Palliative Care Nursing
Framing Palliative Care
The purpose of this chapter is to disseminate knowledge of palliative-care nursing to improve the care of people at the end of their lives and to provide care and assistance to their families, friends and carers...
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Evidence-Based Practice in Palliative Care
This chapter provides an overview of the development of evidence-based practice (EBP), considers the processes of EBP and discusses its limitations in palliative care...
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Communication Skills in Palliative Care
This chapter focuses on the importance of communication skills as a central aspect of the nursing assessment and management of patients and families receiving palliative care...
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Occupational Stress in Palliative Care
This chapter explores the search for meaning in palliative caregivers, the ‘wounded healer’, sources of suffering in clinical work and coping strategies...
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Ethical Decision-Making (palliative care2)
Decision-making at the end of life necessarily occurs within an ethical framework. Dying and death occur in a context of personal values and beliefs about suffering, the meaning of death and the place of an individual within family and society...
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Spiritual Care (palliative)
Sacred moments occur in the midst of the ordinary, and that which might be considered deeply spiritual to one person might be no more than social to another. The notion of ‘sacred’ is thus profoundly personal...
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A Framework for Symptom Assessment (Palliative)
This chapter aims to provide a generic framework for the assessment and understanding of symptoms in advanced disease. It emphasises an integrated approach, recognising that various symptoms are often related...
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Pain Management in Palliative Care
This chapter provides an overview of the assessment and management of pain at the end of life. Definitions of pain and barriers to adequate pain management are also addressed....
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Fatigue (in palliative care)
The message of this chapter is that a single approach cannot manage fatigue. Fatigue is a total experience affecting a person physically, mentally, emotionally and socially. A comprehensive approach to nursing management is thus required...
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Constipation (in palliative care)
This chapter focuses on an evidenced-based practice approach to the management of constipation in the hospice setting and provides an overview of constipation management in the context of caring for adults at the end of life...
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Nausea and Vomiting (in palliative care)
This chapter emphasises that the nurse’s role in the management of nausea and vomiting requires excellent assessment skills and contemporary knowledge of physiology, current pharmacology and appropriate non pharmacological interventions...
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Nutrition and Hydration (in palliative care)
This chapter addresses the nutritional and hydration needs of people receiving palliative care with an awareness that the major tenet of palliative care is the comfort of the individual...
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Malignant Wounds
The problems associated with a malignant wound can have a devastating effect on a person’s well being and can cause a marked decline in quality of life. This chapter guides nurses through how to manage 'fungating' or malignant wounds...
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Confusion and Terminal Restlessness (palliative care)
This chapter explores the phenomena of acute confusion and terminal restlessness. The current evidence regarding assessment and management is discussed and practical strategies are provided for nurses caring for confused patients...
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Psychological and Existential Distress (realted to palliative care)
Potential causes of transient distress in palliative care include insensitive comments, long waits in clinical departments and disease symptoms. Such potential causes of distress should be an important focus of attention in everyday nursing practice..
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Sexuality and Body Image (palliative care)
This chapter aims to highlight why sexuality and body image need to be considered in the palliative care context and outlines strategies to assist nurses to discuss and respond to sexuality issues that can arise in the palliative-care setting...
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Complementary Therapies (palliative care)
This chapter shows nurses how the use of complementary therapies can be understood as an empowerment strategy that can be used by palliative-care patients and their families to regain a sense of control over their illness and its management...
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Working with Families (palliative care)
This chapter focuses on work with care of families in the palliative phase of a person’s illness...
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Bereavement
This chapter provides guidelines to assist in the identification of people at risk of adverse bereavement outcomes, highlights the importance of grief education, and provides examples of different types of general bereavement support...
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