The Key Roles of General Practice

Heath, Iona; Berger, John

doi:10.4324/9781315382937-18

Cited by 3 publications

(5 citation statements)

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“…Promoting ADs in the general population has significant benefits: (1) it allows us to talk about death, ‘normalizing’ it as a natural fact; in addition, the family is usually involved, multiplying the ‘normalizing’ effect, and this way death is gradually integrated into life (Heath, 2008); (2) it helps us to become aware of the pain that death causes for those who remain, and that this suffering can be minimized by making certain prior decisions, such as formalizing an AD, so that others do not have to make those painful decisions, thus avoiding tensions and painful family conflicts; (3) it facilitates the work of the health team in clinical decision making, reinforcing good practices, avoiding unwanted treatments and improving the doctor-patient relationship; and (4) it makes a ‘healthier death’ possible, which is always a good start for a ‘healthier grieving process’.…”

Section: Discussionmentioning

confidence: 99%

“…Promover el DVA en la población general tiene importantes beneficios: (1) permite hablar de la muerte y que esta se vaya ‘normalizando’ como un hecho natural, además la familia se suele ver implicada, con lo que este efecto ‘normalizador’ se multiplica, y poco a poco la muerte se va integrando en la vida (Heath, 2008); (2) ayuda a darse cuenta del dolor que la muerte ocasiona en los que se quedan, y que ese impacto se puede minimizar tomando ciertas decisiones previas, como es formalizar el DVA, para que no sean otros quienes las tengan que tomar, evitándose además tensiones y dolorosos conflictos familiares; (3) facilita el trabajo del equipo sanitario en la toma de decisiones clínicas, reforzando las buenas prácticas, evitando tratamientos no deseados y mejorando la relación médico-paciente; y (4) hace posible una ‘muerte más saludable’, lo que siempre es un buen comienzo para un ‘duelo más sano’.…”

Section: Discussionunclassified

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Dissemination of advanced directives as a tool to promote health in death and grief / La difusión del documento de voluntades anticipadas como una herramienta de promoción de la salud en muerte y duelo

Landa

García

2017

Studies in Psychology: Estudios de Psicología

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Basing ourselves on the assumption that healthy deaths are associated with healthy grieving processes, we proposed using Advance Directives (ADs) as a tool to promote health in death and grief. The sample from the general population for the study was recruited through four community associations, from which we convened people who wished to make an AD. The sample from health professionals was collected through two palliative care teams and five health centres, with the stated objective of informing them about ADs and to ‘learn by doing’. These samples were put into groups and two sessions were held with each group: one session was to present ADs and the other was to formalize them. In one year, 111 people from 10 groups from the general population participated, and 102 (92%) of those formalized an AD. In six months, 140 professionals from seven groups from the health system collaborated. We conclude that disseminating ADs in a general population is possible through community associations and that the role played by the health system is yet to be clarified.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionunclassified

Dissemination of advanced directives as a tool to promote health in death and grief / La difusión del documento de voluntades anticipadas como una herramienta de promoción de la salud en muerte y duelo

Landa

García

2017

Studies in Psychology: Estudios de Psicología

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“…Fulford and colleagues critique what they call quasi-legal ethics, the tendency towards an ever-fatter rule book and draconian guidelines that are more honoured in the breach than the observance ( Fulford et al, 2002 ). Heath and others comment on the 'Reality gap', a tendency of those in charge to infl ate duties without considering how they might be achieved ( Heath, 2008 ). In this volume, Misselbrook illustrates this in relation to the Francis Report on the poor care delivered in Mid-Staffordshire.…”

Section: From Knowledge To Policy -Translational Ethics As We Know Itmentioning

confidence: 97%

Marketisation, Ethics and Healthcare

Feiler¹,

Hordern²,

Papanikitas

2018

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Weaving together original contributions from law, ethics, theology and economics, this book provides many fresh insights into the vexed questions surrounding markets and healthcare -an integrative tour de force!' Professor Bill Fulford, University of Oxford , UK 'Healthcare marketisation generates superheated controversy. But here is the cool consideration and balanced debate that is needed as a response. This collection is multifaceted, analytically rich and packed with insights.' Professor Alan Cribb, King's College London , UK 'Markets make good servants but bad masters. But what forms of service can they perform and what evils of mastery do they threaten? These wide-ranging essays address those questions in politically and theologically challenging ways.' Professor Albert Weale , UCL , UK 'A signifi cant contribution to bioethics. The topic is timely, the writing brief and clear, and the ideas insightful. It is very balanced, incorporating many perspectives (from Hayek to Marx), and many disciplines (including medicine, economics, philosophy, and theology). I highly recommend it.'

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“…Medical intervention protocols, which are useful tools in health systems, are more questionable at the end of life because the rational and standardized approach may end up being inappropriate, wasteful, and useless 8 . For example, even the guidelines implemented in the United Kingdom for the care of dying patients have not shown better results than not using them 9 .…”

mentioning

confidence: 99%

“…Los protocolos de intervención médica, que son una herramienta útil en los sistemas de salud, tienen un mayor cuestionamiento al final de la vida porque el enfoque racional y estandarizado puede terminar siendo inapropiado, antieconómico e inútil 8 . Incluso, las guías que implementó el Reino Unido de atención al paciente moribundo no han demostrado mejores resultados a no usarlas 9 .…”

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The need for education about death in medical practice

Palacios

Valencia

2022

Colomb Med

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Colombia is one of the leading countries in the world regarding regulations and rights at the end of life. Currently, legislation on access to palliative care, limitation of therapeutic effort, euthanasia, euthanasia in children and adolescents, conscientious objection for doctors, and medically assisted suicide is decriminalized. Meanwhile, the remaining Latin American countries are just beginning the discussion about dignified death. Among many reasons for this delay, one of them is that it begins with the most controversial of issues, euthanasia, instead of focusing on humanizing the end of life. Although, etymologically, euthanasia means "good death," a good death does not mean euthanasia. The definition of a good death is complicated because it corresponds to an individual notion affected by culture, religion, society, and medical science. Due to the lack of definition, the tools available to estimate the quality of death and end-of-life care are still unreliable. One of the most recognized criteria to define a good death is the preference of the place to die of the patient, but this depends on factors of the individual, their family environment, the disease, the logistical possibilities of the health system, and the health team that accompanies the process. Some of these determinants can be modified, but not others. Health team care is the one with the greatest potential and, possibly, requires the most investment in education and organization. For physicians, death is transforming from being a natural part of the human experience into a crisis of patient health from which they must be rescued. In addition, technology-based clinical training ensures that they are well qualified to prolong life and poorly prepared to confront death or discuss it with their patients. The problem is bigger than it seems because the conviction about reliance on hospital-based, technologized medicine at the end of life is applicable to them. Research in Canada found that physicians died more in intensive care units and used more palliative care than the general population, but there was no difference in the possibility of dying at home.

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The Key Roles of General Practice

Cited by 3 publications

References 0 publications

Dissemination of advanced directives as a tool to promote health in death and grief / La difusión del documento de voluntades anticipadas como una herramienta de promoción de la salud en muerte y duelo

Dissemination of advanced directives as a tool to promote health in death and grief / La difusión del documento de voluntades anticipadas como una herramienta de promoción de la salud en muerte y duelo

Marketisation, Ethics and Healthcare

The need for education about death in medical practice

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