Nursing Care at the End of Life

The book is written in a clear and user-friendly style, and is ideal for undergraduate nursing students learning about dying, suffering, and caring for individuals and their families.

Nursing Care at the End of Life

Author: Joyce V Zerwekh

Publisher: F.A. Davis

ISBN: 0803620284

Page: 453

View: 653

Nursing Care at the End of Life: Palliative Care for Patients and Families explores the deep issues of caring for the dying and suffering. The book is based on the Hospice Family Caregiving Model previously published by the author and focuses on the practice implications of care for the dying. The book is written in a clear and user-friendly style, and is ideal for undergraduate nursing students learning about dying, suffering, and caring for individuals and their families.

Medical Care at the End of Life

The book explains the distinction between ordinary and extraordinary means, the difference between killing and allowing to die, criteria of patient competence, what to do in the case of incompetent patients, the meaning and use of advance ...

Medical Care at the End of Life

Author: David F. Kelly

Publisher: Georgetown University Press

ISBN: 1589011120

Page: 180

View: 129

For over thirty years, David F. Kelly has worked with medical practitioners, students, families, and the sick and dying to confront the difficult and often painful issues that concern medical treatment at the end of life. In this short and practical book, Kelly shares his vast experience, providing a rich resource for thinking about life's most painful decisions. Kelly outlines eight major issues regarding end-of-life care as seen through the lens of the Catholic medical ethics tradition. He looks at the distinction between ordinary and extraordinary means; the difference between killing and allowing to die; criteria of patient competence; what to do in the case of incompetent patients; the meaning and use of advance directives; the morality of hydration and nutrition; physician-assisted suicide and euthanasia; and medical futility. Kelly's analysis is sprinkled with significant legal decisions and, throughout, elaborations on how the Catholic medical ethics tradition—as well as teachings of bishops and popes—understands each issue. He provides a helpful glossary to supplement his introduction to the terminology used by philosophical health care ethics. Included in Kelly's discussion is his lucid description of why the Catholic tradition supports the discontinuation of medical care in the Terry Schiavo case. He also explores John Paul II's controversial papal allocution concerning hydration and nutrition for unconscious patients, arguing that the Catholic tradition does not require feeding the permanently unconscious. Medical Care at the End of Life addresses the major issues that inform this last stage of caregiving. It offers a critical guide to understanding the medical ethics and relevant legal cases needed for clear thinking when individuals are faced with those crucial decisions.

Communicating Care at the End of Life

Using ethnographic research from two sites that offer emergency care and end-of-life care - a hospice and an emergency department - the author illustrates common themes around language use that serve as microcosms of the larger healthcare ...

Communicating Care at the End of Life

Author: Carey Candrian

Publisher: Peter Lang Gmbh, Internationaler Verlag Der Wissenschaften

ISBN: 9781433127144

Page: 144

View: 944

While health care at the end of life is changing, the language for talking about treatment options and patient preferences around the end of life is taking longer to change. This book carefully details the way language shapes decisions around end-of-life care. Using ethnographic research from two sites that offer emergency care and end-of-life care - a hospice and an emergency department - the author illustrates common themes around language use that serve as microcosms of the larger healthcare system in the United States. The sites have different purposes for providing care, yet the themes from both serve as guidance and reflection for other areas of caregiving. <BR> The language used to talk about death holds consequences and opportunities for understanding and making decisions about care practices. This book uses personal stories and perspectives from patients, family members, and medical workers to paint a picture of some of the issues and tensions individuals and caregivers face. With an aging population - one that represents a major public health challenge in the twenty-first century - Carey Candrian argues that examining the care we provide for individuals, especially aging individuals, is fundamental to creating a developed, ethical, and engaged society.

Improving Care at the End of Life with Complementary Medicine

The NINR is the lead Institute within the NIH responsible for coordinating
research on palliative care at the end of life . Today I will summarize conventional
and complementary end - of - life research supported by the NIH . The goal is to ...

