{"product_id":"palliative-care-an-integrated-approach-isbn-9780470058855","title":"Palliative Care: An Integrated Approach","description":"This evidence-based text brings together the theory and practice of palliative care. It examines at all aspects of palliative care i.e. psycho social, spiritual and physical in a highly practical way. The evidence base for cancer care has been developed within the Hospice Movement over the past 50 years and, in the main, it transfers across to patients dying of diseases other than cancer. The book addresses the palliative needs of any patient with any disease in any care setting, which gives it a generic approach. This is in line with current government directives. Contributions to care and treatment are considered in a multidisciplinary and complementary way. \u003cp\u003eForeword x\u003c\/p\u003e \u003cp\u003eContributors’ biographies xii\u003c\/p\u003e \u003cp\u003eAcknowledgements xv\u003c\/p\u003e \u003cp\u003eDedications xvi\u003c\/p\u003e \u003cp\u003e\u003cb\u003e1 Historical and cultural perspectives on the evolution of palliative care \u003c\/b\u003e\u003cb\u003e1\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 1\u003c\/p\u003e \u003cp\u003eIntroduction 2\u003c\/p\u003e \u003cp\u003eDeath in society 2\u003c\/p\u003e \u003cp\u003eDame Cicely Saunders and the origins of contemporary palliative care 3\u003c\/p\u003e \u003cp\u003eAn international perspective 6\u003c\/p\u003e \u003cp\u003eDefi nitions 8\u003c\/p\u003e \u003cp\u003eEnd-of-life care national programme 12\u003c\/p\u003e \u003cp\u003eCulture 15\u003c\/p\u003e \u003cp\u003eService user involvement 18\u003c\/p\u003e \u003cp\u003eConclusion 19\u003c\/p\u003e \u003cp\u003eMain implications for practice 19\u003c\/p\u003e \u003cp\u003eSuggested further reading 19\u003c\/p\u003e \u003cp\u003e\u003cb\u003e2 Facing progressive disease and death \u003c\/b\u003e\u003cb\u003e21\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 21\u003c\/p\u003e \u003cp\u003ePsychosocial care 22\u003c\/p\u003e \u003cp\u003ePartnership – maintaining the balance 23\u003c\/p\u003e \u003cp\u003eApproaches to care 24\u003c\/p\u003e \u003cp\u003eGiving the bad news 26\u003c\/p\u003e \u003cp\u003eDenial\/avoidance 29\u003c\/p\u003e \u003cp\u003eAnger 32\u003c\/p\u003e \u003cp\u003eAnxiety 33\u003c\/p\u003e \u003cp\u003eDepression 33\u003c\/p\u003e \u003cp\u003eSocial pain 35\u003c\/p\u003e \u003cp\u003eConclusion 35\u003c\/p\u003e \u003cp\u003eMain implications for practice 36\u003c\/p\u003e \u003cp\u003eSuggested further reading 36\u003c\/p\u003e \u003cp\u003e\u003cb\u003e3 Communication skills \u003c\/b\u003e\u003cb\u003e37\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 37\u003c\/p\u003e \u003cp\u003eThe impact of good communication 38\u003c\/p\u003e \u003cp\u003eThe impetus to teach communication skills 38\u003c\/p\u003e \u003cp\u003eFacilitative styles 40\u003c\/p\u003e \u003cp\u003eWhat Howard taught me about nursing dying people 45\u003c\/p\u003e \u003cp\u003eHelpful strategies 46\u003c\/p\u003e \u003cp\u003eCommunicating with people with dementia 56\u003c\/p\u003e \u003cp\u003eConclusion 57\u003c\/p\u003e \u003cp\u003eMain implications for practice 57\u003c\/p\u003e \u003cp\u003eSuggested further reading 58\u003c\/p\u003e \u003cp\u003e\u003cb\u003e4 Self-awareness and self-care \u003c\/b\u003e59\u003c\/p\u003e \u003cp\u003eKey points 59\u003c\/p\u003e \u003cp\u003eSaving a life versus stealing a death 