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PAPERBACK + PDF your price: $100.00 add to cart PAPERBACK list:$85.25 Web:$76.73 add to cart PDF BOOK your price: $65.50 add to cart PDF CHAPTERS your price: $4.50 select Rights & Permissions Free Resources PDF EXECUTIVE SUMMARY Display this book on your site! Related Titles From Cancer Patient to Cancer Survivor: Lost in Transition Hospital-Based Emergency Care: At the Breaking Point Other Related Titles Approaching Death: Improving Care at the End of Life (1997) Institute of Medicine (IOM) Web Search Builder Use this book's key terms to search within this book, across our collection, or across the Web. Skim This Chapter Skim this chapter and use this chapter's key terms to search within this book. Reference Finder Paste in your own text to find books that relate to your topic. Page 405   E-mail  Facebook  Digg  Stumble  Twitter More The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy. H American Board of Internal Medicine Clinical Competence in End-of-Life Care* Components Core Competencies Medical Knowledge Palliative care • Assessment and treatment of psychological distress • Pharmacological and nonpharmacological treatment of pain and other symptoms Interviewing/Counseling skills Listening Truth telling Giving bad news Discussing dying as a process Dealing with families of dying patients Team Approach Understanding multidisciplinary natures of end-of-life care (physician, nursing staff, social services, palliative care or hospice team, pharmacist, chaplain, patient, patient's family, patient advocate) *   American Board of Internal Medicine, Caring for the Dying: Identification and Promotion of Physician Competency. Philadelphia, Author, 1996, p. 41. Used with permission. Page 405 Front Matter (R1-R18) Summary (1-13) 1 Introduction (14-32) 2 A Profile of Death and Dying in America (33-49) 3 Caring at the End of Life (50-86) 4 The Health Care System and The Dying Patient (87-121) 5 Accountability and Quality in End-Of-Life-Care (122-153) 6 Financial and Economic Issues in End-Of-Life Care (154-187) 7 Legal Issues (188-206) 8 Educating Clinicians and Other Professionals (207-234) 9 Directions for Research to Improve Care at the End of Life (235-258) 10 Conclusions and Recommendations (259-271) References (272-312) Appendix A (313-320) Appendix B (321-326) Appendix C (327-357) Appendix D (358-362) Appendix E (363-382) Appendix F (383-399) Appendix G (400-404) Appendix H (405-406) Appendix I (407-412) Appendix J (413-418) Index (419-437)

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OCR for page 405
--> H American Board of Internal Medicine Clinical Competence in End-of-Life Care* Components Core Competencies Medical Knowledge Palliative care • Assessment and treatment of psychological distress • Pharmacological and nonpharmacological treatment of pain and other symptoms Interviewing/Counseling skills Listening Truth telling Giving bad news Discussing dying as a process Dealing with families of dying patients Team Approach Understanding multidisciplinary natures of end-of-life care (physician, nursing staff, social services, palliative care or hospice team, pharmacist, chaplain, patient, patient's family, patient advocate) *   American Board of Internal Medicine, Caring for the Dying: Identification and Promotion of Physician Competency. Philadelphia, Author, 1996, p. 41. Used with permission.

OCR for page 406
--> Symptom Assessment and Management Communication skills Comfort Use of opioids, sedatives, or adjuvant analgesics, NSAIDs Control of dyspnea AHCPR and WHO guidelines Professionalism Altruism Accountability Confidentiality Transference and counter transference Nonabandonment Honoring patients' wishes Respect for colleagues Humanistic Qualities Integrity Compassion Sensitivity to patient needs for comfort and dignity Respect Courtesy Medical Ethics Advance directives, DNR/DNI orders, Conflicts of interest Futility Physician-assisted suicide Nutrition/hydration Surrogate decisionmaking Double effect

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american board