through the valley of shadows living wills intensive care and making medicine human

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Through The Valley Of Shadows

Author : Samuel Brown
ISBN : 9780199392957
Genre :
File Size : 74. 95 MB
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Hospital intensive care units have changed when and how we die--and not always for the better. The ICU is a new world, one in which once-fatal diseases can be cured and medical treatments greatly enhance our chances of full recovery. But, paradoxically, these places of physical healing can exact a terrible toll, and by focusing on technology rather than humanity, they too often rob the dying of their dignity. By some accounts, the expensive medical treatments provided in ICUs also threaten to bankrupt the nation. In an attempt to give patients a voice in the ICU when they might not otherwise have one, the living will was introduced in 1969, in response to several notorious cases. These documents were meant to keep physicians from ignoring patients' and families' wishes in stressful situations. Unfortunately, despite their aspirations, living wills contain static statements about hypothetical preferences that rarely apply in practice. And they created a process that isn't faithful to who we are as human beings. Further confusing difficult and painful situations, living wills leave patients with the impression that actual communication with their physicians has taken place, when in fact their deepest desires and values remain unaddressed. In this provocative and empathetic book, medical researcher and ICU physician Samuel Morris Brown uses stories from his clinical practice to outline a new way of thinking about life-threatening illness. Brown's approach acknowledges the conflicting emotions we have when talking about the possibility of death and proposes strategies by which patients, their families, and medical practitioners can better address human needs before, during, and after serious illness. Arguing that any solution to the problems of the inhumanity of intensive care must take advantage of new research on the ways human beings process information and make choices, Brown imagines a truly humane ICU. His manifesto for reform advocates wholeness and healing for people facing life-threatening illness.

Medical Nihilism

Author : Jacob Stegenga
ISBN : 9780191064104
Genre : Science
File Size : 56. 80 MB
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This book argues that if we consider the ubiquity of small effect sizes in medicine, the extent of misleading evidence in medical research, the thin theoretical basis of many interventions, and the malleability of empirical methods, and if we employ our best inductive framework, then our confidence in medical interventions ought to be low.

In Heaven As It Is On Earth

Author : Samuel Morris Brown
ISBN : 9780199793570
Genre : History
File Size : 44. 63 MB
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Discusses the foundational beliefs of the Mormon Church by focusing on early Mormon conceptions of death.

Making Sense Of Medicine

Author : Zackary Berger
ISBN : 9781442242333
Genre : Medical
File Size : 26. 37 MB
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With many common health conditions—diabetes, arthritis, depression—there is no one right route to effective treatment, and science does not give us one definitive answer. In practical chapters and through real stories, Dr. Zackary Berger shows how to bridge the gap between scientific knowledge, doctors’ recommendations, and patient preferences.

Listening For What Matters

Author : Saul J. Weiner
ISBN : 9780190228996
Genre : Medical errors
File Size : 68. 99 MB
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Effective health care requires physicians tailor care to patients' individual life contexts, including their financial situation, social support, competing responsibilities, and cognitive abilities. Physicians, however, are poorly prepared to consider patients' lives when planning their care. The result is measurably harmful to individuals and costly to society. Listening for What Matters: Avoiding Contextual Errors in Health Care covers ten years of empirical research based on hundreds of recorded doctor visits by patients and undercover actors alike, which revealed a widespread disregard of patients' individual circumstances and needs resulting in inappropriate care. These medical errors have been largely undocumented and unaddressed by the American healthcare system. This book tells the stories of patients whose care was compromised by inattention to individual context, and introduces novel methods for assessing the magnitude of the problem. It describes how these errors, termed "contextual errors," can be minimized through changes in how doctors are trained, how medicine is practiced and quality measured, and in the ways patients assert their needs during visits. The aim of this book is to open a dialog between patients, physicians, policy makers, and medical educators, about a serious quality problem that has been overlooked and understudied.

Health 91 92

Author : Richard Yarian
ISBN : 1561340049
Genre : Health
File Size : 25. 46 MB
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American Fork

Author : George B. Handley
ISBN : 9781780995403
Genre : Fiction
File Size : 32. 65 MB
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Zacharias Harker is a brilliant botanist and an aging recluse. Haunted by his mistakes and living without his wife and daughter for the past twenty years, he hatches the idea to write his magnum opus, a book on the implications of climate change for humanity focused on the wildflowers of Utah's Wasatch Mountains. Just prior to the tragedy of 9/11, he hires a young artist, Alba, to paint flowers for the book. Over the course of their unlikely friendship, Harker convinces Alba to return to Chile to learn the story of her father's disappearance under Pinochet. Alba's discovery of her family history and her experience listening to the stories of Chileans who have resisted a government ruled by fear inspire her return to Utah with renewed purpose. As America grows more distrusting of immigration and diversity, Alba commits her art to the protection of the environment and to a more inclusive meaning of family and belonging, while she and her husband, John, strive to learn Harker's hidden past and include him in their lives before it is too late. Rooted in the Mormon heritage of Utah but hemispheric in its reach, American Fork is a story of restoration and healing in the wake of loss and betrayal.

Care Home Stories

Author : Sally Chivers
ISBN : 9783839438053
Genre : Social Science
File Size : 56. 72 MB
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Institutional care for seniors offers a cultural repository for fears and hopes about an aging population. Although enormous changes have occurred in how institutional care is structured, the legacies of the poorhouse still persist, creating panicked views of the nursing home as a dreaded fate. The paradoxical nature of a space meant to be both hospital and home offers up critical tensions for examination by age studies scholars. The essays in this book challenge stereotypes of institutional care for older adults, illustrate the changes that have occurred over time, and illuminate the continuities in the stories we tell about nursing homes.

Health

Author : Richard Yarian
ISBN : 1561340049
Genre : Health
File Size : 47. 3 MB
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Sapiens

Author : Yuval Noah Harari
ISBN : 9780062316103
Genre : Science
File Size : 83. 64 MB
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New York Times Bestseller A Summer Reading Pick for President Barack Obama, Bill Gates, and Mark Zuckerberg From a renowned historian comes a groundbreaking narrative of humanity’s creation and evolution—a #1 international bestseller—that explores the ways in which biology and history have defined us and enhanced our understanding of what it means to be “human.” One hundred thousand years ago, at least six different species of humans inhabited Earth. Yet today there is only one—homo sapiens. What happened to the others? And what may happen to us? Most books about the history of humanity pursue either a historical or a biological approach, but Dr. Yuval Noah Harari breaks the mold with this highly original book that begins about 70,000 years ago with the appearance of modern cognition. From examining the role evolving humans have played in the global ecosystem to charting the rise of empires, Sapiens integrates history and science to reconsider accepted narratives, connect past developments with contemporary concerns, and examine specific events within the context of larger ideas. Dr. Harari also compels us to look ahead, because over the last few decades humans have begun to bend laws of natural selection that have governed life for the past four billion years. We are acquiring the ability to design not only the world around us, but also ourselves. Where is this leading us, and what do we want to become? Featuring 27 photographs, 6 maps, and 25 illustrations/diagrams, this provocative and insightful work is sure to spark debate and is essential reading for aficionados of Jared Diamond, James Gleick, Matt Ridley, Robert Wright, and Sharon Moalem.

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