To Comfort Always A Nurse's Guide to End-Of-Life Care

ISBN-10: 1930538731
ISBN-13: 9781930538733
Edition: 2008
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Book details

Copyright year: 2008
Publisher: Sigma Theta Tau International, Center for Nursing Press
Binding: Hardcover
Size: 6.25" wide x 9.00" long x 0.50" tall
Weight: 0.770
Language: English

Dedication
Acknowledgements
About the Author
Introduction
Where to Begin
Introduction
Guiding Principles of End of Life Care
Core Nursing Responsibilities: Skilled Clinician, Advocate, and Guide
What Do Patients and Families Want for Care at the End of Life?
When Do We Start Providing End of Life Care?
A Team Approach
Advance Care Planning
The Courageous Conversation
Skilled Clinician: Understanding the Elements of Advance Care Planning
Advance Directives
A Note on DNR/DNI Status and POLST Forms
Advocating in Advance Care Planning: Making Sure Wishes Are Honored
Guiding in Advance Care Planning: Recognizing the Common Barriers
Common Questions Patients Ask About Advance Directives
Cultural Considerations in Advance Care Planning
Pain Management: It's More Than Knowing the Meds
Listening to the Patient's Pain
Skilled Clinician: Assessment and Management of Pain
Advocating: Ensuring That the Patient's Pain Relief Goals Are Met
Guiding Patients and Families: Addressing Common Fears
Know the Resources
Physical Symptom Management
Common Symptoms
Skilled Clinician: Assessment and Management of Common Symptoms
Advocating: Linking the Needs of the Patient and Family to the Health Care System
Guiding Patients and Families: Preparing, Listening, and Assuring
Suffering: It's Not Just the Pain
What Is Suffering at the End of Life?
Skilled Clinician: Assessing Suffering
Advocating for Patients: Ensuring a Holistic View
Guiding Patients and Families: Start with Yourself
Active Dying: The Final Days and Hours
Active Dying: What Does It Mean?
Skilled Clinician: Assessing and Intervening When Death Is Near
Advocating for Both the Patient and Family: Communication Is the Key
Guiding: Walking That Difficult Path
A Note on Withdrawing Life-Sustaining or Life-Extending Treatment
After the Death: The Long Journey to the Car
What Happens after a Patient Dies?
Skilled Clinician: Understanding Grief
Advocating for the Family: Accommodating Their Comfort Needs
Guiding the Family: Accepting the Loss
Self Care
When a Child Is Dying: Pediatric End of Life
Children Die, Too
Skilled Clinician: Assessing and Intervening in the Care of Children
Advocating for Children: Meeting the Needs of Both the Patient and the Family
Guiding Children and Families: Understanding the Needs of the Child
Cultural Sensitivity: Looking through Different Eyes
Making Room for Cultural Diversity
Understand Your Own Beliefs
Listen to the Patients
Avoid Stereotyping and Making Assumptions
Use Trained Medical Interpreters
Use Community Resources
Advocating for Patients and Families
Hospice
A Philosophy of Care
Who Qualifies for Hospice Care?
How Do I Approach Patients and Families about Hospice Care?
The Hospice Medicare Benefit
Advocating for Your Patients
Ethical Issues in End-of-Life Care
Health Care Ethics
Common Ethical Dilemmas and Conflicts
Role of the Skilled Clinician in Difficult Decisions
Advocate: Making Sure Wishes Are Honored
Guide
What about a Nurse's Personal Ethics, Beliefs, and Values?
Ethics and Culture
A Final Note: Taking Care
Burning Brightly, Burning Dimly
Living in the Present Moment
The Joy and the Laughter
A Final Note
Index

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