This book is addressed to physicians and other health professionals involved in the assessment and care planning of patients at the end of life. It brings a unique and humanistic view on the challenges of good practice in palliative care. Concepts and definitions, resources and therapeutic alternatives, as well as symptoms of distress in the physical, emotional, family, social and spiritual dimensions are discussed in a clear and practical way, demystifying and dissolving the barriers of this approach.
Author(s): Ana Claudia de Lima Quintana Arantes
Publisher: Springer
Year: 2020
Language: English
Pages: 97
City: Cham
Preface
Contents
Chapter 1: Introduction
References
Chapter 2: The Multidimensional Human Being
2.1 Principles of Palliative Care
2.2 The Care Plan
2.2.1 The Biological Dimension
2.2.2 The Emotional Dimension
2.2.3 The Social/Family Dimension
2.2.4 The Spiritual Dimension
2.3 Diversity of Individual Experiences of Suffering
References
Chapter 3: Oncological Disease Versus Nononcological Disease: Differences and Similarities in Their Manifestations of Suffering
3.1 Prognostic Evaluation
3.2 How to Measure Functional and Clinical Decline
3.3 Heart Disease
3.4 Pulmonary Disease
3.5 Kidney Disease
3.6 Liver Disease
3.7 Indications for Palliative Care in Intensive Care Units
3.8 HIV/AIDS
3.9 Long-Term Neurological Disorders
3.10 Mental Illness
3.11 Stroke
3.12 Dementia
3.13 Amyotrophic Lateral Sclerosis
3.14 Special Considerations
References
Chapter 4: Evaluation of Suffering in Adults and the Elderly
4.1 Dying in the Twenty-First Century
References
Chapter 5: How Good Conversations Can Be
References
Chapter 6: Dimensions of Care
6.1 The Biological Dimension
6.1.1 Evaluation and Classification Instruments for Symptoms
6.2 The Emotional Dimension
6.3 The Family Dimension
6.4 The Social Dimension
6.5 The Spiritual Dimension
References
Chapter 7: Practical Considerations in End-of-Life Care
7.1 Concepts
7.2 The Last Weeks of Life
7.3 The Last Days of Life
7.4 The Last Hours of Life
7.5 Preparing People for the Process of Dying
7.6 Palliative Sedation
7.7 When Death Happens
7.8 What Not to Do When a Natural Death Happens
7.9 Care of the Body After Death
7.10 Planning of Grief Support
References
Chapter 8: Grief and Bereavement: Practical Considerations for Health Professionals
8.1 Anticipatory Grief
References
Chapter 9: Accomplishments, Unfinished Business, and Regrets
Reference
Chapter 10: Recommendations for Family Care During Grief
References
Chapter 11: The Health Professional Faced with Their Patient’s Death: Considerations in Interprofessional Work—The Dimensions of Self-Care
Chapter 12: Caring for Caregivers
References
Index