60\u003c\/p\u003e \u003cp\u003eFacing death 62\u003c\/p\u003e \u003cp\u003eMaking space for decision-making 64\u003c\/p\u003e \u003cp\u003eSelf-awareness 66\u003c\/p\u003e \u003cp\u003eHow much did Nicky impact on my life? 68\u003c\/p\u003e \u003cp\u003eSelf-care 69\u003c\/p\u003e \u003cp\u003eMain implications for practice 72\u003c\/p\u003e \u003cp\u003eSuggested further reading 72\u003c\/p\u003e \u003cp\u003e\u003cb\u003e5 The sick role and partnership working \u003c\/b\u003e\u003cb\u003e73\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 73\u003c\/p\u003e \u003cp\u003eIntroduction 73\u003c\/p\u003e \u003cp\u003ePartnership care – what does it mean? 75\u003c\/p\u003e \u003cp\u003eThe sick role 76\u003c\/p\u003e \u003cp\u003eFace-to-face partnership: attention to information giving 78\u003c\/p\u003e \u003cp\u003eWritten information 81\u003c\/p\u003e \u003cp\u003eDecision aids 82\u003c\/p\u003e \u003cp\u003eSpecial needs 83\u003c\/p\u003e \u003cp\u003eConclusion 83\u003c\/p\u003e \u003cp\u003eMain implications for practice 83\u003c\/p\u003e \u003cp\u003eSuggested further reading 84\u003c\/p\u003e \u003cp\u003e\u003cb\u003e6 Hope and spirituality \u003c\/b\u003e\u003cb\u003e85\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 85\u003c\/p\u003e \u003cp\u003eIntroduction 86\u003c\/p\u003e \u003cp\u003eHope research 86\u003c\/p\u003e \u003cp\u003eSpirituality 94\u003c\/p\u003e \u003cp\u003eReligious practices concerned with death 100\u003c\/p\u003e \u003cp\u003eConclusion 104\u003c\/p\u003e \u003cp\u003eMain implications for practice 104\u003c\/p\u003e \u003cp\u003eSuggested further reading 105\u003c\/p\u003e \u003cp\u003e\u003cb\u003e7 Finding resilience together \u003c\/b\u003e\u003cb\u003e106\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 106\u003c\/p\u003e \u003cp\u003eResilience in health care 107\u003c\/p\u003e \u003cp\u003ePatient groups 108\u003c\/p\u003e \u003cp\u003ePsychoneuroimmunology 108\u003c\/p\u003e \u003cp\u003eThe expert patient 111\u003c\/p\u003e \u003cp\u003eConclusion 114\u003c\/p\u003e \u003cp\u003eMain implications for practice 115\u003c\/p\u003e \u003cp\u003eSuggested further reading 115\u003c\/p\u003e \u003cp\u003e\u003cb\u003e8 Living with dying \u003c\/b\u003e\u003cb\u003e116\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 116\u003c\/p\u003e \u003cp\u003eIntroduction 117\u003c\/p\u003e \u003cp\u003eSocial death 118\u003c\/p\u003e \u003cp\u003eVulnerable groups 119\u003c\/p\u003e \u003cp\u003eInformational needs 121\u003c\/p\u003e \u003cp\u003eBeing heard and feeling supported 122\u003c\/p\u003e \u003cp\u003eCompanionship 123\u003c\/p\u003e \u003cp\u003eIntimacy and caring 125\u003c\/p\u003e \u003cp\u003eHealth needs 125\u003c\/p\u003e \u003cp\u003eDiffi cult thoughts and letting go 127\u003c\/p\u003e \u003cp\u003eConclusion 128\u003c\/p\u003e \u003cp\u003eMain implications for practice 128\u003c\/p\u003e \u003cp\u003eSuggested further reading 129\u003c\/p\u003e \u003cp\u003e\u003cb\u003e9 Bereavement \u003c\/b\u003e\u003cb\u003e130\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 130\u003c\/p\u003e \u003cp\u003eDefi nitions 131\u003c\/p\u003e \u003cp\u003eUntimely deaths 131\u003c\/p\u003e \u003cp\u003eBereavement and health 132\u003c\/p\u003e \u003cp\u003eGrief theorists 134\u003c\/p\u003e \u003cp\u003eMourning practices in different cultures 141\u003c\/p\u003e \u003cp\u003eBereaved children 143\u003c\/p\u003e \u003cp\u003eOld age 143\u003c\/p\u003e \u003cp\u003eBereavement and dementia 143\u003c\/p\u003e \u003cp\u003eSolitary grief 144\u003c\/p\u003e \u003cp\u003eBereavement services 145\u003c\/p\u003e \u003cp\u003eConclusion 148\u003c\/p\u003e \u003cp\u003eMain implications for practice 149\u003c\/p\u003e \u003cp\u003eSuggested further reading 149\u003c\/p\u003e \u003cp\u003e\u003cb\u003e10 Pain and other major symptoms: an integrated approach \u003c\/b\u003e150\u003c\/p\u003e \u003cp\u003eKey points 150\u003c\/p\u003e \u003cp\u003ePain theories 152\u003c\/p\u003e \u003cp\u003ePsychological approaches 154\u003c\/p\u003e \u003cp\u003ePhysical approaches 158\u003c\/p\u003e \u003cp\u003eComplementary therapies 163\u003c\/p\u003e \u003cp\u003eCreative therapies 170\u003c\/p\u003e \u003cp\u003eConclusion 172\u003c\/p\u003e \u003cp\u003eMain implications for practice 172\u003c\/p\u003e \u003cp\u003eSuggested further reading 172\u003c\/p\u003e \u003cp\u003e\u003cb\u003e11 The history of the use of strong opioids for cancer pain \u003c\/b\u003e\u003cb\u003e173\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 173\u003c\/p\u003e \u003cp\u003eStudies and narratives 174\u003c\/p\u003e \u003cp\u003eWHO analgesia ladder 177\u003c\/p\u003e \u003cp\u003eSide effects 182\u003c\/p\u003e \u003cp\u003eAlternative routes for administration of strong opioids 184\u003c\/p\u003e \u003cp\u003eConclusion 187\u003c\/p\u003e \u003cp\u003eMain implications for practice 188\u003c\/p\u003e \u003cp\u003eSuggested further reading 188\u003c\/p\u003e \u003cp\u003e\u003cb\u003e12 Concordance and advance care planning \u003c\/b\u003e\u003cb\u003e189\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 189\u003c\/p\u003e \u003cp\u003ePatient-centred care: concordance 190\u003c\/p\u003e \u003cp\u003eAdvance care planning 192\u003c\/p\u003e \u003cp\u003eThe Mental Capacity Act 2005 196\u003c\/p\u003e \u003cp\u003eMain implications for practice 196\u003c\/p\u003e \u003cp\u003eSuggested further reading 197\u003c\/p\u003e \u003cp\u003e\u003cb\u003e13 Eleven prevalent symptoms \u003c\/b\u003e\u003cb\u003e198\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 198\u003c\/p\u003e \u003cp\u003eHistory 198\u003c\/p\u003e \u003cp\u003ePain 199\u003c\/p\u003e \u003cp\u003eNausea and vomiting 206\u003c\/p\u003e \u003cp\u003eConstipation 212\u003c\/p\u003e \u003cp\u003eDiarrhoea 216\u003c\/p\u003e \u003cp\u003eAnorexia 218\u003c\/p\u003e \u003cp\u003eFatigue 223\u003c\/p\u003e \u003cp\u003eBreathlessness 227\u003c\/p\u003e \u003cp\u003eConfusion 232\u003c\/p\u003e \u003cp\u003eInsomnia 236\u003c\/p\u003e \u003cp\u003eAnxiety 238\u003c\/p\u003e \u003cp\u003eDepression 240\u003c\/p\u003e \u003cp\u003eConclusion 244\u003c\/p\u003e \u003cp\u003eMain implications for practice 244\u003c\/p\u003e \u003cp\u003eSuggested further reading 245\u003c\/p\u003e \u003cp\u003eAddendum: Doloplus 2 Scale 245\u003c\/p\u003e \u003cp\u003e\u003cb\u003e14 Palliative issues in some common diseases \u003c\/b\u003e\u003cb\u003e248\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 248\u003c\/p\u003e \u003cp\u003eGold standard for all 248\u003c\/p\u003e \u003cp\u003eDoing the right thing at the right time 249\u003c\/p\u003e \u003cp\u003eConclusion 280\u003c\/p\u003e \u003cp\u003eMain implications for practice 280\u003c\/p\u003e \u003cp\u003eSuggested further reading 280\u003c\/p\u003e \u003cp\u003eContents ix\u003c\/p\u003e \u003cp\u003e\u003cb\u003e15 Palliative emergencies \u003c\/b\u003e\u003cb\u003e282\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKey points 282\u003c\/p\u003e \u003cp\u003ePalliative emergencies 282\u003c\/p\u003e \u003cp\u003eOther symptoms 286\u003c\/p\u003e \u003cp\u003eMain implications for practice 287\u003c\/p\u003e \u003cp\u003eSuggested further reading 287\u003c\/p\u003e \u003cp\u003eReferences 288\u003c\/p\u003e \u003cp\u003eIndex 315\u003c\/p\u003e  \u003cp\u003e“However, I have found myself referring to this book in recent months far more than some of the bigger, more established, textbooks – and if the measure of a good book is how well-thumbed the pages become, then the author is on to a winner.  (\u003ci\u003eEuropean Journal of Palliative Care\u003c\/i\u003e, 2010)\u003c\/p\u003e \"The author's warmth, enthusiasm and concern for patients, their families and the professionals who care for them, combined with her scholarship, shine throughout this book. I recommend it to anyone with an interest in the care of people approaching the end of their lives in any setting.\" (\u003ci\u003ePalliative Medicine\u003c\/i\u003e, 2009)  \u003cp\u003e\"This book will be a very welcome addition to the undergraduate curriculum for clinicians seeking to specialize in palliative care.\" (\u003ci\u003eInternational Journal of Palliative Nursing\u003c\/i\u003e, 2009)\u003c\/p\u003e \u003cp\u003e\"There is a wealth of knowledge and experience for nursing students and newly qualified nurses seeking direction.... I would recommend this for reference on general medical wards and units where patients are receiving end of life care.\" (\u003ci\u003eNursing Standard\u003c\/i\u003e, April 2009)\u003c\/p\u003e \u003cbr\u003e \u003cbr\u003e  \u003cbr\u003e \u003cbr\u003e  \u003cp\u003e\u003cb\u003eJenny Buckley\u003c\/b\u003e is Head of Education at St Wilfrid's Hospice.   \u003c\/p\u003e\u003cp\u003e\u003cb\u003ePALLIATIVE CARE\u003c\/b\u003e \u003ci\u003eAn Integrated Approach\u003c\/i\u003e \u003c\/p\u003e\u003cp\u003e\u003ci\u003eJenny Buckley\u003c\/i\u003e  \u003c\/p\u003e\u003cp\u003ePalliative care is within the remit of all health care professionals in any setting. Palliative Care: An Integrated Approach is an accessible, practical guide to the delivery of good palliative care, combining theory and practice, aimed at all members of the multidisplinary team. It explains and complements the government-led End of Life Care Programme which is being coordinated by Strategic Health Authorities, incorporating the Gold Standards Framework, the Preferred Place of Care and the Liverpool Care Pathway.  \u003c\/p\u003e\u003cp\u003eAn integrated approach is advocated throughout this book ' in all sections the orthodox approach to treatments and care is discussed alongside a complementary approach. This text provides a highly practical approach to pain and symptom support including a pain assessment tool for the severely cognitively impaired and a detailed account on how to titrate morphine to individual patients. It also explores hope and spiritual pain showing that these two existential notions are actually part of every day practice.\u003c\/p\u003e","brand":"Wiley","offers":[{"title":"Default Title","offer_id":47989748236517,"sku":"NP9780470058855","price":79.95,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9780470058855.jpg?v=1761785337","url":"https:\/\/k12savings.com\/products\/palliative-care-an-integrated-approach-isbn-9780470058855","provider":"K12savings","version":"1.0","type":"link"}