Palliative practices : an interdisciplinary approach / Kim K. Kuebler, Mellar P. Davis, Crystal Dea Moore.

Format:

Book

Author/Creator:

Kuebler, Kim K.

Contributor:

Davis, Mellar P.

Moore, Crystal Dea.

Language:

English

Subjects (All):

Palliative treatment.

Terminal care.

Palliative Care--methods.

Bereavement.

Patient Care Management--methods.

Terminal Care--methods.

Medical Subjects:

Palliative Care--methods.

Bereavement.

Patient Care Management--methods.

Terminal Care--methods.

Physical Description:

xix, 491 pages : illustrations ; 24 cm

Place of Publication:

St. Louis, Mo. : Elsevier Mosby, [2005]

Summary:

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.

Contents:

Unit I Issues Specific To Palliative Care 1

Chapter 1 Palliative Care Perspectives / Barry M. Kinzbrunner 3

Hospice Care and the Medicare Hospice Benefit 7

Palliative Care Programs 11

The Future 21

Chapter 2 Advance Care Planning / Crystal Dea Moore 29

Advanced Illness Conversations 29

Strategies to Improve Communication Quality 30

Advance Care Planning 37

Personal Awareness and Self-Care 41

Chapter 3 Evidence-Based Interventions / Dana N. Rutledge 49

Evolution of Evidence-Based Practice 49

Tools of Evidence-Based Practice 54

Implementing Evidence-Based Practice 55

Chapter 4 Pharmacology / Mellar P. Davis 63

Pharmacodynamics 64

Pharmacokinetics 69

Non-Linear Pharmacokinetics 73

Dosing Regimens in Pharmacokinetics 73

Importance of P-450 Enzyme System in Pharmaceutical Management 74

Ethnicity and Special Populations 75

P-450 Specific Enzymes 75

Metabolism Through Glucuronidation 76

Multiple Drug Transporters 77

Polypharmacy and Drug Interactions 77

Pharmacokinetics in Special Populations 78

Chapter 5 The Interface Of Sleep / Kathy P. Parker 83

Normal Sleep 83

Impaired Sleep and Sleep Disorders 91

Sleep in the Palliative Care Setting 95

Factors Associated With Impaired Sleep 98

Management of Impaired Sleep 103

Unit II Specific Disease States and Symptom Management 119

Chapter 6 Cardiovascular / Nancy M. Albert 121

Cardiovascular Disease 121

Pathophysiology of Advanced Heart Failure 123

Immune System Up-Regulation 127

Management of HF Symptoms 128

Prognostic Indicators for Palliative Interventions 132

Interventions Before Palliation 135

End-Of-Life Care 148

Chapter 7 Pulmonary / James Varga, Joshua Cox 157

Pulmonary Function Tests 161

Staging 163

Common and Frequent Symptoms 164

Dyspnea 167

Exacerbations 167

Monitoring 168

Pharmacologic Treatment 170

Nonpharmacologic Treatment 174

Pulmonary Rehabilitation 175

Anxiety and Depression 175

Chapter 8 Nephrology / Michael Germain, Lewis M. Cohen 181

Symptom Burden 181

Common Symptoms 183

Discussion of Specific Symptoms and Their Management 184

Advance Care Planning 190

End-Of-Life and Hospice Care 191

Discontinuing Dialysis 191

Future Research 192

Chapter 9 Oncology / Mary Magee Gullatte, Roberta Kaplow, Debra E. Heidrich 197

The Cost of Cancer 197

Culturally Competent Palliative Practices 199

Health Disparities 199

Cellular Pathophysiology of Advanced Cancer 200

Cancer Staging 201

Metastatic Sites and Associated Symptoms 202

Oncologic Emergencies 208

Hypercalcemia of Malignancy 209

Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) 212

Increased Intracranial Pressure 214

Spinal Cord Compression 217

Superior Vena Cava Syndrome 220

Treatment-Related Oncologic Emergencies 222

Symptom Management in Advanced Malignancy 224

Chapter 10 Cancer Pain / Mellar P. Davis, Jan L. Frandsen 247

Pain Syndromes 248

Pain Assessment 251

Treatment 255

Chapter 11 Neurology / Mellar P. Davis, Bushra I. Cheema, David Oliver, Pamela Sue Spencer 269

Amyotrophic Lateral Sclerosis 269

Huntington's Disease 279

Unit III The Dying Process, Grief, and Bereavement 289

Chapter 12 Ethical Issues / Tom Tomlinson 291

Ethical Issues in the Transition to Palliative Care 291

Ethical Issues Within Palliative Care 298

Chapter 13 Cultural and Spiritual Issues / Diane B. Loseth, Crystal Dea Moore, John A. Mulder, Chad S. Peterson 309

Cultural Impacts on Palliative Care 309

Spiritual Issues in Palliative Care 322

Chapter 14 The Dying Process / Catherine Vena, Kim Kuebler, Sandra E. Schrader 335

Dying in America 335

Theories on Death and Dying 336

Dimensions of Dying 338

Diagnosing Dying 351

Approaches to Care 362

Chapter 15 Grief and Bereavement / Helen Kathleen Brophy McHale 379

Death and Loss 380

Types of Grief 381

Stage Theories 385

Reactions to Grief 385

The Impact of Grief 386

Professional Responsibilities 391

Assistance 393

A Medications by Disorder / Kim Kuebler, James Varga, Mellar P. Davis 418

B Medication Routes and Metabolism / Kim Kuebler, James Varga, Mellar P. Davis 442

C Palliative Care Assessment Tools / Marilyn O'Mallon, Kim Kuebler 447.

Notes:

Includes bibliographical references and index.

ISBN:

0323028217

OCLC:

58550616