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Palliative Practices / Edition 1
     

Palliative Practices / Edition 1

by Kim K. Kuebler
 

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ISBN-10: 0323028217

ISBN-13: 2900323028218

Pub. Date: 02/01/2005

Publisher: Elsevier Health Sciences

Palliative Practices: An Interdisciplinary Approach is the first book of its kind to examine the integration of palliative interventions from a disease-specific approach. This unique and practical book addresses the multidimensional aspects of palliative practices and offers the reader a progressive approach to the management of common symptoms accompanying advanced

Overview

Palliative Practices: An Interdisciplinary Approach is the first book of its kind to examine the integration of palliative interventions from a disease-specific approach. This unique and practical book addresses the multidimensional aspects of palliative practices and offers the reader a progressive approach to the management of common symptoms accompanying advanced diseases. In addition to being a practical guide on caring for patients living and dying from advanced chronic disease, this text is an excellent resource for continuing education and certification review.\

Product Details

ISBN-13:
2900323028218
Publisher:
Elsevier Health Sciences
Publication date:
02/01/2005
Edition description:
New Edition
Pages:
514

Table of Contents

Unit IIssues Specific To Palliative Care1
Chapter 1Palliative Care Perspectives3
Introduction3
Definitions3
Hospice Care and the Medicare Hospice Benefit7
Palliative Care Programs11
The Future21
Summary24
Chapter 2Advance Care Planning29
Introduction29
Advanced Illness Conversations29
Strategies to Improve Communication Quality30
Advance Care Planning37
Personal Awareness and Self-Care41
Summary45
Chapter 3Evidence-Based Interventions49
Evolution of Evidence-Based Practice49
Tools of Evidence-Based Practice54
Implementing Evidence-Based Practice55
Summary60
Chapter 4Pharmacology63
Introduction63
Pharmacodynamics64
Pharmacokinetics69
Non-Linear Pharmacokinetics73
Dosing Regimens in Pharmacokinetics73
Importance of P-450 Enzyme System in Pharmaceutical Management74
Ethnicity and Special Populations75
P-450 Specific Enzymes75
Metabolism Through Glucuronidation76
Multiple Drug Transporters77
Polypharmacy and Drug Interactions77
Pharmacokinetics in Special Populations78
Summary79
Chapter 5The Interface Of Sleep83
Introduction83
Normal Sleep83
Impaired Sleep and Sleep Disorders91
Sleep in the Palliative Care Setting95
Factors Associated With Impaired Sleep98
Management of Impaired Sleep103
Summary110
Unit IISpecific Disease States and Symptom Management119
Chapter 6Cardiovascular121
Cardiovascular Disease121
Pathophysiology of Advanced Heart Failure123
Immune System Up-Regulation127
Management of HF Symptoms128
Prognostic Indicators for Palliative Interventions132
Interventions Before Palliation135
End-Of-Life Care148
Summary150
Chapter 7Pulmonary157
Introduction157
Pulmonary Function Tests161
Staging163
Common and Frequent Symptoms164
Dyspnea167
Exacerbations167
Monitoring168
Pharmacologic Treatment170
Nonpharmacologic Treatment174
Pulmonary Rehabilitation175
Anxiety and Depression175
Summary176
Chapter 8Nephrology181
Introduction181
Symptom Burden181
Common Symptoms183
Discussion of Specific Symptoms and Their Management184
Advance Care Planning190
End-Of-Life and Hospice Care191
Discontinuing Dialysis191
Future Research192
Chapter 9Oncology197
Introduction197
The Cost of Cancer197
Culturally Competent Palliative Practices199
Health Disparities199
Cellular Pathophysiology of Advanced Cancer200
Cancer Staging201
Metastatic Sites and Associated Symptoms202
Oncologic Emergencies208
Hypercalcemia of Malignancy209
Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)212
Increased Intracranial Pressure214
Spinal Cord Compression217
Superior Vena Cava Syndrome220
Treatment-Related Oncologic Emergencies222
Symptom Management in Advanced Malignancy224
Summary237
Chapter 10Cancer Pain247
Introduction247
Pain Syndromes248
Pain Assessment251
Treatment255
Summary263
Chapter 11Neurology269
Amyotrophic Lateral Sclerosis269
Huntington's Disease279
Summary283
Unit IIIThe Dying Process, Grief, and Bereavement289
Chapter 12Ethical Issues291
Introduction291
Ethical Issues in the Transition to Palliative Care291
Ethical Issues Within Palliative Care298
Summary304
Chapter 13Cultural and Spiritual Issues309
Introduction309
Cultural Impacts on Palliative Care309
Spiritual Issues in Palliative Care322
Summary329
Chapter 14The Dying Process335
Introduction335
Dying in America335
Theories on Death and Dying336
Dimensions of Dying338
Diagnosing Dying351
Approaches to Care362
Summary368
Chapter 15Grief and Bereavement379
Introduction379
Death and Loss380
Types of Grief381
Stage Theories385
Reactions to Grief385
The Impact of Grief386
Professional Responsibilities391
Assistance393
Summary396
Answers401
Appendixes
AMedications by Disorder418
BMedication Routes and Metabolism442
CPalliative Care Assessment Tools447
DWebsites471
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