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El. knyga: End of Life Care in the ICU: From advanced disease to bereavement

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The Oxford Specialist Handbooks series provides readers with clear, concise information on all that is needed to successfully train in the medical sub-specialties. Each book gives an overview of clearly defined procedures, skills, guidelines, and technologies and provides practical tips and case studies to supplement hands-on experience. Where appropriate, each book complements the revised curriculum as developed by the Specialist Advisory Committees.

As palliative medicine does not have the resources to care for all patients with malignant and non-malignant chronic disease, government guidelines have pushed for its inclusion in the curriculum of most medical and surgical specialties. All specialties are being encouraged to become actively engaged in managing end of life care for their own patients.

End of life care in the ICU presents its own unique challenges, and this book highlights real clinical issues which need to be addressed if quality palliative care within ICUs is to be consistently delivered. It details strategies and evidence-based advice on the nature of effective palliative care in the ICU setting, dealing with issues such as diagnosing the dying, communicating with patients and families, the support of families and carers, multidisciplinary working, TPN and fluids, dialysis, inotropic support, autonomy, dignity, effective symptom control, practical ethics, and the process of decision making, management of dying, and bereavement care. This book is ideal for doctors, nurses, and allied health professionals working in the ICU and palliative care.

Recenzijos

This is an excellent publication, properly described as a handbook. I am amazed at the vast volume of information included in a book so conveniently vinyl bound and pocket sized, including a rich variety of articles of bite-sized length. I am certain [ it] will be of immense value and interest to a wide variety of readers Bernard Dickens, University of Toronto I would recommend this book to be used as a reference guide by any member of the multi-professional healthcare team involved in patient care on the ICU. It challenges readers to reflect on situations they have experienced and guide them in situations they have yet to face. It has the potential to improve the quality of care readers provide to dyning patients. Dr James Brown in Palliative Medicine

1. Introduction ;
2. Improving palliative and end-of-life care ;
3.
Symptom control ;
4. Caring for families in the ICU ;
5. Cultural issues,
spirituality and hope ;
6. Teamwork, relationships and moral distress ;
7.
Legal issues and conflict resolution ;
8. Cardiopulmonary resuscitation ;
9.
Withholding and withdrawal of life support ;
10. Lessons learned ;
11.
Personal stories and reflections ;
12. Special situations ;
13. Organ
donation ;
14. Research issues ;
15. Web-based resources
Elie Azoulay, MD, PhD is Professor of Medicine at the University of Paris 7, France, as well as the Director assistant of the medical ICU at the Saint-Louis Teaching Hospital in Paris. He is a member of the Ethics Section of ESICM and on the editorial board of Intensive Care Medicine. From his background of respiratory care physician, he is mostly interested in pulmonary complications in immunocompromized patients. He has also largely contributed to the literature reporting improvements in survival of critically ill cancer patients. Furthermore, he serves as the Director of the French FAMIREA study group, which is aimed at improving the effectiveness of communication with family members of ICU patients.
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