A doctor on the front lines of hospital care illuminates one of the most important and controversial social issues of our time. It is harder to die in this country than ever before. Though the vast majority of Americans would prefer to die at home—which hospice care provides—many of us spend our last days fearful and in pain in a healthcare system ruled by high-tech procedures and a philosophy to “fight disease and illness at all cost.” Dr. Ira Byock, one of the foremost palliative-care physicians in the country, argues that how we die represents a national crisis today. To ensure the best possible elder care, Dr. Byock explains we must not only remake our healthcare system but also move beyond our cultural aversion to thinking about death. The Best Care Possible is a compelling meditation on medicine and ethics told through page-turning life-or-death medical drama. It has the power to lead a new national conversation.
The passion for life lists has spawned an industry that includes thoughtful experts such as Caroline Miller, a life coach and motivational book author, and Dr. Michael Frisch, a positive psychology coach and clinical psychologist at Baylor University. Working together, they have fashioned the most useful, science-based, and up-to-date book on the topic of goal setting and accomplishment. Creating Your Best Life supplies dozens of interactive exercises and quizzes readers can use to identify their most cherished needs, ambitions, and wishes. The exercises are fun, making the process of self-discovery enjoyable and productive. The authors’ unique "life list coaching” program organizes life lists into 16 key areas that are universally known to make people happy--to help you actually achieve your aspirations. No other life list book offers research-validated information on why certain steps matter in goal accomplishment, or even how goals are connected with any type of life satisfaction. Readers will feel both educated and inspired to start writing goal-setting lists in order to live their lives more consciously, productively, and happily.
This book examines the regulatory framework for untested and unapproved uses (off-label uses) of medicines in the EU, UK, and USA. Before reaching patients, medicines are extensively tested by manufacturers and approved by regulators to minimise the risk of adverse reactions. However, physicians can prescribe pharmaceuticals for off-label uses, widespread in paediatrics, oncology, rare diseases and, more recently, in treatment for Covid-19. While off-label uses may offer hope, they may also expose patients to risks and uncertainties. Clarification is therefore needed to improve the protection of patients' rights while enhancing legal certainty for health actors. To this end, this work clarifies the regulatory mechanisms and litigation trends concerning off-licence prescriptions in these jurisdictions. It assesses how traditional, prevention-driven regulatory and civil liability rules are being adapted to tackle potential risks and scientific uncertainty. The book outlines the applicable regulations, as well as considering Brexit’s impact on off-label policies in the UK, and EU and national off-label policies in the context of the fight against the Covid-19 pandemic. It also explores under what conditions physicians, manufacturers, or regulators must compensate patients injured by untested prescriptions. The book will be an essential resource for researchers, academics and policy-makers working in the areas of medical law and ethics, public health law, pharmaceutical law and private comparative law.
Medical Professionals and the Organization of Knowledge conveys how medical people shape and organize the knowledge, perception, and experience of illness, as well as the substance of illness behavior, its management, and treatment. It is now well established that the unique symbolic equipment of the human animal is intimately connected with the functioning of the body. Freidson and Lorber believe that the proper understanding of specifically human rather than generally "animal" illness requires careful and systematic study of the social meanings surrounding illness. The content of social meanings varies from culture to culture and from one historical period to another. As important as the content of those social meanings, is the organization of groups who serve as carriers and, sometimes, creators. In the case of illness, a critical difference exists between those considered to be competent to diagnose and treat the sick and those excluded from this special privilege--a separation as old as the shaman or medicine-man. Such differences become solidified when the expert healer becomes a member of an organized, full-time occupation, sustained in monopoly over the work of diagnosis and treatment by the force of the state and invested with the authority to make official designation of the social meanings to be ascribed to physical states. The medical profession in advanced nations is in a vise between professional needs and political demands. Its organization and its knowledge establish many of the conditions for being recognizably and legitimately ill, and the professional controls for many of the circumstances of treatment. It thus plays a central role in shaping the experience of being ill. With this fact of modern life in mind, this collection on the character of experts or professionals in general and of medicine as a profession in particular is uniquely fashioned. Eliot Freidson was professor emeritus of sociology in the Graduate School of Arts and Science of New York University. He served on scientific advisory boards for the Social Security Administration, the National Institutes of Health, and the National Center for Health Services Research. Judith Lorber is a professor emerita of sociology at Brooklyn College and the City College of New York Graduate Center. She is author of Gender Inequality: Feminist Theories and Politics, Breaking the Bowls: Degendering and Feminist Change, and Gender and the Social Construction of Illness.
The practice of medicine is immersed in issues of life, death, and suffering in relation to the mortal body. Because of this, the medical profession is a fertile arena for folklore that serves to address these topics among physicians. In The Medical Carnivalesque, Lisa Gabbert argues that this extraordinarily difficult work context has led to the development of an occupational corpus of folklore, backstage talk, and humor that she calls the medical carnivalesque. Gabbert argues that suffering is not only something experienced by patients, but that the organization, practice, and ethos of medicine can induce suffering in physicians themselves. Featuring topics such as the institutionalized nature of physician suffering, death-related humor and talk, stories about patient bodies, and parodies of medical specialties, The Medical Carnivalesque shows us how the culture of contemporary medicine uses travesty, humor, and inversion to address the sometimes painful and often transgressive aspects of doctoring. The Medical Carnivalesque connects patient and physician suffering to laughter; acknowledges suffering as an essential component of life; and constitutes a way in which some physicians address the core philosophical and existential issues with which they regularly engage as they go about their daily work.
This multidisciplinary volume assembles current findings on violent crime, behavioral, biological, and sociological perspectives on its causes, and effective methods of intervention and prevention. Noted experts across diverse fields apply a behavioral criminology lens to examine crimes committed by minors, extremely violent offenses, sexual offending, violence in families, violence in high-risk settings, and crimes of recent and emerging interest. The work of mental health practitioners and researchers is shown informing law enforcement response to crime in interrogation, investigative analysis, hostage negotiations, and other core strategies. In addition, chapters pay special attention to criminal activities that violate traditional geographic boundaries, from cyberstalking to sex trafficking to international terrorism. Among the topics in the Handbook: · Dyadic conceptualization, measurement, and analysis of family violence. · School bullying and cyberbullying: prevalence, characteristics, outcomes, and prevention. · A cultural and psychological perspective on mass murder. · Young people displaying problematic sexual behavior: the research and their words. · Child physical abuse and neglect. · Criminal interviewing and interrogation in serious crime investigations. · Violence in correctional settings. · Foundations of threat assessment and management. The Handbook of Behavioral Criminology is a meticulous resource for researchers in criminology, psychology, sociology, and related fields. It also informs developers of crime prevention programs and practitioners assessing and intervening with criminal clients and in correctional facilities.
Revised and updated for its Fourth Edition, this practical, portable, and affordable handbook is designed for rapid reference in the office or emergency room. It focuses on diagnosis and treatment of common emergencies in female patients and features numerous treatment algorithms, bulleted lists, and tables, plus ample illustrations including ultrasound. Coverage addresses all emergent conditions and non-emergent problems, such as sexually transmitted diseases, that frequently present in emergency departments. This edition has been updated to address current challenges such as complications arising from medical and surgical abortion, medical and psychological problems arising from sexual assault and other gynecologic traumas, and emergent conditions due to chemical-biological warfare.
With complex legal and ethical dilemmas arising daily in intensive care medicine, it can be hard to know who to admit and when, the stage at which invasive management should be withdrawn, or who should even decide. Clinically focused, this book explores landmark rulings on controversies in critical care to aid your day-to-day decision making.