Improving Care for the End of Life: A Sourcebook for Health Care Managers and Clinicians / Edition 2

Improving Care for the End of Life: A Sourcebook for Health Care Managers and Clinicians / Edition 2

by Joanne Lynn, Janice Lynch Schuster, Anne Wilkinson, Lin Noyes Simon
     
 

Health care professionals seeking to improve the quality of life for those living with serious illness and nearing the end of life will find exactly what their organization needs in the second edition of this acclaimed book by Dr. Joanne Lynn and her colleagues. Improving Care for the End of Life provides expert guidance on how to make significant improvements now,

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Overview

Health care professionals seeking to improve the quality of life for those living with serious illness and nearing the end of life will find exactly what their organization needs in the second edition of this acclaimed book by Dr. Joanne Lynn and her colleagues. Improving Care for the End of Life provides expert guidance on how to make significant improvements now, at all levels of the health care system from the bedside and the hospital to the health care policy and legislative arenas by using the rapid-cycle breakthrough approach to change. The ideas are proven, and the stories of teams that have put them to use will inspire and enlighten.

New to the second edition:

· New chapters to address issues of growing interest such as continuity of care, and the special needs of dementia patients and their loved ones.

· Details on trajectories of care and how these affect decisions at the end of life

· Updated and expanded information on pain management, advance care planning, ventilator withdrawal, depression and delirium, advanced heart and lung disease, and more

· Scores of new insights, measurement approaches, and tips based on the experiences of hundreds of improvement teams nationwide

· Thoroughly updated references
The sourcebook speaks to all managers of health care systems serving people with serious illnesses, including doctors in offices, nurse managers on hospital units, social workers in long-term care facilities, administrators of home care and hospice agencies, hospital chaplains, directors of volunteer services, and others.

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Product Details

ISBN-13:
9780195310429
Publisher:
Oxford University Press, USA
Publication date:
08/14/2007
Edition description:
New Edition
Pages:
464
Product dimensions:
9.30(w) x 6.30(h) x 1.00(d)

Table of Contents

Foreword Donald M. Berwick vii

Part I Overview

1 Introduction: Continuous Quality Improvement for Better End-of-Life Care 3

2 How to Make Improvement Happen 19

Part II Improved Patient Care Through Improved Practice and Systems

3 Preventing, Assessing, and Treating Pain 53

4 Managing Dyspnea and Ventilator Withdrawal 89

5 Beyond the Living Will: Advance Care Planning for All Stages of Health and Disease 105

6 Supporting People in Difficult Times: Relationships, Spirituality, and Bereavement 133

7 Continuity of Care: Improving Transitions, Continuity, and Coordination of Care in the Health Care System 163

Part III Arrangements to Promote Reform

8 Caring for the Caregivers: Helping Staff to Provide Good Care 197

9 Hospital-Based Palliative Care Consults and Units 217

10 Law, Policy, and Finance 241

Part IV Opportunities in Specific Diseases

11 Alzheimer's and Other Dementias: Opportunities to Honor Life 265

12 Opportunities to Improve Care for Cancer Patients 291

13 Offering End-of-Life Services to Patients With Advanced Heart or Lung Failure 301

14 Depression and Delirium 321

15 Conclusion: Getting Started 337

Appendix: Instruments 347

Resources 403

Glossary 415

References 425

Index 437

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