Palliativ medicin

Människor som blir obotligt sjuka upplever oftast en existentiell kris. Som personal i vården kan det då vara svårt att veta hur man bäst kan ge stöd åt dessa patienter.

När döden utmanar livet ger personal i palliativ vård den kompetens de behöver för att känna sig trygga i mötet med patienterna. Läsaren får kunskap om krisstöd och copingprocesser samt får tips på hur man kan hantera olika frågor som väcks, som t.ex. tankar och känslor inför döden.

Palliativ vård ur ett tvärprofessionellt perspektiv beskriver den palliativa vårdens fyra hörnstenar, dvs. behandling av symtom, kommunikation, teamsamverkan och närståendestöd. Utöver dessa har boken bland annat ett kapitel om de etiska konflikter och dilemman som kan uppstå i olika vårdsituationer. Denna andra upplaga har också utökats med ett kapitel om den existentiella dimensionen.

Bokens syfte är att förmedla kunskap och ge stöd för personal som arbetar med patienter i palliativt skede, från tidig till sen fas och oavsett om de vårdas på sjukhus, i hemmet, inom kommunernas särskilda boenden eller på specifika palliativa enheter. Det mer teoretiska innehållet levandegörs med hjälp av en autentisk fallbeskrivning av en patient och hennes familj, som läsarna får följa under den tid som hon vårdas av det palliativa teamet.

Boken vänder sig till alla professioner inom området palliativ vård. Tanken är att den ska vara en naturlig del för alla universitetsutbildningar inom vård, liksom för specifika yrkesutbildningar inom vård och omsorg. Den är också tänkt att fungera som ett stöd för det praktiska vårdarbetet för såväl enskilda medarbetare som för team inom palliativ vård.

Sagt om boken"Ett autentiskt patientfall leds genom bokens kapitel och förenar teori och praktik ur ett tvärprofessionellt perspektiv. Medförfattarna Ellen Ekholm och Lars Sandman förmedlar en avsevärd kunskap med stor känsla och respekt för den döende, närstående och de team som utför ett krävande arbete. Boken har en utmärkt layout och ger värdefull kunskap på ett lättillgängligt sätt för studerande och olika yrkeskategorier inom palliativ vård."Margareta Fridstjerna, lektör, BTJ-häftet nr 21, 2024. Helhetsbetyg: 5.

Om författarnaBokens redaktörer, Inger Benkel, Ulla Molander och Helle Wijk, är alla tre forskare inom sjukvård. De har många års erfarenhet av kliniskt arbete inom palliativ vård och på universitetets vårdutbildningar. Deras olika professionella bakgrund som kurator, läkare respektive sjuksköterska innebär att de även har personlig erfarenhet av det tvärprofessionella teamarbete som de i boken betonar som väsentligt för var och en som önskar bedriva en god palliativ vård.

Hur kan vi tänka när vi möter obotligt sjuka och döende patienter? Vad kan vi göra för att lindra lidandet så effektivt som möjligt? Hur kan vi avväga fördelar och nackdelar så att vi hittar den optimala behandlingen för just den här specifika patienten?Boken ger läsaren många konkreta patientexempel, praktisk vägledning för hur man kan bedöma patientens prognos och råd för god samtalsteknik. Här finns också användbara konverteringstabeller för olika opioider, bensodiazepiner och steroider. Dessutom innehåller boken förslag för den palliativa handläggningen av personer med demenssjukdomar, ALS, KOL, hjärtsvikt, njursvikt och cancer.Palliativ medicin i praktiken riktar sig framför allt till läkare, både under utbildning och färdiga specialister. Boken kan även med fördel läsas av sjuksköterskor som söker fördjupning i palliativ omvårdnad.

