality of life of all of us who will die in the years to come.

The Way We Die

Author : David Dempsey
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American Dream Dying

Author : Peter D. McClelland
File Size : 71.86 MB
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This book is based upon two premises. The first is that the pervasiveness of the withering of the American Dream is a story with which few Americans are familiar. They are familiar with recent difficulties of the middle class, but know little about how the "Dream" has been disappearing over the past three decades for those lower down the income scale. The second premise is that this story can only be told using aggregate data, not anecdotes. The text is short, free of jargon, and can easily be covered in a few hours. For many readers, however, the careful scrutiny of a succession of graphs will be an unfamiliar and demanding task. The key word in the previous sentence is "careful." Only with such scrutiny can the magnitude of the transformation under way be fully grasped. With that grasp will come, at minimum, a sense of profound unease if not outright alarm.

Transforming the Culture of Dying

Author : David Clark
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Over a period of almost 10 years, the work of the Project on Death in America (PDIA) played a formative role in the advancement of end of life care in the United States. The project concerned itself with adults and children, and with interests crossing boundaries between the clinical disciplines, the social sciences, arts and humanities. PDIA engaged with the problems of resources in poor communities and marginalized groups and settings, and it attempted to foster collaboration across a range of sectors and organizations. Authored by medical sociologist David Clark, whose research career has focused on mapping, archiving and analyzing the history and development of hospice, palliative care and related end of life issues, this book examines the broad, ambitious conception of PDIA - which sought to 'transform the culture of dying in America' - and assesses PDIA's contribution to the development of the palliative care field and to wider debates about end of life care within American society. Chapters consider key issues and topics tackled by PDIA grantees which include: explorations of the meanings of death in contemporary American culture; the varying experiences of care at the end of life (in different settings, among different social and ethnic groups); the innovations in service development and clinical practice that have occurred in the US in response to a growing awareness of and debate about end of life issues; the emerging evidence base for palliative and end of life care in the US; the maturation of a field of academic and clinical specialization; the policy and legal issues that have shaped development, including the ethical debate about assisted suicide and the Oregon experience; the opportunities and barriers that have been encountered; and the prospects for future development. A final chapter captures developments and milestones in the field since PDIA closed in 2003, and some of the challenges going forward.

Prozac as a Way of Life

Author : Carl Elliott
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In this collection of eleven essays, leading doctors and bioethicists discuss the pros and cons of Prozac and America's culture of self-enhancement.

Partnership with the Dying

Author : David H. Smith
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What do physicians, nurses, chaplains, and social workers think about moral and religious issues in care for the dying? These professionals live with death, including many untimely and difficult deaths, on a daily basis. Based on intensive interviews with a cross sample of health care professionals, David H. Smith details how the churches could not only be supportive of these primary caregivers in dealing with end of life issues, but how they could enlist their help in informing their own congregations about the realities of death. To care for the dying is spiritually demanding work. Churches should not let health professionals struggle with religious issues--whether of patients, families, or their own--in isolation. Smith's respondents offer powerful perspectives on the issue of physician assisted suicide. Religious and theological ethics cannot afford to ignore insights and questions that come from those who deal with dying every day. Finding meaning in the face of human suffering comes less from doctrine than from living a certain kind of life. This book is a clarion call for new, practical, and vital forms of education, support, and commitment, particularly within the churches, in the cause of improving care for the dying. Visit our website for sample chapters!

Bioethics in America

Author : M. L. Tina Stevens
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In Bioethics in America, Tina Stevens challenges the view that the origins of the bioethics movement can be found in the 1960s, a decade mounting challenges to all variety of authority. Instead, Stevens sees bioethics as one more product of a "centuries-long cultural legacy of American ambivalence toward progress," and she finds its modern roots in the responsible science movement that emerged following detonation of the atomic bomb. Rather than challenging authority, she says, the bioethics movement was an aid to authority, in that it allowed medical doctors and researchers to proceed on course while bioethicists managed public fears about medicine's new technologies. That is, the public was reassured by bioethical oversight of biomedicine; in reality, however, bioethicists belonged to the same mainstream that produced the doctors and researchers whom the bioethicists were guiding.

