LEADER 03692nam 2200493 450 001 9910811757203321 005 20230807214232.0 010 $a0-309-30313-3 010 $a0-309-30311-7 035 $a(CKB)3710000000386180 035 $a(MiAaPQ)EBC3379439 035 $a(Au-PeEL)EBL3379439 035 $a(CaPaEBR)ebr11042787 035 $a(OCoLC)905652273 035 $a(EXLCZ)993710000000386180 100 $a20150425h20152015 uy 0 101 0 $aeng 135 $aurcnu|||||||| 181 $2rdacontent 182 $2rdamedia 183 $2rdacarrier 200 10$aDying in America $eimproving quality and honoring individual preferences near the end of life /$fCommittee on Approaching Death: Addressing Key End of Life Issues, Institute of Medicine of the National Academies 210 1$aWashington, District of Columbia :$cThe National Academies Press,$d2015. 210 4$dİ2015 215 $a1 online resource (638 pages) 311 $a0-309-31174-8 311 $a0-309-30310-9 320 $aIncludes bibliographical references at the end of each chapters and index. 327 $aAcronyms -- Summary -- Introduction -- The delivery of person-centered, family-oriented end-of-life care -- Clinician-patient communication and advance care planning -- Professional education and development -- Policies and payment systems to support high-quality end-of-life care -- Public education and engagement -- Glossary -- Appendixes. 330 $a"For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life"--$cBack cover. 606 $aTerminal care$zUnited States 606 $aHospice care$zUnited States 607 $aUnited States$2fast 615 0$aTerminal care 615 0$aHospice care 676 $a362.1750973 712 02$aInstitute of Medicine (U.S.), 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910811757203321 996 $aDying in America$94109632 997 $aUNINA