Vad är ett gott liv nära döden och hur kan ett sådant främjas? Många olika synsätt existerar sida vid sida och det finns inte enbart ett enkelt svar. För att fånga den enskilda personens behov krävs ett personcentrerat förhållningssätt där patienter och närstående är självklara aktörer. Behovet av kunskap om döende, död och palliativ vård har blivit extra tydligt i samband med den pandemi som drabbade världen våren 2020.Detta är den andra omarbetade och uppdaterade utgåvan av boken. Nya kapitel: Möte med religion i det nya Sverige, Mening, Sorg samt Medicinska aspekter på döendefasen kompletterar detta redan gedigna verk. Centrala begrepp och perspektiv i teori och praktik belyses i bokens sju delar: Att möta döden i vår samtid, Värdegrund och förhållningssätt, Identitet, autonomi och delaktighet, Smärta, lidande och sorg, Stöd, tröst och mening, Livet nära döden - tidigt och sent i livet och Den palliativa vårdens praktik. Samtliga kapitel i boken har en tydlig vetenskaplig grund. Författarna är aktiva forskare med olika yrkesbakgrund och erfarenheter av palliativ vård.Boken vänder sig till studenter på grundnivå och avancerad nivå inom hälso- och sjukvårdsprogrammen, men även forskare, beslutsfattare och en intresserad allmänhet kan ha nytta av att läsa boken.

Palliativ vård är en helhetsvård för svårt sjuka och döende.De fyra palliativa "hörnstenarna" beskrivs i boken: symtomkontroll i vid bemärkelse, kommunikation och relation, teamarbete och närståendestöd. Varje kapitel innehåller fallbeskrivningar, faktarutor och reflektionsfrågor.

While palliative care has adopted a holistic approach to treatment, medication driven symptom management ostensibly forms the critical aspect of care. Prescribing in palliative care can be extremely complex because the patient may often have comorbidity, or occasionally multimorbidity. The associated polypharmacy further complicates the pharmacological management of symptoms being caused by the palliative condition. This can be daunting for healthcare professionals and can negatively impact upon the effectiveness of care provided.Fully revised and updated, the third edition of Drugs in Palliative Care provides an accessible and succinct overview of the main drugs that are encountered in palliative care clinical practice. The text begins by providing a clinical pharmacology overview and prescribing guidance, then contains over 160 monographs of palliative care drugs, in an easy to access A-Z format.

Mycket inom ny forskning tyder på att livet inte slutar med döden. Boken belyser studier som tydligt indikerar att vårt medvetande fungerar oberoende av den fysiska kroppen och hjärnan. Peter Fenwick, neuropsykiater, internationellt välkänd forskare inom neurovetenskap och nära-döden-relaterade tillstånd ger en värdefull guide i möten med döden. Ger nya perspektiv på både livet och döden.

Döden är i högsta grad en naturlig del av livet och angår oss alla, ändå är döden och döendet ett känsligt och svårt ämne, något oundvikligt som man gärna undviker ...

Att Möta Döden med Tillit och Hopp – Forskning i Medvetandets Gränsland – den svenska utgåvan av Peter och Elizabeth Fenwicks mycket uppmärksammade bok The Art of Dying förmedlar en mer positiv och naturlig syn på döden som i förlängningen leder till att vi faktiskt ska kunna ”möta döden med tillit och hopp”.

Mycket inom nyare forskning tyder nämligen på att livet inte slutar med ”döden”. Boken belyser studier i dödens och medvetandets gränsland och presenterar fakta som tydligt indikerar att vårt medvetande kan fungera oberoende av den fysiska kroppen och hjärnan. Om detta kan bevisas vetenskapligt leder det förvisso till en helt ny syn på både livet och döden.

Döden är en process och boken ger en värdefull vägledning till oss alla, inte minst till närstående och vårdpersonal. Peter Fenwick M.D., Ph.D., neuropsykiater och internationellt välkänd forskare inom neurovetenskap med fokus på nära-döden-relaterade tillstånd och upplevelser, exempelvis nära-döden-upplevelser, upplevelser i livets slutskede och närliggande områden. Boken som han skrivit tillsammans med Elizabeth Fenwick, bygger främst på Fenwicks omfattande kliniska studier.

Förord av Pim van Lommel M.D., kardiolog, också han en stor auktoritet inom medvetande- och nära-döden-forskning samt bl.a. författare till Consciousness Beyond Life -The Science of the Near-Death Experience.

