In a palliative ethic of care clinical wisdom at lifes end joseph j fins md has written a timely and sage book whose readership is likely to include the clinician the legal practioner as well as the lay person dr fins addresses the history of palliative care in careful measured tones and he writes well. In his book a palliative ethic of care clinical wisdom at lifes end joseph fins brings a clear message instead of letting available technology drive the goals of care let the goals of care drive the therapy the author is a renowned leader in medical ethics. Systems of care are impersonal and anonymous ultimately it is the task of the individual practitioner to initiate and sustain the provision of care a palliative ethic of care clinical wisdom at lifes end is an invaluable resource for helping achieve this objective. The second section entitled goal setting a strategy for effective palliative care sets about addressing in a clinically astute fashion the ethical dilemmas that arise at the end of life. This volume explains how to develop a set of patient and physician goals for improving quality of life resolving end of life issues and treating dying patients the author dr joseph fins pragmatically blends ethical theory and clinical practice presenting readers with theoretical and
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