While health care at the end of life is changing, the language for talking about treatment options and patient preferences around the end of life is taking longer to change. This book carefully details the way language shapes decisions around end-of-life care. Using ethnographic research from two sites that offer emergency care and end-of-life care – a hospice and an emergency department – the author illustrates common themes around language use that serve as microcosms of the larger healthcare system in the United States. The sites have different purposes for providing care, yet the themes from both serve as guidance and reflection for other areas of caregiving. The language used to talk about death holds consequences and opportunities for understanding and making decisions about care practices. This book uses personal stories and perspectives from patients, family members, and medical workers to paint a picture of some of the issues and tensions individuals and caregivers face. With an aging population – one that represents a major public health challenge in the twenty-first century – Carey Candrian argues that examining the care we provide for individuals, especially aging individuals, is fundamental to creating a developed, ethical, and engaged society.
Cover
Title
Copyright
About the author
About the book
This eBook can be cited
Contents
Series Editor’s Preface
Acknowledgments
Introduction
Introduction
Chapter 1. Dying in the 21st Century
The Changing Landscape Concerning End of Life
Attitudes Toward Death and Dying
Chapter 2. The Cost of Understanding
Chapter 3. The Many Ways We Use Language
The History of Emergency Medicine
The History of Hospice Care
Chapter 4. Some Theories for Making Sense of Communication and Dying
An Interpersonal Approach
A Social Construction Approach
A Critical Cultural Approach
A Multi-Method Approach
Discursive Opening and Closing
Chapter 5. The Complexity of Death at Hospice
Transforming Work Practices
A Different Ethics of Care
Taming Death
Chapter 6. The Messiness of Death in the Emergency Department
Transforming Work Practices
A Different Quality of Care
Taming Death
Chapter 7. The Concealing and Revealing Nature of Language
Consequences of Talk at Hospice
Discursive Closure at the End of Life
Chapter 8. Conclusions, Implications, and Reflections
New York, Bern, Berlin, Bruxelles, Frankfurt am Main, Oxford, Wien, 2015. 144 pp.
Carey Candrian (PhD, University of Colorado) is an assistant professor at the University of Colorado School of Medicine. Her work has appeared in An Integrated Approach to Communication Theory and Research (2009), Journal of Internal Medicine, Human Relations, Health Communication, and Sage Cases in Methodology.
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