Palliative medicine Books

Book SynopsisTHE SUNDAY TIMES BESTSELLERImpossible to read with dry eyes or an unaltered mindset' Sunday TimesIlluminating and beautiful' Cathy RentzenbrinkWhat if everything you thought you knew about death was wrong?How should we prepare for the facts of dying and saying our goodbyes?And what if understanding death improved your life?By turns touching and tragic, funny and wise, With the End in Mind brings together Kathryn Mannix ' s lifetime of medical experience to tell powerful stories of life and death.Trade Review‘It is incredibly moving, of course, but what it isn’t is miserable. Yes this is a book about death, but it is also a book about joy. There aren’t all that many books that change the way you see the world. This book really might. It will make you want to do a better job of loving and living. It will make you want to be kinder. And it will make you want to cherish every precious moment of your precious life.’Sunday Times ‘Extraordinary and profoundly moving. … Any reader will come away with the wish that they will be cared for at the end by someone with Mannix’s imaginative sympathy and matter-of-fact generosity of perception’Rowan Williams, New Statesman ‘Illuminating and beautiful … I shed a few tears but it’s not gut wrenching and Mannix weaves the light and dark strands of her experience with finesse. It’s essential reading for anyone who will encounter death, and that means all of us.’Cathy Rentzenbrink, The Times ‘I got to the end of Kathryn Mannix’s book with just one thought – I wish I’d been a palliative consultant … A reminder that talking about death is an Act of Love’Greg Wise ‘In the last few years, there has been a crowd of books by doctors, scientists and writers that have sought to show us different, kinder ways of ending: Atul Gawande, Oliver Sacks, Henry Marsh… the list is long. Now Kathryn Mannix joins this distinguished group. Mannix’s aim is to shed a soft, clear light on a subject too often avoided. Mild, tender and conciliatory, I would like her to be my compassionate, wise doctor when I lie dying.’Observer

Read more less

Book SynopsisChristopher Kerr is a hospice doctor. All of his patients die. Yet he has tended thousands of patients who, in the face of death, speak of love, meaning and grace. They reveal that there is hope beyond cure as they transition to focus on personal meaning. In this extraordinary and beautiful book, Dr. Kerr shares his patients' stories and his own research pointing to death as not purely the end of life, but as a final passage of humanity and transcendence.Drawing on interviews with over 1,200 patients and more than a decade of quantified data , Dr. Kerr reveals why pre-death dreams and visions are remarkable events that bring comfort and exemplify human resilience. These are not regular dreams. Described as "more real than real," they frequently include loved ones long gone and mark the transition from distress to acceptance. These end-of-life experiences help patients restore meaning, make sense of the dying process and assist in reclaiming it as an experience in which they have a say. They also benefit the bereaved who get relief from seeing their loved ones pass with a sense of calm closure.Beautifully written with astonishing stories, this book, at its heart, celebrates the power to reclaim how we die, while soothing the bereaved who witness their loved ones go with unqualified grace.Trade ReviewThis comforting guide will reassure the dying and their loved ones while providing instructive portraits of end-of-life patients for those who work in medical and healing professions * Publisher's Weekly *Whether you have a loved one nearing the end, or are contemplating what may lie beyond this life, you'll find that Dr Kerr's book brings meaning and even beauty to our final stage. I recommend it highly for anyone with a finite lifespan * Dale Bredesen, MD *Based on deep experience, this loving, emotionally wise book will help many people find the path to love, acceptance and meaning as they face life's end * Katy Butler *This reality is shared with us by a hospice physician who, himself, learned so much from the dying. And what did he learn? That by being truly present with those who are dying, one learns how to live * James Doty, MD *A beautiful portrait of the human capacity for transcendence at the end of life. This book will inspire you reflect on the love and meaning you have experienced in your own life, and help you listen to, and be with, those nearing the end of their lives * Kelly McGonigal, PhD *[A] sympathetic and intriguing book. [Death is But a Dream is] an uplifting and reassuring work testifying to the deep restorative and spiritual - though not necessarily religious - nature of pre-death visions * Kirkus Reviews *

Read more less

Book SynopsisA practical guide for understanding how palliative care can improve quality of life for patients and their caregivers. Robin Bennett Kanarek was a registered nurse working with patients suffering from chronic medical conditions when her ten-year-old son was diagnosed with leukemia. As her son endured grueling treatments, Robin realized how often medical professionals overlook critical psychological, emotional, and spiritual support for people with life-threatening illnesses. Living Well with a Serious Illness is the culmination of decades of Robin's work to advance the field of palliative care. Although palliative care is often associated with hospice and end-of-life planning, Kanarek argues for a more expanded definition that incorporates palliative care earlier in patients' journeys. Living Well with a Serious Illness helps patients and their caregivers understand what palliative care entails how to access the support they need when going through a serious illness what questions Table of ContentsForeword by Sunita Puri, MDIntroduction: David's Story1. What is Palliative Care?2. Barriers to Palliative Care: Taking Care of the Person Versus Fighting the Disease3. How We Want to Die: Palliative Care's Benefits for Patients and Their Loved Ones4. How to Get the Care You Want: Knowing What to Ask For, What to Expect, and What to Demand5. How to Cope When Illness Changes Everything: Quality-of-Life Care Includes the Family6. Putting it All Together: Creating an Action Plan for When the End is Near7. Spirituality and Well-Being: Care of the Spirit Matters Too8. Grief: Tapping into Restorative Sources After Goodbye9. Making Palliative Care Mainstream: What Legislators, Philanthropists, Educators, and You Can DoEpilogue: David's Legacy—The Kanarek Family FoundationResourcesAcknowledgmentsAbout the AuthorIndex

Read more less

Book SynopsisTextbook of Palliative Care is a comprehensive, clinically relevant and state-of-the art book, aimed at advancing palliative care as a science, a clinical practice and as an art. Palliative care has been part of healthcare for over fifty years but we still find ourselves having to explain its nature and practice to colleagues and to the public in general. Healthcare education and training has been slow to recognize the vital importance of ensuring that all practitioners have a good understanding of what is involved in the care of people with serious or advanced illnesses and their families. However, the science of palliative care is advancing and our understanding concerning many aspects of palliative care is developing rapidly. The book is divided into separate sections for ease of use. Over 100 chapters written by experts in their given fields provide up-to-date information on a wide range of topics of relevance to those providing care towards the end of life no matter what the disease may be. We present a global perspective on contemporary and classic issues in palliative care with authors from a wide range of disciplines involved in this essential aspect of care. The Textbook includes sections addressing aspects such as symptom management and care provision, organization of care in different settings, care in specific disease groups, palliative care emergencies, ethics, public health approaches and research in palliative care. This Textbook will be of value to practitioners in all disciplines and professions where the care of people approaching death is important, specialists as well as non-specialists, in any setting where people with serious advanced illnesses are residing. It is also an important resource for researchers, policy-and decision-makers at national or regional levels. Neither the science nor the art of palliative care will stand still so we aim to keep this Textbook updated as the authors find new evidence and approaches to care.Table of ContentsApproach and Nature of Palliative Care.- Quality of Life.- Global Aspects of Palliative Care.- Challenges and Future Directions of Palliative Care.- Organization of Palliative Care in Different Parts of the World.- Policies on Palliative Care in Different Parts of the World.- Palliative Care, Towards a New Definition.- Physical, Psychological/Psychiatric, Social and Spiritual Problems and Symptoms.- Pain and Pain Management.- Palliative Management of Breathlessness.- Fatigue.- Edema and Lymphedema.- Gastrointestinal Symptoms: Constipation, Diarrhea, and Intestinal Obstruction.- Gastrointestinal Symptoms: Nausea and Vomiting.- Cachexia/Anorexia and Feeding Difficulties.- Mouth.- Skin Symptoms.- Swallowing Difficulties.- Sleep Difficulties.- Psychological Symptoms.- Delirium and Palliative Care.- Neurological Symptoms.- Genitourinary Symptoms.- End-of-life Symptoms.- Gastroparesis and Cancer-Related Gastroparesis.- Advance Care Planning in Palliative Care.- Prognostication in Palliative Care.- Spirituality in Palliative Care.- Access to Palliative Care.- Integrated Palliative Care: Clinical, Organizational, and Health System Perspectives.- Family Focused Care Span.- Grief and Bereavement.- Rehabilitation in Palliative Care.- Dietetics and Nutrition in Palliative Care.- Mouth Care.- Creative Art Making in Palliative Care.- Music Engagement and Therapeutic Music.- Sexuality and Intimacy.- Interprofessional Practice in Palliative Care.- Generalists and Specialist Palliative Care.- Nursing and Palliative Care.- Self-Care and Palliative Care.- End of Life Care.- Self-management in Palliative Care.- Education and Palliative Care, Overview.- Palliative Care in Rural Settings.- Home Care, Primary Care.- Palliative Care in Residential Settings.- Hospital Care.- Palliative Care in the Intensive Care Unit (ICU).- Volunteers in Palliative Care.- Palliative Care and Cancer.- Palliative Care and Neurodegenerative Diseases.- Palliative Care and Stroke.- Palliative Care in Heart Failure.- Palliative care of Respiratory Disease in Primary Care.- Palliative Care and Liver Diseases.- Palliative Care in Kidney Disease.- Palliative Care and Endocrine Diseases.- Palliative Care in Chronic Illness and Multimorbidity.- Palliative care in dementia.- Dealing with a Wound in Palliative Care.- Pressure Area Management in Palliative care.- End of Life Health Care Experiences of Indigenous People and Ethnic Minorities; the example of Canada.- Palliative Care, Frailty and Older People.- Palliative Care of Pediatric Populations.- Palliative Care and Intellectual Disability.- Palliative Care of Indigenous Peoples and Peoples of Different Ethnicity.- Hypercalcemia of Malignancy.- Thromboembolism and bleeding.- Spinal Cord Compression.- Superior Vena Cava Obstruction.- Acute Cancer Pain Syndromes in Palliative Care Emergencies.- Acute Dyspnoea.- Neutropenic Sepsis.- Seizures.- Tumor Lysis Syndrome.- Suicide and Attempted Suicide.- Transfer to a Preferred Place of Death.- Challenging Family Dynamics.- Delirium as a Palliative Care Emergency.- Distinguishing and Managing Severe Psychological and Psychiatric Distress.- End-Of-Life Decisions.- Sedation and Terminal Sedation.- Nutrition and Hydration in Palliative Care.- Ethics of home-coming.- Request for Assisted Suicide.- Public Health and Epidemiological Research in Palliative Care.- Development and Evaluation of Complex Interventions in Palliative Care.- Mixed Method Research in Palliative Care.- Ethics in Palliative Care Research.- Evidence based Practice in Palliative Care.- New Public Health Approaches to End of Life Care.- A public health approach to integrate palliative care into a country’s health care system: guidance as provided by the WHO.- Measuring Cost-Effectiveness in Palliative Care.- Financial Aspects of Inpatient Palliative Care.- Financial Aspects of Outpatient Palliative Care.- Serious Illness and Out-of-Pocket Spending.

