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A Practical Guide to Palliative Care
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Table of Contents

Section 1: THE PALLIATIVE CARE APPROACH

  • Ch. 1 Definitions
  • Ch. 2 Philosophy-From "Cure" to "Comfort"
  • Ch. 3 The Transition from "Diagnose and Treat" to "Palliate"
  • Ch. 4 Historical Perspective: What Has Changed?
Section 2: CULTURAL DIVERSITY IN END-OF-LIFE CARE
  • Ch. 5: Planning for Diverse Populations
  • Ch. 6: African American Culture & End-of-Life
  • Ch. 7: Hispanic Views on Death & Dying
  • Ch. 8: Understanding the Jewish Culture
  • Ch. 9: Mourning in the Asian Culture
  • Ch.10: Death Practices in the Muslim Culture
  • Ch.11: Building Cultural Bridges with Other Cultures
Section 3: APPROACH TO THE PATIENT
  • Ch.12: Delivering Bad News
  • Ch.13: The Family Conference
  • Ch.14: Dealing with Anger
  • Ch.15: The Spiritual Assessment
  • Ch.16: Giving Realistic Hope
  • Ch.17: The "DNR" or "AND" Discussion in Seriously Ill Patients
  • Ch.18: Advanced Directives in Health Care
  • Ch.19: Decision-Making Ability
  • Ch.20: Goal Setting
  • Ch.21: The Hospice Conversation
  • Ch.22: Telling the Children
  • Ch.23: What if a Patient Asked You to Pray?
  • Ch.24: Death Pronouncement
  • Ch.25: Completing the Death Certificate
  • Ch.26: Informing Significant Others of a Patient's Death
  • Ch.27: Writing a Condolence Letter
  • Ch.28: Caring for the Family
Section 4: PREDICTING LIFE EXPECTANCY
  • Ch.29: "How Long Do I Have?"
  • Ch.30: Guidelines for Hospice
  • Ch.31: Physician Prediction of Life Expectancy
  • Ch.32: Palliative Performance Score
Section 5: DELIVERY OF PALLIATIVE CARE<
  • Ch.34: The Hospital Palliative Care Unit
  • Ch.35: Consulting in the Hospital
  • Ch.36: Hospice in Delivery of Palliative Care
Section 6: TERMINAL CARE
  • Ch.38: The Syndrome of Imminent Death
  • Ch.39: Near Death Awareness (NDA)
  • Ch.40: Terminal Delirium
Section 7: NONPAIN SYMPTOM MANAGEMENT
  • Ch.42: Tips for Maximizing Chances of Success
  • Ch.43: Dyspnea, Air Hunger, Shortness of Air
  • Ch.44: Oral Care Basics
Section 8: PAIN CONTROL
  • Ch.63: Myths About Opioid Use
  • Ch.64: Legal Liability of UnderTreating Pain
  • Ch.65: Principles of Pain Management
  • Ch.66: Assessment of Pain
  • Ch.67: Converting One Opioid to Another (Equianalgesic Dosing)
  • Ch.68: Opioid Dose Escalation
  • Ch.69: Managing Opioid Side Effects
  • Ch.70: Opioid Withdrawal
  • Ch.71: Morphine
  • Ch.72: Hydrocodone for Pain
  • Ch.73: Oxycodone for Pain
Section 9: PALLIATIVE INTERVENTIONS
  • Ch.82: Tube Feeding in Palliative Care
  • Ch.83: Palliative Chemotherapy
  • Ch.84: Palliative Radiation
  • Ch.85: "Response Rate" in Cancer Chemotherapy
  • Ch.86: Ventilator Withdrawal
  • Ch.87: Bowel Obstruction
  • Ch.88: Treating the "Death Rattle"
  • Ch.89: Aggressive Wound Management
Section 10: THE PALLIATIVE PEDIATRIC PATIENT
  • Ch.90: Children and Death
  • Ch.91: Neonatal Population
  • Ch.92: Pediatric Intensive Care Unit
  • Ch.93: Pediatric Withdrawal of Life Support
  • Ch.94: The Dying Adolescent
Section 11: CHARTING"
  • Ch.95: Documentation in Palliative Care
  • Ch.96: Coding & Billing for Hospice/Palliative Care
Section 12: ETHICS AT THE END OF LIFE
  • Ch.97: Ethics & Legal Issues
  • Ch.98: Hastened Death: The Rule of Double Effect
  • Ch.99: When to Stop-Medical Futility
  • Ch.100: Caring for Yourself and Avoiding Burnout

Appendices

Index

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