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Klappentext Designed 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. Contains the practical information health care professionals need to provide optimal end-of-life care. This book presents a multidimensional, holistic approach to assessment and management of the physical, psychological, social, and spiritual needs of the patient and family. Inhaltsverzeichnis Section 1: THE PALLIATIVE CARE APPROACH Ch. 1 DefinitionsCh. 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 PopulationsCh. 6: African American Culture & End-of-LifeCh. 7: Hispanic Views on Death & DyingCh. 8: Understanding the Jewish CultureCh. 9: Mourning in the Asian CultureCh.10: Death Practices in the Muslim CultureCh.11: Building Cultural Bridges with Other Cultures Section 3: APPROACH TO THE PATIENT Ch.12: Delivering Bad NewsCh.13: The Family ConferenceCh.14: Dealing with AngerCh.15: The Spiritual AssessmentCh.16: Giving Realistic HopeCh.17: The "DNR" or "AND" Discussion in Seriously Ill PatientsCh.18: Advanced Directives in Health CareCh.19: Decision-Making AbilityCh.20: Goal SettingCh.21: The Hospice ConversationCh.22: Telling the ChildrenCh.23: What if a Patient Asked You to Pray?Ch.24: Death PronouncementCh.25: Completing the Death CertificateCh.26: Informing Significant Others of a Patient's DeathCh.27: Writing a Condolence LetterCh.28: Caring for the Family Section 4: PREDICTING LIFE EXPECTANCY Ch.29: "How Long Do I Have?"Ch.30: Guidelines for HospiceCh.31: Physician Prediction of Life ExpectancyCh.32: Palliative Performance Score Section 5: DELIVERY OF PALLIATIVE CARECh.34: The Hospital Palliative Care UnitCh.35: Consulting in the HospitalCh.36: Hospice in Delivery of Palliative Care Section 6: TERMINAL CARE Ch.38: The Syndrome of Imminent DeathCh.39: Near Death Awareness (NDA)Ch.40: Terminal Delirium Section 7: NONPAIN SYMPTOM MANAGEMENT Ch.42: Tips for Maximizing Chances of SuccessCh.43: Dyspnea, Air Hunger, Shortness of AirCh.44: Oral Care Basics Section 8: PAIN CONTROL Ch.63: Myths About Opioid UseCh.64: Legal Liability of UnderTreating PainCh.65: Principles of Pain ManagementCh.66: Assessment of PainCh.67: Converting One Opioid to Another (Equianalgesic Dosing)Ch.68: Opioid Dose EscalationCh.69: Managing Opioid Side EffectsCh.70: Opioid WithdrawalCh.71: MorphineCh.72: Hydrocodone for PainCh.73: Oxycodone for Pain Section 9: PALLIATIVE INTERVENTIONS Ch.82: Tube Feeding in Palliative CareCh.83: Palliative ChemotherapyCh.84: Palliative RadiationCh.85: "Response Rate" in Cancer ChemotherapyCh.86: Ventilator WithdrawalCh.87: Bowel ObstructionCh.88: Treating the "Death Rattle"Ch.89: Aggressive Wound Management Section 10: THE PALLIATIVE PEDIATRIC PATIENT Ch.90: Children and DeathCh.91: Neonatal PopulationCh.92: Pediatric Intensive Care UnitCh.93: Pediatric Withdrawal of Life SupportCh.94: The Dying Adolescent Section 11: CHARTING" Ch.95: Documentation in Palliative CareCh.96: Coding & Billing for Hospice/Palliative Care Section 12: ETHICS AT THE END OF LIFE Ch.97: Ethics & Legal IssuesCh.98: Hastened Death: The Rule of Double EffectCh.99: When to Stop-Medical Fut...