Read more less

Book Synopsis

Read more less

Book SynopsisSo much emphasis in paramedic practice is placed on saving lives, and so how can you provide the best care for patients who are approaching the end of theirs? Knowing when it is appropriate to transfer palliative and end of life patients to hospital can be challenging as there are often many complex factors at stake which can have an impact on both patients and their families. Digging deep into the ethical and clinical aspects of working with palliative patients as a paramedic, this book is the go-to resource to enable you to act within the patient's best interests and provide the most appropriate and effective care. Key features include: Twenty-four case studies covering a range of relevant topics to help apply principles to your own practice Clinical information on symptom control and pain management Written specifically for paramedics, by a range of specialist authors Designated chapters on the role of the paramedic in palliative care, palliative care emergencies and personal resilience Full-colour diagrams throughout. Since the onset of the COVID-19 pandemic, we are all more aware of the importance of patient-centred palliative care; this book is full of tips and techniques to help you feel more confident in ensuring patients not only die 'well' but also live with dignity and comfort.Table of ContentsChapter 1: Death and Dying in Society Chapter 2: Defining Palliative Care Chapter 3: Palliative Care Emergencies Chapter 4: Symptom Management Chapter 5: Enhanced Communication Skills Chapter 6: Care of the Dying patient Chapter 7: Ethics Chapter 8: Professional Resilience Chapter 9: The Paramedic as an End of life Specialist

Read more less

Book SynopsisThe majority of doctors and nurses involved in specialist palliative care reject the legalisation of physician assisted suicide (PAS). This book explores the reasons why the healthcare professionals who have the most experience of caring for dying patients should object to a change in the law. Debate about euthanasia and PAS often arises in response to a well publicised tragic case of unrelieved suffering. Such heart rending stories do not reflect the fact that the majority of people dying have a dignified death. There is a marked disparity between medical intuitions and the philosophers' arguments about euthanasia and PAS. It seems that part of the moral constitution of a doctor is a commitment not to intend the death of a patient and to protect them from harm. The perspective of those who are privileged to care for thousands of dying patients and their families should inform the debate about PAS.This book will enable those who are not working within palliative care to gain an insight into the scope of this speciality and to understand why legalisation of PAS should be resisted to maintain and improve care of dying patients.Trade Review'Fitting and timely...particularly useful for those practicing in the U.K. because of the chapter on legislation in the U.K., but it will also be valuable to those practicing in the United States because of its examination of the experience of both Oregon and the Netherlands...a concise overview of the issues as well as a notable starting point for further research...5 Stars' DOODY'S REVIEW SERVICE "A clearly written review, concise but thorough, of the pros and cons of legalising physician-assisted suicide (PAS) in the UK - Anybody who has an interest in the debate about PAS and euthanasia should read this book." IAHPC NEWSLETTERTable of ContentsBackground to the debate. The language of the debate. The problem of unrelieved suffering. Palliative care. Ethical arguments. Legislation in UK. Learning from experience. Physician assisted suicide in Clinical Practice. The patient’s story. Positive approaches to care of the dying.

Read more less

Book SynopsisNow fully revised and in its fourth edition, the Oxford Handbook of Oncology has been the essential go-to guide for students and practitioners in oncology for over a decade. The scientific basis and diagnosis of cancers is covered, as well as drugs, biomarkers, and the presentation and psychosocial aspects of oncology. Concise, practical, and comprehensive, there is no better companion for both common conditions and challenging emergencies.The field of oncology has surged forward since the last edition was published and the Oxford Handbook of Oncology has been fully revised and updated to reflect these recent advances so you can be sure that the vital information you need is in your hands. This handbook incorporates changes such as the understanding of the science of cancer, novel therapies in breast, lung, renal, and melanoma, molecular sub-classification of common solid cancers, personalized therapy approaches, new agents in hard to treat cancers, the benefits of new technologies in Trade ReviewWritten by experts in the field to ensure that it is grounded in real life clinical practice, this Handbook provides a concise guide to all aspects of oncology for all students, nurses, and junior faculty responsible for the care of cancer patients, while also providing further reading and highlighting areas of controversy for those who need a more detailed understanding. * Anticancer Research *Table of Contents1. Multidisciplinary approach to cancer ; 2. Aetiology and epidemiology ; 3. Genetics of cancer ; 4. Surgical oncology ; 5. Principles of radiation oncology ; 6. Principles of chemotherapy ; 7. Principles of symptom control in palliative care ; 8. Late effects of radiotherapy and chemotherapy ; 9. Hormone therapy ; 10. Biological and targeted therapies ; 11. Clinical trials ; 12. Cancer prevention ; 13. Population screening for cancer ; 14. Thoracic cancer ; 15. Breast cancer ; 16. Colorectal cancer ; 17. Anal cancer ; 18. Upper gastrointestinal cancer ; 19. Endocrine cancers ; 20. Genitourinary cancers ; 21. Gynaecological cancer ; 22. Head and neck cancer ; 23. Tumours of the central nervous system ; 24. Skin cancer ; 25. Haematological malignancies ; 26. Bone and soft tissue malignancies ; 27. Cancer of unknown primary site ; 28. Paraneoplastic syndromes ; 29. AIDS-related malignancies ; 30. Childhood cancers presenting in adulthood ; 31. Overview of Acute Oncology ; 32. Spinal cord compression and bone marrow suppression ; 33. Superior vena cava obstruction and raised intracranial pressure ; 34. Stridor ; 35. Thromboembolic and cardiac emergencies ; 36. Obstruction ; 37. Biochemical crises ; 38. Complications of long-term central venous lines and chemotherapy extravasation ; 39. Novel therapeutic strategies ; 40. Gene therapy and immunotherapy for cancer ; 41. Biomarkers and Cancer ; Appendices

