Approaching death considers the dying experience in hospitals nursing homes and other settings and the role of interdisciplinary teams and managed care it offers perspectives on quality measurement and improvement the role of practice guidelines cost concerns and legal issues such as assisted suicide. Approaching death improving care at the end of life 81 improve the practices and policies under their control to these ends this report stresses of the following principles applies exclusively to care at the end of life care for those approaching death is an integral and important part of health care. Approaching death improving care at the end of life institute of medicine us committee on care at the end of life field mj cassel ck editors approaching death reflects a wide ranging effort to understand what we know about care at the end of life what we have yet to learn and what we know but do not adequately apply . It argues that we can do much more to relieve suffering and increase personal dignity at the end of life the text explores all aspects of end of life care including care standards and financial legal and educational issues it closes with extensive references examples and a list of committee members and their credentials. When the end of life makes its inevitable appearance people should be able to expect reliable humane and effective caregiving yet too many dying people suffer unnecessarily while an overtreated dying is feared untreated pain or emotional abandonment are equally frightening approaching death
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