Hospital Based Palliative Medicine

Author : Steven Z. Pantilat,Wendy Anderson,Matthew Gonzales,Eric Widera
Publisher : John Wiley & Sons
Page : 276 pages
File Size : 52,8 Mb
Release : 2015-01-27
Category : Medical
ISBN : 9781118772577

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Hospital-Based Palliative Medicine by Steven Z. Pantilat,Wendy Anderson,Matthew Gonzales,Eric Widera Pdf

The first comprehensive, clinically focused guide to help hospitalists and other hospital-based clinicians provide quality palliative care in the inpatient setting. Written for practicing clinicians by a team of experts in the field of palliative care and hospital care, Hospital-Based Palliative Medicine: A Practical, Evidence-Based Approach offers: Comprehensive content over three domains of inpatient palliative care: symptom management, communication and decision making, and practical skills, Detailed information on assessment and management of symptoms commonly experienced by seriously ill patients, Advise on the use of specific communication techniques to address sensitive topics such as prognosis, goals of care, code status, advance care planning, and family meetings in a patient- and family-centered manner, Targeted content for specific scenarios, including palliative care emergencies, care at the end of life, and an overview of post-hospital palliative care options, Self-care strategies for resilience and clinician wellness which can be used to help maintain an empathic, engaged, workforce and high quality patient care, A consistent chapter format with highlighted clinical pearls and pitfalls, ensuring the material is easily accessible to the busy hospitalist and associated hospital staff. This title will be of use to all hospital clinicians who care for seriously ill patients and their families. Specialist-trained palliative care clinicians will also find this title useful by outlining a framework for the delivery of palliative care by the patient’s front-line hospital providers. Also available in the in the Hospital-Based Medicine: Current Concepts series: Inpatient Anticoagulation Margaret C. Fang, Editor, 2011 Hospital Images: A Clinical Atlas Paul B. Aronowitz, Editor, 2012 Becoming a Consummate Clinician: What Every Student, House Officer, and Hospital Practitioner Needs to Know Ary L. Goldberger and Zachary D. Goldberger, Editors, 2012 Perioperative Medicine: Medical Consultation and Co-Management Amir K. Jaffer and Paul J. Grant, Editors, 2012 Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine James C. Pile, Thomas E. Baudendistel, and Brian J. Harte, Editors, 2013 Inpatient Cardiovascular Medicine Brahmajee K. Nallamothu and Timir S. Baman, Editors 2013

Author : Institute of Medicine,Committee on Approaching Death: Addressing Key End-of-Life Issues
Publisher : National Academies Press
Page : 638 pages
File Size : 44,5 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 : Robert J. Dunlop,J. M. Hockley
Publisher : Unknown
Page : 180 pages
File Size : 43,9 Mb
Release : 1998
Category : Medical
ISBN : UOM:39015042765571

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Hospital-based Palliative Care Teams by Robert J. Dunlop,J. M. Hockley Pdf

When the first edition of this book (Terminal Care Support Teams: the hospital-hospice interface, 1990) was written, there were only a few advisory palliative care teams working in hospitals. Since then the number of teams has grown rapidly. The concept of these teams in now widely accepted but there is an increased need for information about setting up a team, how they work and how effective they are. This book looks at the need for hospital- based palliative care teams and the challenges of bringing palliative care into the acute hospital setting. It reviews the needs of patients, their families and their professional carers, and also looks at the theoretical and practical problems which may be encountered. For example there is practical advice on setting up hospital-based palliative care teams, the selection of team members as well as coverage of team dynamics, and the role of the pain clinic and palliation oncology.

Author : Diane E. Meier,Lynn Hill Spragens,Sharyn Sutton
Publisher : Unknown
Page : 128 pages
File Size : 54,9 Mb
Release : 2004-01-01
Category : Electronic
ISBN : 0976788101

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A Guide to Building a Hospital-Based Palliative Care Program by Diane E. Meier,Lynn Hill Spragens,Sharyn Sutton Pdf

Author : Doreen Oneschuk,Neil MacDonald,Neil Hagen
Publisher : Oxford University Press
Page : 430 pages
File Size : 53,9 Mb
Release : 2012-03-15
Category : Medical
ISBN : 0199694141

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Palliative Medicine by Doreen Oneschuk,Neil MacDonald,Neil Hagen Pdf

The third edition of this successful book continues to offer a panoramic view of palliative care. It introduces a number of new topics including Neurological Disorders, The Last Days and Palliative Sedation. The contributors illustrate, through the case studies, the desired skills, attitudes, and knowledge required in palliative medicine.

