Approaching death : improving care at the end of life / Committee on Care at the End of Life, Division of Health Care Services, Institute of Medicine ; Marilyn J. Field and Christine K. Cassel, editors.

Includes bibliographical references and index.

The Need for Consensus and Action -- Initiatives to Improve Care at the End of Life -- Overview of Report -- Guiding Principles -- A Profile of Death and Dying in America -- When People Die: The Aging of America -- Why People Die: Causes of Death -- Where People Die: Death in Institutions and Residences -- How People Die: Symptoms of Impending Death -- Attitudes Toward Dying and Death -- Caring at the End of Life -- Differences in Dying Pathways: Illustrative Cases -- Determining and Communicating Diagnosis and Prognosis -- Establishing Goals and Plans -- Fitting Care to Goals and Circumstances -- The Health Care System and the Dying Patient -- Characterizing Care Systems -- Illustrative Case Histories -- Settings for End-of-Life Care -- Coordinating Care Within and Across Settings -- Revisiting the Care System at the Community and National Levels -- Accountability and Quality in End-of-Life Care -- Concepts of Accountability and Quality -- Evidence of Quality Problems in End-of-Life Care -- Dimensions of Quality in Care at the End of Life -- Measurement Instruments and Issues -- Guidelines for Clinical Practice -- Financial and Economic Issues in End-of-Life Care -- Who Pays for Care at the End of Life? -- What Is Spent for Care at the End of Life? -- Do Financing Mechanisms Impede Good End-of-Life Care? -- What About Proposals to Reduce the Cost of End-of-Life Care? -- Legal Issues -- Prescription Laws and Barriers to Pain Relief -- Informed Consent and Advance Care Planning -- Physician-Assisted Suicide.

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English.

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