Download or read book Dying in America written by Institute of Medicine and published by National Academies Press. This book was released on 2015-03-19 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Download or read book Suggestions for Addressing Clinical and Non Clinical Issues in Palliative Care written by Marco Cascella and published by BoD – Books on Demand. This book was released on 2021-07-21 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Data from the World Health Organization indicate that about 40 million people worldwide require palliative care each year. We must face this enormous problem with appropriate welfare policies and training of up-to-date and competent personnel. In this context, a book that collects the experiences of authors with diverse backgrounds, and operating in different settings of palliative care, can be added to the many editorial products on the subject. Over five sections, this volume addresses such topics as palliative care in children, infants, and gynecologic oncology patients; the role of the caregiver; the use of drugs; and ethics, organization, and policy issues. Although this book should not be considered as an exhaustive treatise on palliative care, the many topics covered and the experience and competence of the authors involved make it a useful tool for those who are already experts in the field as well as those who are studying this field.

Download or read book Fast Facts for the Hospice Nurse written by Patricia Moyle Wright, PhD, MBA, MSN, CRNP, ACNS-BC, CHPN, CNE, FPCN and published by Springer Publishing Company. This book was released on 2017-01-28 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: An on-the-go reference for hospice nurses and those interested in end-of-life care, this practical guide covers the essential elements in the compassionate and holistic care of terminally ill patients and their families. Nurses care for patients facing end-of-life issues in every practice specialty and, as the U.S. population continues to age, the need for proficiency in end-of-life skills will become increasingly important. Fast Facts for the Hospice Nurse: A Concise Guide to End-of-Life Care is an invaluable resource that provides emotional, administrative, and palliative support, whether in a hospice, long-term care facility, or acute care setting. This vital go-to text clearly and concisely lays out not only how to care for patients facing end-of-life issues, but also how to engage in self-care and cope with occupational stress. Beginning with an overview of hospice care, including its history and philosophy, this book offers a timeline of the growth of the hospice movement in the United States. Subsequent sections include up-to-date information on the clinical responsibilities of the hospice nurse in addressing the physical, psychological, and spiritual needs of terminally ill patients and their families in a culturally sensitive way. This book also outlines the administrative duties of the hospice nurse, including hospice documentation, a review of hospice regulations, and quality management. The closing section focuses on occupational stress in hospice nursing and how to engage in self-care. This text can serve as a useful clinical resource and also as a reference for nurses seeking hospice certification from the Hospice and Palliative Credentialing Center. Key Features Organized within the context of the scope and standards of practice of the Hospice and Palliative Nurses Association. Addresses key points about issues unique to hospice nursing and highlights evidence-based interventions Addresses important Medicare regulations and reimbursement Offers numerous clinical resources to assist with hospice nursing practice Serves as a concise study resource for hospice nursing certification

Download or read book End of Life in Care Homes written by Jeanne Samson Katz and published by OUP Oxford. This book was released on 2003-04-03 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: In our society, the overwhelming majority of people die in later life. They typically die slowly of chronic diseases, with multiple co-existing problems over long periods of time. They spend the majority of their final years at home, but many will die in hospitals or care homes. This book explores the possibilities for improving the care of older people dying in residential care and nursing homes. It argues that there are aspects of palliative care that, given the right circumstances, are transferable to dying people in settings that are not domestic or hospice based. End of Life in Care Homes describes what happens in nursing and residential care homes when a resident is dying, how carers cope, and the practical, health and emotional challenges that carers face on top of their day-to-day work. Based on detailed research from both the UK and US, the book shows how the situation can be improved.

