LEADER 02013nam 2200349 450 001 9910135416803321 005 20231208083636.0 010 $a0-7381-2753-1 024 7 $a10.1109/IEEESTD.1983.81701 035 $a(CKB)3780000000092183 035 $a(NjHacI)993780000000092183 035 $a(EXLCZ)993780000000092183 100 $a20231208d1983 uy 0 101 0 $aeng 135 $aur||||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aANSI/IEEE Std 796-1983 $eIEEE standard microcomputer system bus /$fInstitute of Electrical and Electronics Engineers 210 1$aPiscataway, New Jersey :$cIEEE,$d1983. 215 $a1 online resource (46 pages) 330 $aA general-purpose microcomputer system bus is defined, and the device-independent electrical and functional interface requirements that a module shall meet in order to interconnect and communicate unambiguously by way of the system are specified. Signal definitions and timing and electrical specifications are covered in detail for users who evaluate or design products that will be compatible with the IEEE Std 796 system bus structure. Only with the interface characteristics of microcomputer devices are covered; design specifications, performance requirements, and safety requirements of modules are omitted. The use of the standard will enable independently manufactured devices to be connected into a single functional system, permit products with a wide range of capabilities to be introduced to the system simultaneously, and result in a system with a minimum of restrictions on the performance characteristics of devices connected to the system. 517 $aANSI/IEEE Std 796-1983: IEEE Standard Microcomputer System Bus 606 $aMicrocomputers$xBuses 615 0$aMicrocomputers$xBuses. 676 $a004.64 801 0$bNjHacI 801 1$bNjHacl 906 $aDOCUMENT 912 $a9910135416803321 996 $aANSI$92072434 997 $aUNINA LEADER 06208nam 22008535 450 001 9910980485303321 005 20260331130013.0 010 $a9783031704956 010 $a3031704959 024 7 $a10.1007/978-3-031-70495-6 035 $a(MiAaPQ)EBC31908877 035 $a(Au-PeEL)EBL31908877 035 $a(CKB)37527883000041 035 $a(DE-He213)978-3-031-70495-6 035 $a(OCoLC)1500765911 035 $a(EXLCZ)9937527883000041 100 $a20250214h20242024 uy 0 101 0 $aeng 135 $aurcnu|||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 14$aThe arc of conversation $ea how-to guide for goals of care conversations /$fby Amy Shaw 205 $aFirst edition. 210 1$aCham :$cSpringer Nature Switzerland :$cImprint: Springer,$d[2024] 210 4$d©2024 215 $a1 online resource (xxix, 355 pages) $cillustrations (some color) 225 0 $aMedicine Series 311 08$a9783031704949 311 08$a3031704940 320 $aIncludes bibliographical references and index. 327 $aIntroduction -- The Forest for the Trees?Patient Decline and Acute Illness -- The Elephant in the Room?Disease Progression and Death -- Approaches to the End of Life?Disease Trajectories -- Hospice Criteria Determining that Time is Limited.-Illness, Disease, and Sickness?Three Dimensions of a Diagnosis -- Holding Space?Creating a Compassionate and Collaborative Environment -- The Arc of Conversation?Foundations of the Technique -- The Illness Arc?Exploring Personal Experience and Understanding of Illness with Patients and Families -- The Disease Arc?Exploring Disease, Disease Progression, and the End of a Journey with Patients and Families -- The End-of-Life Wishes Arc Exploring End-of-Life, Advance Directive, and Code Status Wishes with Patients and Families -- The Hospice Care Arc? Exploring Hospice Care with Patients and Families -- Aligning Patient Wishes with Care?The Goal of Patient-Centered Care. 330 $aIntending to fill an important gap in medical training, this book presents an easy-to-learn, standardized approach to having compassionate and collaborative goals of care conversations with patients and families, a skill that can be difficult for clinicians to learn and that is not part of standard medical education curricula. Developed by a Palliative Care provider, this is the first book to teach everything clinicians need to know to gently guide patients and families through what can often be difficult discussions about illness, disease, end-of-life wishes, and hospice care. This technique can be used to discuss any medical diagnosis or treatment, be employed at any age or stage of an illness, and can be used by health care professionals at any level. Readers will be introduced to the patterns of decline patients follow toward the end of life, criteria for recognizing when a patient?s time is limited, hospice care, ground rules for compassionate communication, and a step-wise method of leading patients and families through difficult goals of care conversations in a collaborative way. The book includes specific questions to ask and starter language clinicians can use for developing their own patient-friendly talking points about disease progression, the end of life, concerns that a patient?s time is limited, advanced directives, code status, and hospice care. An Arc of Conversation Guide, for use when learning this technique, is also included. While modern medicine is terrific at acute stabilization of illness or injury, it often ignores the elephant in the room?disease progression and death. By doing so, the healthcare system frequently misses opportunities to align patient wishes with the care they receive. Furthermore, physicians often avoid difficult conversations with patients due to a lack of training or the assumption that hospice care represents medical or personal failure. Incorporating the material and technique taught in The Arc of Conversation into everyday practice will enable clinicians to acknowledge and discuss patient decline and to confidently include hospice care as a viable option for treatment that can support patient values, wishes, and priorities. Moving toward a continually collaborative approach with patients?a shift away from physician-directed care to patient-centered care?will enable clinicians to develop treatment plans that prioritize outcomes that matter most to patients and families, improving patient and family experience of health care across their lives and providing patients with the ?soft landing? they want at the end. 517 3 $aHow-to guide for goals of care conversations 606 $aMedical personnel and patient 606 $aCommunication in medicine 606 $aPatient-centered health care 606 $aTerminal care 606 $aDeath 606 $aPalliative treatment 606 $aHospice care 606 $aProfessional-Patient Relations$3(DNLM)D011369 606 $aAttitude to Death$3(DNLM)D001293 606 $aTerminal Care$3(DNLM)D013727 606 $aHospice Care$3(DNLM)D017051 606 $aPalliative Care$3(DNLM)D010166 606 $aPatient-Centered Care$3(DNLM)D018802 606 $aComunicació en medicina$2thub 606 $aRelacions metge-pacient$2thub 608 $aLlibres electrònics$2thub 615 0$aMedical personnel and patient. 615 0$aCommunication in medicine. 615 0$aPatient-centered health care. 615 0$aTerminal care. 615 0$aDeath 615 0$aPalliative treatment. 615 0$aHospice care. 615 12$aProfessional-Patient Relations 615 12$aAttitude to Death 615 22$aTerminal Care 615 22$aHospice Care 615 22$aPalliative Care 615 22$aPatient-Centered Care 615 7$aComunicació en medicina 615 7$aRelacions metge-pacient 676 $a610 700 $aShaw$b Amy$01597837 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910980485303321 996 $aThe arc of conversation$94547933 997 $aUNINA