Read more less

Book SynopsisTable of ContentsPreface 1. Primary ED Palliative Care 2. Trajectories and Prognostication 3. Goals of Care Discussions 4. Advance Directives and Advance Care Planning 5. Dyspnea 6. Nausea and Vomiting 7. Cancer Pain 8. Last Hours of Living 9. Non-malignant and chronic pain 10. Devices and Therapies 11. Family Presence During Resuscitation 12. Ventilator Withdrawal 13. Death of a Child 14. Hospice Referral from the ED 15. Hospice Patient in the ED 16. Cultural and Spiritual Considerations 17. Ethical Aspects of Care 18. Global Aspects of Palliative Care 19. Prehospital Palliative Care 20. Models of Care/Implementation of Palliative Care in the ED 21. Palliative Care Consultation in the ED

Read more less

Book SynopsisOne in 70 children are admitted to paediatric intensive care (PIC) at some time during childhood. Most paediatric junior doctors will rotate through PIC, and will be involved in organising acute intensive care for critically ill children. The range of children and their illnesses going through PIC is vast, making it a hugely diverse specialty. A critically ill child will end up there regardless of their underlying disease, and as a result consultants in PIC must be true generalists and need to acquire knowledge and skills in all areas of paediatrics, as well as acquiring significant knowledge of anaesthesia and surgery. From setting up the ventilator, to managing low cardiac output, Paediatric Intensive Care gives practical and realistic advice for children''s doctors and nurses in intensive care. Information is presented in easily-accessible ''5 minute chunks'' to enable you to quickly get the answers you need, with extensive cross-referencing ensuring that different aspects of a particular clinical problem are fully covered. With detailed answers to specific problems and expert guidance on how to manage the complex issues faced in PIC, this handbook is an indispensible guide for all those who provide care to sick children.Trade ReviewThis very condensed but detailed handbook describes in its 43 chapters the anatomy, pathophysiology and treatment of conditions necessitating intensive medical care in neonates, infants and children... As the editors write this book is not just for intensivists, but should help also paediatric clinicians. * Inbar Kushnir, Editorial Manager; PER Volume 15 no.2 *Table of ContentsGENERAL INTRODUCTION TO PAEDIATRIC INTENSIVE CARE; ORGAN SYSTEM SUPPORT AND RELATED PRACTICAL PROCEDURES; SPECIFIC SPECIALTIES; COMPASSIONATE AND FAMILY-ORIENTATED CARE

Read more less

Book SynopsisThis new edition provides the essential clinical guidance both for those embarking upon a career in palliative medicine and for those already established in the field. A team of international experts here distil what every practitioner needs to know into a practical and reliable resource.Trade Review'Many programs are discussed in detail, which enable readers to understand palliative medicine trends throughout the world and have an understanding of impactful strategies that have been helpful to patients, families, and clinicians. The history of the profession is also covered beautifully, invoking pride in how far the profession has advanced over thepast 50 years, starting with the early work of Dame Cicely Saunders.'Leah D Ward, MSN, MA, A-GNP-C, ACHPN (Aspire Health), Doody EnterprisesTable of ContentsList of contributors. The development of hospice and palliative care. Palliative care as a public health issue. Palliative care as a primary care issue. The future of palliative medicine. Palliative care and supportive care. Ethics in the practice of palliative care. Undergraduate education in palliative medicine. Graduate education for nonspecialists. Challenges of research in palliative and supportive medicine. The population: Who are the subjects in palliative medicine research?. Study designs in palliative medicine. Outcome measurement in palliative care. Ethics in palliative care research. Adoption of palliative care: The engineering of organizational change. Principles of measuring the financial outcomes of specialist palliative care programs. Population-based needs assessment for patients and those important to them, such as families. Models of palliative care delivery. Home palliative care. Palliative care unit. Multidimensional patient assessment. Tools for pain and symptom assessment. Quality of life assessment in palliative care. Pathophysiology of chronic pain. Causes and mechanisms of pain in palliative care patients. Opioid analgesics. Assessment and management of opioid side effects. Adjuvant analgesic medications. Alternative routes for systemic opioid delivery. Interventional pain procedures in palliative care. Pain management in pediatrics. Pain in the older adult. Neuropathic pain. Bone cancer pain and skeletal complications. Breakthrough (episodic) pain in cancer patients. Somatic symptoms, symptom clusters, and symptom burden. Pain in patients with alcohol and drug dependence. Cachexia–anorexia syndrome. Nausea/vomiting. Constipation. Jaundice. Malignant bowel obstruction. Endoscopic treatment of digestive symptoms. Mechanism, assessment, and management of fatigue. Breathlessness. Other respiratory symptoms (cough, hiccup, and secretions). Depression/anxiety. Delirium. Sleep disturbances in advanced cancer patients. Counseling in palliative care. Hope in end-of-life care. Dehydration and rehydration. Fever, sweats, and hot flashes. Pruritus. Infections in palliative care. Pediatric palliative wound care: The unique anatomy and physiology of neonatal skin. Mouth care. Fistulas. Assessment and management of lymphedema. Hypercalcemia. Hemorrhage. Spinal cord compression. Clinical features and management of superior vena cava syndrome. Acute pain and management. Suicide. Cancer: Radiotherapy. Chemotherapy, hormonal therapy, targeted agents, and immunotherapy. Integrative medicine in supportive and palliative care. Neurological diseases. End-stage congestive heart failure. Geriatric palliative care. Advanced chronic obstructive pulmonary disease. Other infectious diseases: Malaria, rabies, tuberculosis. Practical resources for palliative care development in countries with limited resources: An IAHPC perspective. Prognostic indicators of survival. Palliative sedation. Staff stress and burnout in palliative care. Spiritual care. Family caregivers and cultural sensitivity. Bereavement. Children of palliative care patients. Neutropenic fever. Side effects of radiation therapy. Cardiac and pulmonary toxicities of treatments. Oral complications of cancer therapies. Dermatologic side effects. Peripheral neuropathy and neurotoxicity. Sex and sexuality. Managing communication challenges with patients and families. Supportive and palliative care for patients with HIV infection. Implantable cardiac devices. Supportive care for patients with advanced chronic kidney disease. Palliative care in the emergency department. Optimal Symptom Management in Hematopoietic Stem Cell Transplantation. The end of therapy: Building the psychosocial and spiritual bridges to survivorship. Rehabilitation in the acute and chronic care setting. Long-term cognitive function. Gonadal functions and reproductive health. Pulmonary rehabilitation. Index.

Read more less

Book SynopsisLife at Home for People with a Dementia provides an evidence-based and readable account of improving life at home for people with a dementia and their families. There are estimated to be 47 million people with a dementia worldwide, the majority of whom will live, or want to live, in their own home. Yet there is a major shortcoming in available knowledge on what life is like for people with a dementia living at home. Most research focuses on care in hospitals or care homes, and takes a medical perspective. This book bridges this gap in knowledge by providing a comprehensive and critical overview of the best available evidence on enabling people with a dementia to live well at home from the viewpoint of those living with the condition, and in the context of global policy drivers on ageing and health, as well as technological advances. The book includes chapters on citizenships â that is, the diversity of people living with a dementia â enabling life at home, rethinking self-management, the ethics and care of people with a dementia at home, technological care and citizenship, and sharing responsibilities. It concludes with a care manifesto in which we set out a vision for improving life at home for people with a dementia that covers the areas of professional practice, education and care research. By covering a wide range of interrelated topics to advance understanding and practice as to how people with a dementia from diverse backgrounds can be supported to live well at home, this book provides a synthesised, critical and readable understanding of the complexities and risks involved. Trade Review‘This is an exciting, innovative and hugely informative book that is not afraid to face up to the symbolism of home and its place in the everyday lives of people with dementia and their families’. - Professor John Keady, The University of Manchester, UK Table of ContentsList of figures; List of tables; Foreword – a poem; Foreword; Acknowledgements; Chapter 1: Introduction; Part One: Understanding Life at Home; Chapter 2: Citizenships: The diversity of people living at home; Chapter 3: Enabling life at home; Chapter 4: Rethinking self-management and dementia; Part Two: Towards Social Justice; Chapter 5: Ethics and care for people with a dementia at home; Chapter 6: Technological enhanced care and citizenship; Chapter 7: Sharing responsibilities; Chapter 8: Care Manifesto; Index

