Care of the dying : a pathway to excellence / edited by John Ellershaw, Susie Wilkinson.

Format:

Book

Contributor:

Ellershaw, John, editor.

Wilkinson, Susie (Nurse), editor.

Language:

English

Subjects (All):

Terminal care.

Palliative treatment.

Physical Description:

1 online resource (490 p.)

Edition:

2nd ed.

Place of Publication:

Oxford : Oxford University Press, [2011]

Language Note:

English

Summary:

Even for the most experienced healthcare professional, managing the last few days of life can be difficult. This unique book provides guidelines for the care of the dying based on the Liverpool Integrated Care Pathway for the Dying Patient (LCP). Developed at a hospice, the information can be disseminated and adapted to fit different settings such as hospitals and nursing homes.The LCP is a multiprofessional document that incorporates evidence-based practice and appropriate guidelines related to care of the dying. It provides a template which describes the process of care which is generally de

Contents:

Cover; Title Page; Copyright; Contents; Foreword; Contributors; Introduction; 1 What about care pathways?; Introduction; The pathway history and definition; Pathways as concept, model, process, and product; Discussion and challenges for palliative care; 2 What is the Liverpool Care Pathway for the Dying Patient (LCP)?; Introduction; The LCP Continuous Quality Improvement Programme; Care in the last hours or days of life; Format and outline of the LCP; What is variance reporting?; Innovation and change model; What is organizational governance?; LCP generic version 12 document

Diagnosing dying: the decision to commence the LCP to support care in the last hours or days of lifeHow should the LCP be completed?; Conclusion; 3 Symptom control in care of the dying; How can the Liverpool Care Pathway influence symptom control?; How do you manage pain in the dying patient?; How do you manage agitation in the dying patient?; How do you manage nausea and vomiting in the dying patient?; How do you manage respiratory tract secretions in the dying patient?; How do you manage dyspnoea in the dying patient?

What are the benefits of using a continuous subcutaneous infusion (CSCI) to deliver medication?Comfort measures in the last hours or days of life; Mouth care; Micturition difficulties; Bowel care; Management of skin; 4 Ethical issues in care of the dying; What is the moral justification for the Liverpool Care Pathway?; How can the Liverpool Care Pathway for the Dying Patient influence ethical decision making?; An ethical framework; Withholding and withdrawing interventions and treatments at the end of life

If there is a decision between a treatment that will prolong life and one that will only promote comfort, should the right action always be one that extends life?Cardiopulmonary resuscitation (CPR); Issues of hydration and nutrition; Issues of ventilation; Shortening and ending life: the doctrine of double effect and assisted dying; Issues relating to capacity and decision making; 5 Communication in care of the dying; What are the skills that facilitate communication?; Blocking tactics that can hinder communication

Are the patient and their family aware of the patient's deteriorating condition?The patient assessment; Handling difficult questions; Dealing with uncertainty; Breaking bad news of a deteriorating condition; Communicating with relatives; Handling feelings and emotions; Communicating with families who want to protect patients from the truth; Cultural issues in communication; The challenge of working with colleagues; 6 Spiritual/religious issues in care of the dying; How can the Liverpool Care Pathway for the Dying Patient (LCP) influence religious and/or spiritual care?

Is there a research base for spiritual care in palliative care?

Notes:

Description based upon print version of record.

Includes bibliographical references and index.

Description based on print version record.

Description based on publisher supplied metadata and other sources.

ISBN:

0-19-103083-X

0-19-100648-3

OCLC:

930059803