Advance Care Planning In End Of Life Care

Author : Keri Thomas,Ben Lobo,Karen Detering
Publisher : Oxford University Press
Page : 337 pages
File Size : 46,6 Mb
Release : 2018
Category : MEDICAL
ISBN : 9780198802136

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Advance Care Planning in End of Life Care by Keri Thomas,Ben Lobo,Karen Detering Pdf

Advance Care Planning (ACP) is an essential part of end of life care in the UK and most developed countries. It enables more people to live well and die as they would choose, and has significant implications for the individual person, their family and carers, and our wider society. In the context of an ageing population and increasing possibilities for medical interventions, ACP is a particularly important aspect of quality care. Expanded and fully updated throughout, this new edition gives a comprehensive overview of ACP and explores a wide range of issues and practicalities in providing end of life care. Written by experts from around the world, the book takes a comprehensive look at the subject by exploring the wide range of issues and practicalities in providing ACP; framing the purpose, process, and outcomes of these plans; and providing an important update on national and international research, policy and practice. Chapters also discuss values, goals and priorities, and include detailed case examples to aid best practice. This book is an invaluable resource for all clinicians involved in the caring for people in their final stages of life. It is of particular value to GPs, palliative care specialists, geriatricians, social care teams, researchers and policy leads interested in improving end of life care.

Author : Institute of Medicine,Committee on Approaching Death: Addressing Key End-of-Life Issues
Publisher : National Academies Press
Page : 638 pages
File Size : 49,5 Mb
Release : 2015-03-19
Category : Medical
ISBN : 9780309303132

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Dying in America by Institute of Medicine,Committee on Approaching Death: Addressing Key End-of-Life Issues Pdf

For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Author : Leah Rogne, Ph.D.,Susana Lauraine McCune
Publisher : Springer Publishing Company
Page : 400 pages
File Size : 55,7 Mb
Release : 2013-07-29
Category : Family & Relationships
ISBN : 9780826110213

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Advance Care Planning by Leah Rogne, Ph.D.,Susana Lauraine McCune Pdf

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Author : Karen Joy Vander Laan
Publisher : Unknown
Page : 462 pages
File Size : 51,9 Mb
Release : 2007
Category : Advance directives (Medical care)
ISBN : MSU:31293028459901

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Deciding to Engage in Advance Care Planning by Karen Joy Vander Laan Pdf

Author : Anonim
Publisher : Unknown
Page : 12 pages
File Size : 54,6 Mb
Release : 2004
Category : Advance directives (Medical care)
ISBN : MINN:31951D027038055

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Getting your affairs in order by Anonim Pdf

Author : Klaus Wegleitner,Katharina Heimerl,Allan Kellehear
Publisher : Routledge
Page : 257 pages
File Size : 43,8 Mb
Release : 2015-06-26
Category : Social Science
ISBN : 9781317565062

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Compassionate Communities by Klaus Wegleitner,Katharina Heimerl,Allan Kellehear Pdf

Compassionate communities are communities that provide assistance for those in need of end of life care, separate from any official heath service provision that may already be available within the community. This idea was developed in 2005 in Allan Kellehear’s seminal volume- Compassionate Cities: Public Health and End of Life Care. In the ensuing ten years the theoretical aspects of the idea have been continually explored, primarily rehearsing academic concerns rather than practical ones. Compassionate Communities: Case Studies from Britain and Europe provides the first major volume describing and examining compassionate community experiments in end of life care from a highly practical perspective. Focusing on community development initiatives and practice challenges, the book offers practitioners and policy makers from the health and social care sectors practical discussions on the strengths and limitations of such initiatives. Furthermore, not limited to providing practice choices the book also offers an important and timely impetus for other practitioners and policy makers to begin thinking about developing their own possible compassionate communities. An essential read for academic, practitioner, and policy audiences in the fields of public health, community development, health social sciences, aged care, bereavement care, and hospice & palliative care, Compassionate Communities is one of only a handful of available books on end of life care that takes a strong health promotion and community development approach.