Read more less

Book SynopsisBy bridging the gap between conventional medical interventions and complementary approaches using aromatherapy, palliative care nurse and clinical aromatherapist, Carol Rose, demonstrates how an integrated and evidence-based approach can have the most significant impact on quality-of-life in patients with life-limiting illness.Aromatherapy is already a fundamental practice in many palliative care settings but its benefits remain under-researched and under-represented. Each chapter of this book incorporates a person-centred focus to consider the integration of various aromatherapy approaches for a range of end-of-life symptoms, alongside conventional medical options. The specificity of this approach and the emphasis of empowering patients to be involved in the process of choosing oils and applications, allows for improved results in the palliation of common symptoms.Integrating Clinical Aromatherapy in Palliative Care has a foundation in research from the patient's point of view. The result is a fresh perspective that prioritises support of patient choices, skilful communication and individualised care, alongside the judicious use of essential oils and other botanical products. Collectively, aromatherapy can completely reframe holistic care to allow for greater emotional, social and spiritual expression.Trade ReviewThe most authoritative text to date for the specialist aromatherapy world...a detailed, empathetic and dedicated path that stems from a place of rich experience, knowledge and the unwavering determination to keep the patient at the heart of every therapeutic encounter. -- Rhiannon Lewis, International Journal of Clinical AromatherapyCarol Rose carefully constellates within these pages a vital resource of clinical wisdom and compassionate expertise in aromatic palliative care. This labour of love - in terms of both practice and scholarship - is a professional object lesson in contemporary clinical aromatherapy, and will enrich and empower the aromatherapy student and clinical practitioner alike. Unreservedly recommended! -- Gabriel Mojay, Institute of Traditional Herbal Medicine and AromatherapyThis holistic, integrative resource needs to be read by every palliative care clinician. Truly inspiring. -- Jenny Coleman RN, cancer support nurse specialistCarol Rose draws on her extensive clinical experience to create a bridge between research and its applications, while keeping the individual's unique narrative at the core of all aromatherapeutic interventions. This beautifully written book transcends symptom management in the clinical domain, and it is grounded in an uncompromisingly holistic philosophy, evident in the inspiring case studies. This book will empower those experiencing cancer and terminal illness, and also their families, loved ones and caregivers, at all stages of their journey and beyond - but most importantly, Carol Rose's words will touch your heart. -- Jennifer Peace Rhind, writer, author and essential oils consultant

Read more less

Book SynopsisA handbook for acupuncturists and healthcare practitioners on the use of acupuncture for end-of-life care. The book covers the major hospice and palliative care diagnoses from a Chinese medicine perspective, as well as grief and loss, and includes the roots of Chinese historical perspectives on death and dying. The acupuncturist is introduced to the working medical model of hospice care and the interdisciplinary team approach and provided with evidence-based strategies for the use the acupuncture in symptom management.Trade ReviewTorii Black has expertly combined history and modern research with ancient medical theory to create an essential resource for anyone interested in integrating acupuncture services into end-of-life care. Hospice organizations will appreciate the detailed introduction to acupuncture and herbal medicine, while acupuncture providers will find the suggested treatment protocols helpful and insightful. -- Cole Alexander, DAOM, LAc – Executive Director at Free Range HealthA must read for both new and seasoned Acupuncturists. Descriptions of the treatment protocols used to assist in the dying process are extremely valuable and can be readily utilized. A well researched reference on the systems of hospice and palliative care, Hospice and Palliative Care Acupuncture is a foundational handbook for treating hospice clients and their families. -- Whitney Madden, Lic Ac, CBHC (Certified Brain Health Coach)Evidence shows acupuncture to be both valuable and lacking as a complement to conventional palliative and hospice care. This book offers practitioners context, clinical support and the necessary language to bridge the gap in this particularly wonderful continuum of care. -- Paula McPhail, practitioner, Lic Ac, MSc(Res)Table of ContentsIntroduction; 1. Hospice and Palliative Care History/Philosophy; 2. Chinese Culture Influences Modern Death and Dying Issues; 3. East Meets West - The Face of Modern Palliative Care; 4. Palliative Performance Scale (PPS); 5. Assessment, Diagnosis, and Treatment of the Patients at the End of Life; 6. Channel Points for Consideration; 7. Final Thoughts; References; Glossary for Point Nomenclature

Read more less

Book SynopsisSpecifically designed to enhance your knowledge and skills within generalist palliative care, this informative textbook provides a comprehensive overview of the principle areas you may encounter whilst working with adult palliative and end-of-life patients, and their families. The development of the text has been backed by Macmillan Cancer Support and each chapter has been written by a range of specialist and generalist authors. The topics covered include approaches to palliative care and symptom management in a wide range of conditions and populations, with chapters linked to case studies to encourage interactive learning and understanding. Communication skills are also highlighted to help aid confidence when engaging in open and difficult conversations. The text is in line with Scottish Palliative Care Guidelines and the NES Framework for Palliative and End of Life Care. The book may either be used as course reading for relevant training programmes, such as the Enhanced Palliative Care course, as well as by healthcare professionals hoping to develop their skills and practice. It is aimed at anyone involved in management and prescribing within non-specialist palliative care, both in hospitals and in the community, including paramedics, nurses, doctors, pharmacists, and other key health professionals.Trade ReviewPut together by contributors with high hopes and feet firmly on the ground, the Enhanced Palliative Care programme will be an invaluable resource to many and a direct benefit to many, many more who will receive care that has been influenced and improved by it. -- David Clark – Professor Emeritus, University of Glasgow.This manual is packed full of evidence-based wisdom and insight that will prove invaluable to so many people wishing to improve their palliative care practice. -- David Clark – Professor Emeritus, University of Glasgow.

Read more less

Book SynopsisWhile palliative care has adopted a holistic approach to treatment, medication driven symptom management ostensibly forms the critical aspect of care. Prescribing in palliative care can be extremely complex because the patient may often have comorbidity, or occasionally multimorbidity. The associated polypharmacy further complicates the pharmacological management of symptoms being caused by the palliative condition. This can be daunting for healthcare professionals and can negatively impact upon the effectiveness of care provided.Fully revised and updated, the third edition of Drugs in Palliative Care provides an accessible and succinct overview of the main drugs that are encountered in palliative care clinical practice. The text begins by providing a clinical pharmacology overview and prescribing guidance, then contains over 160 monographs of palliative care drugs, in an easy to access A-Z format.Trade ReviewReview from previous edition I like the handy pocket-size and the drug monographs are organised in an easy-to-use A-Z format. This book would be very useful as a quick reference on any palliative care unit. * IAHPC Newsletter *Table of ContentsDetailed contents Symbols and abbreviations 1: Clinical pharmacology overview 2: Prescribing guidance 3: Drug Monograph A-Z Index

Read more less

Book SynopsisNow updated and expandeda gentle and comprehensive guide for parents expecting a baby with a prenatal diagnosis of a life-limiting condition. When prenatal testing reveals that a baby is expected to die before or shortly after birth, many parents choose to proceed with the pregnancy and embrace the time they are able to have with their baby, before birth as well as afterward. With compassion and support, A Gift of Time walks these parents step-by-step through this challenging and emotional experiencefrom receiving the diagnosis to coping with the pregnancy and making plans for the baby's birth and peaceful death. The second edition of this gentle guide offers inspiration and reassurance through the voices of numerous parents who have walked this path with their beloved baby. Their moving experiences are stories not only of grief but of joy and peace. This edition: Expands the content substantially to incorporate new research and guidelines Features additional vignettes from more tTable of ContentsIntroduction1. The New: Receiving Your Baby's Diagnosis2. What Now? Making Decisions about Continuing Your Pregnancy3. The Emotional Journey: Grieving and Adjusting to Your New Path4. Waiting with Your Baby: Settling in for the Rest of your Pregnancy5. Making Medical Decisions: Choosing Care for Your Baby6. Getting Ready: Preparing for Your Baby's Birth, Life, and Death7. Welcoming Baby: Birth Experiences and Meeting Your Baby8. Saying Goodbye: Holding On and Letting Go9. Continuing Your Journey: After Your Baby Dies10. ReflectionsAppendix: Sample Outline for a Perinatal Palliative Care Birth PlanNotesIndex

