NURSING CARE AT THE END OF LIFE PALLIATIVE CARE FOR PATIENTS AND FAMILIES

Author: Joyce Zerwekh, RN, EdD
Affiliation: Concordia University, Portland, OR
Publisher: F.A. Davis Company
Publication Date: 2006
ISBN 10: 0803611285
ISBN 13: 9780803611283
Edition: 1st

Description:

Nursing at the End of Life explores the deep issues of caring for the dying and suffering. The book is based on the Hospice Family Caregiving Model previously published by the author and focuses on the practice implications of care for the dying. The book is written in a clear and user-friendly style, and is ideal for undergraduate nursing students learning about dying, suffering, and caring for individuals and their families.

Table of Contents

Front Matter

  • ABOUT
  • CONTRIBUTORS
  • REVIEWERS
  • PREFACE

UNIT ONE END-OF-LIFE CARE

    The End of Life and End-of-Life Caregiving

    • Learning Objectives
    • END OF LIFE IN CONTEMPORARY AMERICA
    • THE HOSPICE FAMILY CAREGIVING MODEL
    • References

    Hospice and Palliative Care

    • Learning Objectives
    • THE HOSPICE MOVEMENT
    • THE PALLIATIVE-CARE MOVEMENT
    • OPPORTUNITIES FOR CHANGE
    • References

UNIT TWO SUSTAINING YOURSELF AS A NURSE

    Strategies to Stay Healthy

    • Learning Objectives
    • STAYING HEALTHY
    • KNOWING YOURSELF
    • FACING DEATH
    • HEALTHY CARING
    • STRESSORS IN END-OF-LIFE CARE
    • MASLOW’S HIERARCHY APPLIED TO SUSTAINING OURSELVES
    • References

    Collaborating with an Interdisciplinary Team

    • Learning Objectives
    • MODELS OF TEAMWORK
    • LEVELS OF INTERDISCIPLINARY CARE DELIVERY
    • MEMBERS OF THE HOSPICE INTERDISCIPLINARY TEAM
    • TEAM WORK AND TEAM SUPPORT: PUTTING THE PIECES TOGETHER
    • References

UNIT THREE REACHING OUT AND CONNECTING

    Understanding the Dying Experience

    • Learning Objectives
    • A TERMINAL PROGNOSIS
    • THE FINAL STAGE OF GROWTH
    • SMALL DEATHS
    • EMOTIONAL SUFFERING AT THE END OF LIFE
    • NEAR-DEATH EXPERIENCES
    • References

    Connecting and Caring Presence

    • Learning Objectives
    • CARING
    • CONNECTING
    • CHALLENGES OF CONNECTING WITH PEOPLE LIVING ON THE MARGINS
    • References

    Grief and Mourning

    • Learning Objectives
    • INTRODUCTORY DEFINITIONS: LOSS, BEREAVEMENT, GRIEF, AND MOURNING
    • FRAMEWORKS FOR UNDERSTANDING GRIEF
    • TYPES OF GRIEF
    • RITUALS OF GRIEF AND MOURNING
    • CARING FOR GRIEVING PEOPLE
    • References

    Cross-Cultural Competency at the End of Life

    • Learning Objectives
    • IMMIGRATION AND CULTURE
    • CULTURAL COMPETENCE
    • ISSUES COMPLICATING CROSS-CULTURAL CARE
    • END-OF-LIFE BELIEFS AND BEHAVIORS ACROSS CULTURES
    • References

UNIT FOUR ETHICAL AND SPIRITUAL PRACTICES

    Ethical Issues at the End of Life

    • Learning Objectives
    • NURSING IN THE MIDDLE
    • ETHICAL FRAMEWORKS
    • CHALLENGES IN ETHICAL DECISION-MAKING
    • References

    Spiritual Caring

    • Learning Objectives
    • HOLISTIC NURSING AND SPIRITUALITY
    • SPIRITUALITY CONTRASTED WITH RELIGION
    • ORGANIZED RELIGIOUS TRADITIONS
    • CORE SPIRITUAL NEEDS AT THE END OF LIFE
    • RECOGNIZING SPIRITUAL DISTRESS
    • SPIRITUAL ASSESSMENT AT THE END OF LIFE
    • SPIRITUAL CARING INTERVENTIONS
    • NURTURING THE SPIRIT OF THE NURSE
    • References

UNIT FIVE STRENGTHENING THE FAMILY

    Understanding and Strengthening Families

    • Learning Objectives
    • FAMILIES AND FAMILY SYSTEMS
    • FAMILY STRUCTURE AND FUNCTION
    • THE FAMILY TRANSITION PROCESS
    • THE BURDEN OF CAREGIVING
    • NURSING INTERVENTIONS: STRENGTHENING THE FAMILY
    • References

    Children Facing Death

    • Learning Objectives
    • CHILDREN’S PERCEPTION OF DEATH
    • CHILDREN’S GRIEVING
    • WAYS OF HELPING GRIEVING CHILDREN AND ADOLESCENTS
    • DYING CHILDREN
    • References

UNIT SIX COMFORTING

    Understanding and Anticipating the Course of Terminal Disease

    • Learning Objectives
    • PROGNOSTICATION AND TRUTH-TELLING
    • ANTICIPATING THE FINAL COURSE
    • FINAL TERMINAL PATHWAY: MULTIPLE ORGAN FAILURE
    • ANTICIPATING NURSING NEEDS
    • References

    Comforting and the Essentials of Pain Relief at the End of Life

    • Learning Objectives
    • PAIN AND SUFFERING
    • THE DYNAMICS UNDERLYING PAIN
    • BARRIERS AND FACILITATORS OF COMFORT
    • ASSESSING PAIN
    • COMFORTING NURSING PRACTICE
    • CONCLUSION
    • References

    Medicating for Pain at the End of Life

    • Learning Objectives
    • BASIC ESSENTIALS OF MEDICATING FOR PAIN AT THE END OF LIFE
    • NONOPIOID ANALGESICS
    • OPIOID ANALGESICS
    • ADJUVANT MEDICATIONS
    • COMMON PAIN CONTROL CHALLENGES
    • NURSING RESPONSIBILITY IN THE ADMINISTRATION OF ANALGESICS
    • IMPLEMENTING CLINICAL PRACTICE GUIDELINES
    • References

    Management of Physical Nonpain Symptoms

    • Learning Objectives
    • SYMPTOM ASSESSMENT AND GOALS
    • GUIDELINES FOR NURSING INTERVENTIONS
    • ANTICIPATORY GUIDANCE
    • WHEN SYMPTOMS ARE NOT CONTROLLED: PALLIATIVE SEDATION
    • WHEN SYMPTOMS ARE NOT CONTROLLED: PATIENT ADVOCACY
    • References

    Caring in Different Settings When Death Is Imminent

    • Learning Objectives
    • THE LAST FEW DAYS: SYMPTOMS AND THEIR MANAGEMENT
    • SIGNS OF DEATH DRAWING CLOSE
    • THE DEATH VIGIL
    • THE SPIRITUAL JOURNEY
    • WHERE WILL DEATH OCCUR?
    • DIAGNOSIS OF DEATH
    • IMMEDIATELY AFTER DEATH
    • References