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.
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