Palliative Care 2nd edition by Linda Emanuel – Ebook PDF Instant Download/Delivery: 0323246192, 9780323246194
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Product details:
ISBN 10: 0323246192
ISBN 13: 9780323246194
Author: Linda Emanuel
Drs. Linda L. Emanuel and S. Lawrence Librach, leaders in the palliative 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.
Palliative Care 2nd Table of contents:
Section 1: Palliative Care: Core Skills
Part A: General Foundations
- List of Illustrations
- List of Tables
Chapter 1: Palliative Care: A Quiet Revolution in Patient Care
- Definition of Palliative Care
- Concepts of Quality of Life and Quality of Dying
- Palliative Care as a Revolution
- Challenges for the Practicing Clinician
- Challenges for the Health Care System
- Palliative Care and the Global Setting
- Summary
Chapter 2: Comprehensive Assessment
- Framework
- The Unfolding Approach: Screening Queries Guide Evaluative Questions
- Conducting the Comprehensive Assessment for the Patient
- Content Areas for Family Caregiver Comprehensive Assessment
- Connecting the Assessment to an Interdisciplinary Team’s Care Plan
- Special Issues
- Outcome Measures in Palliative Care
- Information Technology in Comprehensive Assessment
- Summary
Chapter 3: Communication Skills
- Introduction: The Role of Communication in Palliative Care
- Sources of Difficulty in Communication with Dying Patients
- Basic Communication Skills: The CLASS Protocol
- Breaking Bad News: The SPIKES Protocol
- Therapeutic (or Supportive) Dialogue
- Communication with Other People
- Summary
Chapter 4: Negotiating Goals of Care: Changing Goals Along the Trajectory of Illness
- Discussing Goals of Care
- Six-Step Protocol
- Summary
Chapter 5: “Who Knows?”: 10 Steps to Better Prognostication
- 10 Steps to Improve Prognostication
- Summary
Part B: Physical and Psychological Symptoms
Chapter 6: Multiple Symptoms and Multiple Illnesses
- Illustrative Case Studies
- Factors that Affect Morbidity and Suffering
- An Approach to Management
- Summary
Chapter 7: Pain
- Pain Classification
- Assessment of Pain
- Principles of Pain Management
- Addiction, Diversion, Physical Dependence, and Tolerance
- Pharmacologic Options for Pain Management
- Nonpharmacologic Options for Pain Management
- Interventional Methods for Pain Management
- Summary
Chapter 8: Nausea and Vomiting
- Definitions
- Pathophysiology
- Etiology
- Assessment
- Patient Risk Factors
- Treatment
- Summary
Chapter 9: Part A: Cachexia
- Pathophysiology
Part B: Fatigue
Chapter 10: Depression and Anxiety
- Depression
- Anxiety
- Depression
- Anxiety
- Summary
Chapter 11: Delirium
- Diagnosis and Assessment
- Management
- Summary
Chapter 12: Constipation
- Definition
- Etiology
- Assessment
- Management
- Summary
Chapter 13: Urinary Incontinence
- Physiology and Pathophysiology
- Types of Urinary Incontinence
- Assessment
- Management
- Summary
Chapter 14: Sexuality
- Definition
- Sexuality and Palliative Care
- Assessment
- Counseling
- Surgical Techniques
- Other Interventions
- Summary
Chapter 15: Dyspnea
- Definition
- Prevalence and Impact
- Pathophysiology
- Multidimensional Assessment
- Management
- Summary
Chapter 16: Supporting the Family in Palliative Care
- Caring for the Family: The Psychosocial Dimension of Care
- Strategies to Optimize Communication and Collaboration
- Potential Sources of Conflict
- Summary
Chapter 17: Local Wound Care for Palliative and Malignant Wounds
- Palliative Wounds
- Malignant Wounds
- Management of Malignant and Other Wounds
- Treatment Approach
- Patient-Centered Concerns with Malignant Wounds
- Diagnosis of Wound Infection
- Summary
Part C: Personal Contexts
Chapter 18: Loss, Bereavement, and Adaptation
- Brief Overview of Adaptive Processes
- Losses for the Dying Person
- Journey through the Processes
- Growth and Development Near the End of Life
- Factors that Influence Adjustment
- Losses for the Bereaved Survivor
- Interventions for the Bereaved
- Grief and Clinical Depression
- Summary
Chapter 19: Understanding and Respecting Cultural Differences
- Background and Significance
- Sociocultural Development of Palliative Care
- Elements That Can Limit Cultural Understanding
- Communication and Context
- Hispanic Perspectives
- Palliative Care Perspectives
- Cross-Cultural Awareness in Practice
- Summary
Part D: Specific Situations and Skill Sets
Chapter 20: Advance Care Planning
- Overview
- Definitions
- History and Critique
- Advance Care Planning in Palliative Care
- Summary
Chapter 21: Responding to Requests for Euthanasia and Physician-Assisted Suicide
- Philosophy and Goals of Palliative Care
- Language, Rhetoric, and Definitions
- Arguments for and against Euthanasia and Physician-Assisted Suicide
- Regulation and the “Slippery Slope”
- Understanding Requests for Assisted Death: From Argument to Experience
- Effect on Physicians and Other Health Care Practitioners
- Is There a Role for Euthanasia or Physician-Assisted Suicide in Palliative Care?
