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

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Through The Valley Of Shadows

Author : Samuel Morris Brown
ISBN : 9780199392971
Genre : Medical
File Size : 53. 27 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 : 50. 53 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.

American Fork

Author : George B. Handley
ISBN : 9781780995403
Genre : Fiction
File Size : 81. 53 MB
Format : PDF
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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.

Listening For What Matters

Author : Saul J. Weiner
ISBN : 9780190228996
Genre : Medical errors
File Size : 78. 6 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.

Making Sense Of Medicine

Author : Zackary Berger
ISBN : 9781442242333
Genre : Medical
File Size : 36. 7 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.

In Heaven As It Is On Earth

Author : Samuel Morris Brown
ISBN : 9780199793570
Genre : History
File Size : 21. 60 MB
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Discusses the foundational beliefs of the Mormon Church by focusing on early Mormon conceptions of death.

Oxford Cases In Medicine And Surgery

Author : Hugo Farne
ISBN : 9780191060106
Genre : Medical
File Size : 58. 39 MB
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Oxford Cases in Medicine and Surgery, second edition, teaches students a hypothesis-driven, logical step-by-step approach to diagnosis when faced with each of 29 common patient presentations. This approach mirrors that used by successful clinicians on the wards, challenging students with questions at each stage of a case (history-taking, examination, investigation, management). In tackling these questions, students understand how to critically analyse information and learn to integrate their existing knowledge to a real-life scenario from start to finish. Each chapter focuses on a common presenting symptom (e.g. chest pain). By starting with a symptom, mirroring real life settings, students learn to draw on their knowledge of different physiological systems - for example, cardiology, respiratory, gastroenterology - at the same time. All the major presenting symptoms in general medicine and surgery (mapped to UK medical school curricula) are covered, together with a broad range of pathologies. This book is an essential resource for all medicine students, and provides a modern, well-rounded introduction to life on the wards. Ideal for those starting out in clinical medicine and an ideal refresher for those revising for OSCEs and finals.

The Valley Of The Shadow Of Death

Author : Kermit Alexander
ISBN : 9781476765761
Genre : Biography & Autobiography
File Size : 80. 99 MB
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In this heart-wrenching memoir, former NFL star Kermit Alexander tells the devastating true story of the horrific massacre of his family and his subsequent years of despair, followed by a spiritual renewal that showed him a way to rebuild his family and reclaim his life. On the morning of August 31, 1984, in the South Central section of Los Angeles, three armed men broke into a house, brutally murdering two women and two young boys. The victims were Ebora Alexander, Dietra Alexander, Damani Garner, and Damon Bonner—the mother, sister, and nephews of retired All-Pro cornerback for the San Francisco 49ers Kermit Alexander. In his own words, Kermit Alexander finally shares the full story of what happened to his loved ones and the aftermath of that tragic day. He recounts the hours leading up to the massacre, and how afterward he lost himself in the LA underworld, pleading, bribing, and threatening in a search for answers. He describes his journey through the “wilderness” of despair—the years of isolation living out of his car, broke, depressed, and sick. We also learn about his coming-of-age in 1950s LA, the following decade he spent in the NFL, the events leading up to that fateful August day, and finally the shocking truth behind the murders. Kermit opens up about his darkest hours, but also what it took to turn his life around, rebuild his family, and ultimately find peace. Ominous and intense, powerful and uplifting, tragic and triumphant, The Valley of the Shadow of Death is more than a rendering of one man’s adversity; it’s testament to the value of family and the resilience of the human spirit in the face of overwhelming loss.

Health 91 92

Author : Richard Yarian
ISBN : 1561340049
Genre : Health
File Size : 52. 33 MB
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Mormonism For Beginners

Author : Stephen Carter
ISBN : 9781939994530
Genre : Religion
File Size : 83. 44 MB
Format : PDF, Kindle
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Mormonism For Beginners is a balanced, richly engaging introduction to the history, tenets, practices, traditions, and yes, debates and controversies of this uniquely American Protestant movement. Designed for the uninitiated or younger members of the Church of Jesus Christ of Latter-day Saints (LDS), this book presents the history of the movement from Joseph Smith to the 21st century along with the key doctrines of the faith in the context of everyday life, as well as the essential scriptures. Not least of Carter and Atwood’s accomplishments is addressing such headline-grabbing issues as polygamy, same-sex marriage, and the role of women in the LDS church in dispassionate, even-handed terms. Their goal is to shed a clear light on an often misunderstood belief system and way of life.

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