Improving Care at the End of Life with Complementary Medicine

Author: United States. Congress. House. Committee on Government Reform

Publisher:

ISBN:

Page: 194

View: 818

Approaching Death

This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family.

Approaching Death

Author: Institute of Medicine

Publisher: National Academies Press

ISBN: 0309174600

Page: 456

View: 384

When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."

Nursing Care at the End of Life

"Nursing Care at the End of Life " Ginny Wacker Guido, JD, MSN, RN, FAAN Using an effective modular, self-study approach, this new book explores the many facets of end-of-life care, including clinical management, palliative care, nutrition, ...

Nursing Care at the End of Life

Author: Ginny Wacker Guido

Publisher: Prentice Hall

ISBN:

Page: 200

View: 980

Nursing Care at the End of Life, by Ginny Wacker Guido, incorporates many of the chapter features in High Acuity Nursing 5th ed.,by Kathleen Dorman Wagner. Using this format, the author presents material ranging from the legal and ethical aspects that affect care to the clinical issues nurses face when dealing with acute illness, pain and dying, to communication and family dynamics. Case studies give readers an opportunity to process and apply the chapter material. The role of the nurse is highlighted throughout the book and each chapter is followed by NCLEX-style review questions. This is a perfect reference for anyone studying to become a nurse or a nurse needed a professional resource for career success.

Approaching Death

This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family.

Approaching Death

Author: Committee on Care at the End of Life

Publisher: National Academies Press

ISBN: 9780309090025

Page: 425

View: 593

When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."

Advance Care Planning

This report is intended to show how physicians and other health care professionals can help their patients with advance care planning and assess patient preferences for care at the end of life.

Advance Care Planning

Author:

Publisher:

ISBN:

Page:

View: 672

This report is intended to show how physicians and other health care professionals can help their patients with advance care planning and assess patient preferences for care at the end of life. Section 1 discusses research findings from studies funded by the Agency for Healthcare Research and Quality (AHRQ), as well as those from other research. For readers who want more detailed information, Section 2 contains charts and tables showing the quantitative results of the studies supported by AHRQ. This research can help providers offer end-of-life care based on preferences (both real and hypothetical) held by the majority of patients under similar circumstances.

A Guide to Psychosocial and Spiritual Care at the End of Life

78. 79. Field MJ, Cassel CK, eds., for the Committee on Care at the End of Life,
Institute of Medicine. Approaching death: improving care at the end of life.
Washington, D.C.: National Academy Press; 1997. McPhee SJ, Rabow MW,
Pantilat SZ.

A Guide to Psychosocial and Spiritual Care at the End of Life

Author: Henry S. Perkins

Publisher: Springer

ISBN: 1493968041

Page: 486

View: 289

Psychological, social, and spiritual care is as important as physical care at the end of life. Yet caregivers often feel ill-equipped to give that nonphysical care. This book shows how to do it. The book addresses all caregivers who attend dying patients: doctors, nurses, chaplains, clergy in the pastorate, social workers, clinical psychologists, family caregivers, and others. It covers such topics as the functional and emotional trajectories of dying; the varied approaches of patients and caregivers to end-of-life decisions; culturally based beliefs about dying; the differences between depression and grief; and people’s views about the right time to die, the death experience itself, and the afterlife. For each topic the book introduces core concepts and summarizes recent research about them. The book presents much of its material in readable tables for easy reference; applies the material to real-life cases; lists the main “take home” points for each chapter; and gives references for additional reading. The book helps caregivers anticipate the reactions of patients and survivors to end-of-life traumas and suggests how caregivers can respond insightfully and compassionately. At the same time the book challenges caregivers to think through their own views about death and dying. This book, therefore, is a must-read for all caregivers―professional and nonprofessional alike―who strive to give their patients comprehensive, high-quality end-of-life care.