Death Dying and Bereavement

Author : Judith M. Stillion, PhD, CT
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Delivers the collective wisdom of foremost scholars and practitioners in the death and dying movement from its inception to the present. Written by luminaries who have shaped the field, this capstone book distills the collective wisdom of foremost scholars and practitioners who together have nearly a millennium of experience in the death and dying movement. The book bears witness to the evolution of the movement and presents the insights of its pioneers, eyewitnesses, and major contributors past and present. Its chapters address contemporary intellectual, institutional, and practice developments in thanatology: hospice and palliative care; funeral practice; death education; and caring of the dying, suicidal, bereaved, and traumatized. With a breadth and depth found in no other text on death, dying, and bereavement, the book disseminates the thinking of prominent authors William Worden, David Clark, Tony Walter, Robert Neimeyer, Charles Corr, Phyllis Silverman, Betty Davies, Therese A. Rando, Colin Murray Parkes, Kenneth Doka, Allan Kellehear, Sandra Bertman, Stephen Connor, Linda Goldman, Mary Vachon, and others. Their chapters discuss the most significant facets of early development, review important current work, and assess major challenges and hopes for the future in the areas of their expertise. A substantial chronology of important milestones in the contemporary movement introduces the book, frames the chapters to follow, and provides guidance for further, in-depth reading. The book first focuses on the interdisciplinary intellectual achievements that have formed the foundation of the field of thanatology. The section on institutional innovations encompasses contributions in hospice and palliative care of the dying and their families; funeral service; and death education. The section on practices addresses approaches to counseling and providing support for individuals, families, and communities on issues related to dying, bereavement, suicide, trauma, disaster, and caregiving. An Afterword identifies challenges and looks toward future developments that promise to sustain, further enrich, and strengthen the movement. KEY FEATURES: Distills the wisdom of pioneers in and major contributors to the contemporary death, dying, and bereavement movement Includes living witness accounts of the movement's evolution and important milestones Presents the best contemporary thinking in thanatology Describes contemporary institutional developments in hospice and palliative care, funeral practice, and death education Illuminates best practices in care of the dying, suicidal, bereaved, and traumatized

Ethical Issues in Neurology

Author : James L. Bernat
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Written by an eminent authority from the American Academy of Neurology's Committee on Ethics, Law, and Humanities, this book is an excellent text for all clinicians interested in ethical decision-making. The book features outstanding presentations on dying and palliative care, physician-assisted suicide and voluntary active euthanasia, medical futility, and the relationship between ethics and the law. New chapters in this edition discuss how clinicians resolve ethical dilemmas in practice and explore ethical issues in neuroscience research. Other highlights include updated material on palliative sedation, advance directives, ICU withdrawal of life-sustaining therapy, gene therapy, the very-low-birth-weight premature infant, the developmentally disabled patient, informed consent, organizational ethics, brain death controversies, and fMRI and PET studies relating to persistent vegetative state.

Scripting Death

Author : Mara Buchbinder
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How the legalization of assisted dying is changing our lives. Over the past five years, medical aid-in-dying (also known as assisted suicide) has expanded rapidly in the United States and is now legally available to one in five Americans. This growing social and political movement heralds the possibility of a new era of choice in dying. Yet very little is publicly known about how medical aid-in-dying laws affect ordinary citizens once they are put into practice. Sociological studies of new health policies have repeatedly demonstrated that the realities often fall short of advocacy visions, raising questions about how much choice and control aid-in-dying actually affords. Scripting Death chronicles two years of ethnographic research documenting the implementation of Vermont's 2013 Patient Choice and Control at End of Life Act. Author Mara Buchbinder weaves together stories collected from patients, caregivers, health care providers, activists, and legislators to illustrate how they navigate aid-in-dying as a new medical frontier in the aftermath of legalization. Scripting Death explains how medical aid-in-dying works, what motivates people to pursue it, and ultimately, why upholding the "right to die" is very different from ensuring access to this life-ending procedure. This unprecedented, in-depth account uses the case of assisted death as an entry point into ongoing cultural conversations about the changing landscape of death and dying in the United States.

A Golden Legacy to the Gibbs Family in America

Author : Montgomery B. Gibbs
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History of the Rise and Fall of the Slave Power in America

Author : Henry Wilson
File Size : 60.48 MB
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Somewhere in America

Author : Sydney Molare
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From the unwed mother believing the lies of her boyfriend to the end; the healing preacher, who loves to lay hands on his members; to the "down low" brother, whose denial sets off a horrifying chain of events, these off-beat, gritty stories will "scratch" you and force you to examine life situations, the choices you make and the repercussions from them. Realistic and comical, you will laugh, cry and "holler" with the neighborhood folk. Don't see yourself yet? Keep reading, you will.

God And Mammon In America

Author : Robert Wuthnow
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Drawing on a new survey of more than two thousand working Americans, the author of Christianity in the 21st Century explores the relationship between religious faith and attitudes toward work and money to examine Americans' ambivalence toward materialism and consumerism.