Spiritual sickness troubles American medicine. Through a death-denying culture, medicine has gained enormous power-an influence it maintains by distancing itself from religion, which too often reminds us of our mortality. As a result of this separation of medicine and religion, patients facing serious illness infrequently receive adequate spiritual care, despite the large body of empirical data demonstrating its importance to patient decision-making, quality of life, and medical utilization. This secular-sacred divide also unleashes depersonalizing, social forces through the market, technology, and legal-bureaucratic powers that reduce clinicians to tiny cogs in an unstoppable machine. Hostility to Hospitality is one of the first books of its kind to explore these hostilities threatening medicine and offer a path forward for the partnership of modern medicine and spirituality. Drawing from interdisciplinary scholarship including empirical studies, interviews, history and sociology, theology, and public policy, the authors argue for structural pluralism as the key to changing hostility to hospitality.

As cancer treatment has evolved toward precision medicine, psychosocial research and practices for cancer patients and their family members have also raised awareness of the need for a personalized, patient-focused, family-oriented approach in the Psycho-Oncology field. Gender in Psycho-Oncology is the first book of its kind to provide comprehensive views on the role of gender in the adjustment of the individual and the patient-caregiver pair when dealing with cancer. The text explores the significant role of gender in diverse pairings of genders between the patient and the caregiver. It also highlights the importance of age, generation, and socio-cultural characteristics; the illness trajectory and lifespan trajectory of the individual and the patient-caregiver pair; and an ongoing sociocultural movement that is changing social role expectations based on gender. Offering both fundamental and practical information, Gender in Psycho-Oncology is an ideal book for healthcare practitioners from a spectrum of disciplines in the Psycho-Oncology field.

Spiritual, Religious, and Cultural Aspects of Care is the fifth volume in the HPNA Palliative Nursing Manuals series. Chapters address how to conduct a spiritual assessment of patients and families, spiritual interventions including compassionate presence, listening deeply, bearing witness, and being compassionate, how to partner with the patient and family to ensure culture guides the plan of care, how to find meaning in illness, the many dimensions of hope and its influence on the dying process. The content of the concise, clinically-focused volumes in the HPNA Palliative Nursing Manuals series prepares nurses for certification exams as well as quick-reference in daily practice. Plentiful tables and patient teaching points make these volumes useful resources for nurses.

Since the efforts of Dame Cicely Saunders and the founders of the modern hospice movement, compassion has become a fundamental part of palliative care. In this ground-breaking book, international experts give their critical thoughts on the essence and role of compassion, in both palliative and hospice care over the past half-century. Compassion: The essence of palliative and end-of-life care provides insight into the motivations for, and practice of, compassionate palliative and hospice care, featuring the reflections of leading healthcare professionals, social workers, chaplains and educators. Chapters utilise case examples and first-hand experiences to explore the historical and contemporary discourse surrounding the concept of compassion in palliative medicine. This book is relevant to a multidisciplinary audience of palliative care practitioners, including undergraduate and graduate students in sociology, psychology and theology, and healthcare professionals in oncology and gerontology.

Handbook of Pain and Palliative Care: Biobehavioral Approaches for the Life Course Rhonda J. Moore, editor

This book takes both a biobehavioral and a lifespan approach to understanding long-term and chronic pain, and intervening to optimize patients functioning. Rich in clinical diversity, chapters explore emerging areas of interest (computer-based interventions, fibromyalgia, stress), ongoing concerns (cancer pain, low back pain), and special populations (pediatric, elderly, military). This coverage provides readers with a knowledge base in assessment, treatment, and management that is up to date, practice strengthening, and forward looking. Subject areas featured in the Handbook include:

Patient-practitioner communication

Assessment tools and strategies

Common pain conditions across the lifespan

Biobehavioral mechanisms of chronic pain

Pharmaceutical, neurological, and rehabilitative interventions

Psychosocial, complementary/alternative, narrative, and spiritual approaches

Ethical issue and future directions

With the rise of integrative perspective and the emphasis on overall quality of life rather than discrete symptoms, pain management is gaining importance across medical disciplines. "Handbook of Pain and Palliative Care" stands out as a one-stop reference for a range of professionals, including health practitioners specializing in pain management or palliative care, clinical and health psychologists, public health professionals, and clinicians and administrators in long-term care and hospice.

"

Pain is the touchstone of all spiritual growth.

Physical. Emotional. Mental. Spiritual. Pain comes in many forms, diligently avoided by most of us, even at the risk of sacrificing the quality of our lives. But pain can—and should—be a catalyst for change, a doorway through which we travel on our journey from suffering to joy.

