The Care of the Dying Patient

The Care of the Dying Patient

by David A. Fleming
     
 

Although the need for improved care for dying patients is widely recognized and frequently discussed, few books address the needs of the physicians, nurses, social workers, therapists, hospice team members, and pastoral counselors involved in care. Care of the Dying Patient contains material not found in other sources, offering advice and solutions to anyone

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Overview

Although the need for improved care for dying patients is widely recognized and frequently discussed, few books address the needs of the physicians, nurses, social workers, therapists, hospice team members, and pastoral counselors involved in care. Care of the Dying Patient contains material not found in other sources, offering advice and solutions to anyone—professional caregiver or family member—confronted with incurable illness and death. Its authors have lectured and published extensively on care of the dying patient and here review a wide range of topics to show that relief of physical suffering is not the only concern in providing care.

This collection encompasses diverse aspects of end-of-life care across multiple disciplines, offering a broad perspective on such central issues as control of pain and other symptoms, spirituality, the needs of caregivers, and special concerns regarding the elderly. In its pages, readers will find out how to
•effectively utilize palliative-care services and activate timely referral to hospice •arrange for care that takes into account patients’ cultural beliefs •respond to spiritual and psychological distress, including the loss of hope that often overshadows physical suffering

The authors especially emphasize palliative care and hospice, since some physicians fear that such referrals may be viewed by patients and families as abandonment. They also address ethical and legal risks in pain management and warn that fear of overprescribing pain medication may inadvertently lead to ineffective pain relief and even place the treating team at risk of liability for undertreatment of pain.

While physicians have the ability to treat disease, they also help to determine the time and place of death, and they must recognize that end-of-life choices are made more complex than ever before by advances in medicine and at the same time increasingly important. Care of the Dying Patient addresses some of the challenges frequently confronted in terminal care and points the way toward a more compassionate way of death.

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Product Details

ISBN-13:
9780826218742
Publisher:
University of Missouri Press
Publication date:
04/15/2010
Edition description:
1st Edition
Pages:
120
Product dimensions:
5.50(w) x 8.30(h) x 0.90(d)
Age Range:
18 Years

Table of Contents

Foreword Edmund D. Pellegrino ix

Acknowledgments xiii

Introduction David A. Fleming John C. Hagon 1

Part 1 Control of Suffering

1 Pain Management at the End of Life Clay M. Anderson 9

2 Relieving Pain: Today's Legal and Ethical Risks David A. Fleming 17

3 Relieving Non-pain Suffering at the End of Life Clay M. Anderson 30

Part 2 The Needs of Special Populations

4 Questions and Answers about Hospice: A Guide for Physicians Steven Zweig Paul Tatum 45

5 The Burden of Coregiving at the End of Life David A. Fleming 58

6 Helping Older Patients and Their Families Make Decisions about End-of Life Care Steven Zweig Dovid R. Mehr 68

7 Cultural Sensitivity in End-of Life Discussions David A. Fleming 84

Part 3 Psychological and Spiritual Needs

8 Redefining Hope for the Terminally III Debra Parker Oliver 101

9 Spirituality and End-of-Life Care Scott E. Shannon Paul Tatum 115

10 The Path Ahead: Difficult Lessons for Physicians and Society David A. Fleming 128

Notes on the Contributors 145

Index 151

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