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The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of LifeRevised and Expanded Second Edition$
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Nancy Berlinger, Bruce Jennings, and Susan M. Wolf

Print publication date: 2013

Print ISBN-13: 9780199974566

Published to Oxford Scholarship Online: September 2013

DOI: 10.1093/acprof:oso/9780199974566.001.0001

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Psychological Dimensions of Decision-Making about Life-Sustaining Treatment and Care Near the End of Life

Psychological Dimensions of Decision-Making about Life-Sustaining Treatment and Care Near the End of Life

Chapter:
(p.145) Section 3 Psychological Dimensions of Decision-Making about Life-Sustaining Treatment and Care Near the End of Life
Source:
The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life
Author(s):

Nancy Berlinger

Bruce Jennings

Susan M. Wolf

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199974566.003.0014

Professionals who care for patients and support surrogates facing decisions about life-sustaining treatment and about care near the end of life should have some knowledge of the ways in which psychological issues can arise in treatment decision-making. This section discusses these psychological issues. Topics covered include coping as a factor in treatment decision-making; hope as a factor in treatment decision-making; ambivalence, denial, and grief as factors in treatment decision-making; existential suffering as a factor in treatment decision-making; spirituality and religion as factors in treatment decision-making; religious objections during treatment decision-making; moral distress as a factor in treatment decision-making; and integrating bereavement care for loved ones and professionals into care near the end of life.

Keywords:   end-of-life care, patient care, patient communication, psychological issues, treatment decision-making, coping, hope existential suffering, spirituality, religion

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