Table of Contents
Contributor List viii
Introduction xiiMargaret L. Campbell
Section 1 Communication Case Studies 1
Case 1.1 Comsmunicating about a Progressive Diagnosis and Prognosis 5Julia A. Walch
Case 1.2 Diagnosis/Prognosis Uncomplicated Death at Home 12Constance Dahlin
Case 1.3 Accommodating Religiosity and Spirituality in Medical Decision-Making 18Jennifer Gentry
Case 1.4 Discussing Cardiopulmonary Resuscitation When it May Be Useful 26Kelli Gershon
Case 1.5 Discussing CPR When it is a Non-Beneficial Intervention 33Judy Passaglia
Case 1.6 Discussing Brain Death, Organ Donation, and Donation after Cardiac Death 41Christine Westphal and Rebecca Williams
Case 1.7 Discussing Physiological Futility 52Judy C. Wheeler
Case 1.8 Wounded Families: Decision-Making in the Setting of Stressed Coping and Maladaptive Behaviors in Health Crises 60Kerstin McSteen
Case 1.9 Notification of an Expected Death 68Peg Nelson
Case 1.10 Death Notification after Unexpected Death 73Garrett K. Chan
Section 2 Symptom Management Case Studies 83
Case 2.1 Pain: Cancer in the Home 87Constance Dahlin
Case 2.2 Treating an Acute, Severe, Cancer Pain Exacerbation 98Patrick J. Coyne
Case 2.3 Pain and Advanced Heart Failure 104Margaret L. Campbell
Case 2.4 Dyspnea and Advanced COPD 110Margaret L. Campbell
Case 2.5 Dyspnea and Heart Failure 117Garrett K. Chan
Case 2.6 Treating Dyspnea during Ventilator Withdrawal 128Margaret L. Campbell
Case 2.7 Cough Associated with COPD and Lung Cancer 138Peg Nelson
Case 2.8 Hiccups and Advanced Illness 145Marian Grant
Case 2.9 Treating Nausea Associated with Advanced Cancer 152Judy C. Wheeler
Case 2.10 Nausea Associated with Bowel Obstruction 161Terri L. Maxwell
Case 2.11 Nausea Related to Uremia, Dialysis Cessation 168Linda M. Gorman
Case 2.12 Opioid-Induced Pruritus 176Richelle Nugent Hooper
Case 2.13 Pruritus in End-Stage Renal Disease 183Linda M. Gorman
Case 2.14 Opioid-Induced Constipation 190Grace Cullen Oligario
Case 2.15 Depression in Advanced Disease 198Todd Hultman
Case 2.16 Treating Anxiety 205Darrell Owens
Case 2.17 Terminal Secretions 213Terri L. Maxwell
Case 2.18 Fungating Wounds and the Palliative Care Patient 220Laura C. Harmon
Case 2.19 Pressure Ulcer Care in Palliative Care 229Laura C. Harmon
Case 2.20 Treating Ascites 239Darrell Owens
Case 2.21 Delirium Management in Palliative Care 247Kerstin McSteen
Section 3 Family Care Case Studies 257
Case 3.1 Caring for the Family Expecting a Loss 259Patricia A. Murphy and David M. Price
Case 3.2 Anticipatory Grief and the Dysfunctional Family 266Rita J. DiBiase
Case 3.3 Acute and Uncomplicated Grief after an Expected Death 277Rita J. DiBiase
Case 3.4 Bereavement after Unexpected Death 289Garrett K. Chan
Case 3.5 Complicated Grief 300Rita J. DiBiase
Index 309