Download or read book Hospice and Palliative Care Handbook Fourth Edition Quality Compliance and Reimbursement written by Tina M. Marrelli and published by Sigma Theta Tau. This book was released on 2023-06-23 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: “This book is a perfect blend of compassion and competence that addresses the core values of care, the interdisciplinary team, self-care of staff, and the needs of an aging society.” –Betty Ferrell, PhD, FAAN, FPCN, CHPN Professor and Director, Nursing Research, City of Hope Medical Center Principal Investigator, End-of-Life Nursing Education Consortium “A must-read for all hospice providers. It is a comprehensive overview of the core elements required to practice effectively, compliantly, safely, and compassionately. An indispensable addition to all hospice libraries.” – Kim Corral, MA Ed, BSN, RN, COS-C Director of Corporate Compliance, Quality and Education Bridge Home Health and Hospice “I have utilized Tina Marrelli’s home health and hospice handbooks to support training new clinical staff and students for decades and consider these resources to be the gold standard.” – Kimberly Skehan, MSN, RN, HCS-D, COS-C Vice President of Accreditation Community Health Accreditation Partner Hospice & Palliative Care Handbook, Fourth Edition, offers updated coverage of all aspects of hospice and palliative care for the entire healthcare team who provide important care while meeting difficult multilevel regulations. This edition includes examples and strategies covering key topics related to standards, guidelines, goals, and effective care planning. TABLE OF CONTENTS Prologue: Hospice and Covid-19: A Pandemic Part 1: Hospice Care: An Overview of Quality and Compassionate Care Part 2: Documentation: An Important Driver for Care and Coverage Part 3: Planning, Managing, and Coordinating Hospice Care Part 4: Hospice Diagnoses and Guidelines for Care Alzheimer’s Disease and Other Dementias Care Bedbound, Coma, and Skin Care Cancer Care Cardiac and Cerebrovascular Accident (Stroke) Care Frailty and Geriatric Care Liver Disease Care Neurological Disease Care Pediatric Care: A Very Special Patient Population Pulmonary Care Renal Disease Care Skin and Wound Care Resources ABOUT THE AUTHORS TINA. M. MARRELLI, MSN, MA, RN, FAAN, is the author of over 10 award-winning books. She is an international consultant specializing in home care and hospice and is the President of Marrelli & Associates, Inc., a publishing and consulting firm working in healthcare and technology for over 25 years. JENNIFER KENNEDY, EdD, BSN, RN, CHC, is the Vice President for Quality, Standards, and Compliance at Community Health Accreditation Partner (CHAP) and is a nationally recognized hospice expert. She has more than 35 years of experience as a leader and nurse in diverse healthcare settings and has worked in hospice and palliative care for more than 25 years.

Download or read book Medicare Hospice Benefits written by and published by . This book was released on 1993 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Palliative Care in Amyotrophic Lateral Sclerosis written by David Oliver and published by OUP Oxford. This book was released on 2014-03-20 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: Amytrophic Lateral Sclerosis (ALS or motor neurone disease) is a progressive neurodegenerative disease that can cause profound suffering for both the patient and their family. Whilst new treatments for ALS are being developed, these are not curative and offer only the potential to slow its progression. Palliative care must therefore be integral to the clinical approach to the disease. Palliative Care in Amyotrophic Lateral Sclerosis: From diagnosis to bereavement reflects the wide scope of this care; it must cover not just the terminal phase, but support the patient and their family from the onset of the disease. Both the multidisciplinary palliative care team and the neurology team are essential in providing a high standard of care and allowing quality of life (both patient and carer) to be maintained. Clear guidelines are provided to address care throughout the disease process. Control of symptoms is covered alongside the psychosocial care of patients and their families. Case studies are used to emphasise the complexity of the care needs and involvement of the patient and family, culminating in discussion of bereavement. Different models of care are explored, and this new edition utilizes the increase in both the evidence-base and available literature on the subject. New topics discussed include complementary therapies, personal and family experiences of ALS, new genetics research, and updated guidelines for patient care, to ensure this new edition remains the essential guide to palliative care in ALS.

Download or read book Hospice Coordinator written by National Learning Corporation and published by Career Examination. This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Hospice Coordinator Passbook(R) prepares you for your test by allowing you to take practice exams in the subjects you need to study. It provides hundreds of questions and answers in the areas that will likely be covered on your upcoming exam.

