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Palliative Care Nursing : Quality Care to the End of Life

ISBN: 9780826157942 | 0826157947
Format: Hardcover
Publisher: Springer Pub Co
Pub. Date: 11/30/2005

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SummaryTable of Contents
This award-winning text provides the essential information to achieve best-practices in palliative care nursing. It offers a blend of holistic and humanistic caring coupled with aggressive management of pain and symptoms associated with advanced disease. The book is organized around the 15 competencies in palliative care developed by the American Association of Colleges of Nursing, with each chapter outlining specific skills needed to achieve each competency. This new edition features a new chapter on professional organizations and certificatio... MORE
List of Education Plans for Achieving Competencies
xiii
Contributorsxv
Forewordxvii
Betty Rolling Ferrell
Preface... MORExix
Deborah Witt Sherman
Marianne LaPorte Matzo
Section I Looking at the Whole Person in Palliative Care
1(86)
Spirituality and Culture as Domains of Quality Palliative Care
3(48)
Deborah Witt Sherman
The Spiritual Nature of the Person
4(2)
Suffering as a Human Condition
6(4)
Spiritual and Religious Perspectives on Death
10(3)
Research Regarding Spirituality
13(2)
Quality Nursing Care: Addressing the Spiritual Needs of Patients and Their Families
15(5)
Life and Death Across Cultures
20(3)
Cultural Perspectives Regarding Illness and Death
23(5)
Quality Nursing Care: Developing Cultural Competence
28(4)
Nurses' Need for Self-Reflection and Self-Healing in Palliative Care
32(2)
Conclusion
34(11)
References
45(6)
Holistic Integrative Therapies in Palliative Care
51(36)
Carla Mariano
Specific Holistic Healing Modalities
53(10)
Herbology
63(2)
Homeopathy
65(1)
Prayer
65(1)
The Healing Journey at the End of Life
66(1)
Self-care for the Healer
67(2)
Exercises
69(9)
Key Points
78(4)
Resources
82(2)
References
84(3)
Section II Social and Professional Issues in Palliative Care
87(132)
Death and Society
89(28)
Marilyn Bookbinder
Margaret Kiss
Marianne LaPorte Matzo
Changes in the Definition of Death in Society
89(2)
Beyond Taboos in Acknowledging Death
91(2)
Where People Die
93(1)
Death Trajectories
94(1)
Patient-Requested Euthanasia and Assisted Suicide
95(4)
The Evolution of Hospice and Palliative Care
99(3)
Generalist and Specialist Palliative Care
102(1)
Changes in Health Care Economics
102(1)
Promoting Quality Palliative Care
103(3)
Conclusions
106(6)
References
112(5)
Professional Organizations and Certifications in Hospice and Palliative Care
117(16)
Judy Lentz
Deborah Witt Sherman
Evolutionary Perspective of Hospice and Palliative Care Nursing
118(4)
Developing the Scope, Standards, and Competencies of Palliative and Hospice Nursing Practice
122(3)
Competencies
125(2)
Certification in Hospice and Palliative Care Nursing
127(2)
Future Visions for Hospice and Palliative Care Nursing
129(3)
References
132(1)
The Nurse's Role as a Member of the Interdisciplinary Palliative Care Team
133(18)
Lisa M. Krammer
Jeanne Martinez
Eileen A. Ring
Mary Beth Williams
Mary Jo Jacobs
Palliative Care Frameworks
133(1)
Delivery Model of Care
133(1)
Principles of Palliative Care
134(2)
The Interdisciplinary Team
136(1)
Characteristics of an Effective Interdisciplinary Team
137(3)
The Developing Role of Nursing in Practicing Palliative Care
140(1)
The Nurse's Role in Interdisciplinary Care
141(3)
Continuing Professional Education
144(1)
Conclusion and Future Direction
144(5)
References
149(2)
Ethical Aspects of Palliative Care
151(36)
Judith Kennedy Schwarz
Ethics and Ethical Theory
152(2)
Ethical Theories
154(3)
Ethical Principles and Concepts
157(7)
Elements of a Decision-Making Framework
164(1)
Conceptual Confusion and Difficult Decisions in End-of-life Care
165(2)
From Letting Die to Assisted Dying: Background Issues
167(5)
Conclusion
