Palliative Care in the Home / Edition 2

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Overview

Most people with far-advanced illness wish to be cared for at home for as long as possible. The challenge of providing good palliative care at home is therefore of major importance for family doctors, nurses and all those committed to maintaining the highest possible quality of life for the dying person. As modern specialist palliative care has raised both standards of care and also public expectations of family doctors and community nurses, this book helps to place specialist care in context. As palliative care is a major responsibility for teams providing palliative care at home, this book provides a definitive guide on how to provide effective care for people with far-advanced disease. Written by two palliative medicine specialists, both of whom have been family doctors, this book deals with all the physical, emotional, spiritual and social problems likely to be encountered by family doctors and community nurses caring for a patient and relatives at home. It deals in detail with emergencies, communications, ethical issues and emphasizes throughout the importance of team work. 'It provides a wealth of information and advice on all aspects of palliative care at home'. Elaine Coleridge Smith Information Exchange, No. 13, 1995

The book contains black-and-white illustrations.

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Editorial Reviews

From The Critics
Reviewer: Lisa Stepp, PhD, RN, APN, AOCN, CRNH (Private Practice)
Description: One of the unique features of hospice care is the opportunity for patients to receive symptom management at home. The challenges faced by the caregiver can seem overwhelming due to the amount of care that may be required.
Purpose: The purpose is to help clinicians provide quality care in the home. The authors readily admit that this is not a comprehensive reference for palliative care. Rather, it is designed as a quick reference with specific attention to the patient's care at home.
Audience: This text is designed for clinicians working with the terminally ill. The current facilities available in the hospital setting may not be available in the home. For this reason, the information found in this text is beneficial for caregivers as well as clinicians. The authors are clearly leaders in the filed of palliative care in the U.K.
Features: Terminal care is aimed at providing care that will enable the patient to die with dignity. The content addresses issues of palliative care and symptom management strategies that can easily be applied in the home setting. Of special interest is the inclusion of a section on polypharmacy. Whether the patient is in the hospital or at home, polypharmacy remains a large problem. The strategies presented here are very effective in identifying and rectifying the situation.
Assessment: While terminal care is becoming more and more prominent in the U.S., the strategies presented here do vary from those used in the U.K. Many compounds used for symptom management also vary between the two countries, leaving clinicians to discern what products are available to them and appropriate for use.
Lisa Stepp
One of the unique features of hospice care is the opportunity for patients to receive symptom management at home. The challenges faced by the caregiver can seem overwhelming due to the amount of care that may be required. "The purpose is to help clinicians provide quality care in the home. The authors readily admit that this is not a comprehensive reference for palliative care. Rather, it is designed as a quick reference with specific attention to the patient's care at home. "This text is designed for clinicians working with the terminally ill. The current facilities available in the hospital setting may not be available in the home. For this reason, the information found in this text is beneficial for caregivers as well as clinicians. The authors are clearly leaders in the filed of palliative care in the U.K. "Terminal care is aimed at providing care that will enable the patient to die with dignity. The content addresses issues of palliative care and symptom management strategies that can easily be applied in the home setting. Of special interest is the inclusion of a section on polypharmacy. Whether the patient is in the hospital or at home, polypharmacy remains a large problem. The strategies presented here are very effective in identifying and rectifying the situation. "While terminal care is becoming more and more prominent in the U.S., the strategies presented here do vary from those used in the U.K. Many compounds used for symptom management also vary between the two countries, leaving clinicians to discern what products are available to them and appropriate for use.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780192632272
  • Publisher: Oxford University Press, USA
  • Publication date: 11/28/2000
  • Series: Oxford Medical Publications Series
  • Edition number: 2
  • Pages: 184
  • Product dimensions: 8.20 (w) x 5.20 (h) x 0.60 (d)

Meet the Author

Derek Doyle is Vice-President of the National Council for Hospice, Specialist Palliative Care Services, President Emeritus of the International Hospice Institute and College and formerly Medical Director, St Columba's Hospice, Edinburgh. David Jeffrey is Macmillan Lead Palliative Care Consultant, 3 Counties Cancer Centre, Cheltenham General Hospital and Honorary Senior Lecturer in Palliative Medicine at the University of Bristol.

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Table of Contents

Foreword, Sir Kenneth Calman, KCB, FRSE
Introduction
1. The challenge of providing palliative care in the home
2. Symptom palliation
3. Pain palliation
4. Psychosocial issues
5. Spiritual and religious issues
6. Emergencies in palliative care
7. Ethical issues
8. Communication issues
9. Home, hospital or hospice?
10. Co-ordination of care at home
11. Grief and bereavement
12. Professional stress in palliative care
13. The final days; terminal care at home
Appendix 1 Bibliography
Appendix 2 Useful addresses
Appendix 3 Drugs for doctor's bag
Appendix 4 Setting up a syringe driver

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