Speaking for the dying life-and-death decisions in intensive care /

Seven in ten Americans over the age of sixty who require medical decisions in the final days of their life lack the capacity to make them. For many of us, our biggest, life-and-death decisions - literally - will therefore be made by someone else. They will decide whether we live or die; between long...

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Bibliographic Details
Main Author: Shapiro, Susan P. (Author)
Format: Book
Language:English
Published: Chicago : The University of Chicago Press, 2019.
Series:Chicago series in law and society.
Physical Description:
ix, 336 pages : illustrations ; 23 cm.
Subjects:
Terminal care -- Decision making.
Terminal care -- Decision making -- Case studies.
Advance directives (Medical care)
Advance directives (Medical care) -- Psychological aspects.
Terminally ill -- Civil rights.
Right to die -- Moral and ethical aspects.
Medical ethics.
Intensive care units.
Contents:
  • Holding life and death in their hands
  • Is this for me?
  • The intensive care unit. Personnel ; Rhythms ; Economics
  • Actors. Patients ; Friends, family, and significant others ; Health care professionals
  • Decisions. Informed consent ; Venues ; Affect ; Conflict
  • Prognosis. Evidence ; Timing ; Mixed messages ; Negotiation ; Accuracy ; Prognostic framing
  • Decision-making scripts. The legal script ; Cognitive scripts ; Conflicts of interest ; Law at the bedside
  • Improvisation: decisions in the real world. The patient should decide ; Reprising patient instructions ; Standing in the patient's shoes ; Beneficence ; It's God's decision ; What we want ; Denial, opting out
  • Making a difference? The role of physicians ; Opting for a trajectory ; Outcomes ; I thought the law would take care of this ; Does any of this matter?
  • The end. Implications ; Before it's too late ; When it's too late ; When "this" happens to me.
  • Holding life and death in their hands
  • The intensive care unit
  • Actors
  • Decisions
  • Prognosis
  • Decision-making scripts
  • Improvisation
  • Making a difference?
  • The end. Implications
  • Appendix A: The research
  • Appendix B.1: Patient occupation
  • Appendix B.2: Patient age, gender and marital status
  • Appendix B.3: Location and purpose of observed meetings
  • Appendix C: Relationship between multiple trajectories traversed
  • Appendix D: Decision trajectory by patient and surrogate characteristics
  • Appendix E: Advance-directive status and aspects of the decision-making process, outcome, and impact.

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