Palliative practices : an interdisciplinary approach /
Kim K. Kuebler, Mellar P. Davis, Crystal Dea Moore.
St. Louis : Elsevier Mosby, 2005.
xix, 491 p. : ill. ; 24 cm.
More Details
St. Louis : Elsevier Mosby, 2005.
catalogue key
Includes bibliographical references and index.
A Look Inside
About the Author
Author Affiliation
Kim K. Kuebler, MN, RN, ANP-CS: Adult Nurse Practitioner, Primary/Oncology/Palliative Care, Private Practice Adjuvant Therapies, Inc., Atlanta, Georgia Mellar P. Davis, MD, FCCP: Director of Research, The Harry R. Horvitz Center for Palliative Medicine, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, Ohio Crystal Dea Moore, MA, MSW, PhD: Social Work Program Director, Assistant Professor of Social Work, Department of Sociology, Anthropology, and Social Work, Skidmore College, Saratoga Springs, New York
This item was nominated for the following awards:
PSP Prose Awards, USA, 2005 : Nominated
Bowker Data Service Summary
Covering the important aspects of the most common chronic illnesses that cause death, this text discusses symptoms, management, and when to choose palliative interventions.
Main Description
Palliative Practices: An Interdisciplinary Approach is the first book of its kind to examine the integration of palliative interventions from a disease-specific approach. This unique and practical book addresses the multidimensional aspects of palliative practices and offers the reader a progressive approach to the management of common symptoms accompanying advanced diseases. In addition to being a practical guide on caring for patients living and dying from advanced chronic disease, this text is an excellent resource for continuing education and certification review. Book jacket.
Main Description
The first book of its kind, this must-have resource examines the integration of palliative interventions from a disease-specific approach, providing practical guidance on caring for patients who follow a progressive, chronic disease trajectory prior to death. This uniquely practical book addresses all aspects of palliative care, going beyond theoretical information to advise practitioners on the most effective management of common symptoms and providing physical, psychological, and spiritual comfort to patients and families. The multidisciplinary focus of care is reflected by collaborative contributors and diverse authorship of an oncology/palliative care nurse practitioner, a physician, and a social worker. Expert authors in the field of palliative care - an oncology/palliative care nurse practitioner, an MD, and a social worker - represent the collaborative nature of caring for chronically ill patients. The most common illnesses that cause death in the United States are addressed in separate chapters on specific disease states: Cardiovascular, Pulmonary, Nephrology, Oncology, and Neurology. Case studies at the conclusion of each chapter illustrate important patient scenarios in the context of clinical practice. Comprehensive drug information for symptom management and comfort measures is provided in an appendix, as well as palliative care assessment tools and helpful website resources. An entire chapter is devoted to cancer pain. Objectives at the beginning of each chapter introduce the reader to concepts that will be addressed in that chapter. Each chapter ends with multiple-choice objective questions to test the reader's comprehension, with answers and rationales provided in the back of book. Prognostic tables demonstrate precisely how and when to integrate palliative interventions into the course of an advanced illness, identifying prognostic indicators where appropriate. Other important topics are covered with chapters on sleep, ethics, cultural and spiritual issues, and the dying process.
