Case Studies in Palliative and End-of-Life Care uses a case-based approach to provide students and practitioners with an important learning tool to improve critical thinking skills and encourage discussion toward improving experiences for patients and their families.

The book is organized into three sections covering subjects related to communication, symptom management, and family care. Each case is presented in a consistent, logical format for ease of use, highlighting key evidence-based concepts including the case history, care setting, diagnosis and prognosis, assessment, treatment considerations, and family support. A key reference, Case Studies in Palliative and End-of-Life Care is an invaluable resource for clinicians who provide palliative care to patients with life-limiting illnesses and those at the end of life along with their families.

Autorentext

Margaret L. Campbell, PhD, RN, FPCN is Associate Professor - Research in the Office for Health Research at the College of Nursing at Wayne State University in Detroit, Michigan.

Inhalt

Contributor List viii Introduction xii Margaret L. Campbell Section 1 Communication Case Studies 1 Case 1.1 Communicating about a Progressive Diagnosis and Prognosis 5 Julia A. Walch Case 1.2 Diagnosis/Prognosis Uncomplicated Death at Home 12 Constance Dahlin Case 1.3 Accommodating Religiosity and Spirituality in Medical Decision-Making 18 Jennifer Gentry Case 1.4 Discussing Cardiopulmonary Resuscitation When it May Be Useful 26 Kelli Gershon Case 1.5 Discussing CPR When it is a Non-Beneficial Intervention 33 Judy Passaglia Case 1.6 Discussing Brain Death, Organ Donation, and Donation after Cardiac Death 41 Christine Westphal and Rebecca Williams Case 1.7 Discussing Physiological Futility 52 Judy C. Wheeler Case 1.8 Wounded Families: Decision-Making in the Setting of Stressed Coping and Maladaptive Behaviors in Health Crises 60 Kerstin McSteen Case 1.9 Notification of an Expected Death 68 Peg Nelson Case 1.10 Death Notification after Unexpected Death 73 Garrett K. Chan Section 2 Symptom Management Case Studies 83 Case 2.1 Pain: Cancer in the Home 87 Constance Dahlin Case 2.2 Treating an Acute, Severe, Cancer Pain Exacerbation 98 Patrick J. Coyne Case 2.3 Pain and Advanced Heart Failure 104 Margaret L. Campbell Case 2.4 Dyspnea and Advanced COPD 110 Margaret L. Campbell Case 2.5 Dyspnea and Heart Failure 117 Garrett K. Chan Case 2.6 Treating Dyspnea during Ventilator Withdrawal 128 Margaret L. Campbell Case 2.7 Cough Associated with COPD and Lung Cancer 138 Peg Nelson Case 2.8 Hiccups and Advanced Illness 145 Marian Grant Case 2.9 Treating Nausea Associated with Advanced Cancer 152 Judy C. Wheeler Case 2.10 Nausea Associated with Bowel Obstruction 161 Terri L. Maxwell Case 2.11 Nausea Related to Uremia, Dialysis Cessation 168 Linda M. Gorman Case 2.12 Opioid-Induced Pruritus 176 Richelle Nugent Hooper Case 2.13 Pruritus in End-Stage Renal Disease 183 Linda M. Gorman Case 2.14 Opioid-Induced Constipation 190 Grace Cullen Oligario Case 2.15 Depression in Advanced Disease 198 Todd Hultman Case 2.16 Treating Anxiety 205 Darrell Owens Case 2.17 Terminal Secretions 213 Terri L. Maxwell Case 2.18 Fungating Wounds and the Palliative Care Patient 220 Laura C. Harmon Case 2.19 Pressure Ulcer Care in Palliative Care 229 Laura C. Harmon Case 2.20 Treating Ascites 239 Darrell Owens Case 2.21 Delirium Management in Palliative Care 247 Kerstin McSteen Section 3 Family Care Case Studies 257 Case 3.1 Caring for the Family Expecting a Loss 259 Patricia A. Murphy and David M. Price Case 3.2 Anticipatory Grief and the Dysfunctional Family 266 Rita J. DiBiase Case 3.3 Acute and Uncomplicated Grief after an Expected Death 277 Rita J. DiBiase Case 3.4 Bereavement after Unexpected Death 289 Garrett K. Chan Case 3.5 Complicated Grief 300 Rita J. DiBiase Index 309