Download or read book The Four Things That Matter Most 10th Anniversary Edition written by Ira Byock and published by Simon and Schuster. This book was released on 2004-03-08 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: “This beautiful book, full of wisdom and warmth, teaches us how to protect and preserve our most valuable possessions—the relationships with those we love. It shows that the things that matter definitely aren’t ‘things,’ and how to empower your life in the right direction.” —Dr. Stephen R. Covey, author of The 7 Habits of Highly Effective People Four simple phrases—“Please forgive me,” “I forgive you,” “Thank you,” and “I love you”—carry enormous power to mend and nurture our relationships and inner lives. These four phrases and the sentiments they convey provide a path to emotional wellbeing, guiding us through interpersonal difficulties to life with integrity and grace. Newly updated with stories from people who have turned to this life-altering book in their time of need, this motivational teaching about what really matters reminds us how we can honor each relationship every day. Dr. Ira Byock, an international leader in palliative care, explains how we can practice these life-affirming words in our day-to-day lives. Too often we assume that the people we love really know that we love them. Dr. Byock demonstrates the value of “stating the obvious” and provides practical insights into the benefits of letting go of old grudges and toxic emotions. His stories help us to forgive, appreciate, love, and celebrate one another and live life more fully. Using the Four Things in a wide range of life situations, we can experience emotional healing even in the wake of family strife, personal tragedy, divorce, or in the face of death. With practical wisdom and spiritual power, The Four Things That Matter Most gives us the language and guidance to honor and experience what really matters most in our lives every day.

Download or read book Approaching Death written by Committee on Care at the End of Life and published by National Academies Press. This book was released on 1997-10-30 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."

Download or read book A Hospice Guide Book written by Dr. Curtis E. Smith and published by Inspiring Voices. This book was released on 2012-01-04 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: When you or a loved one are diagnosed with a terminal illness, you wonder what can be done to make life easier and more meaningful during the remaining time on earth. In A Hospice Guide Book, author Dr. Curtis E. Smith shows how the concept of hospice, which emphasizes the important provisions of comfort care through the end-of-life journey, can help terminal patients die a comfortable, peaceful death with dignity. A resource for families, patients, and health care providers, A Hospice Guide Book provides a thorough explanation of the hospice concept. It discusses the definition of hospice care and its origins; hospice fallacies, myths, and facts; alternative care modalities; the hospice team and its responsibilities; levels of care and treatment; pain and pain management; hospice residences; end of life care. A Hospice Guide Book presents a plethora of information about hospice, enabling those who could become hospice patients the opportunity to receive the benefit of expert comfort care; pain control management; symptom control; and emotional, spiritual, and psychosocial support as they live with their terminal illness during the end-of-life journey and peacefully transition from this life to the next.

Download or read book Terminal Care at Home written by Roy Spilling and published by Oxford University Press, USA. This book was released on 1986 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most people, if given the opportunity, would choose to die at home rather than in the alien environment of a hospital. But many who do stay home to die suffer unnecessarily. This helpful professional guide is intended to improve the comfort of those dying at home and to increase the proportion of those able to do so. The contributors address the problems of poor communication and inadequate support services, explain what family members can do to help control symptoms, and discuss the kinds of cases which can be treated at home

Download or read book Living at the End of Life written by Karen Whitley Bell and published by Union Square & Co.. This book was released on 2018-01-02 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: An updated edition of the most respected book on hospice care—for both patients and caregivers. This warm and informative resource on hospice and other end-of-life care options now gets an update. It receives a new preface and revised guidance on elders who need more long-term care and support, recommendations on pain medications, and advice for those living extended lives with treatable, but not curable, diseases. Written by a hospice nurse, Living at the End of Life reassures us that this difficult time also offers an opportunity to explore and rediscover a richer meaning in life. Drawing on her years of experience, Bell has created a comprehensive, insightful guide to every aspect of hospice care and the final stages of life. For people in hospice, as well as their friends and families, this is an indispensable and trustworthy source of comfort and spiritual healing.

