Palliative Care: The 400-year Quest for a Good Death, by Harold Y. Vanderpool
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Palliative Care: The 400-year Quest for a Good Death, by Harold Y. Vanderpool
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The long history of medical care for the dying has largely been neglected. It began in 1605 when physicians were challenged to enable persons to die peacefully. Today it includes palliation of oppressive symptoms, emotional and psychological care, and respect for the wishes and cultural backgrounds of patients and families. Especially since the 1990s, it embraces symptom-easing palliation for patients with severe life-limiting and chronic illnesses. Providing a detailed picture of contemporary palliative care, this book chronicles four centuries of the quest for a good death, covering the fight against futile end-of-life treatments, the history of life-extending treatments and technologies, the roles of nurses, the liberation of the dying from isolation in hospitals and hard-won victories to secure patients' right to choose.
Palliative Care: The 400-year Quest for a Good Death, by Harold Y. Vanderpool- Amazon Sales Rank: #399255 in Books
- Published on: 2015-06-18
- Original language: English
- Number of items: 1
- Dimensions: .35" h x 6.84" w x 10.10" l, .0 pounds
- Binding: Paperback
- 280 pages
Review "This wise and revealing study is sure to be valuable to the dying and those who love them, as well as to the physicians and other health professionals who care for them." --Library Journal"Vanderpool has written a history of palliative care that focuses on key issues that have dominated the health care dynamics of caring for the dying for centuries. The book makes a valuable contribution from both historical and contemporary perspectives. Recommended." --Choice"This is a useful book for those doing research in medical history or palliative care, and academic libraries supporting these areas should consider it for purchase." --Booklist
About the Author Harold Y. Vanderpool is a professor emeritus of history and philosophy of medicine in the Institute for the Medical Humanities at the University of Texas Medical Branch in Galveston. His career includes teaching courses on medical ethics, death and dying, and suffering; articles and book chapters on terminal care, and national and international lectures. He lives in Cedar Park, Texas.
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3 of 3 people found the following review helpful. A must read; insightful and compelling By Rudy S. Apodaca A must read, not only for medical professionals but for laypersons who are involved as patients, whether terminally ill or those undergoing life-threatening medical conditions, or the patients’ relatives, loved ones, or close friends. Attorneys also would benefit greatly from reading Palliative Care, especially those specializing in elder law. The term palliative care, even though not comprehensively understood much less considered by many doctors through the ages, can be defined simply as caring for, and improving the quality of life for, patients and their families facing terminal or life-threatening illnesses, which may or may not include other therapies intended to prolong life. From this book’s subtitle, The 400-Year Quest for a Good Death, a reader may wrongly surmise that, in a sense, the book is about the history of palliative care and nothing more. This assumption may be buttressed by even a cursory look at the Table of Contents, which chronologically lists significant eras through the 400-year period referred to in the book’s subtitle. But as you read through the early pages, you’ll quickly realize that Palliative Care is significantly much more than a history book. It’s a comprehensive description and a telling of relevant and poignantly told stories of how the concept of palliative care evolved through the 400 years from when Francis Bacon, a non-physician, first proclaimed that physicians “should enable persons to pass peacefully out of life”. Bacon was the first to struggle to get his point across, that doctors and caregivers were ignoring an important aspect of their responsibilities: to assure that their patients would experience a “good death” at the end of their lives. At that time, doctors, finding themselves bound by their profession’s Hippocratic Oath and unfamiliar with all that palliative care encompassed, believed they were duty bound to do everything in their power to prolong a patient’s life, taking whatever steps they felt they must to assure that their measures succeeded in extending life, no matter the pain, suffering, or other consequences caused by such measures to their patients or their families. In describing the resistance throughout the years of medical professionals,not only doctors, but nurses, nursing home professionals, and medical school administrators, boards, and staffs, to accept the concept and need for palliative care, Dr. Vanderpool clearly chronicles the gradual acceptance of palliative care as a necessary and important part of the medical profession’s curriculum in educating the many medical doctors, nurses, and health care and residential facilities in the need of palliative care to perform their tasks as medical providers. Through his chronicle, Dr. Vanderpool describes how the need for palliative care led to the development of hospice care and the growth of Hospice facilities throughout the United States and other parts of the world, among other necessary innovations. The book makes it clear that although major parts of the struggle are now over, much more must be done in present day to further educate both the medical profession and the public in the efficacy of legal/medical documents dealing with quality care and a good death, such as living wills, durable powers of attorney, as well as application of the “Dying with Dignity” laws enacted by various states in the United States. At the end of his book, Dr. Vanderpool gives us much hope for assurance that a patient’s last directives are carried out by those involved in his or her treatment and care, something that wasn’t necessarily happening with the use of living wills or durable powers of attorney, which, for whatever the reasons, were simply and often ignored by health care providers. In this regard, he explains two new initiatives: POLST Programs and Right to Know laws. POLST (which stands for Physician Orders for Life-Sustaining Treatment) and Right to Know laws have proven more effective than previous advance directives. These new programs provide for an exchange or dialogue (both written and verbal) between physicians and their patients, as well as the patients’ families, that will crystalize without question the wishes of the patient on whether to attempt prolonging his or her life, and further assures that physicians and their patients each understand definitively what steps must be taken to carry out the desires of patients and their families. To my knowledge, Palliative Care is the first book to chronicle the evolvement of palliative care and its broadening growth from when the concept was first conceived to what it is today. Without question, Dr. Vanderpool has succeeded in giving an insightful and often compelling account of this growth. In my opinion, this book is bound to become an invaluable resource for medical professionals, Hospice Care facilities, hospitals, nursing home administrators and staffs, and residential centers for the elderly. Equally important is the need for laypersons to be fully aware of the rights of patients, their families, and their loved ones when faced with terminal or life-threatening illnesses. Each of us can easily avoid preparing for our own death. But if we choose to do so, we risk the real possibility that we will cause ourselves or our loved ones unnecessary pain and suffering in our attempt to prolong life, rather than to accept death as an inevitable part of life and choose to die as peacefully as our final circumstances will allow.Rudy S. ApodacaFormer Chief Judge of the New Mexico Court of Appeals
0 of 0 people found the following review helpful. Compelling Reading By Paulie G. Congratulations to Dr. Harold Vanderpool for a painstakingly researched and superbly crafted chronicle of the origins and development of palliative care that I found both informative and entertaining. What makes this book such compelling reading, however, is the realization, confirmed in chapter after chapter, that the quest for a peaceful, tranquil death free of unnecessary suffering is a long-standing, but, all-too-frequently, illusive goal. Vanderpool wisely admonishes all Americans, especially Baby Boomers, that such a death is within our grasp only to the extent we are willing to plan, prepare and insist on it. Forewarned is forearmed!
0 of 0 people found the following review helpful. This is the definitive book on palliative care. By Dr. K This book is the first of its kind--a history of palliative care. Given that all of us will die and most of us will be fortunate to have palliative or hospice care, reading this book is insight into a universal human experience. Dr. Vanderpool is an excellent scholar, and that academic rigor shows here in the source material and insightful critical analysis. He writes in a narrative style that is engaging and immerses the reader into his mind. This book is a must for any student of the end of life and is destined to become an oft visited resource on the bookshelf.
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