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Dying to be rescued: American hospit...

Chapple, Helen Stanton.

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Dying to be rescued: American hospitals, clinicians and death.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Dying to be rescued: American hospitals, clinicians and death./
Author:	Chapple, Helen Stanton.
Description:	302 p.
Notes:	Adviser: Susan McKinnon.
Contained By:	Dissertation Abstracts International68-04A.
Subject:	Anthropology, Cultural. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3260680

Dying to be rescued: American hospitals, clinicians and death.
Chapple, Helen Stanton.

Dying to be rescued: American hospitals, clinicians and death. - 302 p.

Adviser: Susan McKinnon.

Thesis (Ph.D.)--University of Virginia, 2007.

In this dissertation I describe how rescue has emerged as the gold standard for the delivery of acute care in the U.S., and how this priority particularly affects dying patients in the hospital. Rescue and stabilization of acute illness or injury are supposedly available to anyone who collapses, offering the illusion of equity in its deployment. Pouring so many resources into such a narrow facet of health care appears justified by the level of threat death presents in the U.S. Seriously ill patients in American hospitals who are not recovering may eventually be transformed from a first class, rescuable status to second class, nonrescuable status, and this happens through what I call the ritual of intensification. Hospital clinicians become ritual practitioners, performing a transformation which enables permissible limits to be placed on the social contract. Bioethics and palliative care provide counter discourses to the rescue paradigm which inadvertently support it. I indicate how rescue, stability, and triage mesh with technology and industry. The ritual becomes a form of potlatch, an effort to generate trust in a flawed health care system, which disqualifies dying patients from the American hospital's most prestigious care.Subjects--Topical Terms:

735016
Anthropology, Cultural.

Dying to be rescued: American hospitals, clinicians and death.
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035 $a (UMI)AAI3260680
035 $a AAI3260680
040 $a UMI $c UMI
100 1 $a Chapple, Helen Stanton. $3 1271025
245 1 0 $a Dying to be rescued: American hospitals, clinicians and death.
300 $a 302 p.
500 $a Adviser: Susan McKinnon.
500 $a Source: Dissertation Abstracts International, Volume: 68-04, Section: A, page: 1525.
502 $a Thesis (Ph.D.)--University of Virginia, 2007.
520 $a In this dissertation I describe how rescue has emerged as the gold standard for the delivery of acute care in the U.S., and how this priority particularly affects dying patients in the hospital. Rescue and stabilization of acute illness or injury are supposedly available to anyone who collapses, offering the illusion of equity in its deployment. Pouring so many resources into such a narrow facet of health care appears justified by the level of threat death presents in the U.S. Seriously ill patients in American hospitals who are not recovering may eventually be transformed from a first class, rescuable status to second class, nonrescuable status, and this happens through what I call the ritual of intensification. Hospital clinicians become ritual practitioners, performing a transformation which enables permissible limits to be placed on the social contract. Bioethics and palliative care provide counter discourses to the rescue paradigm which inadvertently support it. I indicate how rescue, stability, and triage mesh with technology and industry. The ritual becomes a form of potlatch, an effort to generate trust in a flawed health care system, which disqualifies dying patients from the American hospital's most prestigious care.
520 $a My argument is based on fieldwork in two American hospitals, a Catholic community hospital and a teaching hospital in the same city, where clinicians reported how their patients died. I interpret my findings from my background as a nurse and an anthropologist, investigating the similarities and differences in the two sites. Important components of the argument are the status of death and dying in American culture, the ideology of heroism, and the connections of rescue activities to the medical industrial complex. The patient's transformation from living and eligible for rescue to dying or dead and no longer in crisis happens as a result of cultural rather than scientific mandates that clinicians and hospitals must carry out in the health care system of the U.S.
590 $a School code: 0246.
650 4 $a Anthropology, Cultural. $3 735016
650 4 $a Health Sciences, General. $3 1017817
650 4 $a Health Sciences, Health Care Management. $3 1017922
690 $a 0326
690 $a 0566
690 $a 0769
710 2 $a University of Virginia. $3 645578
773 0 $t Dissertation Abstracts International $g 68-04A.
790 $a 0246
790 1 0 $a McKinnon, Susan, $e advisor
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3260680