Read more less

Book Synopsis

Read more less

Book SynopsisHarnessing hope is fundamental to adapting to a chronic illness or palliative illness, and this fascinating book provides a new framework that will enable physiotherapists and other healthcare professionals to engage with patients to create better interactions and outcomes for rehabilitation.Based on extensive research into how patients express their experiences, it identifies those factors that influence how hope can be used to benefit an interaction. It also considers central questions to illustrate how interactions can be psychologically mapped to assess emotions, adjustment, and hope. The book then features practical guidance on how to integrate the idea of hope into therapeutic conversations with patients, fostering acceptance and adaptation to the present, and looking towards the future.This book will interest any practitioner working with patients experiencing chronic pain or palliative illness, as well as students across physiotherapy, occupational therapy, and

Read more less

Book SynopsisThis book examines the dialectic between fictional death as depicted in the media and real death as it is experienced in a hospital setting. Using a Terror Management theoretical lens, Davis and Crane explore the intersections of life and death, experience and fiction, to understand the relationship between them. The authors use complementary perspectives to examine what it means when we speak and think of death as it is conceived in cultural media and as it is constructed by and circulates between patients, health professionals, and supportive family members and friends.Layering analysis with evocative narrative and an intimate tone, with characters, plot, and action that reflect the voices and experiences of all project participants, including the authors' own, Davis and Crane reflect on what it means to pass away. Their medical humanities approach bridges health communication, cultural studies, and the arts to inform medical ethics and care.Table of Contents1. A Mortality Tale: Narrative Management of Death 2. Death as Vertigo: The Day Time Stood Still 3. Death as Disequilibrium: Things that Go ‘Bump’ in the Night 4. Death as a Cry for Help: An Unimaginable Prayer 5. Death as a Horrible Other: A Relationship with the Other Side 6. An Ode to Childhood’s Joy: An Antidote to the Hyperreality of Death 7. Death as a Jokester: The Last Laugh 8. Death as a Relationship: Death, Love, and Loss 9. Death as a Lover: Eternal Flame 10. Death as a Weapon: Dying for a Cause 11. Death as a Foe: Waging War on Death 12. Death as a Roommate: Living with Death 13. Death as a Way of Life: Living Death 14. Death as a Threshold: Letting Go Coda

Read more less

Book SynopsisMonitoring the Critically Ill Patient is an invaluable, accessible guide to caring for critically ill patients on the general ward. Now fully updated and improved throughout, this well-established and handy reference guide text assumes no prior knowledge and equips students and newly-qualified staff with the clinical skills and knowledge they need to confidently monitor patients at risk, identify key priorities, and provide prompt and effective care. This new edition includes the followingfive new chapters: Monitoring the critically ill child Monitoring the critically ill pregnant patient Monitoring the patient with infection and related systemic inflammatory response Monitoring a patient receiving a blood transfusion Monitoring pain Trade Review“This would be a helpful guide for nurses working in any acute setting; acute wards, coronary care, critical care outreach or the emergency department. It is also a good introductory tool for critical care nurses explaining the principles of assessment, different types of invasive monitoring and waveforms and so on.” (Nursing Times, 17 October 2012)Table of ContentsForeword vii Preface ix Contributors xi 1 Recognition and Management of the Deteriorating Patient 1 2 Assessment of the Critically Ill Patient 25 3 Monitoring Respiratory Function 39 4 Monitoring Cardiovascular Function 1: ECG Monitoring 91 5 Monitoring Cardiovascular Function 2: Haemodynamic Monitoring 115 6 Monitoring Neurological Function 154 7 Monitoring Renal Function 177 8 Monitoring Gastrointestinal Function 197 9 Monitoring Hepatic Function 209 10 Monitoring Endocrine Function 218 11 Monitoring Nutritional Status 231 12 Monitoring Temperature 244 13 Monitoring Pain 258 14 Monitoring a Patient Receiving a Blood Transfusion 267 15 Monitoring the Patient with Infection and Related Systemic Inflammatory Response 281 16 Monitoring the Critically Ill, Pregnant Patient 302 17 Monitoring the Critically Ill Child 320 18 Monitoring During Transport 336 19 Record Keeping 346 Index 355

Read more less

Book SynopsisEnck places great emphasis on enhancing the quality of life while addressing the most common symptoms of terminal illness.Trade ReviewA very well thought out and organized professional book... A thorough book for physicians. -- Carolyn Whitman, M.S., R.N. Inside GCM This Second Edition demonstrates the enormous advances that have been made in the understanding of the treatment of the terminally ill. It provides the clinician with a clear, readable and practical guide to managing clinical problems at the end of life. -- Roger Woodruff International Association for Hospice and Palliative Care Newsletter We can congratulate and thank [Dr. Enck] for adding to the comfort and care of a great many of our fellow human beings as death draws near. Doody's 3-Star ReviewTable of ContentsContents: Preface to the Second Edition List of Abbreviations 1. The Prognostication of Survival Cancer Dementia Motor Neuron Disease Acquired Immunodeficiency Syndrome (AIDS) Central Nervous System Anoxia Advanced Pulmonary Disease Heart Disease Summary I. The Management of Symptoms Common Among Dying Patients 2. General Symtoms of Dying Patients Pain Gastrointestinal Symptoms Nausea and Vomiting Anorexia and Cachexia nutritional Probllmes Hydration Constipation Central Nervous System Symptoms Delirium Depression Systemic Symptoms Dyspnea Urinary Incontinence Pressure Sores Summary 3. Other Problems of Patients with Cancer Malignant Intestinal Obstruction Malignant Dysphagia Neuromuscular Dysfunction Malignant Ulceration Summary 4. Other Problems of Patients with Nonmalignant Diseases Dementia Motor Neuron Disease Acquired Immunodeficiency Syndrom (AIDS) Chronic Vegetative State Advanced Pulmonary Disease Heart Disease Summary 5. Palliative Surgery Principles of Preoperative Care Principles of Operating for Advanced Cancer Principles of Postoperative Care Indications for Surgery Summary II. The Management of Pain 6. An Overview of Pain Management Principles of Pain Management The Ladder Approach Managing the Complications of Pain Treatment Summary 7. Opioids Oral Morphine Parenteral Opioids Alternative Routes of Administration Summary 8. Adjuvant Analgesic Drugs Anticonvulsants Phenothiazines Antidepressants Antihistamines Steroids Antibiotics Amphetamines Butyrophenones Summary 9. Complications of Pharmacologic Therapy Opioids Nonsteroidal Anti-inflammatory Drugs Summary 10. Bone Pain Pathopysiolgoy Radiation Therapy Pharmacotherapy Summary References Index 11. Surgery and Other Nonpharmacologic Interventions to Manage PainSurgery Acupuncture Transcutaneous Electrical Nerve Stimulation Relaxation Techniqu eComplimentary/Alternative Medicine Summary III. The Management of Symptoms During the Last Few Days 12. The Final Moments Terminal Symptoms and Their Managment Drug-Induced Terminal Sedation Summary 13. Issues Concerning the Sustaining of Life Do Not Resuscitate Advance Directives Physician-Assisted Suicide and Euthanasi aSummary References Index

Read more less

Book SynopsisIn the new edition of this unique professional resource, hospice and palliative care team members—especially social workers and counselors—will find the empirical evidence and compassionate advice they need to provide excellent holistic psychosocial care to individuals who are dying or bereaved. Encompassing the journey through diagnosis, treatment, recurrence, palliative care, and bereavement, this guide describes appropriate interventions for each of the key transitions that more dying patients and their families face. Included throughout are personal reflections and experiences of social workers, counselors, and other team members, common major challenges to the healthcare team, and important considerations for each transition.Trade ReviewWendy Wainwright, M.Ed., has been working in the area of psychosocial palliative care locally, regionally, and nationally for over 30 years. She has been based at Victoria Hospice since 1983, beginning as a community counselor, then bereavement coordinator and manager of counseling services before becoming Director of Clinical Services. She is administrator for nursing and psychosocial services, overseeing a staff of RNs, LPNs, nursing unit assistants, counselors, social workers, and a spiritual care coordinator who work in cooperation with other clinical and non-clinical employees and volunteers to serve both patients and families from registration to bereavement. She has a bachelor's degree in sociology and a master's of education in counseling psychology. She has developed staff and volunteer training programs for VHS and educational materials for patients, families, and professionals. Ms. Wainwright is the author of numerous professional journal articles on counseling activities, child and parent support groups, and young people and death. Marney Thompson, M.A., has worked in various roles at Victoria Hospice since 1990, including as a volunteer, a group facilitator, and counsellor, and is currently Bereavement Program Coordinator. She has a bachelor's degree in child and youth care and a master's degree in human and social development. An experienced conference presenter of psychosocial palliative topics, she is also the author of various publications on bereavement published by the Victoria Hospice Society. Victoria Hospice is a relatively large hospice palliative care and bereavement program in a community of approximately 375,000 (Victoria, British Columbia).Founded in 1980, it has a staff of approximately 116 full-time, part-time, and casual (on-call) staff and more than 300 active volunteers. It is a registered charity that provides end-of-life care, education, and research focused on palliative treatment. Its nurses, counselors, spiritual caregivers, physicians, and trained volunteers provide comfort for the patient and support for the family rather than a cure for progressive and life-limiting illness. Care is offered in patients' homes, within a 17-bed in-patient unit, and as specific medical consultation to patients in other healthcare facilities. Victoria Hospice also offers bereavement support to families for up to one year following a death. Mission: To enhance the quality of life for those facing advancing illness, death, and bereavement through skilled and compassionate care, education, research, and advocacy.

