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Death and Dignity : Making Choices and Taking Charge - Timothy E. Quill

Death and Dignity

Making Choices and Taking Charge

Paperback

Published: 1st May 1994
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This book looks squarely at how patients can make crucial decisions and take charge of the end of their lives. This book is a resource for anyone who fears unnecessary suffering and excessive medical intervention at that point. It helps readers think through and then complete advance directives, and also to take a more active role when they or a family member becomes terminally ill. Through real-life stories and his own experience, Dr. Quill explores what measures a patient can choose to prolong life and how to forgo such measures if they begin to extend a painful death, choosing instead approaches such as comfort care which emphasize quality more than quantity of life. Finally, Dr. Quill speaks out on physician-assisted suicide and why he helped a long-term patient of his, stricken with leukemia, to take her life when her suffering became intolerable. He asks for regulation, rather than denial, knowing that many patients and doctors ofen face this question at times of crisis.

"This book, written from the heart, is compassionate and emphatic. It makes a compelling argument for legalizing physician-assisted suicide." -- D. W. Molloy, M.D. - New England Journal of Medicine "This is a work of enormous sensitivity, clarity, and caring... It is essential reading for all those wishing to remain in control of their lives to the end." -- Mack Lipkin, Jr., M.D., president, American Academ "Quill's article ... shocked the world ... and caused him a great deal of persecution. This book eloquently explains his action and his beliefs." -- Ann Waldron - Washington Post "Quill's perceptive, emphatic exploration will help readers to make informed decisions in tragic situations." -- Publishers Weekly "A bold approach to medicine." -- Gary C. Rummier - Arizona Daily Star

Preface: Death and Dignity: A Case of Individualized Decision Making (reprinted from the New England Journal of Medicine)p. 9
Acknowledgmentsp. 17
Introductionp. 19
Early Brushes with Death: Formative Experiences as a Resident and Grandsonp. 29
The Hippocratic Oath and the Care of the Dying: Reconsidering Medicine's Goals and Valuesp. 43
Death or Chi-Chi?: The Burdens of Aggressive Medical Treatmentp. 57
Comfort Care: A Humane Alternativep. 76
The Limitations of Comfort Care: Double Effects, Double Binds, and Double Standardsp. 98
Defining Moments: Compassion and Conflicting Responsibilitiesp. 121
Public Policy: Exploring a Wider Range of Options for the Dyingp. 138
Physician-Assisted Suicide: Potential Clinical Criteriap. 155
Background for Advance Directives: What Can Happen If I Lose Mental Capacity in the Future?p. 176
Advance Directives: Living Will or Health Care Proxy?p. 189
Challenges and Final Thoughtsp. 203
Appendix Advance Directives: Definitions, Questions and Answers, Sample Formsp. 217
Bibliographyp. 235
Indexp. 251
Table of Contents provided by Blackwell. All Rights Reserved.

ISBN: 9780393311402
ISBN-10: 0393311406
Audience: General
Format: Paperback
Language: English
Number Of Pages: 256
Published: 1st May 1994
Country of Publication: US
Dimensions (cm): 20.57 x 13.72  x 1.78
Weight (kg): 0.34