Author : Renee T. Sullender, Sarah A. Selenich
Publisher : RTI Press
Page : 14 pages
File Size : 42,6 Mb
Release : 2016-03-30
Category : Medical
ISBN : 8210379456XXX

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Financial Considerations of Hospital-Based Palliative Care by Renee T. Sullender, Sarah A. Selenich Pdf

Palliative care is an interdisciplinary care philosophy addressing patient and family needs and goals without providing a cure for the underlying disease. Palliative care can be successfully provided alongside curative care, which does focus on treating the disease. Studies have indicated that palliative care offers a variety of quality of life benefits to both the patient and family. Prompted by rapid growth of hospital-based palliative care, we explored the literature to better understand the financial incentives and barriers to these programs. Although patients who receive palliative care in the hospital have lower hospital costs than matched patients who do not receive palliative care, many hospitals face challenges in being reimbursed for services rendered by their interdisciplinary teams. In some cases, hospitals may absorb 50 percent of the costs of their palliative care teams because of lack of adequate reimbursement. Despite the opportunity for cost savings for a variety of stakeholders, without payment reform hospitals may be constrained from providing palliative care to all who might benefit. Additional research is needed to understand how patients, hospitals, and payers may participate in cost savings attributable to palliative care so that policymakers can effectively promote these services.

Author : Mahmoud Aljurf,Navneet S. Majhail,Mickey B.C. Koh,Mohamed A. Kharfan-Dabaja,Nelson J. Chao
Publisher : Springer Nature
Page : 192 pages
File Size : 54,9 Mb
Release : 2021-10-28
Category : Medical
ISBN : 9783030820527

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The Comprehensive Cancer Center by Mahmoud Aljurf,Navneet S. Majhail,Mickey B.C. Koh,Mohamed A. Kharfan-Dabaja,Nelson J. Chao Pdf

This open access book provides a valuable resource for hospitals, institutions, and health authorities worldwide in their plans to set up and develop comprehensive cancer care centers. The development and implementation of a comprehensive cancer program allows for a systematic approach to evidence-based strategies of prevention, early detection, diagnosis, treatment, and palliation. Comprehensive cancer programs also provide a nexus for the running of clinical trials and implementation of novel cancer therapies with the overall aim of optimizing comprehensive and holistic care of cancer patients and providing them with the best opportunity to improve quality of life and overall survival. This book's self-contained chapter format aims to reinforce the critical importance of comprehensive cancer care centers while providing a practical guide for the essential components needed to achieve them, such as operational considerations, guidelines for best clinical inpatient and outpatient care, and research and quality management structures. Intended to be wide-ranging and applicable at a global level for both high and low income countries, this book is also instructive for regions with limited resources. The Comprehensive Cancer Center: Development, Integration, and Implementation is an essential resource for oncology physicians including hematologists, medical oncologists, radiation oncologists, surgical oncologists, and oncology nurses as well as hospitals, health departments, university authorities, governments and legislators.

Author : Michael Silbermann
Publisher : Springer Nature
Page : 566 pages
File Size : 40,9 Mb
Release : 2020-10-29
Category : Medical
ISBN : 9783030545260

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Palliative Care for Chronic Cancer Patients in the Community by Michael Silbermann Pdf

