Palliative Care Nursing, Third Edition: Quality Care to the End of Life / Edition 3

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This textbook has...introduced concepts and methods of education which [help] to move palliative nursing forward as an evidenced based practice of whole person care.

-- Betty Ferrell, PhD, FAAN
Research Scientist (From the Foreword)

In this comprehensive textbook on palliative care nursing, editors Marianne Matzo and Deborah Witt Sherman succeed in bringing together the heart of nursing and the true meaning of palliative care with the most current evidence based practice.


Palliative care is a philosophy of caregiving that integrates disease modification with supportive, compassionate therapies for patients at the end of life. Palliative care nurses are responsible for alleviating pain and other physical symptoms-along with satisfying the emotional, social, cultural, and spiritual needs of patients who are facing life-threatening illness.

This third edition of Palliative Care Nursing provides more comprehensive newly updated content, knowledge, attitudes, skills, and cutting-edge teaching and learning strategies to achieve the AACN End-of-Life nursing competencies providing a lifespan approach. Now in its third edition, this book continues to emphasize the value of complementary, holistic modalities in promoting health, wholeness, and wellness, even as death approaches.

Key topics discussed:

  • Ethical aspects of palliative care
  • Legal aspects of end-of-life decision-making
  • Loss, suffering, grief, and bereavement on the part of patients and their families
  • Symptom-specific nursing management of pain, anxiety, depression, fatigue, malnutrition, and dehydration-all common to palliative care
  • How to communicate with the seriously ill and dying patients, their families, and their health care providers
  • Disease-specific aspects of palliative care for those battling cancer, heart disease, lung disease, HIV/AIDS, end-stage renal and liver disease, neurological, and other disorders
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Editorial Reviews

From The Critics
Reviewer: Lisa Stepp, PhD, RN, APN, AOCN, CRNH (Private Practice)
Description: Although palliative care and hospice have been an important part of medical service now for many years, clinician education in this area remains relatively new. Numerous nursing and physician education programs have started to integrate palliative care into their curriculum and appropriate texts are necessary to support this process.
Purpose: Clinicians are unable to provide services for which they have not received appropriate instruction. This book proposes to provide such instruction for students and established clinicians in palliative and end-of-life care. All contributing authors to this book are experienced in the area of palliative care and well respected in the field. The wealth of knowledge they bring to the topic is unsurpassed.
Audience: This book is most appropriate for nursing students, but clinicians just starting in palliative care as well as social workers and chaplains can benefit. The terminology is somewhat technical and will require some basic knowledge of nursing and science. Excellence in quality nursing care can only be achieved through appropriate education and direction. This book provides a framework that facilitates such quality care.
Features: This book provides the most essential information regarding end-of-life care and is orgainzed around 15 core competencies. With an understanding of the holisitic approach of palliative care, the reader is exposed to a comprehensive curriculum to guide their practice and success.
Assessment: Although there have been many books written regarding nursing care at the end of life, this book provides new information regarding appropriate curriculum development and implementation. Overall, the book is most appropriate for educators and use as a class textbook.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780826157911
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 12/17/2009
  • Edition description: Third Edition
  • Edition number: 3
  • Pages: 592
  • Sales rank: 753,678
  • Product dimensions: 8.70 (w) x 11.00 (h) x 1.50 (d)

Meet the Author

Marianne LaPorte Matzo, PhD, APRN, GNP-BC, FAAN, is a Professor and the Frances E. and A. Earl Ziegler Chair in Palliative Care Nursing at The University of Oklahoma Health Sciences Center College of Nursing in Oklahoma City. She is also a member of the Doctoral Faculty at The Union Institute and University of Cincinnati, and a Soros Scholar for the Project on Death in America. She was awarded a Doctorate in Gerontology from the University of Massachusetts--Boston and a master's degree in Nursing from the Gerontological Nurse Practitioner Program at the University of Massachusetts--Lowell. Her work for the Project on Death in America has included undergraduate curriculum development on the care of the dying patient and family, work as a hospice nurse, and continuing education programs related to death, dying, and bereavement. Her research has included nurse's practices of assisted suicide and a quantitative study of health care providers' responses to the death of their patients. Dr. Matzo has presented educational programs both regionally and nationally on many topics related to care of the dying person, gerontological nursing, and curriculum development. Her work has been published in Nurse Practitioner, Nurse Educator, Geriatric Nursing, Nursing Homes, Geriatric Psychiatry, The Journal of Gerontological Nursing, Gerontology and Geriatrics Education, Applied Nursing Research, Heart and Lung, Nursing Education Perspectives and the Geriatric Clinics of North America.