Health System Reform and Care at the End of Life

"This Guidance Document was informed by a variety of evidence sources and consultations, but the main impetus was from the National EoL Framework Forum held in Canberra in October 2009, which brought together a broad based group with ...

Health System Reform and Care at the End of Life

Author: Palliative Care Australia

Publisher:

ISBN: 9780980572513

Page: 90

View: 433

"This Guidance Document was informed by a variety of evidence sources and consultations, but the main impetus was from the National EoL Framework Forum held in Canberra in October 2009, which brought together a broad based group with experience and expertise in palliative and end of life care across a range of care settings ..."--Executive summary.

The Oxford Handbook of Ethics at the End of Life

This handbook explores the topic of death and dying from the late twentieth to the early twenty-first centuries, with particular emphasis on the United States.

The Oxford Handbook of Ethics at the End of Life

Author: Robert M. Arnold

Publisher: Oxford University Press

ISBN: 0199974411

Page: 464

View: 571

This handbook explores the topic of death and dying from the late twentieth to the early twenty-first centuries, with particular emphasis on the United States. In this period, technology has radically changed medical practices and the way we die as structures of power have been reshaped by the rights claims of African Americans, women, gays, students, and, most relevant here, patients. Respecting patients' values has been recognized as the essential moral component of clinical decision-making. Technology's promise has been seen to have a dark side: it prolongs the dying process. For the first time in history, human beings have the ability control the timing of death. With this ability comes a responsibility that is awesome and inescapable. How we understand and manage this responsibility is the theme of this volume. The book comprises six sections. Section I examines how the law has helped shape clinical practice, emphasizing the roles of rights and patient autonomy. Section II focuses on specific clinical issues, including death and dying in children, continuous sedation as a way to relieve suffering at the end of life, and the problem of prognostication in patients who are thought to be dying. Section III considers psychosocial and cultural issues. Section IV discusses death and dying among various vulnerable populations such as the elderly and persons with disabilities. Section V deals with physician-assisted suicide and active euthanasia (lethal injection). Finally, Section VI looks at hospice and palliative care as a way to address the psychosocial and ethical problems of death and dying.

Care at the End of Life

It has collected the opinions of many cutting-edge researchers. Those who design and conduct economic evaluations or economics-related research in end of life populations will find this book thought provoking, instructive and informative.

Care at the End of Life

Author: Jeff Round

Publisher: Springer

ISBN: 3319282670

Page: 205

View: 804

​This work carefully guides the reader through the methodological, policy and ethical challenges facing health economists conducting research in palliative care. It has collected the opinions of many cutting-edge researchers. Those who design and conduct economic evaluations or economics-related research in end of life populations will find this book thought provoking, instructive and informative. The provision of care to individuals with disorders associated with advancing age, such as cancer and dementia, is an increasing concern amongst policy makers and providers of health and social care. Accordingly, the burden on state and private funders in providing care to patients with these complex illnesses is of growing importance to health economists. However, answering the questions raised by the research community on end of life and palliative care health economics has received little attention. The authors shed light on many questions including: Are economic evaluation methods fit for purpose in patients at the end of life? What is the best way to measure and value health outcomes in this population? What are the appropriate societal rules to govern resource allocation for people at the end of life? Are these people more or less deserving of resources than other patients? Does age matter? How can we define a good death for the purposes of resource allocation decision making? What ethics govern research in end of life patients?

Living at the End of Life

Written by a hospice nurse, this insightful book reassures us that this difficult time also offers an opportunity to explore a richer meaning in life.

Living at the End of Life

Author: Karen Whitley Bell

Publisher: Sterling Publishing (NY)

ISBN: 9781454928393

Page: 280

View: 424

This warm and informative resource on hospice and other end-of-life care options gets an update, with a new preface and revised guidance on long-term care and support, recommendations on pain medications, and advice for those living extended lives with treatable, but not curable, diseases. Written by a hospice nurse, this insightful book reassures us that this difficult time also offers an opportunity to explore a richer meaning in life.

