By Lee Goldman MD, J. Claude Bennett MD
Univ. of California, San Francisco. This variation contains 35 new chapters. colour and halftone illustrations also are incorporated. For clinicians, citizens, and scholars. prior variation, c1996, pointed out fundamental writer as J. Claude Bennett. Two-volume set, unmarried quantity model additionally to be had. DNLM: drugs.
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Extra info for Cecil Textbook of Medicine (2-Volume Set)
A practical problem for physicians, however, is to distinguish appropriate palliative care from euthanasia. According to guidelines developed by the Chief Coroner of Ontario, an act is considered palliative care, and not euthanasia, if (1) it is intended solely to relieve the person's suffering, (2) it is administered in response to symptoms or signs of the patient's suffering and is commensurate with that suffering, and (3) it is not the deliberate infliction of death. FUTILITY In contrast to a patient who refuses treatment is the situation in which patients or families wish to have certain treatments that physicians believe are futile.
9. Discuss treatment options with patient and family and involve them in treatment planning when practical. 10. Determine what was helpful in the past. 11.
The two types of advance directives are proxy directives, sometimes called durable powers of attorney for health care, which state whom a person wants to make treatment decisions on that patient's behalf, and instruction directives, sometimes called living wills, which state what treatment the person would or would not want in various situations. The person completes the advance directive when competent, and the directive generally takes effect if the person becomes incompetent. At present, advance directives are recognized legally in every state, and the federal Patient Self-Determination Act requires health care facilities to inquire whether patients have an advance directive and to inform patients of their rights under state law to complete an advance directive.
Cecil Textbook of Medicine (2-Volume Set) by Lee Goldman MD, J. Claude Bennett MD