Table Of Contents
The eBook and print versions follow this table of contents. The audio version includes all of this information and an interview with the authors which sets the stage for the discussion.
Forward
The Story of a Doctor and a Patient
How to Use This Book
Acknowledgments
Introduction
The Active Management of Dying
Questions for Reflection
Death: Well-Managed vs. Chaotic
Principles of The Active Management of Dying (Chart)
Chapter 1. Accept the Reality of the Situation
Moving Through Fear to Hope
Despair, Denial, Hope
Doctor Shopping
Anticipatory Grieving
Chapter 2. Identify the Decision-Makers
Informed Consent
Informed Consent Requires Capacity
Advance Directives
Health Care Power of Attorney; Living Will, Out-of-Hospital/EMS DNR Order
The Role of the Suurogate
How the Process Works
Summary of the Process
Moral Decision-Making
Objective Factors; Subjective Factors; Obtaining Help
Chapter 3. Discuss the Ultimate Goals of Care
Start with Attitudes
Defining Ineffective Treatment
The Ultimate Goal of Care
How Far Should Doctors Go in Assisting Death?; A Graded List of Medical Interventions
Myths about Dying
Chapter 4. Create an End-of-Life Care Plan
Chapter 5. Implement the Care Plan You Created
Roles Assigned to Various Team Members
Chapter 6. Financial Planning
Medicare, Medicaid, Private Insurance, VA, Long Term Care
Chapter 7. Narrative Case Examples
Case #1: Mr. Miller
Case #2: Mr. Smith
Case #3: Rev.. Fisk
Case #4: Ms. Pinchon
A Personal Note
Chapter 8. Specific Advice for End-of-Life Care
For Patients
For Families
For Health Care Professionals
Dementia
Chapter 9. Grieving
“Sweeping up the Heart and Putting Love Away”
After Death Has Occurred
Chapter 10 End-of-Life Issues in the Nursing Home
Nursing Home Resources
Social Workers; Nurses; Aides/Technicians; Rehabilitation Services;
Medical Directors; Primary Physicians; Nutrition Services
Strategies for Optimizing Nursing Home Care
Specific End-of-Life Issues
Hospice in the Nursing Home; Documentation
The Bottom Line
A Note to Caregivers
The Hospice Perspective
Chapter 11. End-of-Life Care Issues in the Intensive Care Unit
ICU Pitfalls
Strategies for Optimizing ICU End-of-Life Care
Withdrawal of Support
Other Ethical Issues in the ICU
The Bottom Line
Chapter 12. End-of-Life Care Issues in the Emergency Department
Optimizing End-of-Life Care in the ED
Chapter 13. Special Considerations
Organ Donation
Stewardship
Chapter 14. Medications Commonly Used in Terminal Care
Narcotics
Sedatives
Afterward
Appendix A-Explanation of Terms
Appendix B-Sample Orders
Appendix C-Suggested Reading
About the Authors
Notes Section
Patient Information
Record of Meetings
General Notes from Reading