The Dying Soul

This book sets out an understanding of this complex domain, describing how spirituality is experienced and expressed, and looks at the impact of terminal illness.

The Dying Soul

Author: Cobb, Mark

Publisher: McGraw-Hill Education (UK)

ISBN: 0335200532

Page: 145

View: 501

Holistic models of cancer and palliative care frequently refer to spirituality as an important element. But what do we mean when we talk about spirituality and how do we provide spiritual care? This book sets out an understanding of this complex domain, describing how spirituality is experienced and expressed, and looks at the impact of terminal illness. The author argues that if we are to recognize spirituality as a significant aspect of living and dying then care providers must develop an interesting, consistent and effective approach. Therefore issues of training, policy and practice all need to be addressed. Spirituality is often represented as the fourth pillar of palliative care, and yet it is often the least developed area in terms of both theory and practice. Originating from the author's clinical and teaching experience, this book aims to explore the concepts, issues and practical implications of spirituality in care.

Medical Care at the End of Life

In recent years, the use of Medicare-covered home health care and hospice services has grown dramatically.

Medical Care at the End of Life

Author: Alan M. Garber

Publisher:

ISBN:

Page: 12

View: 487

In recent years, the use of Medicare-covered home health care and hospice services has grown dramatically. Hospice care, like much home health and nonacute hospital care, is designed to meet the needs of dying patients, who are known to generate disproportionately large costs of care. How has use of these services by dying Medicare beneficiaries changed over time? How has it varied by disease? Does recent experience suggest that these services have helped save the Medicare program money by displacing hospital care and other costly services? To address these questions, we examined linked Medicare claims files from 1988 to 1995, determining the location of death, days of use of services, and expenditures for the care of beneficiaries in the final months of life. We found that use of hospice and home health services by decedents grew rapidly over the eight-year study period, and especially rapidly among patients who died with a predictably terminal illness such as lung cancer. Among the elderly who have such illnesses, these alternatives to acute hospital care have reduced the use of hospital care near the very end of life. Most of the growth in these services in the year or two before death, however, appears to involve additional Medicare-covered services. As a result, utilization of Medicare-covered home health and hospice care by dying beneficiaries has increased over time, with an associated reduction in the proportion of deaths occurring in acute-care hospitals. But as the use of non-hospital services has grown, the growth in Medicare expenditures for hospital services at the end of life has not slowed appreciably, nor has there been a marked change in the intensity of end-of-life treatment for Medicare beneficiaries dying of more acute illnesses or requiring substantial supportive care.

Three Patients

This volume explores how the scarce resources of intensive care units should be distributed. Three hypothetical patients, each with a different chance of survival, desire intensive care.

Three Patients

Author: David W. Crippen

Publisher: Springer Science & Business Media

ISBN: 9780792376712

Page: 275

View: 117

This volume explores the debate over medically futile treatment in the ICU, where the urgency to resolve it amounts yearly. Dr. Kelly presents an introduction to the arguments over medically futile treatment in the United States. Then, three fictitious patients arrive in turn at the ICU, each critically ill but with a different degree of promise. A panel of experienced critical care physicians from around the world offer their assessments and propose management based on resources they routinely have before describing what they would do with unlimited resources.

The Hastings Center Guidelines for Decisions on Life Sustaining Treatment and Care Near the End of Life

Rev. ed. of: Guidelines on the termination of life-sustaining treatment and the care of the dying / by the Hastings Center. c1987.

The Hastings Center Guidelines for Decisions on Life Sustaining Treatment and Care Near the End of Life

Author: Nancy Berlinger

Publisher: Oxford University Press

ISBN: 019997456X

Page: 240

View: 735

Rev. ed. of: Guidelines on the termination of life-sustaining treatment and the care of the dying / by the Hastings Center. c1987.