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Hospice and Palliative Care: Concepts and Practice, Second Edition

Author(s): Denice Kopchak Sheehan, RN, MSN, CRNH, Ursuline College
Walter Forman, MD, FACP, New Mexico Federal Medical Center, New Mexico
  • ISBN-13: 9780763715663
  • ISBN-10:0763715662
  • Paperback    288 pages      © 2003
Price: International Sales $104.95 US List
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Hospice and Palliative Care: Concepts and Practice, Second Edition offers theoretical perspectives and practical information about this growing field. Contributing authors from a variety of backgrounds working in end-of-life care present a historical overview of hospice and explain how the interdisciplinary team functions in the hospice setting. They then discuss challenges to the team including symptom management, death education, ethical issues, and support groups. The future of hospice is addressed in the final part of the book. The contributors are experts in community medical care, geriatric care, nursing care, pain management, research, counseling, and hospice management. 

Chapter 1. The Historical Development of Hospice and Palliative Care
David A. Bennaum

The Historical Roots of Hospice
The Modern History of Hospsice
The Legislative Role in Hospice and Palliative Care
Recent Developments in Hospice and Palliative Care
The Contribution of Pharmacological Innovation
For Further Reading

Chapter 2. The Interdisciplinary Team
N. Elizabeth Eustler and Jeanne M. Martinez

Staff Characteristics
Interview Process for Potential Hospice Employees/Volunteers
Members of the Team
The Core Team
Ancillary Team Members
The Office Staff as Team Members
The Team in Action
Family Conferences
Office Space and Equipment
For Further Reading

Chapter 3. Eligibility and Reimbursement for Hospice and Palliative Care
Constance M. Dahlin

Eligibility for Hospice
Eligibility for Palliative Care
Hospice Reimbursement
Palliative Care Reimbursement
Physician Services Reimbursement
Advanced Practice Nurse (APN) Services Reimbursement
For Further Reading

Chapter 4. Hospice/Palliative Care Settings
Judith A. Kitzes, Betty L. Schmoll, Carol E. Dixon

Levels of Care
Additional Non-Medical Levels ofCare
Service Settings

Chapter 5. Continuous Quality Improvement (CQI) in Hospice
Michele Y. Lee

Assessment of Quality
Goals and Standards
The CQI Process
Data Collection and Analysis
Barriers to Implementation

Chapter 6. Communication at the End of Life
Jacqueline Mauk

Principles of Human Communication
The Importance of Good Communication at the End of Life
Barriers to Good Communication
Practical Aspects of Communicating at the End of Life
Breaking Bad News
Assessing for Suicide Potential

Chapter 7. Ethical Issues in Hospice Care
David Barnard

Expectations of Patients, Family, and Team
Advance Directives
Physician-Assisted Suicide and Euthanasia

Chapter 8. Legal Issues in Hospice and Palliative Care
Lynn McKeever

Introducing the Common Law
What Is a Right and Where Does it Come From?
The Common Law Rights of Patients, Plus One More
Documenting the Exercise of Patient Rights: A Guide to Forms
Dealing with Proxy Decision-Makers
Managing the Flow of Legally-Significant Documents and Conversation

Chapter 9. Spiritual Care of the Dying Person
Constance B. McPeak

Exploration of Purpose and Meaning
Relationship Work: Saying Goodbye
The Return of Essence
For Further Reading

Chapter 10. General Issues: Fatigue, Dyspnea, and Constipation
Diletta M. Renier-Berg

Asthenia (Fatigue)
Pharmacological Therapy
Psychological Distress
General Matters
Further Reading

Chapter 11. Principles of Pain Management
Marijo Letizia

Etiology of Pain
Assessment of Pain
Barriers to Pain Management
Misconceptions about Pain
Overview of Approaches to Pain Management
Nonpharmacologic Approaches to Pain Management
Further Reading
Pain Guidelines from the Agency of Health Research and Quality
Initial Pain Assessment Tool
Brief Pain Inventory (Short Form)
Memorial Pain Assessment Card

Chapter 12. Pharmacotherapy for Chronic Pain
Robert P. Anderson

Nonopioid Analgesics
Opioid Analgesics
Adjuvant Medications
Further Reading

Chapter 13. Cultural Competence in Hospice and Palliative Care
Polly Mazanac and Judith A. Kitzes

Cultural Competence
Hospice and Palliative Care Issues Influenced by Culture

Chapter 14. Palliation in Noncancer Disease
Brad Stuart

The Challenges of Prognostic Uncertainty
Severity Indicators
Treatment Considerations

Chapter 15. Grief and Bereavement Issues in Hospice/Palliative Care
M. Murray Mayo

Literature Review
End-of-Life Model
Search Results
Future Directions and Conclusions

Chapter 16. Care of the Patient as Death Approaches in the Hospice/Palliative Care Setting
Walter B. Forman and Denice Kopchak Sheehan

General Issues
Symptoms at End of Life
General Treatment Planning

Chapter 17. Education and Family Support
Diana Longeway

Definition of Terms
Hospice and Interdisciplinary Team
Breaking Bad News
When Do We Begin To Die?
Window of Time
Advance Directives
Types of Support
Bereavement Support
Travel and Quality of Life
Funeral/Memorial Planning
For Further Reading

Chapter 18. Solving Issues in Hospice/Palliative Care through the Use of Case Problems
Walter B. Forman

Case Problem 1: Is This Person Eligible for Hospice Medicare Benefit?
Case Problem 2: Planning for the Future
Case Problem 3: Pain in the Person with Cancer
Case Problem 4: A Person with Bowel Obstruction
Further Reading

Chapter 19. The Information Superhighway and Palliative Care
Dennis Pacl

Informatics and the Electronic Medical Record
The Electronic "Curbside Consult"
Security and Privacy
Health Information on the Internet
Internet Resources for the Palliative Care Professional
Handheld Computers: Distance Insensitive Computing
Clinical Implications

Chapter 20. Community Resources for Hospice/Palliative Care Patients
N. Elizabeth Eustler

Social Workers
Further Reading

Denice Kopchak Sheehan, RN, MSN, CRNH-Ursuline College

Walter Forman, MD, FACP-New Mexico Federal Medical Center, New Mexico