Palliative Care: An Integrated Approach - An Integrated Approach

Informationen zum Autor Jenny Buckley is Head of Education at St Wilfrid's Hospice. Klappentext Palliative care is within the remit of all health care professionals in any setting. An Integrated Approach to Generic Palliative Care is an accessible practical guide to the delivery of good palliative care, combining theory and practice, aimed at all members of the multidisplinary team. It explains and complements the government led End of Life Care programme which is being coordinated by Strategic health Authorities, incorporating the Gold Standards Framework, the Preferred Place of Care and the Liverpool Care Pathway.An integrated approach is advocated throughout this book- in all sections the orthodox approach to treatments and care is discussed alongside a complementary approach. This text provides a highly practical approach to pain and symptom approach support including a pain assessment tool for the severely cognitively impaired and a detailed account on how to titrate morphine to individual patients. It also explores hope and spiritual pain showing that these two existential notions are actually part of every day practice.e Zusammenfassung Aspects include psychosocial, spiritual and physical needs of the patient. Care and treatment are considered in a multidisciplinary and complementary way. Patient centered coverage considers treatment and care of the dying in all settings in major diseases. A highly integrated approach to pain and symptom control, including complementary therapies. Inhaltsverzeichnis Foreword x Contributors' biographies xii Acknowledgements xv Dedications xvi 1 Historical and cultural perspectives on the evolution of palliative care 1 Key points 1 Introduction 2 Death in society 2 Dame Cicely Saunders and the origins of contemporary palliative care 3 An international perspective 6 Defi nitions 8 End-of-life care national programme 12 Culture 15 Service user involvement 18 Conclusion 19 Main implications for practice 19 Suggested further reading 19 2 Facing progressive disease and death 21 Key points 21 Psychosocial care 22 Partnership - maintaining the balance 23 Approaches to care 24 Giving the bad news 26 Denial/avoidance 29 Anger 32 Anxiety 33 Depression 33 Social pain 35 Conclusion 35 Main implications for practice 36 Suggested further reading 36 3 Communication skills 37 Key points 37 The impact of good communication 38 The impetus to teach communication skills 38 Facilitative styles 40 What Howard taught me about nursing dying people 45 Helpful strategies 46 Communicating with people with dementia 56 Conclusion 57 Main implications for practice 57 Suggested further reading 58 4 Self-awareness and self-care 59 Key points 59 Saving a life versus stealing a death 60 Facing death 62 Making space for decision-making 64 Self-awareness 66 How much did Nicky impact on my life? 68 Self-care 69 Main implications for practice 72 Suggested further reading 72 5 The sick role and partnership working 73 Key points 73 Introduction 73 Partnership care - what does it mean? 75 The sick role 76 Face-to-face partnership: attention to information giving 78 Written information 81 Decision aids 82 Special needs 83 Conclusion 83 Main implications for practice 83 Suggested further reading 84 6 Hope and spirituality 85 Key points 85 Introduction 86 Hope research 86 Spirituality 94 Religious practices concerned with death...

List of contents

Foreword.
 
Contributors' biographies.
 
Acknowledgements.
 
Dedications.
 
1 Historical and cultural perspectives on the evolution of palliative care.
 
Key points.
 
Introduction.
 
Death in society.
 
Dame Cicely Saunders and the origins of contemporary palliative care.
 
An international perspective.
 
Definitions.
 
End-of-life care national programme.
 
Culture.
 
Service user involvement.
 
Conclusion.
 
Main implications for practice.
 
Suggested further reading.
 
2 Facing progressive disease and death.
 
Key points.
 
Psychosocial care.
 
Partnership - maintaining the balance.
 
Approaches to care.
 
Giving the bad news.
 
Denial/avoidance.
 
Anger.
 
Anxiety.
 
Depression.
 
Social pain.
 
Conclusion.
 
Main implications for practice.
 
Suggested further reading.
 
3 Communication skills.
 
Key points.
 
The impact of good communication.
 
The impetus to teach communication skills.
 
Facilitative styles.
 
What Howard taught me about nursing dying people.
 
Helpful strategies.
 
Communicating with people with dementia.
 
Conclusion.
 
Main implications for practice.
 
Suggested further reading.
 
4 Self-awareness and self-care.
 
Key points.
 
Saving a life versus stealing a death.
 
Facing death.
 
Making space for decision-making.
 
Self-awareness.
 
How much did Nicky impact on my life?
 
Self-care.
 
Main implications for practice.
 
Suggested further reading.
 
5 The sick role and partnership working.
 
Key points.
 
Introduction.
 
Partnership care - what does it mean?
 
The sick role.
 
Face-to-face partnership: attention to information giving.
 
Written information.
 
Decision aids.
 
Special needs.
 
Conclusion.
 
Main implications for practice.
 
Suggested further reading.
 
6 Hope and spirituality.
 
Key points.
 
Introduction.
 
Hope research.
 
Spirituality.
 
Religious practices concerned with death.
 
Conclusion.
 
Main implications for practice.
 
Suggested further reading.
 
7 Finding resilience together.
 
Key points.
 
Resilience in health care.
 
Patient groups.
 
Psychoneuroimmunology.
 
The expert patient.
 
Conclusion.
 
Main implications for practice.
 
Suggested further reading.
 
8 Living with dying.
 
Key points.
 
Introduction.
 
Social death.
 
Vulnerable groups.
 
Informational needs.
 
Being heard and feeling supported.
 
Companionship.
 
Intimacy and caring.
 
Health needs.
 
Difficult thoughts and letting go.
 
Conclusion.
 
Main implications for practice.
 
Suggested further reading.
 
9 Bereavement.
 
Key points.
 
Defi nitions.
 
Untimely deaths.
 
Bereavement and health.
 
Grief theorists.
 
Mourning practices in different cultures.
 
Bereaved children.
 
Old age.
 
Bereavement and dementia.
 
Solitary grief.
 
Bereavement services.
 
Conclusion.
 
Main implications for practice.
 
Suggested f

Report

"However, I have found myself referring to this book in recent months far more than some of the bigger, more established, textbooks – and if the measure of a good book is how well thumbed the pages become, then the author is on to a winner. ( European Journal of Palliative Care , 2010) "The author s warmth, enthusiasm and concern for patients, their families and the professionals who care for them, combined with her scholarship, shine throughout this book. I recommend it to anyone with an interest in the care of people approaching the end of their lives in any setting." ( Palliative Medicine , 2009) "This book will be a very welcome addition to the undergraduate curriculum for clinicians seeking to specialize in palliative care." ( International Journal of Palliative Nursing , 2009) "There is a wealth of knowledge and experience for nursing students and newly qualified nurses seeking direction.... I would recommend this for reference on general medical wards and units where patients are receiving end of life care." ( Nursing Standard , April 2009)

Product details

• Authors: Buckley, J Buckley, Jenny Buckley, Jenny (St Wilfrid''s Hospice Buckley, Buckley Jenny
• Publisher: Wiley, John and Sons Ltd
• Languages: English
• Product format: Paperback / Softback
• Released: 26.09.2008
• EAN: 9780470058855
• ISBN: 978-0-470-05885-5
• No. of pages: 352
• Subjects: Natural sciences, medicine, IT, technology > Medicine > General; Krankenpflege, Nursing, Pflege i. d. Krebs- u. Palliativmedizin, Cancer & Palliative Care Nursing