Living And Dying With Advanced Heart Failure
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Living And Dying With Advanced Heart Failure
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Author : Scottish Partnership for Palliative Care
language : en
Publisher:
Release Date : 2008
Living And Dying With Advanced Heart Failure written by Scottish Partnership for Palliative Care and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Heart categories.
Heart Failure
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Author : Miriam Johnson
language : en
Publisher: OUP Oxford
Release Date : 2012-04-05
Heart Failure written by Miriam Johnson and has been published by OUP Oxford this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-04-05 with Medical categories.
Excellent end of life care for people with heart failure is challenging but possible. Failure to address this aspect of care has serious consequences for patients, their families, clinicians and the use of health resources. Heart Failure: From Advanced Disease to Bereavement illustrates the complexity and importance of end of life care for patients with advanced heart failure. This book is a pocket reference for everyday use in the clinic, ward or home visit for all doctors, nurses and AHPs caring for people with advanced heart failure. It outlines the underlying pathophysiology of heart failure, summarises standard pharmacological and device therapy, and sets the context of the challenges resulting from an unpredictable course of disease. In easily digestible summaries, this book presents practical advice about how and when to integrate a palliative care approach alongside standard heart failure management, how to communicate honestly in the face of uncertainty, the rationalisation of medication and device therapies at the end of life, symptom control, care for the dying, and care after death.
Heart Failure And Palliative Care
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Author : Miriam Johnson
language : en
Publisher: Radcliffe Publishing
Release Date : 2006
Heart Failure And Palliative Care written by Miriam Johnson and has been published by Radcliffe Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Health care teams categories.
Heart failure is a very common terminal condition but few patients receive proper palliative care. This text is full of practical, evidence based advice, and encourages a multidisciplinary team based approrach.
End Of Life Care In Cardiovascular Disease
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Author : Sarah J. Goodlin
language : en
Publisher: Springer
Release Date : 2014-10-08
End Of Life Care In Cardiovascular Disease written by Sarah J. Goodlin and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-10-08 with Medical categories.
End-of-life issues in cardiology are becoming increasingly important in the management of patients in the cardiac unit, but there is frequently a lack of understanding regarding their impact on cardiology practice. The cardiac unit is increasingly becoming the location whereby a number of key clinical decisions relating to end-of-life care are being made, such as the decision to remove medications, the appropriate removal of cardiac devices, the management of do not resuscitate orders and the requirement for other cardiac procedures in light of the management of the terminally ill cardiac patients. Those working in palliative care need input from the cardiovascular team as the cardiologist is frequently still managing these patients until they are moved to the hospice. That this move into a hospice is often delayed until the very last moment, there is considerable onus on the cardiovascular management of these patients to be much broader in scope and take account of some of the more palliative medical decisions needed in this group of patients. This concise reference will detail the practical issues open to cardiovascular physicians and those medical professionals who manage patients reaching the end of their life from a cardiology perspective. It will detail the full management options open to them to ensure that their practice is in line with the requirements of the patient nearing the end of their life whether the cause be cardiovascular in origin or who need appropriate management of secondary cardiovascular symptoms. It will also include the various ethical, cultural and geographical issues that need to be considered when managing these patients.
Textbook Of Palliative Care
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Author : Rod MacLeod
language : en
Publisher:
Release Date : 2019
Textbook Of Palliative Care written by Rod MacLeod and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019 with Medicine categories.
"Textbook of Palliative Care is a comprehensive, clinically relevant and state-of-the art book, aimed at advancing palliative care as a science, a clinical practice and as an art. Palliative care has been part of healthcare for over fifty years but we still find ourselves having to explain its nature and practice to colleagues and to the public in general. Healthcare education and training has been slow to recognize the vital importance of ensuring that all practitioners have a good understanding of what is involved in the care of people with serious or advanced illnesses and their families. However, the science of palliative care is advancing and our understanding concerning many aspects of palliative care is developing rapidly. The book is divided into separate sections for ease of use. Over 100 chapters written by experts in their given fields provide up-to-date information on a wide range of topics of relevance to those providing care towards the end of life no matter what the disease may be. We present a global perspective on contemporary and classic issues in palliative care with authors from a wide range of disciplines involved in this essential aspect of care. The Textbook includes sections addressing aspects such as symptom management and care provision, organization of care in different settings, care in specific disease groups, palliative care emergencies, ethics, public health approaches and research in palliative care. This Textbook will be of value to practitioners in all disciplines and professions where the care of people approaching death is important, specialists as well as non-specialists, in any setting where people with serious advanced illnesses are residing. It is also an important resource for researchers, policy-and decision-makers at national or regional levels. Neither the science nor the art of palliative care will stand still so we aim to keep this Textbook updated as the authors find new evidence and approaches to care. ." - Prové de l'editor.
Palliative Care Formulary
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Author : Sarah Charlesworth
language : en
Publisher:
Release Date : 2020-07-31
Palliative Care Formulary written by Sarah Charlesworth and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-07-31 with categories.
