Palliative And End-Of-Life Care / Edition 2

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Palliative and End-of-Life Care, 2nd Edition provides clinicians with the guidelines and tools necessary to provide quality, evidenced-based care to patients with life-limiting illness. This text describes the care and management of patients with advanced disease throughout the disease trajectory, extending from diagnosis of advanced disease until death. Four units provide the general principles of palliative and end-of-life care, important concepts, advanced disease management, and clinical practice guidelines. Clinical practice guidelines offer in-depth discussions of the pathophysiology of 19 different symptoms, interventions for specific symptom management (including in-depth rationales), and suggestions for patient and family teaching.

• Defines dying as a normal, healthy process aided by the support of an interdisciplinary team.
• Provides in-depth pathophysiology, assessment, and intervention information based upon the disease trajectory.
• Highlights opportunities for patient and family teaching.
• Describes psychosocial issues experienced by patients and their families.
• Reviews uncomplicated and complicated grief and mourning, providing suggestions to help the family after a patient's death.
• Includes case studies at the end of chapters to reinforce key concepts of compassionate care.

• New chapters including Advance Care Planning, Ethical Issues, Spiritual Care Across Cultures, Pharmacology, Sleep, and Nutrition.
• Includes a new appendix on Assessment Tools and Resources for more comprehensive coverage of palliative and end-of-life care.

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Editorial Reviews

Doody's Review Service
Reviewer: Niki Koesel, MSN, ANP, CNS (Hospice & Palliative Care Charlotte Region)
Description: This book provides guidelines for advanced practice nurses (APN) with evidence-based practice in hospice and palliative care across the disease trajectory of advanced life-limiting illnesses. Narrative reviews, simplistic well designed tables, and case studies demonstrate the comprehensive flow of disease management, while focusing on specific pathophysiology of each disease and related symptom burden.
Purpose: The purpose is to support the integration of palliative care into the treatment plan earlier in the trajectory of advanced illness rather than preserving it for the final days of life. The authors successfully achieve this goal by reinforcing an understanding of the underlying disease and its expected trajectory of decline. The authors clearly demonstrate the role of the APN in this specialty of medicine throughout the progression of disease as a constant for the patients and families. As this field of practice continues to grow, expertise is essential to promote this integrative effort and broaden the role of palliative care.
Audience: The audience is the APN. While it is an invaluable resource for novice practitioners, it also provides a comprehensive review for seasoned practitioners. The primary authors share their expertise drawn from practices across the country, while the contributing authors provide a non-palliative care clinician perspective.
Features: The book describes general principles related to palliative/end of life care, management of advanced illness across the disease trajectory, and, finally, focuses on managing symptom burden. Chapters on sleep and nutrition are new to this edition and review the impact they have on advanced illness. Case studies on practice guidelines at the close of each chapter aid in application of treatment options, which provide excellent additions to the comprehensive approach of the book.
Assessment: This is an exceptional addition to the palliative care provider's library. It provides a broad understanding of the trajectory of multiple disease processes and emphasizes the significance of the APN in the management of these patients across the continuum. As palliative medicine continues to grow, the comfort of the APN in managing multiple aspects in advanced illness is critical to optimizing good quality of life and end of life care.
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Product Details

  • ISBN-13: 9781416030799
  • Publisher: Elsevier Health Sciences
  • Publication date: 1/1/2007
  • Edition description: REV
  • Edition number: 2
  • Pages: 594
  • Sales rank: 373,603
  • Product dimensions: 1.20 (w) x 6.00 (h) x 9.00 (d)

Meet the Author

Adult Nurse Practitioner, Primary Care/Oncology/Palliative Care Private Practice, Adjuvant Therapies, Inc., Atlanta, GA, USA

Palliative Nurse Clinician, Bethesda North Hospital, TriHealth Inc., Cincinnati, OH, USA

Nurse Practitioner, Medical Oncology, University of Michigan Comprehensive Cancer Center, Ann Arbor, MI, USA

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Table of Contents

General Principles in Palliative and End-of-Life Care

1. The Advanced Practice Nurse in Palliative Care

2. Palliative and End-of-Life Care

3. The Dying Process

Important Concepts in Palliative and End-of-Life Care

4. Advance Care Planning and End-of-Life Decision Making

5. Ethical Issues Surrounding Advanced Disease

6. Spiritual Care Across Cultures

7. Pharmacology

8. Sleep

9. Nutrition

Advanced Disease Management

10. Cardiovascular Disease

11. Pulmonary Disease

12. Hepatic Disease

13. Chronic Kidney Disease

14. Neurological Disease

15. Malignancies


Clinical Practice Guidelines

17. Anxiety

18. Ascites

19. Bowel Obstruction

20. Cachexia and Anorexia

21. Constipation

22. Cough

23. Dehydration

24. Delirium/Acute Confusion

25. Depression

26. Diarrhea

27. Dyspnea

28. Fatigue

29. Hiccups

30. Lymphedema

31. Nausea and Vomiting

32. Pain

33. Palliative Care Emergencies

34. Pruritis

35. Ulcerative Lesions


36. Caregiver Resources

37. Assessment Tools

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Customer Reviews

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