Nämnda forskningsområde är högintressant att koppla till den Kosmiska Världsbild som den danske intuitionsfilosofen och mystikern Martinus Thomsen framlägger, Martinus Kosmologi. I Martinus och hans elev och samarbetspartner Per Bruus-Jensens arbete, presenteras bland annat en förklaringsmodell till vår evighetsnatur som också beskriver hur vi faktiskt överlever döden. För information se New Cosmic Paradigm NCP X-AIONS: www.newcosmicparadigm.org, här finns också kompletterande material till Fenwicks bok i form av specialbroschyrer som Peter Fenwick utarbetat tillsammans med Sue Brayne i samarbete med The Clinical Neuroscience Division, University of Southampton. Broschyrerna utgör ett värdefullt handledningsmaterial i kontakten med döende både för vårdpersonal och närstående.

Nearing the End of Life - A Guide for Relatives and Friends of the Dying(I Livets Slutskede – En handledning för släktingar och vänner till döende) http://www.newcosmicparadigm.org/images/pdf/ENDOFLIFEREL.pdf

End-of-Life Experiences - A Guide for Carers of the Dying (Upplevelser i Livets Slutskede – En handledning för vårdpersonal som arbetar med döende) http://www.newcosmicparadigm.org/images/pdf/ENDOFLIFEPROF.pdf

Vi hänvisar också till Video New Cosmic Paradigm NCP X-AIONS:Consciousness Independent of The Physical Body, Reincarnation and Evolution: The X-Structure – The Nature of Life and Reality. Länkadress: https://www.youtube.com/watch?v=u_ut8T-sKes

Läs mera: NCP X-AIONS www.newcosmicparadigm.org

THE SUNDAY TIMES BESTSELLER ‘Impossible to read with dry eyes or an unaltered mindset’ Sunday Times ‘Illuminating and beautiful’ Cathy Rentzenbrink What if everything you thought you knew about death was wrong? How should we prepare for the facts of dying and saying our goodbyes? And what if understanding death improved your life? By turns touching and tragic, funny and wise, With the End in Mind brings together Kathryn Mannix ’ s lifetime of medical experience to tell powerful stories of life and death.

NEW YORK TIMES BESTSELLERA deeply transformative memoir that reframes how we think about death and how it can help us lead better, more fulfilling and authentic lives, from America’s most visible death doula."A truly unique, inspiring perspective on the time we have, what we do with it, and how we let go of this world.... There is no one I'd trust more to guide me through an understanding of death, and how it informs life." — Jodi Picoult, New York Times bestselling author of Mad Honey and The Book of Two Ways"Briefly Perfectly Human is a beautiful, raw, light-bringing experience. Alua's voice is shimmering, singular, and pulses with humor, vulnerability, insight, and refreshing candor.... Be prepared for it to grab you, hold you tight, and raise the roof on the power of human connection." — Tembi Locke, author of From Scratch: A Memoir of Love, Sicily, and Finding HomeFor her clients and everyone who has been inspired by her humanity, Alua Arthur is a friend at the end of the world. As our country’s leading death doula, she’s spreading a transformative message: thinking about your death—whether imminent or not—will breathe wild, new potential into your life.Warm, generous, and funny AF, Alua supports and helps manage end-of-life care on many levels. The business matters, medical directives, memorial planning; but also honoring the quiet moments, when monitors are beeping and loved ones have stepped out to get some air—or maybe not shown up at all—and her clients become deeply contemplative and want to talk. Aching, unfinished business often emerges. Alua has been present for thousands of these sacred moments—when regrets, fears, secret joys, hidden affairs, and dim realities are finally said aloud. When this happens, Alua focuses her attention at the pulsing center of her clients’ anguish and creates space for them, and sometimes their loved ones, to find peace.This has had a profound effect on Alua, who was already no stranger to death’s periphery. Her family fled a murderous coup d’état in Ghana in the 1980s. She has suffered major, debilitating depressions. And her dear friend and brother-in-law died of lymphoma. Advocating for him in his final months is what led Alua to her life’s calling. She knows firsthand the power of bearing witness and telling the truth about life’s painful complexities, because they do not disappear when you look the other way. They wait for you.Briefly Perfectly Human is a life-changing, soul-gathering debut, by a writer whose empathy, tenderness, and wisdom shimmers on the page. Alua Arthur combines intimate storytelling with a passionate appeal for loving, courageous end-of-life care—what she calls “death embrace.” Hers is a powerful testament to getting in touch with something deeper in our lives, by embracing the fact of our own mortality. “Hold that truth in your mind,” Alua says, “and wondrous things will begin to grow around it.”