Read more less

a huge range and FREE tracked UK delivery on ALL orders.

Read more less

Book SynopsisAre you involved in caring for people at the end of their life? Do you have a role in supporting the families of those who are dying, or is this an area of your work you find personally difficult?This book is an accessible guide for all those working in health or social care and caring for people at the end of their lives. This will include people in roles such as healthcare assistant, hospice worker, volunteer, nurse or other carers.Written by experts with extensive experience in delivering high quality end of life care, this book is full of real life examples, reflection exercises and case studies. It also includes insights into what can help make a good death, and how to help support families at the end of life.The easy to read chapters emphasise treating people who are dying with dignity using a person centred approach.The book supports the delivery of quality care by recognising physical and non-physical symptoms, and thinking about various emotional and phTable of ContentsForewords Contributors 1. Thinking about dying – setting the scene 2. What does end of life care mean? 3. Where are people cared for and who is involved? 4. How can we communicate with people about dying? 5. What are the common physical symptoms at the end of life and how can we help? 6. What are the common non-physical symptoms at the end of life and how can we help? 7. How can we help families and carers? 8. How do people’s beliefs and values influence their dying? 9. What happens in the last hours of life? 10. What to do when someone dies and afterwards 11. How can we look after ourselves? 12. Frequently asked questions  Glossary of helpful termsUseful websites, books and other resourcesReferences

Read more less

Book Synopsis

Read more less

Book SynopsisThe incidence of cancer is alarmingly increasing worldwide. The major problem that the medical profession is currently facing refers to "late presentation" patients who, for the most part, have reached the terminal stage of the illness. For these people, the only treatment option left is palliative care. Various patterns of palliation have been in practice in every culture and in every ethnic group for generations. Unfortunately, we still lack significant and sustained investment in research related to the practice of palliative care. Authors from around the globe seek more investment of public and private funds to investigate ways to improve the bedside practice of palliative care. Modern palliative care concepts were established by Dame Cicely Saunders, from London, UK, right after World War II. It is only in the past 15 to 20 years that this new discipline started to develop in the developing world. However, we still lack the essential basic biological processes involved in relieving the suffering of cancer patients while receiving palliative measures throughout the trajectory of the disease. This book owes its origins in large measure to physicians and nurses in 30 countries globally, who decided to devote their time, energy, compassion and goodwill, to the promotion of palliative care in their countries and communities, yet they lack solid evidence-based data to rely upon while extending their treatment to both patients and family members. The goal, in part, is to bridge the gap between scientists and clinicians from developed countries and those in developing countries. We have been aware of the variances between cultures, traditions, beliefs and practices. I am continually struck by the seemingly diametrical views of "knowing" and cultures and the strong overlaps that might give rise to new ideas. We hope that these new volumes will serve to inspire health professionals'' and administrators'' interests and appreciation for the investment in basic and clinical research that will serve to advance our understanding of the underlying physical and emotional factors involved while extending palliative care to patients suffering from cancer and other non-communicable illnesses.

Read more less

Book SynopsisThe incidence of cancer is alarmingly increasing worldwide. The major problem that the medical profession is currently facing refers to "late presentation" patients who, for the most part, have reached the terminal stage of the illness. For these people, the only treatment option left is palliative care. Various patterns of palliation have been in practice in every culture and in every ethnic group for generations. Unfortunately, we still lack significant and sustained investment in research related to the practice of palliative care. Authors from around the globe seek more investment of public and private funds to investigate ways to improve the bedside practice of palliative care. Modern palliative care concepts were established by Dame Cicely Saunders, from London, UK, right after World War II. It is only in the past 15 to 20 years that this new discipline started to develop in the developing world. However, we still lack the essential basic biological processes involved in relieving the suffering of cancer patients while receiving palliative measures throughout the trajectory of the disease. This book owes its origins in large measure to physicians and nurses in 30 countries globally, who decided to devote their time, energy, compassion and goodwill, to the promotion of palliative care in their countries and communities, yet they lack solid evidence-based data to rely upon while extending their treatment to both patients and family members. The goal, in part, is to bridge the gap between scientists and clinicians from developed countries and those in developing countries. We have been aware of the variances between cultures, traditions, beliefs and practices. I am continually struck by the seemingly diametrical views of "knowing" and cultures and the strong overlaps that might give rise to new ideas. We hope that these new volumes will serve to inspire health professionals'' and administrators'' interests and appreciation for the investment in basic and clinical research that will serve to advance our understanding of the underlying physical and emotional factors involved while extending palliative care to patients suffering from cancer and other non-communicable illnesses.

Read more less

Book SynopsisIn the Middle East, as in other countries in the developing world, there is now a wide acceptance that palliative care is an important public health issue that should be integrated into the mainstream of cancer care as well as other life-threatening diseases. Nowadays, it is recognised as a human right issue that patients and families have the right to receive this care. The WHO defined palliative care as the active total care of the patient''s body, mind and spirit; whereby health care providers need to evaluate and alleviate the patient''s physical, psychological and social distress. Such care encompasses a broad, multidisciplinary approach that includes both the family and the community and is provided in a range of settings, from the hospital, to the community health centre, to home. This unique and timely book captures the progress and vision of many dedicated groups throughout the Middle East and the USA who have been working to advocate for and develop palliative care services in the region. Each of the book''s chapters describes the efforts and challenges professionals have been experiencing as they address the palliative care needs of patients with life-limiting illnesses. Each country''s specific chapter details the current state of palliative care services and describes the various approaches that led to the development of a range of services in hospital-based sites to community and home-based care services.

Read more less

Book SynopsisPalliative care is an essential element of our health care system and is becoming increasingly significant amidst an aging society and organizations struggling to provide both compassionate and cost-effective care. Palliative care is also characterized by a string interdisciplinary approach. Nurses are at the center of the palliative care team across settings and populations. The seventh volume in the HPNA Palliative Nursing Manuals series, Care of the Imminently Dying provides an overview of symptom management when a patient is reaching the end of their life. This volume covers delirium and the advantages of early diagnosis, determining the presence of dyspnea, death rattle, or cough, urgent syndromes that may appear the end of life, palliative sedation, and the withdrawal of life-sustaining therapies. The content of the concise clinically focused volumes in the HPNA Palliative Nursing Manuals series provides a quick-reference in daily practice and is an ideal resource for nurses preparing for certification exams.Table of ContentsChapter 1 ; Delirium ; Debra E. Heidrich and Nancy K. English ; Chapter 2 ; Dyspnea, Death Rattle, and Cough ; Deborah Dudgeon ; Chapter 3 ; Urgent Syndromes at the End of Life ; Barton T. Bobb ; Chapter 4 ; Sedation for Refractory Symptoms ; Patti Knight, Laura A. Espinosa, and Bonnie Freeman ; Chapter 5 ; Withdrawal of Life-Sustaining Therapies: Mechanical Ventilation, Dialysis, and Cardiac Devices ; Margaret L. Campbell and Linda M. Gorman ; Chapter 6 ; Self-Assessment Test Questions ; Judith A. Paice

Read more less

a huge range and FREE tracked UK delivery on ALL orders.

Read more less

a huge range and FREE tracked UK delivery on ALL orders.

