Palliative Care Nursing Quality Care to the End of Life

ISBN-10: 0826157947

ISBN-13: 9780826157942

Edition: 2nd 2006

Authors: GNP CS, Anp CS

List price: $80.00
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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 certification in palliative care nursing. It is an essential resource for both nursing students and practitioners.
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Book details

List price: $80.00
Edition: 2nd
Copyright year: 2006
Publisher: Springer Publishing Company, Incorporated
Binding: Hardcover
Pages: 476
Size: 7.25" wide x 10.25" long x 1.25" tall
Weight: 2.2
Language: English

List of Education Plans for Achieving Competenciesp. xiii
Contributorsp. xv
Forewordp. xvii
Prefacep. xix
Looking at the Whole Person in Palliative Carep. 1
Spirituality and Culture as Domains of Quality Palliative Carep. 3
The Spiritual Nature of the Personp. 4
Suffering as a Human Conditionp. 6
Spiritual and Religious Perspectives on Deathp. 10
Research Regarding Spiritualityp. 13
Quality Nursing Care: Addressing the Spiritual Needs of Patients and Their Familiesp. 15
Life and Death Across Culturesp. 20
Cultural Perspectives Regarding Illness and Deathp. 23
Quality Nursing Care: Developing Cultural Competencep. 28
Nurses' Need for Self-Reflection and Self-Healing in Palliative Carep. 32
Conclusionp. 34
Referencesp. 45
Holistic Integrative Therapies in Palliative Carep. 51
Specific Holistic Healing Modalitiesp. 53
Herbologyp. 63
Homeopathyp. 65
Prayerp. 65
The Healing Journey at the End of Lifep. 66
Self-care for the Healerp. 67
Exercisesp. 69
Key Pointsp. 78
Resourcesp. 82
Referencesp. 84
Social and Professional Issues in Palliative Carep. 87
Death and Societyp. 89
Changes in the Definition of Death in Societyp. 89
Beyond Taboos in Acknowledging Deathp. 91
Where People Diep. 93
Death Trajectoriesp. 94
Patient-Requested Euthanasia and Assisted Suicidep. 95
The Evolution of Hospice and Palliative Carep. 99
Generalist and Specialist Palliative Carep. 102
Changes in Health Care Economicsp. 102
Promoting Quality Palliative Carep. 103
Conclusionsp. 106
Referencesp. 112
Professional Organizations and Certifications in Hospice and Palliative Carep. 117
Evolutionary Perspective of Hospice and Palliative Care Nursingp. 118
Developing the Scope, Standards, and Competencies of Palliative and Hospice Nursing Practicep. 122
Competenciesp. 125
Certification in Hospice and Palliative Care Nursingp. 127
Future Visions for Hospice and Palliative Care Nursingp. 129
Referencesp. 132
The Nurse's Role as a Member of the Interdisciplinary Palliative Care Teamp. 133
Palliative Care Frameworksp. 133
Delivery Model of Carep. 133
Principles of Palliative Carep. 134
The Interdisciplinary Teamp. 136
Characteristics of an Effective Interdisciplinary Teamp. 137
The Developing Role of Nursing in Practicing Palliative Carep. 140
The Nurse's Role in Interdisciplinary Carep. 141
Continuing Professional Educationp. 144
Conclusion and Future Directionp. 144
Referencesp. 149
Ethical Aspects of Palliative Carep. 151
Ethics and Ethical Theoryp. 152
Ethical Theoriesp. 154
Ethical Principles and Conceptsp. 157
Elements of a Decision-Making Frameworkp. 164
Conceptual Confusion and Difficult Decisions in End-of-life Carep. 165
From Letting Die to Assisted Dying: Background Issuesp. 167
Conclusionp. 172
Referencesp. 183
Legal Aspects of End-of-Life Carep. 187
Law and Ethics: Same or Different?p. 188
Nursing and the Lawp. 188
