Now in its third edition, this landmark textbook has become the key resource for all nurses working in the field of palliative care. Edited by renowned nursing experts Betty Ferrell and Nessa Coyle and written by a dynamic team of internationally known authorities in nursing and palliative medicine, the book contains 78 chapters which cover the gamut of the palliative nursing world. The volume's scope is broad to incorporate principles of care from the time of the initial diagnosis of a terminal disease to the end of a patient's life and beyond. This text is distinctively developed to highlight the nurse's vital role as part of an integrated palliative care team. Various care settings are discussed including the hospital, ICU, home care, and hospice settings. While the book does provide some information on disease and pathophysiology when appropriate, the chapters focus on the practical aspects of nursing care, including symptom assessment, patient teaching, family support, psychosocial aspects of palliation, and spiritual care. All of the chapters have been completely updated and reorganized to incorporate new research and emerging models of care. This updated volume includes over 10 new chapters, including an extensively update section on international models of palliative care. In addition, there are many new ethics discussions covering a range of topics from pediatric palliative care to the withdrawal of life sustaining treatment. The text is authoritative and fully evidence-based, without ever losing sight of the humanity and sensitivity necessary in palliative nursing.
Author(s): Betty R. Ferrell, Nessa Coyle
Edition: 3
Year: 2010
Language: English
Pages: 1406
Contents......Page 12
Contributors......Page 16
Part I: General Principles......Page 26
1 Introduction to Palliative Nursing Care......Page 28
2 Hospice Palliative Care for the 21st Century: A Model for Quality End-of-Life Care......Page 38
3 Hospital-Based Palliative Care......Page 78
4 Principles of Patient and Family Assessment......Page 112
5 Communication in Palliative Care: An Essential Competency for Nurses......Page 132
Part II: Symptom Assessment and Management......Page 160
6 Pain Assessment......Page 162
7 Pain at the End of Life......Page 186
8 Fatigue......Page 212
9 Anorexia and Cachexia......Page 236
10 Nausea and Vomiting......Page 246
11 Dysphagia, Xerostomia, and Hiccups......Page 264
12 Bowel Management: Constipation, Diarrhea, Obstruction, and Ascites......Page 294
13 Hydration, Thirst, and Nutrition......Page 316
14 Dyspnea, Death Rattle, and Cough......Page 328
15 Urinary Tract Disorders......Page 346
16 Lymphedema Management......Page 366
17A: Skin Disorders: Pressure Ulcers—Prevention and Management......Page 384
17B: Skin Disorders: Malignant Wounds, Fistulas, and Stomas......Page 412
18 Pruritis, Fever, and Sweats......Page 430
19 Neurological Disturbances......Page 440
20 Anxiety and Depression......Page 450
21. Delirium, Confusion, Agitation, and Restlessness......Page 474
22 Insomnia......Page 494
23 Sexuality......Page 502
24 Clinical Interventions, Economic Impact, and Palliative Care......Page 512
25 Urgent Syndromes at the End of Life......Page 526
26 Sedation for Refractory Symptoms and Terminal Weaning......Page 550
27 Complementary and Alternative Therapies in Palliative Care......Page 570
28 Withdrawal of Life-Sustaining Therapies: Mechanical Ventilation, Dialysis, and Cardiac Devices......Page 592
Part III: Psychosocial Support......Page 602
29 The Meaning of Hope in the Dying......Page 604
30 Bereavement......Page 622
31 Supporting Families in Palliative Care......Page 638
32 Planning for the Actual Death......Page 654
Part IV: Spiritual Care......Page 670
33 Spiritual Assessment......Page 672
34 Spiritual Care Interventions......Page 688
35 Meaning in Illness......Page 698
Part V: Special Patient Populations......Page 710
36 Caring for Those with Chronic Illness......Page 712
37 Cultural Considerations in Palliative Care......Page 726
38 Elderly Patients......Page 738
39 Poor, Homeless, and Underserved Populations......Page 770
40 End-of-Life Care for Patients with Mental Illness and Personality Disorders......Page 782
41 Patients with Acquired Immunodeficiency Syndrome......Page 792
42 Caring for the Drug-Addicted Patient at the End of Life......Page 842
43 Palliative Care of Cancer Survivors......Page 854
Part VI: End-of-Life Care Across Settings......Page 866
44 Improving the Quality of Care Across All Settings......Page 868
45 Long-Term Care......Page 904
46 Home Care......Page 916
47 The Intensive Care Unit......Page 930
48 The Outpatient Setting......Page 948
49 Rehabilitation and Palliative Care......Page 960
50 The Emergency Department......Page 974
51 The Role of Nursing in Caring for Patients Undergoing Surgery for Advanced Disease......Page 984
52 Palliative Chemotherapy and Clinical Trials in Advanced Cancer: The Nurse’s Role......Page 994
Part VII: Pediatric Palliative Care......Page 1006
53 Symptom Management in Pediatric Palliative Care......Page 1008
54 Pediatric Hospice and Palliative Care......Page 1022
55 Pediatric Care: Transitioning Goals of Care in the Emergency Department, Intensive Care Unit, and In Between......Page 1044
56 End-of-life Decision-Making in Pediatric Oncology......Page 1074
57 Palliative Care in the Neonatal Intensive Care Unit......Page 1090
58 Grief and Bereavement in Pediatric Palliative Care......Page 1106
59 Pediatric Pain: Knowing the Child Before You......Page 1124
Part VIII: Special Issues for the Nurse in End-of-Life Care......Page 1144
60 The Advanced Practice Nurse......Page 1146
61 The Experience of the Nurse in End-of-Life Care in the 21st Century: Mentoring the Next Generation......Page 1156
62 Ethical Considerations in Palliative Care......Page 1182
63 Public Policy and End-of-Life Care: The Nurse’s Role......Page 1198
64 Palliative Care and Requests for Assistance in Dying......Page 1210
65 Nursing Education......Page 1218
66 Nursing Research......Page 1236
67 Enhancing Team Effectiveness......Page 1250
Part IX: International Models of Palliative Care......Page 1262
68 International Palliative Care Initiatives......Page 1264
69 Palliative Care in Canada......Page 1266
70 Palliative Care in Australia and New Zealand......Page 1280
71 Palliative Care in the United Kingdom......Page 1290
72 Palliative Care in Europe......Page 1300
73 Palliative Care in Situations of Conflict......Page 1318
74 Palliative Care in South America......Page 1326
75 Palliative Care in Africa......Page 1344
76 Palliative Care in Japan......Page 1356
77 Palliative Care in South Korea......Page 1364
Part X: Conclusion......Page 1372
78 A Good Death......Page 1374
Appendix: Palliative Care Resource List......Page 1378
A......Page 1382
C......Page 1385
D......Page 1388
E......Page 1390
F......Page 1391
H......Page 1392
I......Page 1394
M......Page 1395
N......Page 1396
P......Page 1398
R......Page 1402
S......Page 1403
T......Page 1404
W......Page 1405
Z......Page 1406
