This innovative interdisciplinary textbook reviews current research and examines the evidence base for palliative care practice. Focusing on palliative care for adults, the first three sections use a novel framework - the trajectory of life-limiting illness - to cover key issues including:
Palliative Care Nursing is essential reading for post-qualifying nursing students and all nurses and health/social care professionals who provide care to people with advanced illness and those who are near the end of life.List of Contributors
Acknowledgements
Introduction
Part 1: Encountering illness
Overview
History, gender and culture in the rise of palliative care
What¿s in a name?: a concept analysis of key terms in palliative care nursing
User involvement and palliative care: rhetoric or reality?
Referral patterns and access into specialist palliative care
Acute hospital care
Transitions in status from wellness to illness, illness to wellness: coping with recurrence and remission
Communication, the patient and the palliative care team
Approaches to assessment in palliative care
Part 2: Transitions into the terminal phase
Overview
Good for the soul?: the spiritual dimension of hospice and palliative care
Working with difficult symptoms
Pain: theories, evaluation and management
Emotions and cognitions: psychological aspects of care
Working with family caregivers in a palliative care setting
Supporting families of terminally ill persons
Social death: the impact of protracted dying
No way in: including the excluded at the end of life
Ethical issues at the end of life: a very short introduction
The impact of socialization on the dying process
Palliative care in institutions
Part 3: Loss and bereavement
Overview
Nursing care at the time of death
Organ and tissue donation: helping patients and families to make choices
The care and support of bereaved people
Bereavement support: the perspective of community nurses
Risk assessment and bereavement services
Bereavement support services
Families and children facing loss and bereavement: childhood bereavement services - a diversity of models and practices
Part 4: Contemporary issues
Overview
Professional boundaries in palliative care
The cost of caring: surviving the culture of niceness, occupational stress and coping strategies
Specialist professional education in palliative care: how did we get here and where are we going?
Information and communication technology in nursing: current role and future scope
Research and scholarship in palliative care nursing
Developing expert palliative care nursing through research and practice development
Policy, audit, evaluation and clinical governance
Leading and managing nurses in a changing environment
Conclusion
Indexes.