Deborah Witt Sherman, PhD, APRN, ANP-BC, FAAN, is Associate Professor, Director of the Doctoral Program at New York University College of Nursing, and faculty of the Advanced Practice Palliative Care Master's and Post-Master's Programs. She is also Co-Director and faculty for the Bronx Veterans Medical Center Interdisciplinary Palliative Care Fellowship Program.

Dr. Sherman's background in critical care nursing, hospice nursing, and her certification as an adult nurse practitioner, as well as her research focus on populations with life-threatening and terminal illness, are foundational to her expertise and commitment to palliative care, for which she developed the first nurse practitioner palliative care master's and post-master's programs in the United States.

In 1998, she was awarded the prestigious Project on Death in America Faculty Scholars Fellowship, funded by the Soros Foundation, to implement the Advanced Practice Palliative Care Master's Program at NYU and to participate as a nurse practitioner on the palliative care team of Mount Sinai Medical Center. Dr. Sherman was also awarded an advanced nursing practice training grant by the Department of Health and Human Services to fund the Advanced Practice Palliative Care Master's Program ate NYU.

Dr. Sherman has been funded by the National Institute of Health for a two-year pilot study entitled "Interventions and Quality of Life for Patients with Advanced Cancer or AIDS and their Family Caregivers." She is also a co-investigator on a four-year randomized control trial funded by the National Cancer Institute to examine the effects of psychoeducation and telephone counseling on the adjustment of women and partners experiencing early stage breast cancer.

Dr. Sherman is a member of several editorial boards and professional nursing organizations including the National Hospice Organization, Hospice and Palliative Care Nurses Association, The Association of Death Educators and Grief Counselors, Oncology Nursing Society, and the Association for Nurses in AIDS Care. Dr. Sherman serves on the advisory board and as faculty on the End of Life Nursing Education Consortium, whose aim is to educate nurses in palliative care across the country. She has served as a member of an Interdisciplinary Steering Committee of a National Consensus Project, which developed national guidelines for quality palliative care. She has led the initiative to develop the Scope and Standards for Advance Practice Palliative Care Nursing approved by the ANA. Dr. Sherman secured funding to develop the first national Advance Practice Palliative Care Credentialing Examination, which was completed in May 2003.

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Table of Contents

Section I: Looking at the Whole person in Palliative Care
Chapter 1: Culture and Spirituality as Domains of Quality Palliative Care
Chapter 2: Sexual Health and Intimacy
Chapter 3: Holistic Integrative Therapies
Section II: Societal and Professional Issues in Palliative Care
Chapter 4: Societal Perspectives Regarding Palliative Care
Chapter 5: The Nurses Role in Interdisciplinary and Palliative Care
Chapter 6: Development of the Specialty of Hospice and Palliative Care Nursing
Chapter 7: Ethical Aspects of Palliative Care
Chapter 8: Legal Aspects of End-of-Life Decision Making
Section III: Psychosocial Considerations
Chapter 9: Communicating with Seriously Ill and Dying Patients, Their Families, and Their Health Care Providers
Chapter 10: Family Caregivers
Chapter 11: Loss, Suffering, Grief and Bereavement
Section IV: Physical Aspects of Palliative Care: Diseases
Chapter 12: Cancer
Chapter 13: End Stage Heart Disease
Chapter 14: Chronic Lung Disease
Chapter 15: Neurological Disorders
Chapter 16: End Stage Renal Disease
Chapter 17: End Stage Liver Disease
Chapter 18: HIV/AIDS
Section V: Physical Aspects of Palliative Care: Symptoms
Chapter 19: Pain Assessment and Pharmacological/Non-Pharmacological Interventions
Chapter 20: Dyspnea
Chapter 21: Anxiety, Depression, and Delirium
Chapter 22: Gastrointestinal Symptoms
Chapter 23: Fatigue
Chapter 24: Skin Care Needs of Palliative Patients
Chapter 25: Peri-Death Nursing Care
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