Comfort and Care at the End of Life


Spencer B. Adams (Editor)

Series: Aging Issues, Health and Financial Alternatives

For some elderly people, the body weakens while the mind stays alert. Others remain physically strong, and cognitive losses take a huge toll. But for everyone, death is inevitable, and each loss is personally felt by those close to the one who has died. End-of-life care is the term used to describe the support and medical care given during the time surrounding death. An older person is often living, and dying, with one or more chronic illnesses and needs a lot of care for days, weeks, and sometimes even months. This book explores helping with comfort and care at the end-of-life and hopes to make the unfamiliar territory of death slightly more comfortable for everyone involved. Discussions on hospice, end-of-life services, costs, ethics, and quality of care are contained herein.

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Table of Contents

Table of Contents


Hospice;pp. 1-4
(National Cancer Institute)

End of Life: Helping with Comfort and Care;pp. 5-39
(National Institute on Aging, National Institutes of Health, U.S. Dept. of Health and Human Services)

End-of-Life Care: Services, Costs, Ethics and Quality of Care;pp. 41-68
(Kirsten J. Colello, Analyst in Gerontology, Janemarie Mulvey, Specialist in Aging Policy, Amanda K. Sarata, Analyst in Health Policy and Genetics, Erin D. Williams, Specialist in Public Health and Bioethics, Kenneth R. Thomas, Legislative Attorney)

End-of-Life Care: Key Components Provided by Programs in Four States;pp. 69-87

End-of-Life Fact Sheet;pp. 89-90
(National Institutes of Health)

Honoring Final Wishes: How to Respect Americans’ Choices at the End of Life;pp. 91-111
(Senator Sheldon Whitehouse, Chair Senate Special Committee on Aging, Patricia A. Bomba, Vice-President and Medical Director, Geriatrics Excellus Blue Cross Blue Shield)

Hearing on Advance Directives and End of Life Care;pp. 113-121
(Joan Curran, Gundersen Lutheran Health System)

Testimony of W.A. Drew Edmondson, Oklahoma Attorney General;pp. 123-125
(Before the U.S. Senate Special Committee on Aging)

Honoring Final Wishes: How to Respect Americans’ Choices at the End of Life: Opening Statement of Senator Herb Kohl;pp. 127-128
(Special Committee on Aging Hearing)

Palliative Care in U.S. Hospitals: Implications for Access to Quality Healthcare;pp.129-143
(Diane E. Meier, MD, Brookdale Dept. of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York)

Statement of Joseph D. O’Connor, Chair, American Bar Association Commission on Law and Aging;pp. 145-156

Honoring Final Wishes Hearing: Sheldon Whitehouse Opening Statement;pp. 157-159

Testimony of Joan M. Teno, MD, Professor of Community Health and Medicine, Brown University, for the Senate Special Committee on Aging;pp. 161-165

Medicare Hospice Benefits;pp. 167-174
(Centers for Medicare and Medicaid Services)

Medicare’s Hospice Benefit;pp. 175-189
(Julie Stone, Specialist in Health Care Financing)

Physician-Assisted Suicide and the Controlled Substances Act: Gonzalez v. Oregon;pp. 191-207
(Brian T. Yet, American Law Division)

Face the Facts: Topics to Discuss with your Aging Parents;pp. 209-213
(Spencer B.Adams)

Index pp.217-224

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