Designed for easy use at the bedside, this manual contains the practical information health care professionals need to provide optimal end-of-life care. The book presents a multidimensional, holistic approach to assessment and management of the physical, psychological, social, and spiritual needs of the patient and family. Topics covered include cultural diversity in end-of-life care; communicating with patients and families; predicting life expectancy; terminal care; non-pain symptom management; pain control; palliative interventions; pediatric palliative care; record keeping; and ethics.
The succinct, user-friendly presentation features bullet points and numerous quick-reference tables. Each chapter includes an 'In a Nutshell' summary of key points.
ISBN/ISSN
9780781763431
Product Format
Hardcover Book
Trim Size
7 x 10
Pages
348
Illustration
11
Publication Date
May 9, 2007
Weight
1.85
Jerry L. Old MD
Chief Medical Officer, Hospice Care of Kansas/Midwest; Clinical Assistant Professor of Family Medicine, University of Kansas School of Medicine, Kansas City, KS
Daniel L. Swagerty Jr., MD, MPH
Associate Director, Landon Center on Aging; Associate Professor of Family Medicine and Internal Medicine, Director, Division of Geriatrics and Palliative Care, Department of Family Medicine, Director of Clinical Geriatrics, University of Kansas School of Medicine, Kansas City, KS
Section 1: THE PALLIATIVE CARE APPROACH
Ch. 1 Definitions
Ch. 2 Philosophy-From "Cure" to "Comfort"
Ch. 3 The Transition from "Diagnose and Treat" to "Palliate"
Ch. 4 Historical Perspective: What Has Changed?
Section 2: CULTURAL DIVERSITY IN END-OF-LIFE CARE
Ch. 5: Planning for Diverse Populations
Ch. 6: African American Culture & End-of-Life
Ch. 7: Hispanic Views on Death & Dying
Ch. 8: Understanding the Jewish Culture
Ch. 9: Mourning in the Asian Culture
Ch.10: Death Practices in the Muslim Culture
Ch.11: Building Cultural Bridges with Other Cultures
Section 3: APPROACH TO THE PATIENT
Ch.12: Delivering Bad News
Ch.13: The Family Conference
Ch.14: Dealing with Anger
Ch.15: The Spiritual Assessment
Ch.16: Giving Realistic Hope
Ch.17: The "DNR" or "AND" Discussion in Seriously Ill Patients
Ch.18: Advanced Directives in Health Care
Ch.19: Decision-Making Ability
Ch.20: Goal Setting
Ch.21: The Hospice Conversation
Ch.22: Telling the Children
Ch.23: What if a Patient Asked You to Pray?
Ch.24: Death Pronouncement
Ch.25: Completing the Death Certificate
Ch.26: Informing Significant Others of a Patient's Death
Ch.27: Writing a Condolence Letter
Ch.28: Caring for the Family
Section 4: PREDICTING LIFE EXPECTANCY
Ch.29: "How Long Do I Have?"
Ch.30: Guidelines for Hospice
Ch.31: Physician Prediction of Life Expectancy
Ch.32: Palliative Performance Score
Section 5: DELIVERY OF PALLIATIVE CARE<
Ch.34: The Hospital Palliative Care Unit
Ch.35: Consulting in the Hospital
Ch.36: Hospice in Delivery of Palliative Care
Section 6: TERMINAL CARE
Ch.38: The Syndrome of Imminent Death
Ch.39: Near Death Awareness (NDA)
Ch.40: Terminal Delirium
Section 7: NONPAIN SYMPTOM MANAGEMENT
Ch.42: Tips for Maximizing Chances of Success
Ch.43: Dyspnea, Air Hunger, Shortness of Air
Ch.44: Oral Care Basics
Section 8: PAIN CONTROL
Ch.63: Myths About Opioid Use
Ch.64: Legal Liability of UnderTreating Pain
Ch.65: Principles of Pain Management
Ch.66: Assessment of Pain
Ch.67: Converting One Opioid to Another (Equianalgesic Dosing)
Ch.68: Opioid Dose Escalation
Ch.69: Managing Opioid Side Effects
Ch.70: Opioid Withdrawal
Ch.71: Morphine
Ch.72: Hydrocodone for Pain
Ch.73: Oxycodone for Pain
Section 9: PALLIATIVE INTERVENTIONS
Ch.82: Tube Feeding in Palliative Care
Ch.83: Palliative Chemotherapy
Ch.84: Palliative Radiation
Ch.85: "Response Rate" in Cancer Chemotherapy
Ch.86: Ventilator Withdrawal
Ch.87: Bowel Obstruction
Ch.88: Treating the "Death Rattle"
Ch.89: Aggressive Wound Management
Section 10: THE PALLIATIVE PEDIATRIC PATIENT
Ch.90: Children and Death
Ch.91: Neonatal Population
Ch.92: Pediatric Intensive Care Unit
Ch.93: Pediatric Withdrawal of Life Support
Ch.94: The Dying Adolescent
Section 11: CHARTING"
Ch.95: Documentation in Palliative Care
Ch.96: Coding & Billing for Hospice/Palliative Care
Section 12: ETHICS AT THE END OF LIFE
Ch.97: Ethics & Legal Issues
Ch.98: Hastened Death: The Rule of Double Effect
Ch.99: When to Stop-Medical Futility
Ch.100: Caring for Yourself and Avoiding Burnout
Appendices
Index
--Practical information that can be quickly read and used at the bedside by the busy practitioner. --A good study guide that presents information in a succinct manner with multiple bullet points. --Provides information that traditionally has not been taught in medical and nursing schools; contains the most up-to-date thinking on end-of-life care; Evidence based; Can instill confidence in those providing end-of-life care --Tested practical information that is used in the field. --Contains multiple easy-to-read tables covering such topics as pain medications, how to treat non-pain symptoms, determining who qualifies for hospice care and more. --Tremendous study guide; includes an 'In a Nutshell' review in each chapter that contains the most important points on each topic.
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