• Summary
  • Contents
  • Subject index

Questions that face dying individuals, their families, and the professionals that help them at the end of their lives are explored in this volume. The contributors help the reader to come to terms with issues of mortality complicated by the diversity of cultures within society.

Chapter 15: Issues in End-of-Life Decision Making in the Hospital and Nursing Home Culture

Issues in End-of-Life Decision Making in the Hospital and Nursing Home Culture
Issues in end-of-life decision making in the hospital and nursing home culture
Charon A.Pierson

Hospitals and long-term care (LTC) facilities (nursing homes) are complex organizations with distinct and sometimes conflicting cultures. They are staffed by a variety of professionals and other personnel who provide care and treatment to patients who are temporary or permanent residents of the institutions. The patients, their families, and a variety of third-party insurers pay for this care and treatment and have expectations of the institutions and their staffs. Many factors influence these expectations such as the patients' previous experiences with hospitals and illnesses, the types of illness the patients have, sociocultural influences on the patients and their families, financial factors, ...

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