Description
Book SynopsisDesigned 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.
Table of ContentsSection 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
