This meditation on advance directives shows how such documents are part of a larger social movement. People are now reclaiming the right to direct their own dying, a process that requires the active support of the community around them.
This meditation on advance directives shows how such documents are part of a larger social movement. People are now reclaiming the right to direct their own dying, a process that requires the active support of the community around them.
Spiritual care is an inseparable part of patient care--not the exclusive province of chaplains, religious nurses, or would-be psychoanalysts. Its essence is the capacity to enter the world of others and respond to them with feeling, and every nurse should feel confident about giving such care.
Despite differences in style, tone, and emphasis, the various schools of feminist thought share a primary concern with the stories and lives of women. This concern gives them distinctive perspectives on medical practice and the field of bioethics.
By controlling life-style and environmental hazards and seeking appropriate medical care, many people can enjoy a healthy, independent old age; various psychological schema provide models for such "successful" aging. But we must turn to the humanities for a vision of aging that sees meaning in lives characterized by incontinence, immobility, and confusion.
This first case in our series presents an elderly patient's encounters with the medical system as chronicled in her medical records.
Viewing an elderly patient's refusal of food from the perspective of the jain tradition of sallekhana (voluntary starvation) permits the author to reconcile her need to "do something" with her belief in the principle of patient autonomy.