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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.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Dying to be rescued: American hospitals, clinicians and death./
作者:	Chapple, Helen Stanton.
面頁冊數:	302 p.
附註:	Adviser: Susan McKinnon.
Contained By:	Dissertation Abstracts International68-04A.
標題:	Anthropology, Cultural. -
電子資源:	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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245 1 0 $a Dying to be rescued: American hospitals, clinicians and death.
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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.
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