Table of Contents
Issues Specific To Palliative Carep. 1
Palliative Care Perspectivesp. 3
Introductionp. 3
Definitionsp. 3
Hospice Care and the Medicare Hospice Benefitp. 7
Palliative Care Programsp. 11
The Futurep. 21
Summaryp. 24
Advance Care Planningp. 29
Introductionp. 29
Advanced Illness Conversationsp. 29
Strategies to Improve Communication Qualityp. 30
Advance Care Planningp. 37
Personal Awareness and Self-Carep. 41
Summaryp. 45
Evidence-Based Interventionsp. 49
Evolution of Evidence-Based Practicep. 49
Tools of Evidence-Based Practicep. 54
Implementing Evidence-Based Practicep. 55
Summaryp. 60
Pharmacologyp. 63
Introductionp. 63
Pharmacodynamicsp. 64
Pharmacokineticsp. 69
Non-Linear Pharmacokineticsp. 73
Dosing Regimens in Pharmacokineticsp. 73
Importance of P-450 Enzyme System in Pharmaceutical Managementp. 74
Ethnicity and Special Populationsp. 75
P-450 Specific Enzymesp. 75
Metabolism Through Glucuronidationp. 76
Multiple Drug Transportersp. 77
Polypharmacy and Drug Interactionsp. 77
Pharmacokinetics in Special Populationsp. 78
Summaryp. 79
The Interface Of Sleepp. 83
Introductionp. 83
Normal Sleepp. 83
Impaired Sleep and Sleep Disordersp. 91
Sleep in the Palliative Care Settingp. 95
Factors Associated With Impaired Sleepp. 98
Management of Impaired Sleepp. 103
Summaryp. 110
Specific Disease States and Symptom Managementp. 119
Cardiovascularp. 121
Cardiovascular Diseasep. 121
Pathophysiology of Advanced Heart Failurep. 123
Immune System Up-Regulationp. 127
Management of HF Symptomsp. 128
Prognostic Indicators for Palliative Interventionsp. 132
Interventions Before Palliationp. 135
End-Of-Life Carep. 148
Summaryp. 150
Pulmonaryp. 157
Introductionp. 157
Pulmonary Function Testsp. 161
Stagingp. 163
Common and Frequent Symptomsp. 164
Dyspneap. 167
Exacerbationsp. 167
Monitoringp. 168
Pharmacologic Treatmentp. 170
Nonpharmacologic Treatmentp. 174
Pulmonary Rehabilitationp. 175
Anxiety and Depressionp. 175
Summaryp. 176
Nephrologyp. 181
Introductionp. 181
Symptom Burdenp. 181
Common Symptomsp. 183
Discussion of Specific Symptoms and Their Managementp. 184
Advance Care Planningp. 190
End-Of-Life and Hospice Carep. 191
Discontinuing Dialysisp. 191
Future Researchp. 192
Oncologyp. 197
Introductionp. 197
The Cost of Cancerp. 197
Culturally Competent Palliative Practicesp. 199
Health Disparitiesp. 199
Cellular Pathophysiology of Advanced Cancerp. 200
Cancer Stagingp. 201
Metastatic Sites and Associated Symptomsp. 202
Oncologic Emergenciesp. 208
Hypercalcemia of Malignancyp. 209
Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)p. 212
Increased Intracranial Pressurep. 214
Spinal Cord Compressionp. 217
Superior Vena Cava Syndromep. 220
Treatment-Related Oncologic Emergenciesp. 222
Symptom Management in Advanced Malignancyp. 224
Summaryp. 237
Cancer Painp. 247
Introductionp. 247
Pain Syndromesp. 248
Pain Assessmentp. 251
Treatmentp. 255
Summaryp. 263
Neurologyp. 269
Amyotrophic Lateral Sclerosisp. 269
Huntington's Diseasep. 279
Summaryp. 283
The Dying Process, Grief, and Bereavementp. 289
Ethical Issuesp. 291
Introductionp. 291
Ethical Issues in the Transition to Palliative Carep. 291
Ethical Issues Within Palliative Carep. 298
Summaryp. 304
Cultural and Spiritual Issuesp. 309
Introductionp. 309
Cultural Impacts on Palliative Carep. 309
Spiritual Issues in Palliative Carep. 322
Summaryp. 329
The Dying Processp. 335
Introductionp. 335
Dying in Americap. 335
Theories on Death and Dyingp. 336
Dimensions of Dyingp. 338
Diagnosing Dyingp. 351
Approaches to Carep. 362
Summaryp. 368
Grief and Bereavementp. 379
Introductionp. 379
Death and Lossp. 380
Types of Griefp. 381
Stage Theoriesp. 385
Reactions to Griefp. 385
The Impact of Griefp. 386
Professional Responsibilitiesp. 391
Assistancep. 393
Summaryp. 396
Answersp. 401
Medications by Disorderp. 418
Medication Routes and Metabolismp. 442
Palliative Care Assessment Toolsp. 447
Websitesp. 471
Table of Contents provided by Rittenhouse. All Rights Reserved.

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