OVARIAN CANCER and US: caregiving

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Showing posts with label caregiving. Show all posts
Showing posts with label caregiving. Show all posts

Wednesday, March 21, 2012

book review: The Caregiver's Bookshelf: Dying by Degrees - NYTimes.com



The Caregiver's Bookshelf: Dying by Degrees - NYTimes.com
  
The Caregiver’s Bookshelf: Dying by Degrees
Ira Byock has been writing books about the way Americans die since 1998, when he published “Dying Well.” For most of that time, he has been appalled.

He still is. Dr. Byock, director of palliative medicine at the Dartmouth-Hitchcock Medical Center in Lebanon, N.H., pulls no punches in his new book, “The Best Care Possible: A Physician’s Quest to Transform Care Through the End of Life.” The American way of dying, he points out, involves too much suffering for both patients and families, and routinized medical response with not enough individualized care. It means not enough listening, not enough support for families, way too much expense. “A national disgrace,” the author calls it in his introduction..........


Wednesday, February 15, 2012

Karolinska Institutet - Complexities in caregiving at the end of life (re: PLOS study)



"...The study indicates three key areas that are sometimes overlooked in palliative care, namely bodily care and contact, a secure, aesthetic and comfortable environment, and death-related rituals.
“The caregivers described different kinds of communication with patients and relatives, from the giving of advice to communication through non-verbal, physical contact,” says Dr Lindqvist. “Rituals surrounding dying and death were not only spiritual or religious but also more subtly existential, legal and professional. One field that has been largely ignored by research is sensory aspects of the caring environment, both at home and in in-patient settings.”
The study also shows that non-pharmacological palliative care is based on a number of complex and sophisticated decisions on the part of the caregiver regarding not only what can be done or should not be done, but also when, how and why to whom. This differs from the traditional understanding of non-pharmacological palliative care as ‘basic’...."