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

The most thorough text available on providing patients and families with quality end-of-life care

"The study/learning questions at the end of each chapter make this book an excellent resource for both faculty who wish to test knowledge, and individual learners who wish to assess their own learning....The book is well written and easy to read. 3 Stars."--Doody's Review Service

End of Life Care: A Practical Guide offers solution-oriented coverage of the real-world issues and challenges that arise daily for clinicians caring for those with life-limiting illnesses and conditions.

End of Life Care: A Practical Guide includes specific clinical guidance for pain management and other common end of life symptoms. The second edition has been made even more essential with the addition of chapter-ending Q&A for self assessment and board review, new coverage of multicultural medicine, an increased number of algorithms to assist decision making on complicated clinical, legal, and ethical issues.

Six sections walk you through the complexities of caring for patients who are nearing the end of life:

Preparing Patients for End of Life Management of Symptoms Diagnostic and Invasive InterventionsEthical DilemmasSpecial PopulationsDiversity

No other text better assists physicians and other clinicians in providing patients near the end of life with support, guidance, and hope in the face of “hopelessness” than End of Life Care: A Practical Guide.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

From one of the world’s leading medical journals comes the definitive evidence-based, full-color guide to end-of-life and palliative care

A new addition to the JAMAevidence series, Care at the Close of Life: Evidence and Experience offers evidence-based and clinical expert guidance on caring for patients with life-limiting illness, incorporating the words and perspectives of affected patients, their families, and treating clinicians.

Organized by these actual clinical cases, the book is based on the acclaimed 7-year series of 42 articles, originally published in JAMA as “Perspectives on Care at the Close of Life,” and now thoroughly updated as chapters and featuring extensive never-before-published material. Care at the Close of Life covers are a wide range of clinical syndromes, disease processes, communication challenges, health-care delivery settings, and issues faced by patients, including withdrawal of dialysis and other life-sustaining measures, cross-cultural approaches, and the role of chemotherapy. Throughout the book, emphasis is on the principles of palliative care, with the patient and family at the center of care, and with attention given to all problems—physical, psychological, social, and spiritual.

Reflecting this focus, each chapter begins with a patient case study to introduce the clinical problem, followed by “perspectives” that draw on extensive, real-world dialogue between clinicians, patients, and families. Internationally renowned authors then review the typical challenges illustrated by the case, offering state-of-the-art, evidence-based assessment and treatment approaches.

Features

Fully revised and updated text with new evidence and references, including the search methodology for each chapter’s updateEvidence-based orientation presents the current state of knowledge in the care of terminally ill patients and support for their families and caregiversPractical clinical guidance and approaches from international experts in palliative care Self-assessment Q&A, for reinforcing your knowledge of each chapter’s content and for preparing for examsA useful Glossary of acronyms, terms, and tests Updated Resources for each chapter offer current, authoritative sources of diagnostic and treatment information that can help you optimize palliative careMedline PubMed ID numbers facilitate quick, convenient access to references

Handbook of Supportive and Palliative Radiation Oncology serves as a practical tool and rapid reference to assist radiation oncology practitioners in direct patient care with common palliative care issues. Containing the most recent advances in translational palliative care research, each chapter is organized in a succinct fashion to discuss major symptom burdens, suggested assessment, and various management options. Each symptom and disease section is written to be a rapid, practical guide for clinicians on the floor.

The book starts with general approaches in palliative radiation oncology that are followed by a section that focuses on common symptoms in palliative care and their management. The next section of the book is devoted to site and disease-specific evaluation, intervention, and management.

This handbook provides general guidelines and management recommendations for common clinical vignettes encountered by palliative radiation oncology practitioners and supported by palliative radiation oncology research. Concise references are cited to support treatment recommendation.

