Palliative Care E-Book

Linda L. Emanuel, S. Lawrence Librach

Description

Find out all you need to know about providing high-quality care to patients with serious illnesses from the 2nd edition of Palliative Care: Core Skills and Clinical Competencies. Drs. Linda L. Emanuel and S. Lawrence Librach, leaders in the field, address the clinical, physical, psychological, cultural, and spiritual dimensions that are integral to the care of the whole patient. They give you a broad understanding of the core clinical skills and competencies needed to effectively approach patient assessment, care of special populations, symptom control, ethical issues, and more. Clearly written in a user-friendly, high-yield format, this resource is your ultimate guidebook to the burgeoning practice of palliative medicine.

• Improve your pain management and symptom management skills with a better understanding of best practices in palliative care.
• Quickly review specific treatment protocols for both malignant and non-malignant illnesses, including HIV/AIDS, heart failure, renal failure, pulmonary disease, and neurodegenerative disease.

Better understand and manage the common and unique challenges associated with delivering palliative care in various social settings, such as the ICU, hospice, and the home; and to diverse populations, such as children, elders, and vulnerable members of society.

• Expand your knowledge of palliative care issues with new chapters on Veterans, Special Populations, Prognostication, Delirium, Working with Families, Wound Care, Home Care, and Dealing with Economic Hardship.
• Find the information you need quickly and easily with a templated, high-yield format.

Sujets

• Médecine
• Hallucinations
• United States of America
• Vómito
• VIH
• Chronic obstructive pulmonary disease
• Cardiac dysrhythmia
• Urge incontinence
• Parkinson's disease
• Oncology
• Aminosalicylic acid
• Amyotrophic lateral sclerosis
• Breastfeeding
• Psychiatry
• Death Anxiety
• Dioctyl sodium sulfosuccinate
• Alzheimer's disease
• Alcohol withdrawal syndrome
• Nursing
• Family caregivers
• Ageing
• Spiritualities
• Emphysema
• Resource
• Caregiver
• Intensive care unit
• Health care provider
• Department of Health Services
• AIDS
• Self care
• Sexual function
• Neurodegeneration
• Long-term care
• Accreditation
• Psychomotor agitation
• Memory loss
• Family medicine
• End stage renal disease
• Guideline
• Medical guideline
• Morales
• Gastrectomy
• Household
• Chronic kidney disease
• Terminal illness
• Pulmonary hypertension
• Pethidine
• Pulmonology
• Hypercalcaemia
• Opioid
• Psychological pain
• Withdrawal
• Pulmonary edema
• Pain management
• Pancreatic cancer
• Wound
• Hypersensitivity
• Cachexia
• Veteran
• Bowel obstruction
• Intensive-care medicine
• Renal failure
• Palliative care
• Health care
• Heart failure
• Further education
• Meeting
• Suffering
• Internal medicine
• Dyspnea
• General practitioner
• Urinary incontinence
• Choking
• Advance health care directive
• Assisted suicide
• Delirium
• Dehydration
• Febrile seizure
• Creativity
• Spasticity
• Posttraumatic stress disorder
• Anaphylaxis
• Heart disease
• Cardiopulmonary resuscitation
• Hematology
• Cardiac arrest
• Emergency medicine
• Informed consent
• Printing
• Diabetes mellitus
• Morality
• Address
• Dementia
• Narcotic
• Infection
• Lung
• Urinary tract infection
• Tool
• Psychosis
• Pediatrics
• Mechanics
• Erectile dysfunction
• Fear
• Euthanasia
• Major depressive disorder
• Consumption
• Chemotherapy
• Bipolar disorder
• Analgesic
• Anxiety
• Hospice
• Distress
• Interview
• Trash
• Insomnia
• Consultant
• Dronabinol
• Antidote
• Planning
• Fatigue
• Electronic
• Attitude
• Service
• Adaptation
• Constipation
• Death
• Morphine
• London
• Nutrition
• Copyright

Informations

• Publié par: Saunders
• Date de parution: 04 avril 2011
• Nombre de lectures: 1
• EAN13: 9781437735970
• Langue: English
• Poids de l'ouvrage: 6 Mo

Extrait

Palliative Care
Core Skills and Clinical Competencies
Second Edition

Linda L. Emanuel, MD, PhD
Buehler Professor of Medicine, Director, Buehler Center on Aging, Health & Society Principal, The Education in Palliative and End-of-Life Care (EPEC) Project, Northwestern University Feinberg School of Medicine, Chicago, Illinois

S. Lawrence Librach, MD, CCFP, FCFP
W. Gifford-Jones Professor, Professor and Head, Division of Palliative Care Department of Family and Community Medicine University of Toronto; Director, Temmy Latner Centre for Palliative Care, Mount Sinai Hospital Toronto, Ontario, Canada
Saunders
Front Matter