- Summary
Chapter 22: Withholding and Withdrawing Life-Sustaining Therapies
- Epidemiology of Withholding and Withdrawing Life-Sustaining Therapy
- Ethical Consensus Regarding Withholding and Withdrawing Therapies
- Legal Consensus Regarding Withholding and Withdrawing Therapies
- Discussing Withholding and Withdrawing Therapies with Patients and Families
- Considerations for Withholding and Withdrawing Specific Therapies
- Summary
Chapter 23: Last Hours of Living
- Prepare the Patient and Family
- Manage the Dying Process
- Other Symptoms and End-of-Life Issues
- When Death Occurs
- Moving the Body
- After the Body Has Been Moved
- Summary
Chapter 24: Legal and Ethical Issues in the United States
- Ethics, Law, and End-of-life Care
- Informed Consent
- Limitation of Treatment
- Decision Making for the Incapacitated
- Determination of Decision-Making Capacity
- Advance Directives
- Guardianship and Surrogates
- Refusal of Orally Ingested Nutrition and Hydration
- Opioids in End-of-life Care
- Physician-Assisted Suicide
- Futility
- Palliative Sedation
- Summary
Section 2: Specific Types of Illness and Sites of Care
Chapter 25: Hematology/Oncology
- Approach to Brain Metastases
- Approach to Liver Metastases
- Approach to Bone Metastases
- Approach to Bowel Obstruction
- Approach to Malignant Effusions
- Summary
Chapter 26: HIV/AIDS
- Epidemiology
- Palliative Approach across the Continuum
- Prognosis-Adjusted Management Issues
- End-of-Life Issues
- Summary
Chapter 27: Heart Failure and Palliative Care
- How is Heart Failure Different from Cancer?
- Epidemiology and Mortality
- Guidelines
- Symptoms
- Treatment
- Resuscitation and Automated Implantable Defibrillators (AICDs)
- Prognosis
- Disease Management Programs
- Conclusion: The Transition
Chapter 28: Kidney Failure
- Relevance of Palliative Care
- Symptom Management
- Care Planning
- Summary
Chapter 29: Gastrointestinal Malignancies
- Gastric Cancer
- Neuroendocrine Tumors
- Hepatocellular Carcinoma
- Pancreatic Cancer
- Colon Cancer
- Esophageal Cancer
- Summary
Chapter 30: Neurodegenerative Diseases
- Common Elements of Care
- Interprofessional Care and Collaboration
- Symptom Management
- End-of-Life Care
- Summary
Chapter 31: Principles of Palliative Surgery
- Palliative Philosophy, History, and Definitions
- Goals of Palliative Surgery
- Palliative Surgery by All Surgeons
- Procedure Selection and Patient Assessment
- Complications and Outcomes Measures
- Special Topics
- Responding to Perioperative Suffering
- The Role of Research
- Summary
Chapter 32: Dementia
- Dementia
- Prognosis
- Pharmacologic Management
- Pain Assessment
- Decision Making
- Caregiving
Chapter 33: Pulmonary Palliative Medicine
- Pathophysiology of Dyspnea
- Primary Disease Management
- Symptom Management
- End-of-Life Care
- Summary
Chapter 34: Pediatric Palliative Care
- The Who, How, What, When, and Where of Pediatric Palliative Care
- Communication with Children and Families
- Symptom Management
- Summary
Chapter 35: Palliative Care in the Intensive Care Unit
- Negotiating Goals of Care
- Moving to a Palliative Treatment Plan
- Decision Making with Critically Ill Patients
- Decision Making with Surrogates
- Pain and Symptom Management
- Withholding and Withdrawing Life-Sustaining Interventions
- How to Withdraw a Ventilator
- The Last Hours
- Caring for the Family
- Summary
Chapter 36: Emergency Medicine and Palliative Care
- Understanding the Emergency Department Model
- Core Palliative Care Skills in the Emergency Setting
- Special Issues
- Summary
Chapter 37: Veterans, Veterans Administration Health Care, and Palliative Care
- Structure of the Department of Veterans Affairs
- Impact of Veterans’ Experiences on Response to Suffering at Life’s End