Read more less

Trade ReviewThis is truly a remarkable book - it simultaneously brings together the best we know of the science of palliative care with the essence and best of compassionate care. * Jimmie C. Holland, Memorial Sloan-Kettering Cancer Centre *For all health professionals who find themselves struggling to help patients face the complex process of dying, this book is both a detailed roadmap and an extraordinary guide that dispels the myth that 'there is nothing else they can do.' Most importantly, the book sets a high standard for creating an environment that enables patients' exploration of personhood and suffering and enhances their dignity in the final days of their lives. * Kathleen M. Foley, Memorial Sloan-Kettering Cancer Centre *[This book] gives us all clear guidance to help our patients and their families to make meaning of their lives in a consistent and standardized manner. Because it will help us to better help our patients and their families, his work is a gift to palliative care clinicians everywhere. * Diane E. Meier, Director, Hertzberg Palliative Care Institute and Mount Sinai School of Medicine *Dignity Therapy is a rich blend of a deep understanding of the existential concerns of the seriously ill and dying, and an incredibly practical resource for clinicians. * Betty Ferrell, City of Hope Medical Centre *This is not your usual medical text - it is written with profound sensitivity, humanity, and wisdom that is both inspiring and practical. * Nathan I. Cherny, Shaare Zedek Medical Centre, Israel *In this elegant book, Harvey Chochinov shows how the interrelatedness of one human being with another affects an individual's intrinsic sense of dignity, and he examines the implications of this on the care environment. Every palliative care service will find this book enriching and will look with refreshed eyes on the work of providing care to others. * Baroness Ilora Finlay of Llandaff, Cardiff University, and Member, House of Lords, UK *[It] offers unique insight into the process of psychological dying and the opportunity for growth. I recommend it to anyone who is working in the helping professions and has the unique opportunity to be present as individuals create their own last chapter. * J. Donald Schumacher, National Hospice and Palliative Care Organization *This book is valuable to clinicians from all settings and fields, those involved in medical and nursing education, and those undertaking research to improve patient and family experience and care. * Irene J. Higginson, King's College, London *Dr. Chochinov's Dignity Therapy provides a practical way to implement one of the essential elements of any healthcare system and any relationship between a clinician or caregiver and patient who is seriously ill honouring the dignity of each and every individual. His book provides practical, evidence-based, yet sacred, interventions that allow for healing in the midst of suffering. * Christina M. Puchalski, The George Washington University School of Medicine and Health Sciences *Whether you are a professional who, like me, works in palliative care or in another setting, I recommend Chochinov's book as one to put on your reading list for the coming year. sDignity Therapy is an engaging read distinguished by its depth of insight and vibrant perspective. sDignity Therapy: Final Words for Final Days is a comprehensive, well-written, and engaging book, which provides a clear background and implementation guide for Dignity Therapy. It would probably be most useful for palliative care and hospice providers and for those of us in palliative care who are in a position to either implement or advocate for the implementation of a Dignity Therapy program. * Mercedes Pacheco, Journal of Palliative Medicine *What I like about it particularly is that it presents a subtle and powerful argument against euthanasia without in any way being overtly religious. * Francis Phillips, Catholic Herald d *Table of ContentsChapter 1: Dignity and the End of Life ; Why Study Dignity? ; Dignity and Empirical Research ; The Model of Dignity in the Terminally Ill ; Illness-Related Concerns ; - Level of Independence ; - Symptom Distress ; Dignity-Conserving Repertoire ; - Dignity-Conserving Perspectives ; - Dignity-Conserving Practices ; Social Dignity Inventory ; - Privacy Boundaries ; - Social Support ; - Care Tenor ; - Burden to Others ; - Aftermath Concerns ; References ; Chapter 2: Moving Dignity into Care ; How the Dignity Model Informs Dignity Therapy ; - Form ; - Tone ; - Content ; Dignity Therapy Revealed ; The First Clinical Trial is Published ; What about Families? ; Gold Standard Evidence ; Time to Move On ; References ; Chapter 3: Introducing Dignity Therapy to Patients and Families ; Patient Selection for Dignity Therapy ; Who Should Not Take Part in Dignity Therapy? ; Chapter 4: Doing Dignity Therapy ; Setting up the Dignity Therapy Session ; The Role of the Dignity Therapist ; References ; Chapter 5: The Generativity Document ; The Rationale for Editing Dignity Therapy Transcripts ; Transcribing the Audio-Recorded Interview ; Editing the Verbatim Transcript ; - Cleaning Up the Transcript ; - Clarifying the Transcript ; - Finding a Suitable Ending ; - The Patient Has the Final Say ; Chapter 6. From Start to Finish ; Chapter 7. Moving Forward

Read more less

Book SynopsisRiveting in their emotional clarity and utterly jargon free, these 30 stories from real life penetrate how we grieve and how we can help those who grieve- whether the griever is oneself, someone we care about, or a client or patient. Lynne Dale Halamish, an internationally respected grief counsellor with more than 20 years'' experience, and Doron Hermoni, a family physician, researcher, and educator, present vignettes from practice that show how death- lingering, unexpected, violent, or self-inflicted- and the loss of a relationship- to oneself or with a child, sibling, parent, mate, grandparent, or friend- give life to grief, together with the process by which each person fully encounters his or her grief. Each story is no more than two or three pages, and the authors follow each one with a short summary of its teachings and a selection of annotated recent references for those who wish to read more about a topic. Looked at in relief, the stories reveal a master grief counsellor at worTable of Contents1. You Dont Know Till You Ask: Jumping to Conclusions, Speaking to Children ; 2. The Weeping Willow: Children dealing with impending death ; 3. Who Will Go with Me to Torah?: Security following parental death ; 4. The Black Place: Talking about fears ; 5. The Tree: It is normal to grow after trauma ; 6. Give Me Permission to Die: Talking openly about death ; 7. The Silent Stage: Encouraging the bereaved to express themselves ; 8. Where is safe?: Repercussions of sibling death ; 9. Decision to live: Important decisions need conscious thought ; 10. Who's Next?: Taking children to funerals: when, what age, how ; 11. The Worst Death: Difference between losing a parent and losing a child ; 12. The last to know: The individuals right to know ; 13. What is freedom?: The unique perspective of the individual ; 14. Mailman: Learn and pass the knowledge on ; 15. I want attention: Classroom intervention after suicide ; 16. You Cannot Prepare: Rehearsal for grief and romanticizing death ; 17. I Can't Tell You: Getting someone to tell you something ; 18. Letting Go: Tacking chances with communication ; 19. What is the Gain?: Cost vs. Benefit ; 20. Body Language: The Clarity of Body Language ; 21. Harps in Heaven Accordions in Hell: Changing Perceptions ; 22. Waiting to Die: The Timing of Death ; 23. Where Did You Get My Number: Identifying the bereaved ; 24. Better to Remember Him as He Was: Who should be part of the mourning rituals ; 25. Waiting for Elijah: Normal grief responses ; 26. What Not to Say: How to act around grievers ; 27. What's Yours and What Isn't: Empathy, Boundaries, Identification ; 28. Laugh and the World Laughs: When you are dying, you are still alive ; 29. The Minefield: Normal Grief ; 30. I Want to Finish His Life for Him: Identification of bereaved siblings with the deceased

Read more less

Book SynopsisThe syringe driver is a simple and cost-effective method of delivering a continuous subcutaneous infusion (CSCI). A CSCI provides a safe and effective way of drug administration and can be used to maintain symptom control in patients who are no longer able to take oral medication. There have been several developments in this field since the third edition of this highly successful book. The text in this edition has been completely revised, incorporating new treatment options and an extensive list of new compatibility data. This book serves as a valuable reference source, providing comprehensive review of syringe driver use and administration of drugs by CSCI. The first chapter provides an overview of syringe drivers and CSCIs, including a useful array of frequently asked questions. The second chapter provides information about the chemistry of drug incompatibility and degradation. The third chapter comprises revised and referenced information relating to most drugs likely to be administTrade ReviewAndrew Dickman and Jennifer Schneider [have] produced a well-written, well-referenced, and efficient treatment of the modern syringe driver for subcutaneous infusions as used in palliative care. Importantly and distinctively, the authors combined laboratory data with clinical observations to produce both a useable and practical text. This book serves well as a reference for any medical professional who commonly or uncommonly interacts with, orders, or adjusts syringe drivers with drugs for CSCI, even if not for use in palliative care. * R. Ryan Field, Anesthesia & Analgesia *... an important addition to the bookshelf of any palliative care clinician, nursing or medical, whose patients require continuous subcutaneous infusion. * John Haberecht, Director of Learning & Development, Centre for Palliative Care Research and Education *This book should be available in any hospice or palliative care service where CSCIs are used, which probably means nearly all of them. * IAHPC, Roger Woodruff *Table of ContentsLIST OF ABBREVIATIONS

Read more less

a huge range and FREE tracked UK delivery on ALL orders.