Palliative Care
Core Skills and Clinical Competencies
SECOND EDITION
LINDA L. EMANUEL, MD, PhD
Buehler Professor of Medicine
Director, Buehler Center on Aging, Health & Society Principal, The Education in Palliative and End-of-life Care (EPEC) Project
Northwestern University Feinberg School of Medicine
Chicago, Illinois
S. LAWRENCE LIBRACH, MD, CCFP, FCFP
W. Gifford-Jones Professor
Professor and Head, Division of Palliative Care Department of Family and Community Medicine University of Toronto
Director, Temmy Latner Centre for Palliative Care
Mount Sinai Hospital Toronto, Ontario, Canada
Copyright
3251 Riverport Lane
St. Louis, Missouri 63043
PALLIATIVE CARE: CORE SKILLS AND CLINICAL COMPETENCIES EXPERT CONSULT ONLINE AND PRINT, SECOND EDITION ISBN: 978-1-4377-1619-1
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Palliative care : core skills and clinical competencies / [edited by] Linda L. Emanuel, S. Lawrence Librach. — 2nd ed.
p. ; cm.
“Expert consult online and print.”
Includes bibliographical references and index.
ISBN 978-1-4377-1619-1 (pbk.)
1. Palliative treatment. I. Emanuel, Linda L. II. Librach, S. Lawrence. [DNLM: 1. Palliative Care. 2. Clinical Competence. WB 310]
R726.8.P3427 2011
616′.029—dc22
2011006018
Acquisitions Editor: Pamela Hetherington
Developmental Editor: Jessica Pritchard
Publishing Services Manager: Anne Altepeter
Project Manager: Jessica Becher
Design Manager: Ellen Zanolle
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Dedication


Courtesy St. Christopher’s Hospice, London, UK

“The last stages of life should not be seen as defeat, but rather as life’s fulfillment. It is not merely a time of negation but rather an opportunity for positive achievement. One of the ways we can help our patients most is to learn to believe and to expect this.”
Cicely Saunders, 1965–First published in American Journal of Nursing; republished in Cicely Saunders: selected writings by David Clark Oxford University Press, 2006
We dedicate this book to the memory of Dame Cicely Saunders. In its pages, we have sought to provide for the core skills that a clinician needs to make it possible for every man, woman, and child that, when dying is necessary, it becomes life’s fulfillment.
Linda L. Emanuel, S. Lawrence Librach
Contributors

Carla S. Alexander, MD, Assistant Professor of Medicine, Department of Medicine, University of Maryland School of Medicine, Institute of Human Virology, Baltimore, Maryland
HIV/AIDS

Wendy G. Anderson, MD, MS, Assistant Professor, Division of Hospital Medicine and Palliative Care Program, University of California, San Francisco, San Francisco, California
Withholding and Withdrawing Life-Sustaining Therapies

Peter Angelos, MD, PhD, Professor and Chief of Endocrine Surgery, Associate Director of the MacLean Center for Clinical Medical Ethics, Department of Surgery, University of Chicago, Chicago, Illinois
Principles of Palliative Surgery

Robert M. Arnold, MD, Professor of Medicine, Division of General Internal Medicine, Chief, Section of Palliative Care and Medical Ethics, Director, Institute for Doctor-Patient Communication, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Leo H. Criep Chair in Patient Care, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
Withholding and Withdrawing Life-Sustaining Therapies

F. Amos Bailey, MD, Associate Professor Division of Geriatrics, Gerontology and Palliative Care, Internal Medicine, University of Alabama, Birmingham, AlabamaDirector, Safe Harbor Palliative Care Program, Internal Medicine, Birmingham VA Medical Center, Birmingham, Alabama, Veterans, Veterans Administration Health Care, and Palliative Care

Al B. Benson, III, MD, FACP, Professor of Medicine Division of Hematology/Oncology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
Gastrointestinal Malignancies

Ann M. Berger, MD, MSN, Bethesda, Maryland
Nausea and Vomiting

Richard H. Bernstein, MD, FACP, Adjunct Associate Professor, Baruch/Mount Sinai MBA Program in Health Care Administration, Zicklin School of Business of the City University of New York, New York, New York Associate Professor of Clinical Medicine, Department of Medicine, Associate Professor of Clinical Preventive Medicine, Department of Preventive Medicine, The Mount Sinai School of Medicine, New York, New York Chief Medical Officer, VNSNY CHOICE Health Plan, Visiting Nurse Service of New York, New York, New York
Integrating Palliative Care Guidelines into Clinical Practice

Susan Blacker, MSW, Adjunct Lecturer, Division of Palliative Care, Department of Family and Community Medicine, University of Toronto Director, Cancer Services Planning & Performance, St. Michael’s Hospital, Toronto, Ontario, Canada
Supporting the Family in Palliative Care

Alexander A. Boni-Saenz, JD, MSc, Skadden Fellow/Staff Attorney, Chicago Medical-Legal Partnership for Seniors, Legal Assistance Foundation of Metropolitan Chicago, Chicago, Illinois
The Economic Burden of End-of-Life Illness

Robert O. Bonow, MD, Max and Lily Goldberg Distinguished Professor of Cardiology, Chicago, Illinois Vice Chairman, Department of Medicine, Chicago, Illinois Director, Center for Cardiovascular Innovation, Chicago, Illinois Northwestern University Feinberg School of Medicine, Chicago, Illinois
Heart Failure and Palliative Care

Kerry W. Bowman, MSW, PhD, Assistant Professor, Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada Clinical Bioethicist, Department of Bioethics, Mount Sinai Hospital, Toronto, Ontario, Canada
Understanding and Respecting Cultural Differences

Eduardo Bruera, MD, Professor, Department of Palliative Care and Rehabilitation Medicine, Chair, Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas
Palliative Care in Developing Countries

Robert Buckman, MB, PhD, Professor, Department of Medicine, University of Toronto, Toronto, Ontario, Canada Adjunct Professor, The University of Texas MD Anderson Cancer Center, Houston, Texas Medical Oncologist, Department of Medical Oncology, Princess Margaret Hospital, Toronto, Ontario, Canada
Communication Skills

Toby C. Campbell, MD, MSCI, Assistant Professor, Department of Medicine, University of Wisconsin, Madison, Wisconsi