Essentials in Hospice and Palliative Care: A Practical Resource For Every Nurse

by Katherine Murray, Joanne Thomson (Illustrator), Sarah Weber (Editor)

Overview

All Life and Death Matters resources were created by Kath Murray, a veteran hospice and palliative care nurse, and are designed to:

• Meet national competencies and learning outcomes related to hospice and palliative care and end-of-life care
• Enhance best practice interactions
• Increase caregiver confidence and competence in caring for the dying person and family
• Decrease caregiver fears and concerns
• Increase caregiver ability to respond to challenging issues
• Help instructors and students provide excellent care for the dying person and their family

The book provides information on:

• Understanding the dying process
• Integrating a palliative approach
• Preparing to care
• Using standardized tools
• Enhancing physical comfort
  • Principles and practices of hospice and palliative care
  • The process of providing care
  • Pain and symptom management
• Providing psychosocial care
• Palliative care and physician assisted dying
• Caring in the last days and hours
• Caring for you, the caregiver!

Product Details

ISBN-13:	9781926923116
Publisher:	Life and Death Matters
Publication date:	09/12/2016
Edition description:	New Edition
Pages:	314
Product dimensions:	10.90(w) x 7.80(h) x 0.50(d)

Table of Contents

CONTENTS
Dedication v
About the Cover vi
Acknowledgements vii
Preface xv
Chapter 1: Understanding the Dying Process 1
Common Patterns of Dying 1
People Have Never Died Like This 3
Common Trajectories of Dying 4
Reflections 9
Chapter 2: Integrating a Palliative Approach 11
A Dream of Better Care for the Dying 11
Principles of Hospice and Palliative Care 13
Evolving Models of Hospice and Palliative Care 13
Common Issues in the Process of Providing Care 16
The Next Steps for Hospice and Palliative Care 19
Summary 26
Chapter 3: Preparing to Care 29
Preparing to Care-an Essential Practice 29
Striving for Best Practice 30
Preparing by Striving for Best Practice Interactions 35
Personal Strategies for Preparing to Care 43
Chapter 4: Using Standardized Tools 49
The Rationale for Using Standardized Tools 49
Best Practice for Assessments and Information Sharing 50
Screening Tools for Identifying When to Integrate a Palliative Approach 51
Symptom Screening Tools 59
Symptom Assessment Tools 65
Communication Tool 80
Psychosocial Assessment Tools 82
Ethics Framework 92
Chapter 5: Enhancing Physical Comfort 99
Part 1: Principles of Symptom Management 99
Using Opioids to Manage Symptoms 101
Addressing the Side Effects of Opioids 106
Addressing Concerns and Fears about Opioids 108
Best Practices for Relieving Symptoms with Opioids 111
Nonpharmacological Comfort Measures-Comfort Basket 118
Part 2: Common Symptoms 119
Anorexia and Cachexia 119
Changes in Bowel Function 127
Delirium 133
Dyspnea 144
Fatigue 155
Dry Sore Mouth 160
Nausea and Vomiting 163
Pain 173
Chapter 6: Providing Psychosocial Care 189
What Is Psychosocial Care? 189
Common Psychosocial Responses to the Diagnosis of Life-Limiting Illness 189
Supporting People through Times of Transitions 190
Experiencing Multiple Losses Due to Progressive Life-Limiting Illness 192
Preparing for Expected Losses 193
Grief-an Adaptive Response to Loss 194
Grief as a Whole Person Experience 195
Supporting Hope 202
Supporting a Grieving Person 203
Facilitating Self-Determination and Autonomy with Advance Care Planning 206
Understanding Physician Assisted Dying and Medical Assistance in Dying 210
Spirituality and the Search for Meaning, Purpose, and Connection 217
Supporting Intimacy and Sexuality 223
Strengthening the "Social" in "Psychosocial" 225
Supporting Children Whose Loved One Is Dying 226
Chapter 7: Caring in the Last Days and Hours 231
Preparing the Person and the Family for the Last Days and Hours 231
Preparing to Meet the Person's Needs in the Last Days and Hours 235
Providing Care in the Last Days and Hours 240
When Death Occurs 247
Chapter 8: Caring for You! 255
Providing Care for the Dying Will Change You 255
Considering Compassion Fatigue 255
Preventing Compassion Fatigue 258
Closing Thoughts 265
Appendix 267
Bibliography 275

Editorial Reviews

Kath has taken the theory and principles of palliative care, her experience as an excellent bedside nurse, and her compassion for both those receiving and giving care, and merged them into these amazing books.

Kath presents complex issues in practical and clear ways. Through stories and illustrations she reminds us that care includes the person, the family, and ourselves. She shares all the necessary tools, knowledge, and skills, while emphasizing that it is our presence and human connection with people that create truly meaningful moments for all those who are involved.
Wendy Wainwright, MSW, MEd,
Co-author, Transitions in Dying and Bereavement,
Co-editor, Medical Care of the Dying

From the Publisher