--And a time to die : how American hospitals shape the end of life by Kaufman, Sharon R instant download
\"A Lisa Drew book.\", Includes bibliographical references (p. 371-386) and index, Introduction -- pt. I. The predicament : death becomes a new kind of problem -- Death and hospital culture -- Death in life : the \"person\" and the experience of dying -- pt. II. The hospital system : time and the power of the pathway -- Transforming time : from deathwatch to billable treatments -- Moving things along : The heroic intervention pathway ; The paradox of resuscitation: approach/avoidance on the heroic pathway ; The revolving door pathway -- Waiting : Obstructing the order of things ; \"Let's wait and see\": the indeterminate condition of old age ; Agreement and anticipation: watchful waiting -- pt. III. The politics and rhetoric of the patient's condition : \"suffering,\" \"dignity,\" and the \"quality of life\" -- Death by design -- Life support -- Hidden places : the zone of indistinction as a way of life : The specialized unit: routines without pathways, life with no end ; The shadow side of \"death with dignity\" -- Culture in the making, In the past thirty years, the advent of medical technology capable of sustaining life without restoring health, the expectation that a critically ill person need not die, and the conviction that medicine should routinely thwart death have significantly changed where, when, and how Americans die and put us all in the position of doing something about death. Medical anthropologist Sharon R. Kaufman examines the powerful center of those changes - the hospital, where most Americans die today. In the hospital world, the deep, irresolvable tension between the urge to extend life at all costs and the desire to allow \"letting go\" is rarely acknowledged, yet it underlies everything that happens there among patients, families, and health professionals. Over the course of two years, Kaufman observed and interviewed critically ill patients, their families, doctors, nurses, and other hospital staff at three community hospitals. In ...And a…
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