Provides a quick reference for the busy clinician Details standard of care resources for researchers of palliative and supportive care Contains updated standards of care for palliative medicine and a list of common medications and dosages Includes a comprehensive index by symptom and condition to facilitate quick reference

Behavioral Intervention Research in Hospice and Palliative Care: Building an Evidence Base sets forth research considerations and guidelines to build evidence-based interventions to improve end-of-life care. It is an in-depth introduction to implementation research and showcases how a clinical need is identified to inform an intervention. The book extensively examines the various phases of intervention research, including design, implementation, evaluation, dissemination and translation. The book focuses on methodological, ethical and practical issues.

The science behind the quality of hospice and palliative care lags behind that of traditional medical practice, despite the continuous growth of palliative care interdisciplinary teams. Researching, developing and testing strategies is essential to advancing the effectiveness and value of this care.

Informs readers how to conduct intervention research toward identifying best care Advises readers on design, implementation and evaluation of research Provides step-by-step templates to develop an intervention study Includes mock protocols from successful intervention trials Synthesizes lessons learned by established intervention researchers in hospice and palliative care

Neuropalliative Care, Part Two, Volume 191 covers a type of care that is given when there is no cure for the neurological disorder and the patient is in distress. It provides a scholarly background of neuropalliative care, from historic underpinnings to its practice in various geographical regions, along with best practices for specific neurological disorders. It covers the work of multi or interdisciplinary teams whose care is intended to make the patient as comfortable as possible and includes partners and families in treatment plans. Summarizes research in neuropalliative care Identifies current practices in different geographic regions Provides best practices for specific neurological disorders and patient populations Includes advanced care planning

The first volume in the "What Do I Do Now?: Palliative Care" series, Pediatric Palliative Care uses a case-based palliative care approach to cover common and important topics in the examination, investigation, and management of children with serious illness. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. The book addresses a wide range of topics, including the goals of care, symptom management, care for neonatal and adolescent populations, and the emotional, social, cultural and spiritual needs of ill children and their families. Written by authors from a variety of fields such as nursing, chaplaincy, social work, and psychology, this book is suited for pediatricians, palliative care and hospice providers, nurses, and allied health practitioners. Pediatric Palliative Care is an engaging collection of thought-provoking cases which clinicians can utilize when they encounter difficult patients. The volume is also a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"

Caring for the Family Caregiver examines the high cost and poorly addressed exigencies of the family caregiver in chronic illness, including health literacy, palliative care, and health outcomes, through the prism of communication. This book uses an interdisciplinary approach to identify the impact of communication and its burdens on the caregiver and presents four caregiver profiles: the Manager, Carrier, Partner, and Lone caregiver, each emerging from a family system with different patterns of conversational sharing and expectations of conformity. By synthesizing current data assessing the experiences of caregivers, as well as integrating the narrative experiences of a range of caregivers living through a variety of illnesses and their specific demands, the authors deliver an unflinching gaze at the journey of the caregiver.With an author team comprised of three health communication researchers and a nurse and health literacy expert, this volume integrates literature addressing caregiver needs and burdens, communication theory and practice, palliative care and health literacy research, and the real stories of caregivers. Caring for the Family Caregiver presents the groundbreaking concept of the Caregiver Types and an innovative set of support resources to facilitate improved pathways to better care for the caregiver, making it an essential resource for providers, students, clinicians, policy makers and family caregivers alike.

The first resource of its kind, Palliative and Serious Illness Patient Management for Physician Assistants provides a fundamental framework for physician assistants and physician associates to incorporate palliative care medicine, including end-of-life care, into their practice. The book focuses on pharmacologic and integrative medical therapeutic modalities, as well as the evaluation and treatment of special populations, which reflects the reality of a physician assistant's day-to-day job. It uses a patient-centered approach to address the comprehensive management of serious illness patients, as well as their designated families, significant others, caregivers, and health care providers. Chapters are organized into six sections that cover the essential aspects of care, symptom management, and transitioning care at the end-of-life. This book is ideal for physician assistant trainers (didactic or clinical), students, and practicing clinicians who seek to enhance their communication and medical skills in the treatment of all seriously illness patient populations in any specialty, and in the management of their symptoms at any stage of their disease or condition.

