Palliative and End-of-Life Care

Palliative and End-of-Life Care, 2nd Edition provides clinicians with the guidelines and tools necessary to provide quality, evidenced-based care to patients with life-limiting illness. This text describes the care and management of patients with advanced disease throughout the disease trajectory, extending from diagnosis of advanced disease until death. Four units provide the general principles of palliative and end-of-life care, important concepts, advanced disease management, and clinical practice guidelines. Clinical practice guidelines offer in-depth discussions of the pathophysiology of 19 different symptoms, interventions for specific symptom management (including in-depth rationales), and suggestions for patient and family teaching.

• Defines dying as a normal, healthy process aided by the support of an interdisciplinary team.
• Provides in-depth pathophysiology, assessment, and intervention information based upon the disease trajectory.
• Highlights opportunities for patient and family teaching.
• Describes psychosocial issues experienced by patients and their families.
• Reviews uncomplicated and complicated grief and mourning, providing suggestions to help the family after a patient's death.
• Includes case studies at the end of chapters to reinforce key concepts of compassionate care.

General Principles in Palliative and End-of-Life Care

1. The Advanced Practice Nurse in Palliative Care

2. Palliative and End-of-Life Care

3. The Dying Process

Important Concepts in Palliative and End-of-Life Care

4. Advance Care Planning and End-of-Life Decision Making

5. Ethical Issues Surrounding Advanced Disease

6. Spiritual Care Across Cultures

7. Pharmacology

8. Sleep

9. Nutrition

Advanced Disease Management

10. Cardiovascular Disease

11. Pulmonary Disease

12. Hepatic Disease

13. Chronic Kidney Disease

14. Neurological Disease

15. Malignancies

16. HIV/AIDS

Clinical Practice Guidelines

17. Anxiety

18. Ascites

19. Bowel Obstruction

20. Cachexia and Anorexia

21. Constipation

22. Cough

23. Dehydration

24. Delirium/Acute Confusion

25. Depression

26. Diarrhea

27. Dyspnea

28. Fatigue

29. Hiccups

30. Lymphedema

31. Nausea and Vomiting

32. Pain

33. Palliative Care Emergencies

34. Pruritis

35. Ulcerative Lesions


Appendices

36. Caregiver Resources

37. Assessment Tools