The Right to Diep. 189
Purpose and Types of Advance Directivesp. 189
The Support Studyp. 190
The Patient Self-Determination Actp. 195
Do Not Resuscitate Directivesp. 196
Informed Consentp. 200
Intractable Pain Legislationp. 202
Ethics Committeesp. 203
Education of Nurses and Other Health Care Professionals Regarding Advance Directivesp. 206
Conclusionp. 206
Resourcep. 207
Referencesp. 212
Psychosocial Considerationsp. 219
Communicating with Seriously Ill and Dying Patients, Their Families, and Their Health Care Providersp. 221
Introductory Phasep. 222
Working Phasep. 229
Termination Phasep. 234
Conclusionp. 237
Keypointsp. 237
Referencesp. 244
Caring for Families: The Other Patient in Palliative Carep. 247
Families and End-of-life Carep. 248
Caring for Families Across the Health Care Continuump. 251
Assessing Families During End-of-life Carep. 253
Family Structurep. 254
Roles and Expectationsp. 255
Swot Analysisp. 257
Knowledge Deficits Related to EOLCp. 257
Site of Carep. 259
Goals and Plans for Carep. 261
Barriers to Developing an Effective Plan of Carep. 262
Interventions: Facilitating Role Development for Familyp. 263
Teaching Plansp. 264
Conclusionsp. 265
Referencesp. 271
Loss, Suffering, Bereavement, and Griefp. 273
Loss and Sufferingp. 273
Living with and Dying from Life-Threatening Illnessp. 274
Experience of Loss and Suffering Across the Life Spanp. 275
Theoretical Underpinnings and Theories on Death and Dyingp. 276
Dimensions of Loss, Suffering, Grief, and Bereavementp. 279
Significance and Meaning of the Relationship to Loss and Sufferingp. 281
Assessment-Where Am I (The Nurse) on the Journey?p. 283
Assessment-Where is the Patient on the Journey?
The Life Cycle Continuum-across the Life Span on the Journeyp. 285
Assessment-Where Are the Significant Others on the Journey?p. 286
Child's Experience of Lossp. 289
Risk Factors for Complicated Griefp. 293
Context of Caregiving and Related Interventionsp. 296
Conclusionsp. 300
Acknowledgmentsp. 300
Referencesp. 313
Physical Aspects of Dyingp. 317
Symptom Management in Palliative Carep. 319
Assessment at the End of Lifep. 320
Interventions at End of Lifep. 322
Dyspnea Near the End of Lifep. 324
Assessment of Dyspneap. 324
Interventions for Dyspneap. 325
Medicationsp. 325
Nonpharmacologic Interventionsp. 327
Nausea and Vomiting Near the End of Lifep. 328
Anxiety and Altered Cognitionp. 329
Constipationp. 332
Fatiguep. 334
Terminal Dehydrationp. 335
Conclusionsp. 336
Referencesp. 342
Pain Assessment and Pharmacological Interventionsp. 345
Pain Assessment and Pharmacological Interventionsp. 345
Pharmacological Therapyp. 355
Pain Management in Special Populationsp. 380
Special Considerations for Older Adultsp. 383
Conclusionsp. 385
Referencesp. 395
Nondrug Pain Interventionsp. 407
Psychological Interventionsp. 408
Physiatric Interventionsp. 417
Neurostimulatory Interventionsp. 422
Invasive Interventionsp. 422
Integrative Interventionsp. 425
How to Integrate Nondrug Interventions into a Comprehensive Pain Management Planp. 430
The Role of Nurses in Implementing Nondrug Interventionsp. 430
Referencesp. 438
Peri-Death Nursing Carep. 443
Peri-Death 1: Symptoms and Experiences Before Deathp. 443
Painp. 444
Peri-Death 2: Deathp. 453
Peri-Death Religious and Cultural Ritualsp. 457
Peri-Death 3: Funerals as a Ceremony of Deathp. 461
Referencesp. 468
Indexp. 470
Table of Contents provided by Ingram. All Rights Reserved.
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