- Different Cohorts of Veterans
- Specific Issues with Veterans and Palliative Care
- Summary
Section 3: Service Delivery
Chapter 38: The Interdisciplinary Team
- Interdisciplinary Teams in Palliative Care
- Criteria for Effective Team Functioning
- Threats to Team Functioning
- Building and Strengthening Teams
- Summary
Chapter 39: Palliative Care Nursing
- Nursing Contributions
- Defining a Specialty
- Types of Care Activity
- Patient Education
- Effective Communication
- Spiritual Dimensions
- Presence and Support
- Ethical Issues
- Self-Care
- Nurses Integrating Care
- The Approach
- Professional Associations
- Specialty Certification for the Nursing Team
- Future Trends
- Summary
Chapter 40: Social Work Practice in Palliative Care: An Evolving Science of Caring
- Definition of Social Work
- Psychosocial Context of Palliative Care
- Credentialing
- Social Work Values in Palliative Care
- Social Work Competencies in Palliative Care
- Emerging Role of Palliative Care Social Work
- Social Work in Action: Maximizing Quality of Life
- Prospective Identification of Barriers to Quality of Life through Biopsychosocial Screening
- Summary
Chapter 41: Spiritual Care
- Common Fears
- Purpose of Spiritual Care
- Definitions
- Methods of Spiritual Care: The Role of the Chaplain
- Paths to Meaning
- Spiritual Assessment and Cases
- Summary
Chapter 42: Palliative Care in Long-Term Care Settings
- Long-Term Care
- Artificial Nutrition and Hydration
- Summary
Chapter 43: Home Palliative Care
- Clinician Competencies
- System Capacities
- Predictors of a Home Death
- Home Palliative Care Is Not for Everyone
- Summary
Chapter 44: Integrating Palliative Care Guidelines into Clinical Practice
- About Guidelines
- Barriers to Guideline Use
- Status of Guidelines in Palliative Care
- Beyond Guidelines: Steps to Effect Behavioral Changes among Professionals, Patients, and Their Caregivers
- Diffusion of Information and Training: Applying Lessons to the Adoption of Palliative Care
- Linking Palliative Care Guidelines to Quality of Care: Major Challenges
- Summary
Chapter 45: Palliative Care Services and Programs
- Levels of Palliative Care Delivery
- Hospital-Based Programs
- Non–Hospital-Based Programs
- Training and Certification
- Summary
Chapter 46: The Role of the Physician in Palliative and End-of-Life Care
- The Role of the Family Physician in Palliative Care
- The Role of the Specialist Physician in Palliative Care
- The Role of the Physician and Models of Care
- Specific Skills and Competencies
- Education
- Physician Well-Being
- Summary
Section 4: The Social Context
Chapter 47: The Economic Burden of End-of-Life Illness
- Understanding the Economic Domain
- Economics of End-of-life Illness
- How Clinicians Can Handle the Economic Dimension of Care
- Summary
Chapter 48: Addressing the Social Suffering Associated with Illness: A Focus on Household Economic Resilience
- The Mechanism of Illness-Poverty Cycles
- Why Is Health Care Spending High Near the End of Life?
- What Is Economic Resilience?
- The Capacity of Palliative Care to Engender Economic Resilience
- Health Systems, Policy, Illness, and Poverty
- Conclusions
Chapter 49: Palliative Care in Developing Countries
- Cancer
- HIV/AIDS
- Palliative Care
- Opioid Consumption
- Palliative Care in the Developing World
- Cultural Aspects
- Argentina
- India
- Romania
- South Africa
- Summary
Chapter 50: The Therapeutic Implications of Dignity in Palliative Care
- Illness Related Concerns: Symptom Distress
- Level of Independence
- Dignity Conserving Repertoire
- Conclusion
- Summary
Appendixes
- Medication Tables
- Resources for Palliative and End-of-Life Care
- Index
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