Knowing One's Medical Fate in Advance


Book Description

Modern medicine is now in a position to make advanced prognoses that chart the entire course of illness and recovery. Paradoxically, this is coupled with a new dimension of uncertainty for the patient, i.e. coming to terms with discovering they have an increased risk of a particular disease and deciding what appropriate steps to take. In this publication, renowned experts in their fields discuss these issues. The certainty and uncertainty of one’s fate are discussed from both methodological and epidemiological perspectives, using examples of diseases for which treatment and prognosis have dramatically changed. Despite profound insights into the human genome, personalized genetically tailored medicine still lies in the future. Religious, spiritual and philosophical dimensions are discussed, as are the ways in which they may help people cope with these new insights into their future, e.g. the promise of an afterlife. This publication aims to bridge the different fields dealing with this area by addressing the challenges faced and encouraging dialogue. It will be of interest to all readers who deal with ethical problems of prognosis, particularly in medicine, as well as to theologians and sociologists.




Maimonides' Hidden Torah Commentary -- Volume 1 - Genesis


Book Description

The epitaph on Maimonides's tombstone reads, "From Moses (the prophet) to Moses, there was none like Moses (Maimonides)." The name, "Moses Maimonides" (1138-1204) is an acronym for his Hebraic name Moses ben Maimon). For centuries, yeshiva scholars and students alike affectionately refer to him by the epithet, "the Rambam." Just as the original Moses became the founder of the religion of ancient Israel, Moses Maimonides redefined Judaism for the future generations-more so than any other Judaic thinker or Halakhic scholar who came before or after him. Modern Judaism owes its conceptual and legal foundations to this remarkable thinker. This remarkable person occupies a rare position in the annals of Jewish history and is widely considered as one of the greatest Jewish thinkers and philosophers who ever lived, Maimonides stature reached almost mythic proportions. Jews of all modern religious persuasions-from the ultra-liberal to the Haredi branches of Orthodoxy each claim Maimonides as their patron hero. Both Christian and Islamic thinkers held Maimonides (who refer to him as Musa ibn Maymun in Arabic writings) in high regard. __ I have been impressed with the writings of Rabbi Michael Leo Samuel ever since I read his first book on Philo. I enjoyed the comprehensive nature of his writings and the many insights in his books. I liked that he described Philo's views in an easy to read manner and compared Philo views with those of many ancient and modern writers. Since that time, I wrote six reviews of his Philo books and praised them all. There is much in them that will interest and teach both scholars and readers who had no idea beforehand about this first century philosopher, or just a little information about him. Reading Rabbi Samuel's books will introduce readers to a large number of Philo ideas, those of other thinkers on the ideas, including the Talmuds and Midrashim, and about philosophy and Judaism generally. Thus, when Rabbi Samuel asked me to write the Foreword to his first book on Maimonides, I was very pleased to accept his offer, both out of respect for his scholarship and because I wrote many books and articles on Maimonides myself. - Rabbi Dr. Israel Drazin __ Rabbi Michael Leo Samuel is the son of a Holocaust survivor. He holds two rabbinic ordinations from the Tomchei Temimim Lubavitch Yeshiva of 770 Eastern Parkway, Brooklyn and holds a D. Min degree from the San Francisco Theological Seminary. He is an avid student of the Greek classics, Biblical and Talmudic scholarship, Jungian Psychology, Western Medieval Theology, Modern Philosophy, and 20th century psychology. He is the author of The Lord Is My Shepherd: The Theology of the Caring God (1996), Birth and Rebirth Through Genesis (2010), A Shepherd's Song: Psalm 23 and the Shepherd Metaphor In Jewish Thought (2014), and Rediscovering Philo of Alexandria: A First Century Jewish Commentator (Volumes, 1-5), (2014-2018).




Medical Ethics, Prediction, and Prognosis


Book Description

Recent scientific developments, in particular advances in pharmacogenetics and molecular genetics, have given rise to numerous predictive procedures for detecting predispositions to diseases in patients. This knowledge, however, does not necessarily promise benign results for either patients or health care professionals. The aim of this volume is to analyse issues related to prediction and prognosis as a burgeoning field of medicine, which is revolutionizing the way we understand and approach diagnosis and treatment. Combining epistemic and ethical reflection with medical expertise on contemporary practice and research, an interdisciplinary group of international experts critically examine anticipatory medicine from various perspectives, including history of medicine, bioethics, theories of science, and health economics. The highly complex issues involved in medical prediction call for a far-reaching debate on the value and scope of foreknowledge. For example, which responsibilities and burdens arise when still healthy people learn of their predisposition to diseases? How should health care insurance reflect risky life styles? Is the increasing medicalization of life connected with prevention ethically sustainable and financially possible in the developing world? These and other related issues are the subject of this timely and important book, which not only serves as an introduction to the area, but also proposes many feasible solutions to the problems outlined.