Author : Jonathan Himmelfarb,T. Alp Ikizler
Publisher : Elsevier Health Sciences
Page : 768 pages
File Size : 43,7 Mb
Release : 2018-11-06
Category : Medical
ISBN : 9780323531726

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Chronic Kidney Disease, Dialysis, and Transplantation E-Book by Jonathan Himmelfarb,T. Alp Ikizler Pdf

Contains expanded content on economics and outcomes of treatment, as well as acute kidney injury. Covers hot topics such as the genetic causes of chronic kidney disease, ethical challenges and palliative care, and home hemodialysis. Discusses the latest advances in hypertensive kidney disease, vitamin D deficiency, diabetes management, transplantation, and more. Provides a clear visual understanding of complex information with high-quality line drawings, photographs, and diagnostic and treatment algorithms.

Author : Jane Sturgess,Derek Duane,Rebekah Ley
Publisher : Oxford University Press, USA
Page : 233 pages
File Size : 53,5 Mb
Release : 2018-11-15
Category : Law
ISBN : 9780198749851

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A Medic's Guide to Essential Legal Matters by Jane Sturgess,Derek Duane,Rebekah Ley Pdf

A Medic's Guide to Essential Legal Matters offers practitioners highly practical advice on the legal principles which they need to apply to everyday clinical practice. Thirteen chapters cover key areas of medical law from the structure of the legal system, confidentiality, mental health capacity, through to current legal practices. Each chapter is written in an easy-to-digest format with helpful summary boxes covering key legal terms, laws, and statutes, and 'key point' boxes highlighting important take-home facts. An alphabetical glossary of legal terms at the end of the book offers a rapid reference that supports every chapter. A Medic's Guide to Essential Legal Matters has been carefully crafted to be concise yet informative and practical, covering the key aspects of this daunting subject. Written by a team of doctors and legal practitioners in the field of medical law, this resource offers you the expertise and experience needed to get to grips with medical law. A Medic's Guide to Essential Legal Matters includes access to online-only content, consisting of 65 multiple choice questions and answers that can be used to reinforce understanding, along with further reading sources to supplement and explore topics of interest. You can access and use this online material by activating your unique access code.

Author : Allan Kellehear
Publisher : Oxford University Press, USA
Page : 0 pages
File Size : 44,8 Mb
Release : 1999
Category : Health promotion
ISBN : 0195507851

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Health Promoting Palliative Care by Allan Kellehear Pdf

Health promotion has traditionally focused on illness prevention, targeting the fit and well. But what about those who live with life-threatening or terminal illness? Health -Promoting Palliative Care proposes a model of care that goes beyond simply providing care in the final stages of lifeand draws on critical and participatory principles from both palliative care and health promotion. Emphasising early intervention and a social approach to the problems and experiences of dying, it encourages service providers, family members, and the dying themselves to seek ways to promoteemotional, social, and spiritual well-being, as well as physical health. The book begins by looking at the ways in which health promotion can be introduced to palliative care. It goes on to outline the goals and practice principles of a health promoting palliative care. Later chapters addresspractice strategies relevant to health and death education, social supports, interpersonal reorientation, and environmental and policy development. Health Promoting Palliative Care is a valuable, practical, and accessible resource for practitioners working alone or in health care institutions, forstudents of the health sciences, social work, or pastoral care, and for those working in policy areas.

