More than ever it is incumbent upon those who provide care to those with life-limiting illnesses to be keenly aware of both the extent and the limits of technological advances that can add either great burden or great benefit to seriously ill patients and their families. The Hospice Companion has been created to operationalize the mission and values of modern-day hospice through the individual and combined efforts of our most valuable asset, the hospice professional.
The Hospice Companion is intended as a guide through which some mastery of the seemingly complex, challenging, and oftentimes chaotic world of advanced disease may be derived. Use of this "tool" to direct processes of care during the intensive interpersonal experiences of hospice work should allow the greatest opportunity for personal and professional growth and a deeply gratifying sense of accomplishment as you proceed in the all-important work of caring for the dying.
The second edition features a thoroughly current guide to clinical processes and symptom management, providing hospice professionals with a concise summary of changes that have influenced clinical practice over the last several years. Moreover, each chapter now concludes with a list of recommended readings, culled from the complete literature searches were done for each symptom complex.
Contributors |
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xv | |
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Palliative Care at the End of Life: Blending Structure and Function |
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1 | (6) |
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The Interdisciplinary Team (IDT) |
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7 | (7) |
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14 | (5) |
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2 Personal, Social, and Environmental Processes |
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19 | (2) |
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Advance Care Planning and Directives for Health-care Interventions |
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21 | (2) |
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Changes in Body Image and Loss of Independence |
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23 | (2) |
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Changes in Family Dynamics |
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25 | (2) |
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Completing Worldly Business and Life Closure |
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27 | (2) |
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Controlled Substances: Misuse and Abuse |
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29 | (2) |
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Cultural Differences: Respect, Understanding, and Adapting Care |
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31 | (1) |
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32 | (2) |
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34 | (4) |
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Living Environment, Finances, and Support Systems |
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38 | (1) |
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39 | (3) |
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Suicide: Risk, Prevention, and Coping If It Happens |
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42 | (6) |
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3 Clinical Processes and Symptom Management |
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48 | (6) |
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54 | (6) |
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60 | (4) |
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Belching and Burping (Eructation) |
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64 | (2) |
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Bleeding, Oozing, and Malodorous Lesions |
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66 | (6) |
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72 | (5) |
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77 | (3) |
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80 | (2) |
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82 | (4) |
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Diarrhea and Anorectal Problems |
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86 | (4) |
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Dysphagia and Oropharyngeal Problems |
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90 | (3) |
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Edema: Peripheral Edema, Ascites, and Lymphedema |
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93 | (3) |
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Fatigue, Weakness (Aesthenia), and Excessive Sedation |
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96 | (3) |
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99 | (2) |
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101 | (3) |
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104 | (4) |
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Insomnia and Nocturnal Restlessness |
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108 | (6) |
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114 | (4) |
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118 | (23) |
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141 | (3) |
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144 | (3) |
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Skeletal Muscle and Bladder Spasms |
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147 | (6) |
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Skin Breakdown: Prevention and Treatment |
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153 | (6) |
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159 | (4) |
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163 | (4) |
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Appendix 1 Palliative Radiation Therapy in End-of-Life Care: Evidence-Based Utilization |
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167 | (5) |
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Appendix 2 Principles of Pharmacotherapy |
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172 | (2) |
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Appendix 3 Ketamine Protocol |
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174 | (4) |
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Appendix 4 Clinical/Functional Assessment and Staging |
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178 | (3) |
Index |
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181 | |
Perry G. Fine is Professor of Anesthesiology, Pain Research Center, University of Utah Medical School, Salt Lake City, Utah. Matthew Kestenbaum is Chief of the Medical Staff, Capital Caring, Washington, DC.