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
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- ID: 9780781763431
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