Communication in Palliative Nursing presents the COMFORT Model, a theoretically-grounded and empirically-based model of palliative care communication. Built on over a decade of communication research with patients, families, and interdisciplinary providers, and reworked based on feedback from hundreds of nurses nationwide, the chapters outline a revised COMFORT curriculum: Connect, Options, Making Meaning, Family caregivers, Openings, Relating, and Team communication. Based on a narrative approach to communication, which addresses communication skill development, this volume teaches nurses to consider a universal model of communication that aligns with the holistic nature of palliative care. This work moves beyond the traditional and singular view of the nurse as patient and family educator, to embrace highly complex communication challenges present in palliative care-namely, providing care and comfort through communication at a time when patients, families, and nurses themselves are suffering. In light of the vast changes in the palliative care landscape and the increasingly pivotal role of nurses in advancing those changes, this second edition provides an evidence-based approach to the practice of palliative nursing. Communication in Palliative Nursing integrates communication theory and health literacy constructs throughout, and provides clinical tools and teaching resources to help nurses enhance their own communication and create comfort for themselves, as well as for patients and their families.

As humanitarian aid organizations have evolved, there is a growing recognition that incorporating palliative care into aid efforts is an essential part of providing the best care possible. A Field Manual for Palliative Care in Humanitarian Crises represents the first-ever effort at educating and providing guidance for clinicians not formally trained in palliative care in how to incorporate its principles into their work in crisis situations. Written by a team of international experts, this pocket-sized manual identifies the needs of people affected by natural hazards, political or ethnic conflict, epidemics of life-threatening infections, and other humanitarian crises. Later chapters explore topics including pain management, skin conditions, non-communicable diseases, palliative care emergencies, the law and ethics of end of life care, and more. Concise and highly accessible, this manual is an ideal educational tool pre-deployment or during fieldwork for clinicians involved in planning and providing humanitarian aid, local care providers, and medical trainees.

Many emergency clinicians encounter a gap in knowledge and skills when presented with serious life-threatening illness, particularly in patients with advanced and terminal illness. Over the last decade, studies have shown that patients who receive palliative care in the emergency setting have improved clinical outcomes with better symptom management, improved goal concordant care, and more effective resource utilization that delivers improved patient centered outcomes. Palliative Care in Emergency Medicine is intended to serve as a practical resource to the essential clinicians on the frontlines of emergency care.Dr. Quest brings together emergency medicine clinicians and palliative care subspecialists to discuss common, challenging cases that clinicians struggle with daily regarding care for patients and families experiencing serious, life threatening, and terminal illnesses. Each chapter opens with a typical emergency department clinical case, followed by a discussion, conclusion, and suggested readings that explore the topic in more depth. Palliative Care in Emergency Medicine equips emergency clinicians to meet seriously ill patients and family wherever they are and provide the best care possible.

In the 21st century, people in the developed world are living longer. They hope they will have a healthy longer life and then die relatively quickly and peacefully. But frequently that does not happen. While people are living healthy a little longer, they tend to live sick for a lot longer. And at the end of being sick before dying, they and their families are frequently faced with daunting decisions about whether to continue life prolonging medical treatments or whether to find meaningful and forthright ways to die more easily and quickly. In this context, some people are searching for more and better options to hasten death. They may be experiencing unacceptable suffering in the present or may fear it in the near future. But they do not know the full range of options legally available to them. Voluntary stopping eating and drinking (VSED), though relatively unknown and poorly understood, is a widely available option for hastening death. VSED is legally permitted in places where medical assistance in dying (MAID) is not. And unlike U.S. jurisdictions where MAID is legally permitted, VSED is not limited to terminal illness or to those with current decision-making capacity. VSED is a compassionate option that respects patient choice. Despite its strongly misleading image of starvation, death by VSED is typically peaceful and meaningful when accompanied by adequate clinician and/or caregiver support. Moreover, the practice is not limited to avoiding unbearable suffering, but may also be used by those who are determined to avoid living with unacceptable deterioration such as severe dementia. But VSED is "not for everyone." This volume provides a realistic, appropriately critical, yet supportive assessment of the practice. Eight illustrative, previously unpublished real cases are included, receiving pragmatic analysis in each chapter. The volume's integrated, multi-professional, multi-disciplinary character makes it useful for a wide range of readers: patients considering present or future end-of-life options and their families, clinicians of all kinds, ethicists, lawyers, and institutional administrators. Appendices include recommended elements of an advance directive for stopping eating and drinking in one's future if and when decision making capacity is lost, and what to record as cause of death on the death certificates of those who hasten death by VSED.

