Table of Contents

PART I: GENERAL PRINCIPLES; 1. Introduction to Palliative Care Nursing Care; 2. Hospice Care: A Model for Quality End-of-Life Care; 3. Principles of Patient and Family Assessment; 4. Communication in Palliative Care; PART II: SYMPTOM ASSESSMENT AND MANAGEMENT; 5. Pain Assessment; 6. Pain at the End of Life; 7. Fatigue; 8. Anorexia and Cachexia; 9. Nausea and Vomiting; 10. Dysphagia, Xerostomia and Hiccups; 11. Bowel Management: Constipation, Diarrhoea, Obstruction and Ascites; 12. Hydration, Thirst and Nutrition; 13. Dyspnea, Death Rattle and Cough; 14. Urinary Tract Disorders; 15. Lymphedema Management; 16a Skin Disorders: Pressure Ulcers - Assessment and Management; 16b SKin Disorders: Tumor Necrosis, Fistulas, and Stomas; 17. Pruritis, Fever and Sweats; 18. Neurological Disturbances; 19. Anxiety and Depression; 20. Delirium, Confusion, and Agitation; 21. Sexuality; 22. Clinical Interventions, Economic Outcomes and Palliative Care; 23. Urgent Syndromes at the End of Life; 24. Sedation for Refractory Symptoms and Terminal Weaning; 25. Complementary and Alternative Therapies in Palliative Care; PART III: PSYCHOSOCIAL SUPPORT; 26. The Meaning of Hope in the Dying; 27. Bereavement; 28. Supporting Families in Palliative Care; 29. Planning for the Actual Death; PART IV: SPIRITUAL CARE; 30. Spiritual Assessment; 31. Spiritual Care Interventions; 32. Meaning in Illness; 33. Reflecting on the Journey: A Family Caregiver's Personal Perspective; PART V: SPECIAL PATIENT POPULATIONS; 34. Cultural Considerations in Palliative Care; 35. Elderly Patients; 36. The Poor and Underserved Populations; 37. Patients with Acquired Immunodeficiency Syndrome; 38. Caring for the Drug-Addicted Patient at the End of Life; PART VI: END-OF-LIFE CARE ACROSS SETTINGS; 39. Improving the Quality of Care Across all Settings; 40. Long-term Care; 41. Home Care; 42. Hospital-Based Palliative Care; 43. The Intensive Care Unit; 44. The Outpatient Setting; 45. Rehabilitation and Palliative Care; 46. The Emergency Department; 47. The Role of Nursing in Caring for Patients Undergoing Surgery for Advanced Disease; 48. Palliative Chemotherapy and Clinical Trials in Advanced Cancer: The Nurse's Role; PART VII: PEDIATRIC PALLIATIVE CARE; 49. Symptom Management in Pediatric Palliative Care; 50. Pediatric Care: The Hospice Perspective; 51. Pediatric Care: Transitioning Goals of Care in the Emergency Department, Intensive Care Unit, and In Between; 52. End-of-Life Decision Making in Pediatric Oncology; 53. Palliative Care in the Neonatal Intensive Care Unit; 54. Grief and Bereavement in Pediatric Palliative Care; 55. Pediatric Pain: Knowing the Child Before You; PART VIII: SPECIAL ISSUES FOR THE NURSE IN END-OF-LIFE CARE; 56. The Experience of the Nurse in End-Of-Life Care in the 21st Century; 57. Ethical Considerations; 58. Public Policy and End-of-Life Care: The Nurse's Role; 59. Palliative Care and Requests for Assistance in Dying; 60. Nursing Education; 61. Nursing Research; PART IX: MODELS OF EXCELLENCE AND INNOVATIVE COMMUNITY PROJECTS; 62. Delivering Palliative Care in Challenging Settings and to Hard-to-Reach Populations; 63. A Community-Based Approach to Improving the Quality of Life's End; 64. Project Safe Conduct; 65. Harlem Palliative Care Network; 66. International Models of Excellence; PART X: "A GOOD DEATH"; 67. Understanding a "Good Death": James's Story

Reviews

This is a model of what a medical book should be: science-based but always in touch with the men and women we call patients. Physicians should definitely take a leaf out of this exemplary book. Cancer World