172(11)
References
183(4)
Legal Aspects of End-of-Life Care
187(32)
Marianne LaPorte Matzo
Gloria C. Ramsey
Law and Ethics: Same or Different?
188(1)
Nursing and the Law
188(1)
The Right to Die
189(1)
Purpose and Types of Advance Directives
189(1)
The Support Study
190(5)
The Patient Self-Determination Act
195(1)
Do Not Resuscitate Directives
196(4)
Informed Consent
200(2)
Intractable Pain Legislation
202(1)
Ethics Committees
203(3)
Education of Nurses and Other Health Care Professionals Regarding Advance Directives
206(1)
Conclusion
206(1)
Resource
207(5)
References
212(7)
Section III Psychosocial Considerations
219(98)
Communicating with Seriously Ill and Dying Patients, Their Families, and Their Health Care Providers
221(26)
Kathleen O. Perrin
Introductory Phase
222(7)
Working Phase
229(5)
Termination Phase
234(3)
Conclusion
237(1)
Keypoints
237(7)
References
244(3)
Caring for Families: The Other Patient in Palliative Care
247(26)
Suzanne K. Goetschius
Marianne LaPorte Matzo
Families and End-of-life Care
248(3)
Caring for Families Across the Health Care Continuum
251(2)
Assessing Families During End-of-life Care
253(1)
Family Structure
254(1)
Roles and Expectations
255(2)
Swot Analysis
257(1)
Knowledge Deficits Related to EOLC
257(2)
Site of Care
259(2)
Goals and Plans for Care
261(1)
Barriers to Developing an Effective Plan of Care
262(1)
Interventions: Facilitating Role Development for Family
263(1)
Teaching Plans
264(1)
Conclusions
265(6)
References
271(2)
Loss, Suffering, Bereavement, and Grief
273(44)
Mertie L. Potter
Loss and Suffering
273(1)
Living with and Dying from Life-Threatening Illness
274(1)
Experience of Loss and Suffering Across the Life Span
275(1)
Theoretical Underpinnings and Theories on Death and Dying
276(3)
Dimensions of Loss, Suffering, Grief, and Bereavement
279(2)
Significance and Meaning of the Relationship to Loss and Suffering
281(2)
Assessment---Where Am I (The Nurse) on the Journey?
283(2)
Assessment---Where is the Patient on the Journey? The Life Cycle Continuum---across the Life Span on the Journey
285(1)
Assessment---Where Are the Significant Others on the Journey?
286(3)
Child's Experience of Loss
289(4)
Risk Factors for Complicated Grief
293(3)
Context of Caregiving and Related Interventions
296(4)
Conclusions
300(1)
Acknowledgments
300(13)
References
313(4)
Section IV Physical Aspects of Dying
317(153)
Symptom Management in Palliative Care
319(26)
Mary K. Kazanowski
Assessment at the End of Life
320(2)
Interventions at End of Life
322(2)
Dyspnea Near the End of Life
324(1)
Assessment of Dyspnea
324(1)
Interventions for Dyspnea
325(1)
Medications
325(2)
Nonpharmacologic Interventions
327(1)
Nausea and Vomiting Near the End of Life
328(1)
Anxiety and Altered Cognition
329(3)
Constipation
332(2)
Fatigue
334(1)
Terminal Dehydration
335(1)
Conclusions
336(6)
References
342(3)
Pain Assessment and Pharmacological Interventions
345(62)
Nessa Coyle
Mary Layman-Goldstein
Section 1: Pain Assessment and Pharmacological Interventions
345(10)
Pharmacological Therapy
355(25)
Section 2: Pain Management in Special Populations
380(3)
Special Considerations for Older Adults
383(2)
Conclusions
385(10)
References
395(12)
Nondrug Pain Interventions
407(36)
Mary Layman-Goldstein
Nessa Coyle
Psychological Interventions
408(9)
Physiatric Interventions
417(5)
Neurostimulatory Interventions
422(1)
Invasive Interventions
422(3)
Integrative Interventions
425(5)
How to Integrate Nondrug Interventions into a Comprehensive Pain Management Plan
430(1)
The Role of Nurses in Implementing Nondrug Interventions
430(8)
References
438(5)
Peri-Death Nursing Care
443(27)
Marianne LaPorte Matzo
Peri-Death 1: Symptoms and Experiences Before Death
443(1)
Pain
444(9)
Peri-Death 2: Death
453(4)
Peri-Death Religious and Cultural Rituals
457(4)
Peri-Death 3: Funerals as a Ceremony of Death
461(7)
References
468(2)
Index470

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