Originally published in 1998, Psycho-Oncology was the first comprehensive text in the field and remains the gold standard today. Previously led by Dr. Jimmie C. Holland, the founder of the field, this new edition is edited by a team of internationally renowned experts in psycho-oncology. The text reflects the interdisciplinary nature and global reach of this growing field. It covers evidence-based clinical practice guidelines from around the world, survivorship issues, psychotherapeutic interventions, and psychopharmacologic interventions.Thoroughly updated and developed in collaboration with the American Psychosocial Oncology Society and the International Psycho-Oncology Society, the fourth edition is a current, comprehensive reference for psychiatrists, psychologists, oncologists, hospice workers, and social workers seeking to understand and manage the psychological issues involved in the care of persons with cancer and the psychological, social, and behavioral factors that contribute to cancer risk and survival.

What Do I Do Now: Respiratory Symptoms is the first book of its kind to succinctly describe the palliative care approach to patients experiencing respiratory symptoms throughout their illness trajectory. Dyspnea, also known as breathlessness, is one of the most difficult symptoms to experience and is also one of the most difficult to treat as the evidence-base for this symptom lags behind other prevalent symptoms, such as pain or nausea.This volume brings together expertise from the fields of nursing, chaplaincy, social work, and psychology to address dyspnea from a palliative care context. Covering patients ranging from pediatric to geriatric, each chapter opens with a case study and provides context for the practical clinical content that follows.

The Textbook of Palliative Care Communication is the authoritative text on communication in palliative care, providing a compilation of international and interdisciplinary perspectives. This volume was uniquely developed by an interdisciplinary editorial team to address an array of providers including physicians, nurses, social workers, and chaplains, and it unites clinicians with academic researchers interested in the study of communication. By featuring practical conversation and curriculum tools stemming from research, this text integrates scholarship and inquiry into translatable content that others can use to improve their practice, teach skills to others, and engage in patient-centered communication. The volume begins by defining communication, explicating debatable issues in research, and highlighting specific approaches to studying communication in a palliative care context. Chapters focus on health literacy and cultural communication, patient and family communication, barriers and approaches to discussing palliative care with specific patient populations, pain, life support, advance care planning, and quality of life topics such as sexuality, spirituality, hope, and grief. Team communication in various care settings is outlined, and current research and education for healthcare professionals are summarized. Unique to this volume are chapters on conducting communication research, both qualitatively and quantitatively, to promote further research in palliative care.

The Clinical Pocket Guide to Advanced Practice Palliative Nursing is a companion guide to Advanced Practice Palliative Nursing, the first text devoted to advanced practice nursing care of the seriously ill and dying. Each chapter of this pocket guide presents point-of-care guidance on palliative care issues for quick reference in daily practice. Edited by leaders in the field, this handbook provides consistency in the nursing process from assessment to management and evaluation of symptoms and various clinical situations. The Clinical Pocket Guide to Advanced Practice Palliative Nursing contains clinical pearls developed from the textbook and practical tools on pain and symptom assessment, functional status, and communication, making it an ideal resource for practicing APNs.

The first volume in the HPNA Palliative Nursing Series, Structure and Processes of Care provides an overview of palliative nursing care, reviews National Consensus Project guidelines, and offers tools for initiating and maintaining palliative care programs. The content of the concise, clinically-focused volumes in the HPNA series prepares nurses for certification exams as well as quick-reference in daily practice. Plentiful tables, figures, and practical tools such as assessment instruments, pharmacology tables, and patient teaching points make these volumes useful resources for nurses.