Author : Lisa Kastbom
Publisher : Linköping University Electronic Press
Page : 83 pages
File Size : 50,6 Mb
Release : 2021-03-23
Category : Electronic books
ISBN : 9789179297190

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A good death from the perspective of patients with severe illness and advance care planning (ACP) in patients near end-of-life by Lisa Kastbom Pdf

Previous research has indicated that what constitutes a good death is heterogenic and complex although there are some recurrent themes and similarities regardless individual background factors. Studies on advance care planning (ACP), i.e. making proactive plans regarding content of care and treatment limitations, on nursing home (NH) patients are rare. Positive effects of ACPs are shown, but also that these often are lacking. The overall aim with this thesis was to explore the perceptions of a good death from the perspective of patients with severe illness and to investigate, from different perspectives, experiences of ACP in a NH context. In paper I, patients with cancer in a palliative phase were interviewed on their perceptions of a good death. Death was viewed as a process and previous experiences on the death of others influenced their own perceptions. A good death was associated with living with the prospect of imminent death, preparing oneself and others for one’s death and dying comfortably, e.g. without suffering, with independence and with social relations intact. Some were comforted by their belief that death is predetermined, and that after death, there is something else. Others felt uncomfortable when they viewed death as the end of the existence. In paper II, nurses and physicians were interviewed on their experiences of the factors that shape the ACP process in NHs. Exploration of the patient’s preferences regarding content of care and treatment limitations was important, as well as integration of the patient’s preferences and the views of the family members and staff concerning these questions. ACP documentation had to be clear, updated and available for staff and the implementation and reevaluation of ACP were also considered important, according to the participants. Significance of clinicians’ perceiving beneficence as well as fear of accusations of maleficence were shown to be essential factors to contemplate. In a retrospective chart review (paper III), medical records of 367 deceased NH patients were analysed. A high prevalence of ACP was shown, using two different definitions of ACP (ACP I and ACP II). Moreover, adherence to the ACP content was strong and positive associations were seen between ACP and variables of the three research aims, such as: diagnosis (dementia), physician attendance at NH and end-of-life (EOL) care. In paper IV, family members of deceased NH patients were interviewed on their experiences of ACP in NHs. EOL issues were challenging to talk about, although the family members appreciated staff raising these questions. The patient’s preferences were sometimes explicitly or implicitly communicated. However, in some cases, family members had a feeling of the patient’s preferences, although they had not been clearly communicated. Everyday details symbolised staff commitment. The family members viewed the nurse as central. The physician was described as absent and ACP meetings often went unnoticed. Both involvement and lack of involvement could cause the family members feelings of guilt. In conclusion, we found that what constitutes a good death is highly individual, although recurrent themes are seen. EOL conversations are important and challenging and need staff training and experience. It seems important to support healthcare staff not only to initiate ACP in NH patients, but also to involve the patient and family members in the ACP and planning EOL care. Making proactive plans regarding content of care including treatment limitations, could enable patient autonomy, optimise the chances for the patient to experience a good death and enhance for the family members during the dying trajectory and after the patient’s death.

Author : Nessa Coyle
Publisher : Oxford University Press
Page : 137 pages
File Size : 44,7 Mb
Release : 2016
Category : Medical
ISBN : 9780190258061

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Legal and Ethical Aspects of Care by Nessa Coyle Pdf

Effective palliative care that rests on a sound ethical foundation requires ongoing discussions about patient and family values and preferences. This is especially important when addressing care at end-of-life including artificial nutrition and hydration, withdrawal of life-sustaining therapies and palliative sedation as well as requests for assistance in hastening death. The eighth volume in the HPNA Palliative Nursing Manuals series, Legal and Ethical Aspects of Palliative Care, provides an overview of critical communication skills and formal organizational mechanisms, such as ethics committees and interdisciplinary rounds, required for decisions in ethical dilemmas which respect diversity in the views of colleagues, as well as patients. The content of the concise, clinically focused volumes in the HPNA Palliative Nursing Manuals series is one resource for nurses preparing for specialty certification exams and provides a quick-reference in daily practice.