Download or read book The Inevitable Hour written by Emily K. Abel and published by JHU Press. This book was released on 2013-05-01 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: Changes in health care have dramatically altered the experience of dying in America. At the turn of the twentieth century, medicine’s imperative to cure disease increasingly took priority over the demand to relieve pain and suffering at the end of life. Filled with heartbreaking stories, The Inevitable Hour demonstrates that professional attention and resources gradually were diverted from dying patients. Emily K. Abel challenges three myths about health care and dying in America. First, that medicine has always sought authority over death and dying; second, that medicine superseded the role of families and spirituality at the end of life; and finally, that only with the advent of the high-tech hospital did an institutional death become dehumanized. Abel shows that hospitals resisted accepting dying patients and often worked hard to move them elsewhere. Poor, terminally ill patients, for example, were shipped from Bellevue Hospital in open boats across the East River to Blackwell’s Island, where they died in hovels, mostly without medical care. Some terminal patients were not forced to leave, yet long before the advent of feeding tubes and respirators, dying in a hospital was a profoundly dehumanizing experience. With technological advances, passage of the Social Security Act, and enactment of Medicare and Medicaid, almshouses slowly disappeared and conditions for dying patients improved—though, as Abel argues, the prejudices and approaches of the past are still with us. The problems that plagued nineteenth-century almshouses can be found in many nursing homes today, where residents often receive substandard treatment. A frank portrayal of the medical care of dying people past and present, The Inevitable Hour helps to explain why a movement to restore dignity to the dying arose in the early 1970s and why its goals have been so difficult to achieve.

Download or read book Care of the Dying Patient written by David A. Fleming and published by University of Missouri Press. This book was released on 2010-04-15 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although the need for improved care for dying patients is widely recognized and frequently discussed, few books address the needs of the physicians, nurses, social workers, therapists, hospice team members, and pastoral counselors involved in care. Care of the Dying Patient contains material not found in other sources, offering advice and solutions to anyone—professional caregiver or family member—confronted with incurable illness and death. Its authors have lectured and published extensively on care of the dying patient and here review a wide range of topics to show that relief of physical suffering is not the only concern in providing care. This collection encompasses diverse aspects of end-of-life care across multiple disciplines, offering a broad perspective on such central issues as control of pain and other symptoms, spirituality, the needs of caregivers, and special concerns regarding the elderly. In its pages, readers will find out how to: effectively utilize palliative-care services and activate timely referral to hospice, arrange for care that takes into account patients’ cultural beliefs, and respond to spiritual and psychological distress, including the loss of hope that often overshadows physical suffering. The authors especially emphasize palliative care and hospice, since some physicians fear that such referrals may be viewed by patients and families as abandonment. They also address ethical and legal risks in pain management and warn that fear of overprescribing pain medication may inadvertently lead to ineffective pain relief and even place the treating team at risk of liability for undertreatment of pain. While physicians have the ability to treat disease, they also help to determine the time and place of death, and they must recognize that end-of-life choices are made more complex than ever before by advances in medicine and at the same time increasingly important. Care of the Dying Patient addresses some of the challenges frequently confronted in terminal care and points the way toward a more compassionate way of death.

Download or read book Psychosocial Issues in Palliative Care written by Mari Lloyd-Williams and published by Oxford University Press. This book was released on 2008-05-08 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Psychosocial Issues in Palliative Care is for anyone working the field of palliative care, both in the community and in hospitals; this includes those in medicine, nursing, social work, chaplaincy, counseling, primary care, and mental health."--Jacket.

Download or read book Social Aspects of Care written by Nessa Coyle and published by Oxford University Press. This book was released on 2016 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'Social Aspects of Care' provides an overview of financial and mental stress illness places, not just on the patient, but on the family as well. This volume contains information on how to support families in palliative care, cultural considerations important in end-of-life care, sexuality and the impactof illness, planning for the actual death, and bereavement.