Dying in America


Book Description

For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.




The Journey's End


Book Description

"The Journey's End helps individuals to develop "death literacy" and learn how to navigate the healthcare system at the end of life"--




Dying Well


Book Description

From Ira Byock, prominent palliative care physician and expert in end of life decisions, a lesson in Dying Well. Nobody should have to die in pain. Nobody should have to die alone. This is Ira Byock's dream, and he is dedicating his life to making it come true. Dying Well brings us to the homes and bedsides of families with whom Dr. Byock has worked, telling stories of love and reconciliation in the face of tragedy, pain, medical drama, and conflict. Through the true stories of patients, he shows us that a lot of important emotional work can be accomplished in the final months, weeks, and even days of life. It is a companion for families, showing them how to deal with doctors, how to talk to loved ones—and how to make the end of life as meaningful and enriching as the beginning. Ira Byock is also the author of The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life.




Destiny vs. Choice


Book Description

Since the day we are born, we are bombarded with the contradictory claims that our lives are predestined and that Fate deals us the cards we must play, or that our lives are the results of our choices and that we shape it as we go along. Destiny vs. Choice examines the philosophical, spiritual, and scientific evidence for both claims, and shows us how we can live better, more fulfilling lives no matter which side ultimately "wins" the debate. Destiny Vs. Choice explores: The historical battle between Fate and free will. Intelligent design, evolution, the Big Bang, and DNA as blueprints for life. The Law of Attraction, intention, and consciousness as ways to create reality. How quantum physics offers evidence for both destiny and choice. Fate and the paranormal: ghosts, life-after-death experiences, and astrology.




Theoretical Nursing


Book Description

"An additional assumption was that the processes for theory development were new to nursing and hence, nurses in graduate programs learned strategies for advancing knowledge from other disciplines. This assumption was debunked with the knowledge that nurses were always engaged in knowledge development, driven by their experiences in clinical practice. Because of these assumptions, most of the early writing about theory development was about outlining strategies that should be used, rather than strategies that have already been used in the discipline to develop theories. Theorists themselves did not uncover or adequately discuss ways by which they developed their theories, therefore the tendency was to describe processes that were based on theories developed in other disciplines, mainly the physical and social sciences. And an implicit assumption was made that there should be a single strategy for theory development, some claiming to begin the process from practice, and others believing it should be driven by research"--Provided by publisher.




Ethical Challenges in Multi-Cultural Patient Care


Book Description

This book provides an up-to-date description of cross-cultural aspects of end-of-life decision-making. The work places this discussion in the context of developments in the United States such as the emphasis on patient informed consent, “right to die” legal cases, and the federal Patient Self-Determination Act. With the globalization of health care and increased immigration from developing to developed countries, health care professionals are experiencing unique challenges in communicating with seriously ill patients and their families about treatment options as well as counselling all patients about advance medical care planning. While many Western countries emphasize individual autonomy and patient-centered decision-making, cultures with a greater collectivist orientation have, historically, often protected patients from negative health information and emphasized family-centered decision-making. In order to place these issues in context, the history of informed consent in medicine is reviewed. Additionally, cross-cultural issues in health care decision-making are analysed from the perspective of multiple philosophical theories including deontology, utilitarianism, virtues, principlism, and communitarian ethics. This book is a valuable addition to courses on end-of-life care, death and dying, cross-cultural health, medical anthropology, and medical ethics and an indispensable guide for healthcare workers dealing with patients coming from various cultural backgrounds.




The Wiley Handbook of Problem-Based Learning


Book Description

The first book to offer an in-depth exploration of the topic of problem-based learning with contributions from international experts The Wiley Handbook of Problem-Based Learning is the first book of its kind to present a collection of original essays that integrate the research and practice of problem-based learning in one comprehensive volume. With contributions from an international panel of leading scholars, researchers, practitioners and educational and training communities, the handbook is an authoritative, definitive, and contemporary volume that clearly demonstrates the impact and scope of research-based practice in problem-based learning (PBL). After many years of its successful implementation in medical education curricula, problem-based learning is now being emphasized and practiced more widely in K-12, higher education, and other professional fields. The handbook provides timely and stimulating advice and reflection on the theory, research, and practice of PBL. Throughout the book the contributors address the skills needed to implement PBL in the classroom and the need for creating learning environments that are active, collaborative, experiential, motivating and engaging. This important resource: Addresses the need for a comprehensive resource to problem-based learning research and implementation Contains contributions from an international panel of experts on the topic Offers a rich collection of scholarly writings that challenge readers to refresh their knowledge and rethink their assumptions Takes an inclusive approach that addresses the theory, design, and practice of problem-based learning Includes guidelines for instructional designers, and implementation and assessment strategies for practitioners Written for academics, students, and practitioners in education, The Wiley Handbook of Problem-Based Learning offers a key resource to the most recent information on the research and practice of problem-based learning.