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Doody's Review ServiceReviewer: Susan A Jessell, MSN,CRNP,ACHPN(Western Pennsylvania Hospital)
Description: First published in 2000, this is a sourcebook for organizations interested in improving end of life care. From instruction in the rapid cycle approach to quality improvement to tips on getting things started, this book is a wealth of information on specifically what can be done to improve end of life care in many different patient populations.
Purpose: The purpose is to give readers the best available advice on how to make improvements in the healthcare systems in which they work. The book does this through examples of models of programs across the country including a compendium of resources and samples of data collection instruments. There are also examples of what did not work.
Audience: This book would be most helpful not only to those in end of life care looking for ways to enhance and improve existing programs, but also for those who are creating programs in palliative care or hospice. Nurse managers, administrators of home care and hospice agencies, and medical directors will find real guidance.
Features: The four parts cover quality improvement methods based on the rapid-cycle breakthrough approach with many examples of how practices were improved. The second part deals with changes that families and patients think are most important or would most benefit from. Part 3 describes the role of palliative care services and their financing with strategies for improving these areas. Part 4 addresses specific disease systems and ways to address and improve services and medical management in the patient population of Alzheimer's, end stage heart disease, dementia, and others. The list of resources at the end of each chapter is helpful. This updated edition has new chapters on continuity of care and expanded information on pain management, advanced care planning, and more.
Assessment: This is a book that will be referenced often for its innovative ideas, resources, and usable tools.