Read more less

Book SynopsisEven for the most experienced healthcare professional, managing the last few days of life can be difficult. This unique book provides guidelines for the care of the dying based on the Liverpool Integrated Care Pathway for the Dying Patient (LCP).Trade ReviewReview from previous edition This is a book that should be widely read. As its title suggests, it provides the tools to make the sort of changes that make a difference. It would be of value to most hospital doctors, general practitioners in the UK and contains much interest for Europe and North America GPs and is packed with useful information . . . I would highly recommend this book to all those professionals involved in looking after dying patients. * European Journal of Cancer Care, 13 *This book deserves to be widely read and will hopefully lead to the more widespread use of the Pathway, or locally adapted versions of it, both within and without specialist palliative care units. * IAHPC Website *Table of ContentsIntroduction ; 1. What about Care Pathways? ; 2. What is the Liverpool Care Pathway for the dying patient (LCP)? ; 3. Symptom control in care of the dying: how can the Liverpool Care Pathway (LCP) influence symptom control?, How do you manage nausea and vomiting in the dying patient? and Comfort measures in the last hours or days of life ; 4. Ethical issues in care of the dying ; 5. Communication in care of the dying ; 6. Spiritual/religious issues in care of the dying ; 7. Supporting family and friends as death approaches and afterwards ; 8. Supporting children as death approaches and afterwards ; 9. Induction and implementation of the Liverpool Care Pathway for the dying patient (LCP) ; 10. Dissemination and sustainability strategy for the LCP programme - incorporating a model for national audit for care of the dying ; 11. International development of the LCP ; Appendix 1 - The Liverpool Care Pathway for the Dying Patient (LCP) Core Documentation ; Appendix 2 - Ongoing assessment of the plan of care ; Appendix 3 - Completed pathway ; Appendix 4 - Coping with dying leaflet

Read more less

Book SynopsisThe importance of spiritual well-being and the role of meaning in moderating depression, hopelessness and desire for death in terminally-ill cancer and AIDS patients has been well-supported by research, and has led many palliative clinicians to look beyond the role of antidepressant treatment in this population. Clinicians are focusing on the development of non-pharmacologic interventions that can address issues such as hopelessness, loss of meaning, and spiritual well-being in patients with advanced cancer at the end of life. This effort led to an exploration and analysis of the work of Viktor Frankl and his concepts of logotherapy, or meaning-based psychotherapy. While Frankl''s logotherapy was not designed for the treatment of patients with life-threatening illnesses, his concepts of meaning and spirituality have inspired applications in psychotherapeutic work with advanced cancer patients, many of whom seek guidance and help in dealing with issues of sustaining meaning, hope, and uTrade ReviewThis is a priceless resource for those working with patients with advanced cancer and other terminal illnesses. It expertly applies scientifically validated existential treatments in an accessible workbook format for busy practicing clinicians... Unlike so much literature on existential psychotherapy with its grand theories, this book shows how to work with dying patients step by step. Readers will be rewarded with a new-found confidence when working with dying patients... 5 stars! * Doody's Notes *Few would argue with the importance of helping patients sustain a sense of meaning, particularly in the last months of life as they confront death... Well, that's what these little treatment manuals are all about. A carefully developed and structured 8-week psychotherapeutic intervention, for individuals or groups, shown to be of benefit in randomized clinical trials... I was impressed by the potential value of these interventions. In the palliative care setting they could be facilitated by experienced nurses, social workers, counsellors, and pastoral care workers as well as physicians. * IAHPC News *Table of ContentsIntroduction: Treatment Overview ; a. General Guidelines ; b. Intervention Purpose and Goals ; c. Intervention Overview ; d. How to Use the Manual ; 1. Session 1. Concepts & Sources of Meaning: Introductions and Meaning ; 2. Session 2. Cancer & Meaning: Identity Before and After Cancer Diagnosis ; 3. Session 3. Historical Sources of Meaning: Life as Legacy that has been given [past] and Life as Legacy that one lives [present] and gives [future] ; 4. Session 4. Attitudinal Sources of Meaning: Encountering Life's Limitations ; 5. Session 5. Creative Sources of Meaning: 'Creativity, Courage & Responsibility ; 6. Session 6. Experiential Sources of Meaning: Connecting with Life ; 7. Session 7. Transitions: Reflection & Hopes for Future ; References ; Handouts ; Exercises ; Homework

Read more less

Book SynopsisIn this groundbreaking book, Dr. Fishman shows how communicating better with patients about their pain can help physicians create safer and more effective treatment strategies. Listening to Pain offers physicians a wealth of practical guidance about asking the right questions and assessing patient responses, including:-What questions to ask pain patients when they first present with pain-Using functional goals as outcome measures-Educating patients about the risks and benefits of treatment-Documenting patient consent and compliance with treatment regimens-How to manage difficult patientsTrade Review"This well-written book drives home the concepts that communication between physicians and pain patients is absolutely crucial and how necessary it is to adequately monitor these patients and maintain appropriate records. 100 - 5 Stars!" -- DOODY'STable of ContentsIntroduction: The Healing Art of Communication ; Chapter 1: Asking the Right Questions ; Step 1: Slow Down ; Step 2: Focus on the Whole Patient, Not Just the Pain ; Step 3: Use Reflective Listening Skills ; The Importance of Taking a Comprehensive ; History ; Focusing on Function ; The Balancing Act of Compassion and Vigilance ; Chapter 2: Focusing on Function ; The Myth of Zero Pain ; A Different Approach ; Monitoring Functional Changes ; 'Universal Precautions' in Pain Management ; Chapter 3: Keeping Track of Treatment ; Why Documentation is a Doctor's (and Patient's) Best Friend ; Elements of Effective Documentation ; Assessment ; Patient Education About Risks and Benefits of Therapy ; Physician-Patient Treatment Agreements ; Monitoring Functional Progress, Adherence, and Adverse Events ; Modifying Treatments Over Time ; Chapter 4: Dealing With Difficult Patients ; The Sources of Aberrant Behaviors ; Managing Aberrant Patient Behavior ; Coping With Specific Aberrant Behaviors ; Terminating a Relationship ; The Rewards of Perseverance ; Chapter 5: Clinician Survival ; Appendix: Resources for Pain Management ; Acknowledgments ; About the Author

Read more less

Book SynopsisClinical medicine, as a thinking discipline, is concerned not only with what clinicians do, but why. When physicians act in medicine they have some purpose or goal in mind. What they actually do and how they go about it is in the service of their purposes and their goals. Such goals cover a wide range of topics centering on patients, the doctor-patient relationship, the acts of doctoring patients, and the goals involved in being a physician among other physicians working within the institutions of medicine.The Nature of Clinical Medicine takes its direction from a catalog of goals of medicine that range from the expected diagnosis and treatment of diseases to wider concerns for patients, for physicians, and for medicine itself. The chapters are specific in teaching the kinds of knowledge that clinicians require in order to be able to achieve these goals. The central focus of the clinician and of this book is the patient. According to Eric Cassell, everything else, including the diseaseTrade ReviewReading Eric Cassells latest contribution to the medical humanities The Nature of Clinical Medicine is like sipping a fine glass of claret. It requires slow savoring in order to benefit fully from the insights that Dr. Cassell has distilled over a professional lifetime of clinical practice and careful reflection. Cassells book is full of deep insights and human wisdom borne from his rewarding career of treating and caring deeply for patients. * Hillel D. Braune, Theoretical Medicine and Bioethics, Vol. 36, No. 2 (2015) *Table of ContentsAcknowledgments ; Introduction ; Chapter 1. The Goals of Medicine ; Chapter 2. A Story about a Patient with Aortic Stenosis ; Chapter 3. What are Facts in Medicine? ; Chapter 4. Clarify the Chain of Events that Led to the Present State: The Case as a Narrative ; Chapter 5. The Case of Myra Manner ; Chapter 6. Examine Your Presuppositions and Preconceptions ; Chapter 7. Separate and Examine the Values at Issue ; Chapter 8. A Question of Judgment ; Chapter 9. The Patient, the Doctor, And the Relationship ; Chapter 10. Observation, Prognosis, and Prognosticating ; Chapter 11. Thinking in Medicine ; Chapter 12. Accepting the Challenge

Read more less