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| Contributors | |
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| Foreword | |
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| Preface | |
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| Acknowledgments | |
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| Communication Issues | |
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| Initiating End-of-Life Discussions with Seriously Ill Patients: Addressing the "Elephant in the Room," | |
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| Beyond Advance Directives: Importance of Communication Skills for Care at the End of Life | |
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| Decision Making at a Time of Crisis Near the End of Life | |
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| Dealing With Conflict in Caring for the Seriously Ill: �ǣIt Was Just Out of the Question,ï¿½Ç | |
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| Symptom Management | |
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| Managing an Acute Pain Crisis in a Patient With Advanced Cancer: �ǣThis Is as Much of a Crisis as a Code,ï¿½Ç | |
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| Management of Dyspnea in Patients With Far-Advanced Lung Disease: �ǣOnce I Lose It, It���s Kind of Hard to Catch Itï¿½Ç ,ï¿½Ç | |
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| Management of Intractable Nausea and Vomiting in Patients at the End of Life: �ǣI Was Feeling Nauseous All of the Timeï¿½Ç Nothing Was Working,ï¿½Ç | |
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| Palliative Care for Frail Older Adults: �ǣThere Are Things I Can���t Do Anymore That I Wish I Couldï¿½Ç ,ï¿½Ç | |
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| Palliative Management of Fatigue at the Close of Life: �ǣIt Feels Like My Body Is Just Worn Out,ï¿½Ç | |
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| Spinal Cord Compression in Patients With Advanced Metastatic Cancer: �ǣAll I Care About Is Walking and Living My Life," | |
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| Agitation and Delirium at the End of Life: �ǣWe Couldn���t Manage Him," | |
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| Disease Management | |
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| Alzheimer Disease: �ǣIt���s OK, Mama, If You Want to Go, It���s OK,ï¿½Ç | |
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| Practical Considerations in Dialysis Withdrawal: �ǣTo Have That Option Is a Blessing,ï¿½Ç | |
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| Overcoming the False Dichotomy of Curative vs Palliative Care for Late-Stage HIV/AIDS: �ǣLet Me Live the Way I Want to Live, Until I Can���t,ï¿½Ç | |
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| Palliative Care for Patients With Heart Failure | |
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| Integrating Palliative Care for Liver Transplant Candidates: �ǣToo Well for Transplant, Too Sick for Life,ï¿½Ç | |
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| Palliative Care for Patients With Amyotrophic Lateral Sclerosis: �ǣPrepare for the Worst and Hope for the Best,ï¿½Ç | |
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| Palliative Care for Patients With Head and Neck Cancer: �ǣI Would Like a Quick Return to a Normal Lifestyle," | |
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| Other Patient Management Issues | |
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| Complexities in Prognostication in Advanced Cancer: �ǣTo Help Them Live Their Lives the Way They Want," | |
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| Caring for the Child With Cancer at the Close of Life: �ǣThere Are People Who Make It, and I���m Hoping I���m One of Them," | |
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| Sudden Traumatic Death in Children: �ǣWe Did Everything, But Your Child Didn���t Survive," | |
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| The Role of Chemotherapy at the End of Life: �ǣWhen Is Enough, Enough?" | |
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| Palliative Care in the Final Days of Life: �ǣThey Were Expecting It at Any Time,ï¿½Ç | |
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| Psychological, Social, and Spiritual Issues | |
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| Psychological Considerations, Growth, and Transcendence at the End of Life: The Art of the Possible | |
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| Caring for Bereaved Patients: �ǣAll the Doctors Just Suddenly Go,ï¿½Ç | |
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| Adolescent Grief: �ǣIt Never Really Hit Meï¿½Ç Until It Actually Happened,ï¿½Ç | |
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| Dignity-Conserving Care—-A New Model for Palliative Care: Helping the Patient Feel Valued | |
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| Physician Opportunities to Support Family Caregivers at the End of Life: �ǣThey Don���t Know What They Don���t Know,ï¿½Ç | |
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| Spiritual Issues in the Care of Dying Patientsï¿½Ç£ï¿½Ç It���s OK Between Me and God," | |
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| Ethical Issues | |
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| Responding to Requests for Physician-Assisted Suicide: �ǣThese Are Uncharted Waters for Both of Usï¿½Ç ," | |
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| Palliative Sedation in Dying Patients: �ǣWe Turn to It When Everything Else Hasn���t Worked,ï¿½Ç | |
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| Cross-Cultural and Special Populations Issues | |
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| Negotiating Cross-Cultural Issues at the End of Life: �ǣYou Got to Go Where He Lives,ï¿½Ç | |
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| Palliative Care for Latino Patients and Their Families: �ǣWhenever We Prayed, She Wept," | |
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| End-of-Life Care for Homeless Patients: �ǣShe Says She Is There to Help Me in Any Situation,ï¿½Ç | |
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| Palliative Care for Prison Inmates: �ǣDon���t Let Me Die in Prison," | |
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| Settings for Care (Structural Issues) | |
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| The Role of Hospice and Other Services: Serving Patients Who May Die Soon and Their Families | |
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| Secondary and Tertiary Palliative Care in Hospitals | |
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| Withdrawal of Life Support: Intensive Caring at the End of Life | |
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| Meeting Palliative Care Needs in Post���Acute Care Settings: �ǣTo Help Them Live Until They Die,ï¿½Ç | |
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| Referring a Patient and Family to High-Quality Palliative Care at the Close of Life: �ǣWe Met a New Personalityï¿½Ç With This Level of Compassion and Empathy," | |
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| Clinician Self-Care | |
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| Care of the Dying Doctor: On the Other End of the Stethoscope | |
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| Self-Care of Physicians Caring for Patients at the End of Life: �ǣBeing Connectedï¿½Ç A Key to My Survival,ï¿½Ç | |
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| Answers to Chapter Questions | |
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| Glossary | |
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| Index | |