Pope John Paul II surprised much of the medical world in 2004 with his strongly worded statement insisting that patients in a persistent vegetative state should be provided with nutrition and hydration. While many Catholic bioethicists defended the Pope's claim that the life of all human beings, even those in a persistent vegetative state or a coma, was worth protecting, others argued that the Pope's position marked a shift from the traditional Catholic teaching on the withdrawal of medical tre…
This book is addressed to physicians and other health professionals involved in the assessment and care planning of patients at the end of life. It brings a unique and humanistic view on the challenges of good practice in palliative care. Concepts and definitions, resources and therapeutic alternatives, as well as symptoms of distress in the physical, emotional, family, social and spiritual dimensions are discussed in a clear and practical way, demystifying and dissolving the barriers of this a…
This book brings together in one volume many important topics about death and dying, including the pathophysiology of death, the causes of death among cancer patients, the ethics of death, the legal aspects of death for the physician and for the patient and caregivers, the economics of death, the medical management of the dying patient, including pain and dyspnea, the prediction of death, and the spiritual management of the dying patient. It also discusses other medical and humanistic aspects o…
Cardiovascular (CV) disease is the leading cause of death worldwide. While death rates from many acute CV illnesses have declined in developing countries, a substantial proportion of individuals with CV disease ultimately die from CV causes. As the population ages, the global burden of CV disease will continue to rise. Until recently, the focus of clinicians has been on saving lives and deferring death. Over the past decade there has been growing recognition of the importance of palliative care…
People with advancing neurological disease face increasing physical symptoms, along with psychosocial and spiritual issues affecting both themselves and their families and carers. There is increasing awareness that the end of life in neurological disease can be anticipated and recognised, taking into account certain key features of disease progression, and the associated issues can be addressed. The individual can prepare for future changes in their health, and be in a stronger position to infl…