Gerontologic palliative care nursing / Marianne LaPorte Matzo, Deborah Witt Sherman.

Includes bibliographical references and index.

Part 1: Promoting Quality of Life During the Dying Process:- 1. Cultural and Spiritual Backgrounds of Older Adults--Introduction--Understanding the cultural background of Older Adults--Understanding spirituality or Religiosity of Older Adults--Conclusion-- 2. Death and an Aging Society_ Introduction--Demographics--Economies--Health status, health care, expenditures, and medicare--Social interaction and lifestyle issues--Cultural aspects of advanced age--Death and the aging person--Conclusion-- 3. Community Based Palliative Care for Older Adults:- Introduction--Hospice: A well-regulated palliative care program--Preparing for the new consumer--Linking quality of care and quality of life--Advance care planning and anticipatory guidance--The burden of caregiving--Models from practice--Conclusion -- 4. Palliation and End of Life Care Across Health Care Settings:- Introduction--Dying trajectories--Conceptual model for living and dying with chronic illness--Where people die and where people prefer to die-- Settings for hospice and palliative care--Characteristics of patients with chronic, fatall, progressive illness--Interdisciplinary versus multidisciplinary team models--Creating seamless care at the end of life--Challenges for new practice models and caring paradigms--Barriers to effective palliation and end-of-life care--Continuity of care across health care settings--Strategies to overcoming obstacles to effective palliative/Hospice care--Conclusion -- 5. Ethical and Legal Aspects of Dying and Health Care Resource Allocation:- Introduction--Promoting ethical practice - doing and being--Ethics and the law--Issues at the end of life--Difficult end-of-life decisions--Allocating health care resources- and justice for all--Conclusion -- 6. Communication Issues in Advance Care Planning :- Introduction-- End-of-Life care planning--Advance Dierectives--Elders\' preferences for end-of-life care--Physician involvement in End-of-Life decision making--Role of the nurse in advance care planning and end-of-life decision making--Conclusion --7. Advance Directives: Older Adults with Dementia:- Introduction--Dementia-- Advance directives--Decision-making capacity assessment--Advance directives and dementia research--Ethical issues in advance planning by patients with dementia--Proxy (surrogate) decision making--Conclusion -- 8. Family Caregivers of dying elders: Burdens and Opportunities:- Introduction--Illness and dying trajectories--Location of dying and death--Burdens of long-term caregiving in the home--Opportunities for caregivers of the dying older adult--Enhancement of palliative care by considering sociohistorical-cultural factors--Consideration of variability of transitions from life to death--Conclusion -- 9. Suffering, Loss, Grief, and Bereavement :- Introduction--Suffering, loss, grief, and bereavement: effects on patients, families, and nurses--Types of grief--Theories of Grief--The Nurse\'s role--Death, anxiety, cumulative loss, and grief: The nurse\'s journey--Conclusion ---Part 2: Disease Related Palliative Care Nursing:- 10. End-Stage Heart Disease-- Introduction--Epidemiology and etiology of end-stage heart disease--Pathophysiology of heart failure--Heart failure and depression--Clinical signs and symptoms of CHF--Physical assessment of CHF--Diagnostic studies for CHF--Disease Management in CHF--Palliative care for Patients with end-stage hearrt disease--Conclusion--Resources -- 11. Cancer:- Introduction--Incidence and prevalence of cancer--Comorbidity--Lung cancer--Colorectal cancer--Breast cancer--Prostrate cancer--Cancer treatment options in older adults--Dying trajectory--Oncologic emergencies--Cardinal symptoms at the end of life--Improving palliative care for the older adult with cancer--Conclusion--Resources -- 12. Stroke, Coma, and Brain Death:- Stroke--Coma and Brain death--Conclusion--Resources-- 13. Dementia and Neurodegenerative Illnesses:- Introduction--Incidence and prevalence--Dying trajectory--Late-stage neurodegenerative diseases--Mnaagement of common needs and comorbid conditions in elders with CNDs--Palliative care issues--Conclusion--Resources -- 14. End-Stage Renal Disease and Discontinuation of Dialysis:- Introduction--Function of the kidneys--Common symptoms of renal disease--Incidence and prevalence--Manifestations of ESRD in the older adult--Etiology of ESRD in the older adult--Symptoms and treatment options--Dying Trajectory--Palliative care of common symptoms--Emergency situations--Comorbidities and complications--Family concerns and considerations--Discontinuation of renal dialysis--Conclusion --Resources -- 15. Chronic Lung Disease:- Introduction--Function of the lungs--Lung changes associated with aging-- Chronic ObstructivePulmonary Disease--Treatment modalities for COPD--Death of the older adult with COPD--Conclusion--Resources for comoplementary therapies --16. End-Stage Liver Disease:- Introduction--Physiology--Comorbidity and complications--Dying trajectory--Emergency situations--Common symptoms-~Early to late--Complications of end-stage-liver disease--Concerns and implications for nursing practice--Family concerns and considerations -caregiver fears--Conclusion -- Part 3: Symptom Management and Related Issues: 17. Dyspnea:- Introduction--Incidence of dyspnea--Mechanisms of dyspnea--Assessment--Management--Conclusion -- 18. Anxiety, Depression, and Delirium:- Introduction Anxiety--Depression--Delirium--Conclusion -- 19. Gastrointestinal Symptoms:- Introeuction--Nausea and voliting--Dysphagia--Bowel dysfunction--Other conditions--Conclusion-- 20. Fatigue:- Introduction--Prevalence of fatigue--Fatigue in the older adult--Concept of fatigue--Causes of fatigue--Correlates of fatigue in various patient populations--Fatigue and quality of life--Assessment of fatigue--Management of Fatigue--Fatigue in family caregivers--Conclusion--Appendix A: Cancer-Related Fatigue Instruments -- 21. Pain Assessment and Management:- Introduction--Barriers to effective pain management--General considerations--Pain assessment--Inferred pathophysiology of pain--Acute pain--Persistant (chronic) pain--Pharmacologic interventions--Adjuvant interventions--Complementary and alternative therapies for pain management--Other considerations--Conclusion--22. Skin Care Needs of Palliative Care Patients:- Introduction--Pressure Ulcers--Skin tears--Peristomal (Ostomy) skin--Fistulas--Tumor necrosis and skin care--Skin care needs from fecal incontinence--Conclusion--Resources --23. Nutrition and Hydration:- Introduction--Hydration --Nutrition--Assessment--Interventions--Psychosocial and emotional aspects--Conclusion -- 24. Polypharmacy:- Introduction--Polypharmacy in comorbidity Treatment: Benefits and risks--Coordinations of care with a focus on pharmacotherapeutics--Prevention of polyharmacy--Education and family support--Conclusion --- 25. Peri-Death Nursing Care:- Introduction--Peri-Death nursing care--Peri-Death Rituals and Customs--When death has occured--Analyses of the Peri-Death Experience--Conclusion.

The authors of this book focus on quality end-of-life nursing care and its impact from a palliative care perspective. They address active and compassionate care therapies to enhance physical, psychological, social and spiritual domains of life. Case studies are included.