The seventh edition of the Palliative Care Formulary (PCF), a Pharmaceutical Press product from the Royal Pharmaceutical Society, is an essential resource for healthcare professionals who care for patients with progressive end-stage disease. Although written primarily with cancer patients in mind, PCF7 contains specific material relating to several other life-limiting diseases e.g. COPD, congestive heart failure, renal and hepatic failure, and Parkinson's disease. PCF7 also includes several Quick Clinical Guides covering key topics in palliative care and designed for everyday use. Grounded in clinical practice, this comprehensive title includes independent information about drugs used in palliative care, highlighting off-label indications or routes, and dealing with the administration of multiple drugs by continuous subcutaneous infusion. Features: - Two new monographs to reflect increasing use in practice, Denosumab and Parecoxib - Hepatic chapter fully revised by a multidisciplinary working group - Cannabinoids monograph fully updated and including the 2019 NICE guidance - Anticoagulants monograph fully updated to include a brand new table with prescribing guidance for Direct Oral Anticoagulants (DOACs) - Opioid antagonists outside the CNS fully reviewed to reflect the latest products and evidence for use - Urinary antimuscarinics, a new combined monograph to reflect the increasing use of other drugs in this category From the reviews of previous editions 'PCF [is] a core text for the speciality and has no serious rivals.' Palliative Medicine 'The information is up to date and prepared with extreme care. This handbook should be available to staff involved with inpatient consultation, inpatient units of care and home visits.' Journal of Pain and Symptom Management 'First class. Highly recommended.' International Association for Hospice and Palliative Care
Approaching Death
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Author : Committee on Care at the End of Life
language : en
Publisher: National Academies Press
Release Date : 1997-10-30
Approaching Death written by Committee on Care at the End of Life and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997-10-30 with Medical categories.
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."
A Good Death From The Perspective Of Patients With Severe Illness And Advance Care Planning Acp In Patients Near End Of Life
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Author : Lisa Kastbom
language : en
Publisher: Linköping University Electronic Press
Release Date : 2021-03-23
A Good Death From The Perspective Of Patients With Severe Illness And Advance Care Planning Acp In Patients Near End Of Life written by Lisa Kastbom and has been published by Linköping University Electronic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-03-23 with Electronic books categories.
Previous research has indicated that what constitutes a good death is heterogenic and complex although there are some recurrent themes and similarities regardless individual background factors. Studies on advance care planning (ACP), i.e. making proactive plans regarding content of care and treatment limitations, on nursing home (NH) patients are rare. Positive effects of ACPs are shown, but also that these often are lacking. The overall aim with this thesis was to explore the perceptions of a good death from the perspective of patients with severe illness and to investigate, from different perspectives, experiences of ACP in a NH context. In paper I, patients with cancer in a palliative phase were interviewed on their perceptions of a good death. Death was viewed as a process and previous experiences on the death of others influenced their own perceptions. A good death was associated with living with the prospect of imminent death, preparing oneself and others for one’s death and dying comfortably, e.g. without suffering, with independence and with social relations intact. Some were comforted by their belief that death is predetermined, and that after death, there is something else. Others felt uncomfortable when they viewed death as the end of the existence. In paper II, nurses and physicians were interviewed on their experiences of the factors that shape the ACP process in NHs. Exploration of the patient’s preferences regarding content of care and treatment limitations was important, as well as integration of the patient’s preferences and the views of the family members and staff concerning these questions. ACP documentation had to be clear, updated and available for staff and the implementation and reevaluation of ACP were also considered important, according to the participants. Significance of clinicians’ perceiving beneficence as well as fear of accusations of maleficence were shown to be essential factors to contemplate. In a retrospective chart review (paper III), medical records of 367 deceased NH patients were analysed. A high prevalence of ACP was shown, using two different definitions of ACP (ACP I and ACP II). Moreover, adherence to the ACP content was strong and positive associations were seen between ACP and variables of the three research aims, such as: diagnosis (dementia), physician attendance at NH and end-of-life (EOL) care. In paper IV, family members of deceased NH patients were interviewed on their experiences of ACP in NHs. EOL issues were challenging to talk about, although the family members appreciated staff raising these questions. The patient’s preferences were sometimes explicitly or implicitly communicated. However, in some cases, family members had a feeling of the patient’s preferences, although they had not been clearly communicated. Everyday details symbolised staff commitment. The family members viewed the nurse as central. The physician was described as absent and ACP meetings often went unnoticed. Both involvement and lack of involvement could cause the family members feelings of guilt. In conclusion, we found that what constitutes a good death is highly individual, although recurrent themes are seen. EOL conversations are important and challenging and need staff training and experience. It seems important to support healthcare staff not only to initiate ACP in NH patients, but also to involve the patient and family members in the ACP and planning EOL care. Making proactive plans regarding content of care including treatment limitations, could enable patient autonomy, optimise the chances for the patient to experience a good death and enhance for the family members during the dying trajectory and after the patient’s death.
Nursing Care At The End Of Life
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Author : SUSAN. LOWEY
language : en
Publisher:
Release Date : 2019
Nursing Care At The End Of Life written by SUSAN. LOWEY and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019 with categories.
Clinical Guide To Cardiology
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Author : Christian Fielder Camm
language : en
Publisher: John Wiley & Sons
Release Date : 2016-03-07
Clinical Guide To Cardiology written by Christian Fielder Camm and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-03-07 with Medical categories.
Clinical Guide to Cardiology is a quick-reference resource, packed full of bullet points, diagrams, tables and algorithms for the key concepts and facts for important presentations and conditions within cardiology. It provides practical, evidence-based information on interventions, investigations, and the management of clinical cardiology. Key features include: A clear evidence-base providing key guidelines and clinical trials in each chapter Coverage of examination techniques, common conditions, imaging modalities (including ECGs, chest X-rays, MRI and CT), interventional therapies, and pharmacology A companion website at www.wiley.com/go/camm/cardiology featuring audio clips, developed for differing levels of knowledge, that explain key concepts or an area in greater detail, as well as numerous additional clinical case studies, audio scripts, and self-assessment material