A public health perspective on end of life care / edited by Joachim Cohen, Luc Deliens.

Format:

Book

Contributor:

Cohen, Joachim.

Deliens, L.

Samuel Bellet Book Fund.

Language:

English

Subjects (All):

Terminal care.

Local Subjects:

Terminal care.

Physical Description:

xiv, 255 pages : illustrations, maps ; 25 cm

Place of Publication:

Oxford : Oxford University Press, 2012.

Summary:

More than 50 million people worldwide die each year and it is estimated that between 40% and 60% of them could benefit from some form of palliative care. Ensuring that these people have access to adequate palliative or end of life care presents an important challenge to public health. Irrespective of the variation in the factors impeding a 'good enough death' between different parts of the world and in the subsequently required public health care priorities, safeguarding good quality of life at the end of life for eligible patient populations essentially requires a public health approach.

While palliative care is increasingly recognized as an indispensable public health matter, it remains a theme only sporadically dealt with within public health. Conversely, a public health approach is rarely purposely applied within palliative care and palliative care research. This book presents a synthesis and overview of empirical evidence and policies pertaining to the end of life of populations.

In 22 chapters renowned international contributors apply a population perspective to the clinical and social circumstances of death and dying. They discuss the access to and use of palliative care and end of life care services, the organization of palliative care services in different care settings, and social inequalities at the end of life. These issues are looked at through national and supra-national policies on end of life care across the world and outline an empiricism-based image of the end of life of populations. A Public Health Perspective on End of Life Care evaluates how 'healthy' the end of life of populations is, suggests how it can be improved, and maps out the agenda of a public health policy for the end of life. Book jacket.

Contents:

Part I Introduction

1 Applying a public health perspective to end-of-life care / Joachim Cohen Cohen, Joachim, Luc Deliens Deliens, Luc 3

Part II Clinical and social context of death and dying

2 Place of death and end-of-life care / Siew Tzuh Tang Tang, Siew Tzuh, Chen-Hsiu Chen Chen, Chen-Hsiu 21

3 Circumstances of death and dying / Irene J. Higginson Higginson, Irene J. 35

4 End-of-life decisions / Agnes van der Heide Heide, Agnes van der, Judith Rietjens Rietjens, Judith 50

5 Economic and health-related consequences of individuals caring for terminally ill cancer patients in Canada / Konrad Fassbender Fassbender, Konrad, Lindsey Sutherland Sutherland, Lindsey 60

Part III End-of-life care: Provision, access, and characteristics

6 Aggressive treatment and palliative care at the end of life / Kirsten Wentlandt Wentlandt, Kirsten, Camilla Zimmermann Zimmermann, Camilla 73

7 Access to palliative care / Gunn Grande Grande, Gunn 86

8 Communication between patient and caregiver / Linda Emanuel Emanuel, Linda 98

Part IV End-of-life care settings

9 Palliative care in primary care / Lieve Van den Block Block, Lieve Van den 113

10 Palliative care in institutional long-term care settings / Jenny van der Steen Steen, Jenny van der, Margaret R. Helton Helton, Margaret R., Philip D. Shane Shane, Philip D., Miel W. Ribbe Ribbe, Miel W. 122

11 Palliative care in hospitals / Amy S. Kelley Kelley, Amy S., Daniel J. Fischberg Fischberg, Daniel J., R. Sean Morrison Morrison, R. Sean 135

Part V Inequalities at the end of life: Under-served groups

12 Non-cancer patients as an under-served group / Julia Addington-Hall Addington-Hall, Julia, Katherine Hunt Hunt, Katherine 151

13 Palliative care for the older adult / Kevin Brazil Brazil, Kevin 160

14 A public health framework for paediatric palliative and hospice care / Kari Hexem Hexem, Kari, Chris Feudtner Feudtner, Chris 168

15 End-of-life care for patients with intellectual disabilities / Irene Tuffrey-Wijne Tuffrey-Wijne, Irene, Annemieke Wagemans Wagemans, Annemieke, Leopold Curfs Curfs, Leopold 173

16 End-of-life care for people who live in rural or remote areas versus those who live in urban areas / Donna M. Wilson Wilson, Donna M., Deepthi Mohankumar Mohankumar, Deepthi 178

17 Social inequahties at the end of life / Jonathan Koffman Koffman, Jonathan 183

Part VI End-of-life care policies

18 Design, implementation, and evaluation of palliative care programmes and services with a public health WHO perspective / Xavier Gómez-Batiste Gómez-Batiste, Xavier, Jose Espinosa Espinosa, Jose, M. Pau González-Olmedo González-Olmedo, M. Pau, Marisa Martínez-Muñoz Martínez-Muñoz, Marisa, Cristina Lasmarias Lasmarias, Cristina, Anna Novellas Novellas, Anna, Elba Beas Beas, Elba, Josep Porta-Sales Porta-Sales, Josep, Jordi Trelis Trelis, Jordi, Candela Calle Calle, Candela, Jan Stjernsward Stjernsward, Jan 195

19 Public health policy regarding end-of-life care in sub-Saharan Africa / Julia Downing Downing, Julia, Richard Harding Harding, Richard 206

20 Palliative care in the global context: Understanding policies to support end-of-life care / David Clark Clark, David 215

21 The importance of family carers in end-of-life care: A public health approach / Allan Kellehear Kellehear, Allan 227

Part VII Conclusion

22 Conclusions: Palliative care-the need for a public health approach / Luc Deliens Deliens, Luc, Joachim Cohen Cohen, Joachim 241.

Notes:

Includes bibliographical references and index.

Local Notes:

Acquired for the Penn Libraries with assistance from the Samuel Bellet Book Fund.

ISBN:

9780199599400

0199599408

OCLC:

759583737