Palliative Care: An Integrated Approach

Palliative Care: An Integrated Approach......Page 2
Contents......Page 8
Foreword......Page 13
Contributors’ biographies......Page 15
Acknowledgements......Page 18
Dedications......Page 19
KEY POINTS......Page 20
DEATH IN SOCIETY......Page 21
DAME CICELY SAUNDERS AND THE ORIGINS OF CONTEMPORARY PALLIATIVE CARE......Page 22
AN INTERNATIONAL PERSPECTIVE......Page 25
DEFINITIONS......Page 27
END-OF-LIFE CARE NATIONAL PROGRAMME......Page 31
CULTURE......Page 34
SERVICE USER INVOLVEMENT......Page 37
SUGGESTED FURTHER READING......Page 38
KEY POINTS......Page 40
PSYCHOSOCIAL CARE......Page 41
PARTNERSHIP – MAINTAINING THE BALANCE......Page 42
APPROACHES TO CARE......Page 43
GIVING THE BAD NEWS......Page 45
DENIAL/AVOIDANCE......Page 48
ANGER......Page 51
DEPRESSION......Page 52
CONCLUSION......Page 54
SUGGESTED FURTHER READING......Page 55
KEY POINTS......Page 56
THE IMPETUS TO TEACH COMMUNICATION SKILLS......Page 57
FACILITATIVE STYLES......Page 59
WHAT HOWARD TAUGHT ME ABOUT NURSING DYING PEOPLE......Page 64
HELPFUL STRATEGIES......Page 65
COMMUNICATING WITH PEOPLE WITH DEMENTIA......Page 75
MAIN IMPLICATIONS FOR PRACTICE......Page 76
SUGGESTED FURTHER READING......Page 77
KEY POINTS......Page 78
SAVING A LIFE VERSUS STEALING A DEATH......Page 79
FACING DEATH......Page 81
MAKING SPACE FOR DECISION-MAKING......Page 83
SELF-AWARENESS......Page 85
HOW MUCH DID NICKY IMPACT ON MY LIFE?......Page 87
SELF-CARE......Page 88
SUGGESTED FURTHER READING......Page 91
INTRODUCTION......Page 92
PARTNERSHIP CARE – WHAT DOES IT MEAN?......Page 94
THE SICK ROLE......Page 95
FACE-TO-FACE PARTNERSHIP: ATTENTION TO INFORMATION GIVING......Page 97
WRITTEN INFORMATION......Page 100
DECISION AIDS......Page 101
MAIN IMPLICATIONS FOR PRACTICE......Page 102
SUGGESTED FURTHER READING......Page 103
KEY POINTS......Page 104
HOPE RESEARCH......Page 105
SPIRITUALITY......Page 113
RELIGIOUS PRACTICES CONCERNED WITH DEATH......Page 119
MAIN IMPLICATIONS FOR PRACTICE......Page 123
SUGGESTED FURTHER READING......Page 124
KEY POINTS......Page 125
RESILIENCE IN HEALTH CARE......Page 126
PSYCHONEUROIMMUNOLOGY......Page 127
THE EXPERT PATIENT......Page 130
CONCLUSION......Page 133
SUGGESTED FURTHER READING......Page 134
KEY POINTS......Page 135
INTRODUCTION......Page 136
SOCIAL DEATH......Page 137
VUNERABLE GROUPS......Page 138
INFORMATIONAL NEEDS......Page 140
BEING HEARD AND FEELING SUPPORTED......Page 141
COMPANIONSHIP......Page 142
HEALTH NEEDS......Page 144
DIFFICULT THOUGHTS AND LETTING GO......Page 146
MAIN IMPLICATIONS FOR PRACTICE......Page 147
SUGGESTED FURTHER READING......Page 148
KEY POINTS......Page 149
UNTIMELY DEATHS......Page 150
BEREAVEMENT AND HEALTH......Page 151
GRIEF THEORISTS......Page 153
MOURNING PRACTICES IN DIFFERENT CULTURES......Page 160
BEREAVEMENT AND DEMENTIA......Page 162
SOLITARY GRIEF......Page 163
BEREAVEMENT SERVICES......Page 164
CONCLUSION......Page 167
SUGGESTED FURTHER READING......Page 168
KEY POINTS......Page 169
PAIN THEORIES......Page 171
PSYCHOLOGICAL APPROACHES......Page 173
PHYSICAL APPROACHES......Page 177
COMPLEMENTARY THERAPIES......Page 182
CREATIVE THERAPIES......Page 189
SUGGESTED FURTHER READING......Page 191
KEY POINTS......Page 192
STUDIES AND NARRATIVES......Page 193
WHO ANALGESIA LADDER......Page 196
SIDE EFFECTS......Page 201
ALTERNATIVE ROUTES FOR ADMINISTRATION OF STRONG OPIOIDS......Page 203
CONCLUSION......Page 206
SUGGESTED FURTHER READING......Page 207
KEY POINTS......Page 208
PATIENT-CENTRED CARE: CONCORDANCE......Page 209
ADVANCE CARE PLANNING......Page 211
MAIN IMPLICATIONS FOR PRACTICE......Page 215
SUGGESTED FURTHER READING......Page 216
HISTORY......Page 217
PAIN......Page 218
NAUSEA AND VOMITING......Page 225
CONSTIPATION......Page 231
DIARRHOEA......Page 235
ANOREXIA......Page 237
FATIGUE......Page 242
BREATHLESSNESS......Page 246
CONFUSION......Page 251
INSOMNIA......Page 255
ANXIETY......Page 257
DEPRESSION......Page 259
MAIN IMPLICATIONS FOR PRACTICE......Page 263
ADDENDUM: DOLOPLUS 2 SCALE......Page 264
GOLD STANDARD FOR ALL......Page 267
DOING THE RIGHT THING AT THE RIGHT TIME......Page 268
SUGGESTED FURTHER READING......Page 299
PALLIATIVE EMERGENCIES......Page 301
OTHER SYMPTOMS......Page 305
SUGGESTED FURTHER READING......Page 306
References......Page 307
Index......Page 334