Palliative Care Ii

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

This practical guide briefly covers the historical and epidemiological background of palliative care and the growth of palliative medicine as a specialty, before dealing with major physical, psychological, spiritual, and symptom management issues from diagnosis to bereavement care.

This workbook is a companion to the text, 'Integrating A Palliative Approach: Essentials for Personal Support Workers.' It provides a variety of learning tools such as: exercises, activities, role-plays, puzzles, questions and discussion topics to assist the learner in becoming more competent, confident, and compassionate in providing excellent care to those who are dying and their families.

Drawing from his extensive clinical experience and many years of teaching, Dr. Hallenbeck has written a guide to palliative care for clinicians. Topics addressed range from an overview of death and dying to specific approaches to symptom management. As an introduction to both the art and science of palliative care, this book reflects the perspectives of one physician who has dedicated his career to this rapidly evolving field. the book links real stories of illness with practical advice, thereby delineating clinical practice in a way that reflects the daily concerns of clinicians.

Find out all you need to know about providing high-quality care to patients with serious illnesses from the 2nd edition of Palliative Care: Core Skills and Clinical Competencies. Drs. Linda L. Emanuel and S. Lawrence Librach, leaders in the field, address the clinical, physical, psychological, cultural, and spiritual dimensions that are integral to the care of the whole patient. They give you a broad understanding of the core clinical skills and competencies needed to effectively approach patient assessment, care of special populations, symptom control, ethical issues, and more. Clearly written in a user-friendly, high-yield format, this resource is your ultimate guidebook to the burgeoning practice of palliative medicine. Improve your pain management and symptom management skills with a better understanding of best practices in palliative care. Quickly review specific treatment protocols for both malignant and non-malignant illnesses, including HIV/AIDS, heart failure, renal failure, pulmonary disease, and neurodegenerative disease. Better understand and manage the common and unique challenges associated with delivering palliative care in various social settings, such as the ICU, hospice, and the home; and to diverse populations, such as children, elders, and vulnerable members of society. Expand your knowledge of palliative care issues with new chapters on Veterans, Special Populations, Prognostication, Delirium, Working with Families, Wound Care, Home Care, and Dealing with Economic Hardship. Find the information you need quickly and easily with a templated, high-yield format.

Kath Murray has a love for hospice and palliative care and a love for education that is engaging, delicious, and digestible. Her passion is to provide exceptional resources to help nurses, health care workers, and personal support workers provide excellent care for the dying and their family, and to find meaning and value in doing so.

This second edition of the text will equip frontline caregivers to respond to the changing needs of any person living with life-limiting illness and their family. You will learn best practice skills for participating fully as a vital member of the health care team. Integrating a Palliative Approach will increase your con­fidence and competence in providing compassionate palliative care for the dying person and their family by developing your capacity to: 1) integrate a palliative approach and support the person and family through decline and during last days and hours; 2) provide culturally safe palliative care that is free of systemic bias and racism; 3) understand and provide psychosocial care for the person and family; and 4) develop self-care practices to sustain you. This is a rare text that engages you with its warmth and heart--it is an essential resource for all frontline caregivers. "Stunning artwork, accessible text, relevant case studies, and up-to-date evidence are woven together to stimulate learning and reflection about palliative care philosophy and practice." -- David Kenneth Wright, PhD, RN, CHPCN(C), Associate Professor, School of Nursing, University of Ottawa "You will feel safe to explore your biases and understand Indigenous ways of knowing and being as recommended in the Truth and Reconciliation Calls to Action." -- Sheila Blackstock, RN, BScN, MScN, COHN PhD (c), Gitxsan First Nation, Associate Teaching Professor, Thompson Rivers University School of Nursing "The second edition of Integrating a Palliative Approach is, in fact, an essential resource for personal support workers. The book continues to be a unique resource providing comprehensive information regarding physical and psychosocial needs." -- Betty Ferrell, PhD, FAAN, FPCN Professor and Director, Nursing Research, City of Hope Medical Center; Principal Investigator, the End of Life Nursing Education Consortium (ELNEC) project "The section on self-care, an area that students may feel they do not need to study, contains concrete information on its importance and ideas for developing a plan for self-care." -- Zola Goebel, Director, Sprott Shaw College, Lead Curriculum for Health Care Assistant curriculum "This text is the resource for PSW education, for workplace education and independent study." -- Pippa Hawley, B.Med, FRCPC (PM) Head, UBC Division of Palliative Care, and BC Cancer Pain and Symptom Management / Palliative Care Program Medical Leader "Kath and her team have done a wonderful job of integrating the most up-to-date frameworks for person centred care and packaged nuggets of wisdom and experience in a digestible, accessible and visually attractive package." -- Doris Barwich MD, CCFP (PC), Medical Director, British Columbia Centre for Palliative Care "This resource directly acknowledges the valuable role of the PSW as a knowledgeable and integral member of the interprofessional team, it is a 'must-have' resource for all frontline caregivers seeking ways to provide excellent care for others, while nourishing their practice for personal fulfilment." -- Andrea Leatherdale, RN, BScN, GDPI, PMEd, Professor, Practical Nursing, Centennial College "[This] edition is a beautiful balance of practical, approachable, and inspirational. The touchstones take various new competency frameworks, breaks them into easily digestible snippets and ties everything together as part of a bigger whole." -- Nadine Valk, BA, MPA, Executive Director / Directrice Générale. Champlain Hospice Palliative Care Program

“This 5th edition is an important achievement; it is a symbol of commitment to the field of palliative nursing, where we have been and where we are going.” - Betty Rolling Ferrell, PhD, MA, FAAN, FPCN, CHPN From the Foreword The aging population has only grown since the first edition of this comprehensive and seminal publication nearly 20 years ago. Based on the need to humanize rather than medicalize the illness experience for patients, this text delves into palliative care beyond the specific diseases affecting the patient. Instead, content focuses on the whole person and family. Palliative patients struggle with chronic, debilitating, and painful conditions, and grapple with the fact that life as they knew it has already passed away. Families and friends reciprocally suffer, not knowing how to help and therefore become the secondary victims of the disease. This is not the challenge of a lone nurse, or a single physician, therapist, or social worker. Rather, palliative and hospice care requires the expertise and unique roles of an interprofessional team to help the patient and family strengthen their resilience, continue to find meaning and purpose in life, and cure what can be cured. Palliative Care Nursing, Fifth Edition, delivers advanced empirical, aesthetic, ethical and personal knowledge. This new edition brings an increased focus on outcomes, benchmarking progress, and goals of care. It expounds upon the importance of the cross-disciplinary collaboration introduced in the previous edition. Every chapter in Sections I, II, and III includes content written by a non-nursing member of the interprofessional team. Based on best-evidence and clinical practice guidelines, this text presents comprehensive, targeted interventions responsive to the needs of palliative and hospice patients and family. Each chapter contains compassionate, timely, appropriate, and cost-effective care for diverse populations across the illness trajectory. Key Features The expanded new edition offers current, comprehensive, one-stop source of highly-relevant clinical information on palliative care Life-span approach: age-appropriate nursing considerations (e.g. geriatric, pediatric and family) Includes disease-specific and symptom-specific nursing management chapters Promotes a holistic and interdisciplinary approach to palliative care Offers important legal, ethical and cultural considerations related to death and dying Case Studies with Case Study Conclusion in each clinical chapter New to The Fifth Edition: An expanded chapter on Palliative Care incorporates most up to date scope and standards, information on Basic and Advanced HPNA certification, self-reflection and self-care for nurses. A chapter on Interprofessional Collaboration Instructor Resources: Power points and Test bank