Palliative Care for Older People in Care Homes

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Overview

In an ageing society, care homes have become an increasingly important provider of services to older people at the end-of-life. One of the main themes running through this book concerns the extent to which the principles of palliative care can be integrated into nursing or residential homes. Contributors from nursing and medicine, from the social and health sciences, and from ethics and health planning provide an international perspective on key issues in relation to end-of-life care such as: assessment; loss, autonomy and the ethics of end-of-life decision making; spiritual care; dementia and dying; professional, organizational and policy development. This first collection of its kind will provide an invaluable resource to all of those engaged in improving the quality of residential and nursing home care for older, dying people.
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Product Details

  • ISBN-13: 9780335210619
  • Publisher: Open University Press
  • Publication date: 12/15/2002
  • Series: Facing Death Ser.
  • Pages: 192
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.70 (d)

Table of Contents

List of tables, figures and boxes
List of contributors
Series editor's preface
Acknowledgements
Introduction 1
1 Historical and policy contexts 4
2 Assessment of need in care homes 34
3 Loss and change 52
4 Spiritual care in care homes: perceptions and practice 66
5 Caring for people with dementia at the end of life 86
6 The role of the physician in nursing home care in The Netherlands 104
7 Ethics and end-of-life decision-making 120
8 The performance of the hour of death 138
9 Changing care practices: beyond education and training to 'practice development' 151
10 Organizational structures for enhancing standards of palliative care 165
Conclusion 182
Index 187
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