Author : U.S. Department of Health and Human Services
Publisher : Lulu.com
Page : 78 pages
File Size : 49,5 Mb
Release : 2019-04-13
Category : Reference
ISBN : 9780359588237

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End of Life: Helping with Comfort and Care by U.S. Department of Health and Human Services Pdf

At the end of life, each story is different. Death comes suddenly, or a person lingers, gradually fading. For some older people, the body weakens while the mind stays alert. Others remain physically strong, but cognitive losses take a huge toll. Although everyone dies, each loss is personally felt by those close to the one who has died. End-of-life care is the term used to describe the support and medical care given during the time surrounding death. Such care does not happen only in the moments before breathing ceases and the heart stops beating. Older people often live with one or more chronic illnesses and need a lot of care for days, weeks, and even months before death. The goal of End of Life: Helping with Comfort and Care is to provide guidance and help in understanding the unfamiliar territory of death. This information is based on research, such as that supported by the National Institute on Aging (NIA), along with other parts of the National Institutes of Health.

Author : Anonim
Publisher : Unknown
Page : 44 pages
File Size : 48,5 Mb
Release : 2013
Category : Health planning
ISBN : 1741876761

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Advance Planning for Quality Care at End of Life by Anonim Pdf

Author : Erin M. Denney-Koelsch,Denise Côté-Arsenault
Publisher : Springer Nature
Page : 443 pages
File Size : 45,6 Mb
Release : 2020-02-05
Category : Medical
ISBN : 9783030347512

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Perinatal Palliative Care by Erin M. Denney-Koelsch,Denise Côté-Arsenault Pdf

This unique book is a first-of-its-kind resource that comprehensively covers each facet and challenge of providing optimal perinatal palliative care. Designed for a wide and multi-disciplinary audience, the subjects covered range from theoretical to the clinical and the practically relevant, and all chapters include case studies that provide real-world scenarios as additional teaching tools for the reader. Perinatal Palliative Care: A Clinical Guide is divided into four sections. Part One provides the foundation, covering an overview of the field, key theories that guide the practice of perinatal palliative care, and includes a discussion of perinatal ethics and parental experiences and needs upon receiving a life-limiting fetal diagnosis. Part Two delves further into practical clinical care, guiding readers through issues of obstetrical management, genetic counseling, neonatal pain management, non-pain symptom management, spiritual care, and perinatal bereavement care. Part Three discusses models of perinatal palliative care, closely examining evidence for different types of PPC programs: from hospital-based programs, to community-based care, and examines issues of interdisciplinary PPC care coordination, birth planning, and team support. Finally, Part Four concludes the book with a close look at special considerations in the field. In this section, racial, ethnic, and cultural perspectives and implications for PPC are discussed, along with lessons in how to provide PPC for a wide-range of clinical and other healthcare workers. The book closes with a look to the future of the field of perinatal palliative care. Thorough and practical, Perinatal Palliative Care: A Clinical Guide is an ideal resource for any healthcare practitioner working with these vulnerable patient populations, from palliative care specialists, to obstetricians, midwifes, neonatologists, hospice providers, nurses, doulas, social workers, chaplains, therapists, ethicists, and child life specialists.

Author : Sandra Schüssler,Christa Lohrmann
Publisher : Springer
Page : 248 pages
File Size : 55,6 Mb
Release : 2017-05-19
Category : Medical
ISBN : 9783319498324

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Dementia in Nursing Homes by Sandra Schüssler,Christa Lohrmann Pdf

Written by leading international experts, this book discusses the latest advances in the field of dementia in nursing homes. The topics and findings covered are based on their survey and on a scientific literature review. Dementia is spreading worldwide, placing a growing burden on healthcare systems and caregivers, as well as those affected. With increasing and complex care needs, nursing home admission is often necessary. Globally, over half of nursing home residents suffer from dementia. The book provides essential information on the most important issues in dementia in nursing homes today, including meaningful activities, patient-/person-centered care, psychosocial interventions, challenging behavior, inclusion and support of family members, pain, staff training and education, communication, polypharmacy, quality of life, end-of-life care and advanced care planning, depression, delirium, multidisciplinary approaches, physical restraints and care dependency. Each topic is covered by an international expert in dementia. As such, the book will appeal to professional nurses, nursing scientists, nursing students, other healthcare professionals, and to a broad readership, and will provide a valuable resource for those working in nursing homes, as well as researchers in the field.