The new global cancer data suggests that the global burden has risen to 18.1 million new cases per year and 9.6 million cancer deaths per year. A number of factors appear to be driving this increase, in particular, a growing and aging global population and an increase of exposure to cancer risk factors linked to social and economic development. For rapidly-growing economies, the data suggests a shift from poverty- or infection-related cancers to those associated with lifestyles more typical in industrialized countries. There is still large geographical diversity in cancer occurrence and variations in the magnitude and profile of the disease between and within world regions. There are specific types of cancer that dominate globally: lung, female breast and colorectal cancer, and the regional variations in common cancer types signal the extent to which societal, economic and lifestyle changes interplay to deferentially impact on the profile of this most complex group of diseases. Unfortunately, despite advances in cancer care, a significant proportion of patients at home, experience sub-optimal outcomes. Barriers to successful treatment outcomes include, but are not limited to: access to oncologists in the primary health centers, non-adherence, lack of experienced oncology and palliative care nurses in the community, inadequate monitoring and the lack of training of family and pediatric physicians. Telemedicine approaches, including telephone triage/education, telemonitoring, teleconsultation and status tracking through mobile applications, have shown promise in further improving outcomes, in particular for chronic cancer patients following their hospitalization. Lessons can be learned from existing hospices in North America, the United Kingdom, Australia, Centers of Excellence in African (Uganda) and modern community services in India (Kerala). An important goal of this book is to describe and encourage professionals to develop new community programs in palliative care, which include training and empowering physicians and nurses in the community on the principles of palliative care. The Middle East Cancer Consortium (MECC) together with the American Society of Clinical Oncology (ASCO) and the American Oncology Nursing Society (ONS) have conducted multiple courses ranging from basic palliative care to more specialized training in palliative care for multiple nationalities in Europe, Asia and Africa. Our experience clearly indicates that, to promote such activities, one needs strong leadership and confirmed political will to support the endeavor. The new book will emphasize the importance of having a core of multiple stakeholders including community leaders, government, NGOs and media to be actively involved in advocating for the cause and generating public awareness. This text will provide the reader with a comprehensive understanding of the outside-of-the-hospital treatment of cancer patients by medical, paramedical and volunteer personnel. In doing so, this text will encourage the creation of new palliative care services improving upon the existing ones and stimulate further research in this field. Part 1 of the text will begin with an overview of the current state of affairs of services provided to cancer patients while being cared for by primary health centers. It will also review the current literature regarding medical and psychological-based therapy options in the community for cancer patients at different stages of their disease. Part 2 will address the unique role of the community nurse, within the framework of the multidisciplinary team treating the patient, in the attempt to provide optimal evaluation and care in very challenging situations (such as with terminal patients). Part 3 will provide insightful models of this new discipline and serve as a valuable resource for physicians, nurses, social workers and others involved in the care of cancer patients. The book will take a multidisciplinary approach, integrating clinical and environmental data for practical management to enhance the efficacy of treatment while relieving suffering. Part 4 will also discuss the application of modern technological approaches to track symptoms, quality of life, diet, mobility, duration of sleep and medication use (including pain killers) in chronic cancer patients in the community. Part 5 of the book will also be devoted to modes of developing a collaborative program between governmental and non-governmental organization sectors. This includes volunteer workers in close collaboration with medical professionals for providing emotional and spiritual support, nursing care, nutritional support and empowering family caregivers. Such a model makes palliative care in the community a “people’s movement”, thus transferring part of the responsibility and ownership to the community.

Author : Rick Iedema,Katherine Carroll,Aileen Collier,Su-Yin Hor,Jessica Mesman,Mary Wyer
Publisher : CRC Press
Page : 233 pages
File Size : 49,6 Mb
Release : 2019-01-04
Category : Medical
ISBN : 9781351247993

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Video-Reflexive Ethnography in Health Research and Healthcare Improvement by Rick Iedema,Katherine Carroll,Aileen Collier,Su-Yin Hor,Jessica Mesman,Mary Wyer Pdf

This innovative, practical guide introduces researchers to the use of the video reflexive ethnography in health and health services research. This methodology has enjoyed increasing popularity among researchers internationally and has been inspired by developments across a range of disciplines: ethnography, visual and applied anthropology, medical sociology, health services research, medical and nursing education, adult education, community development, and qualitative research ethics.

Author : James C. Pile,Thomas E. Baudendistel,Brian Harte
Publisher : John Wiley & Sons
Page : 205 pages
File Size : 55,5 Mb
Release : 2013-02-26
Category : Medical
ISBN : 9781118483190

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Clinical Care Conundrums by James C. Pile,Thomas E. Baudendistel,Brian Harte Pdf

Introducing the first evidence-based casebook for hospital clinicians This book introduces illustrated, evidence-based clinical cases drawn from real-world hospital practice. Geared to the needs of hospital clinicians, Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine focuses on sharpening clinical reasoning and diagnostic skills, giving readers the tools to recognize and diagnose a wide array of diseases, while promoting diagnostic safety in hospital medicine. Written by leading experts on the topics under discussion, this volume offers a hand-picked collection of case studies from the widely popular Clinical Care Conundrum (CCC) series found in the Journal of Hospital Medicine. Each chapter presents a case to an expert clinician, who explains his or her approach to diagnosing challenging medical dilemmas. Each chapter concludes with a concise review of recent literature and, if applicable, with discussions of cognitive errors that may impact clinical diagnosis and patient care. Readers will find: An appealing presentation style that combines high-quality images and text Coverage of both common conditions and uncommon but important diseases encountered in the hospital setting A look at the state of the art of clinical reasoning, an area of critical interest to clinicians Practical "pearls" for each case study that readers can apply in their own practice Clinical Care Conundrums is an indispensable reference for hospitalists, hospital-based physicians and midlevel providers, physicians-in-training, and the many other medical practitioners who come up against difficult cases on a daily basis.

Author : Robert J. Dunlop,J. M. Hockley
Publisher : Unknown
Page : 162 pages
File Size : 46,6 Mb
Release : 1998
Category : Terminally ill
ISBN : 0191730068

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Hospital-based Palliative Care Teams by Robert J. Dunlop,J. M. Hockley Pdf

Since the 1st edition of this guide to palliative care the number of teams working in hospitals has grown rapidly. Although the team-based approach is widely accepted, there is still a need for information, which this guide provides.

