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Author Livne, Roi, 1978- author.

Title Values at the end of life : the logic of palliative care / Roi Livne.

Publication Info. Cambridge, Massachusetts : Harvard University Press, 2019.


Location Call No. OPAC Message Status
 Axe 2nd Floor Stacks  616.029 L765v 2019    ---  Available
1 copy being processed for Axe Acquisitions Order.
Description x, 341 pages : illustrations ; 25 cm
text txt rdacontent
unmediated n rdamedia
volume nc rdacarrier
Summary America's health care system was built on the principle that life should be prolonged whenever possible, regardless of the costs. This commitment has often meant that patients spend their last days suffering from heroic interventions that extend their life by only weeks or months. Increasingly, this approach to end-of-life care is coming under scrutiny, from a moral as well as a financial perspective. Sociologist Roi Livne documents the rise and effectiveness of hospice and palliative care, and growing acceptance of the idea that a life consumed by suffering may not be worth living. Values at the End of Life combines an in-depth historical analysis with an extensive study conducted in three hospitals, where Livne observed terminally ill patients, their families, and caregivers negotiating treatment. Livne describes the ambivalent, conflicted moments when people articulate and act on their moral intuitions about dying. Interviews with medical staff allowed him to isolate the strategies clinicians use to help families understand their options. As Livne discovered, clinicians are advancing the idea that invasive, expensive hospital procedures often compound a patient's suffering. Affluent, educated families were more readily persuaded by this moral calculus than those of less means. Once defiant of death--or even in denial--many American families and professionals in the health care system are beginning to embrace the notion that less treatment in the end may be better treatment.-- Provided by publisher.
Bibliography Includes bibliographical references and index.
Contents Introduction: The new economy of dying -- The palliative care gaze -- Financial economization -- What the dying want -- Making the dying subject -- Goat taming -- Conclusion: Toward a sociology of economization.
Subject Terminal care -- Economic aspects -- United States.
Terminal care -- Moral and ethical aspects -- United States.
Palliative treatment -- Economic aspects -- United States.
Palliative treatment -- Moral and ethical aspects -- United States.
Terminal Care -- economics. (DNLM)D013727Q000191
Terminal Care -- ethics. (DNLM)D013727Q000941
Palliative Care -- economics. (DNLM)D010166Q000191
Palliative Care -- ethics. (DNLM)D010166Q000941
United States. (DNLM)D014481
Palliative treatment -- Moral and ethical aspects. (OCoLC)fst01051722
Terminal care -- Moral and ethical aspects. (OCoLC)fst01147846
United States. (OCoLC)fst01204155
ISBN 9780674545175 hardcover alkaline paper
0674545176 hardcover alkaline paper

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