Author : H. H. Abu-Saad
Publisher : John Wiley & Sons
Page : 178 pages
File Size : 47,6 Mb
Release : 2008-04-15
Category : Medical
ISBN : 9780470680322

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Evidence-Based Palliative Care by H. H. Abu-Saad Pdf

This book describes the current state of the art in the field of palliative care in children and adults. Special emphasis is placed on addressing the efficacy and effectiveness of palliative care models, pain and symptom management, and on measuring quality of life. In addition the book evaluates current research methods in palliative care and suggests suitable alternatives. Finally the book bridges the gap between science and practice by providing the reader with the current evidence and how it can be applied in the practice setting.

Author : Geoff Mitchell
Publisher : CRC Press
Page : 133 pages
File Size : 49,5 Mb
Release : 2018-05-08
Category : Medical
ISBN : 9781315358574

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Palliative Care by Geoff Mitchell Pdf

Series Editors: Moira Stewart, Judith Belle Brown and Thomas R Freeman As the population in western cultures ages, more people suffer chronic, ultimately life-limiting diseases and medical professionals need to be equipped to cope with the ever growing pressure of palliative care. This book gives guidance on how to approach patients with life limiting illness. While the problems most people present to the doctor appear relatively straightforward, a whole person approach to understanding the complex interaction between the person, their illness and their environment should lead to a more complete consideration of the illness and better health outcomes. For issues of palliative care, such an approach is essential to identify and meet the many needs of desperately ill people. Palliative Care offers a fresh look at the management of patients. With international, evidence-based contributions, the book suggests practical and challenging ways to care for the dying. It is ideal for all healthcare professionals working in palliative care, General Practitioners and medicine and healthcare students.

Author : Sara Booth,Polly Edmonds,Margaret Kendall
Publisher : OUP Oxford
Page : 192 pages
File Size : 50,9 Mb
Release : 2009-10-22
Category : Medical
ISBN : 9780191575365

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Palliative care in the acute hospital setting by Sara Booth,Polly Edmonds,Margaret Kendall Pdf

Hospital palliative care teams have been established in rapidly increasing numbers over the last 20 years, as it has been recognised that hospices can never transfer the philosophy and practice of palliative care into the acute sector by simply existing; they often work as 'stand alone units' and remain outside mainstream medicine. However it has become apparent that improving access to palliative care for patients in acute hospitals is not as easy as employing external palliative care specialists as consultants. Even setting up a team of professionals who work solely in a hospital will often not improve the care of the great majority of patients being treated there. Based on the extensive experience and knowledge of three clinicians in the area who have developed palliative care services in acute settings, this book provides those facing the same challenges with practical guidance and down to earth advice on a range of problems they might encounter. Using a problem focused and practical approach, Palliative Care in the Acute Hospital Setting: a practical guide is filled with case-based problems to help readers identify realistic, usable, everyday solutions. It also covers the skills and knowledge needed to help teams make progress in the hospital as well as outlining the best training to help them continue to flourish. Written in an accessible style with short and focussed chapters, this clearly laid out book helps readers find the information they need to tackle particular problems easily and with confidence. With a supportive outlook and covering the non-clinical management aspects of palliative care, this book is the ideal guide for palliative care specialists making the transfer from hospice to hospital, and for those setting up palliative care teams in the acute hospital setting.

Author : Bernd Alt-Epping,Friedemann Nauck
Publisher : Springer
Page : 308 pages
File Size : 48,6 Mb
Release : 2015-03-26
Category : Medical
ISBN : 9783662462027

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Palliative Care in Oncology by Bernd Alt-Epping,Friedemann Nauck Pdf

Palliative care provides comprehensive support for severely affected patients with any life-limiting or life-threatening diagnosis. To do this effectively, it requires a disease-specific approach as the patients’ needs and clinical context will vary depending on the underlying diagnosis. Experts in the field of palliative care and oncology describe in detail the needs of patients with advanced cancer in comparison to those with non-cancer disease and also identify the requirements of patients with different cancer entities. Basic principles of symptom control are explained, with careful attention to therapy for pain associated with either the cancer or its treatment and to symptom-guided antineoplastic therapy. Complex therapeutic strategies for palliative cancer patients are highlighted that involve both cancer- and symptom-directed options and address a range of therapeutic aims. Issues relating to drug use in palliative cancer care are fully explored, and a separate section is devoted to care in the final phase. A range of organizational and policy issues are also discussed, and the book concludes by considering likely future developments in palliative care for cancer patients. Palliative Care in Oncology will be of particular interest to palliative care physicians who are interested in broadening the scope of their disease-specific knowledge, as well as to oncologists who wish to learn more about modern palliative care concepts relevant to their day-to-day work with cancer patients.