In The Gift of Pain, author Barbara Altemus links her personal journey of discovery with parallel experiences of world-renowned visionaries, artists, healers, and peacemakers to explore and understand the nature of pain. By drawing on themes of pain—failure, loss, addiction, lack of community, and loss of homeland, among others—these contributors share their intensely personal times of darkness and how these experiences ultimately lead to spiritual awakening and even joy. 

Includes stories of transformation from:

Isabel Allende • Butch Artichoker • Chief Arvol Looking Horse • Margaret Ayers • Rev. Michael Beckwith • Blaze Bonpane • Joan Borysenko • Barbara Brennan • Rickie Byars • Jack Canfield • Deepak Chopra • Larry Dossey • John Funmaker • Dick Gregory • Alaine Haubert • Goldie Hawn • Dr. Gerald Jampolsky • Rigoberta Menchu Tum • Dr. Roy Nakai • Kahu O Te Range • Rabbi Zalman Schachter-Shalomi • Martin Sheen • Jana Shiloh • Steven Simon • Frieda Tomosoa • Iyanla Vanzant

The importance of spiritual well-being and the role of "meaning" in moderating depression, hopelessness and desire for death in terminally-ill cancer and AIDS patients has been well-supported by research, and has led many palliative clinicians to look beyond the role of antidepressant treatment in this population. Clinicians are focusing on the development of non-pharmacologic interventions that can address issues such as hopelessness, loss of meaning, and spiritual well-being in patients with advanced cancer at the end of life. This effort led to an exploration and analysis of the work of Viktor Frankl and his concepts of logotherapy, or meaning-based psychotherapy. While Frankl's logotherapy was not designed for the treatment of patients with life-threatening illnesses, his concepts of meaning and spirituality have inspired applications in psychotherapeutic work with advanced cancer patients, many of whom seek guidance and help in dealing with issues of sustaining meaning, hope, and understanding cancer and impending death in the context of their lives. Individual Meaning-Centered Group Psychotherapy (IMCP), an intervention developed and rigorously tested by the Department of Psychiatry & Behavioral Sciences at Memorial Sloan-Kettering Cancer Center, is a seven-week program that utilizes a mixture of didactics, discussion and experiential exercises that focus around particular themes related to meaning and advanced cancer. Patients are assigned readings and homework that are specific to each session's theme and which are utilized in each session. While the focus of each session is on issues of meaning and purpose in life in the face of advanced cancer and a limited prognosis, elements of support and expression of emotion are inevitable in the context of each group session. The structured intervention presented in this manual can be provided by a wide array of clinical disciplines, ranging from chaplains, nurses, palliative care physicians, to counselors, psychotherapists, social workers, graduate psychology students, psychologists and psychiatrists.

Hospice care is one of the fastest-growing segments of the U. S. healthcare system, a trend that is expected to accelerate as the median age of the population continues to rise over the next three decades. Despite over forty percent of the population now dying while on hospice care, very little has been published on the ethical opportunities and challenges experienced in the everyday lives of those giving and receiving hospice care. This book is the first comprehensive collection devoted to analyzing distinctive ethical issues arising in the delivery of hospice care and designed to promote best ethical practices for hospice care professionals and organizations. Thirteen newly commissioned chapters by seventeen hospice experts populate three thematic sections of the book, each devoted to an aspect of the intersection between ethics and hospice care. Contributors have unique qualifications and abilities to articulate and respond to ethically significant phenomena that - while not always unique to hospice care - arise in especially poignant and complex ways when caring for patients enrolled in hospice. As the shift or return to home-based care at the end of life continues, hospice professionals and programs will be faced with a broader array of terminal illnesses, cultural beliefs and traditions, and patient and family values than ever before. Hospice will no longer be tailored solely to the final stage of cancer, but will need to accommodate patients whose illnesses are variable in their progression and whose treatment plans include many medical options. The ethical orientations and frameworks that have served hospice for the past 50 years will need to be supplemented and refined if hospice is to fulfill this changing social mission. Hospice Ethics explores a new paradigm for hospice ethics from a multi-disciplinary and provides an important educational resource for professional training in end of life care.

As we live longer and die slower and differently than our ancestors, we have come to rely more and more on end-of-life caregivers. These workers navigate a changing landscape of old age and death that many of us have little preparation to encounter. "How We Die Now" is an absorbing and sensitive investigation of end-of-life issues from the perspectives of patients, relatives, medical professionals, and support staff.aKarla Erickson immersed herself in the daily life of workers and elders in a Midwestern community for over two years to explore important questions around the theme of OC how we die now.OCO She moves readers through and beyond the many fears that attend the social condition of old age and reveals the pleasures of living longer and the costs of slower, sometimes senseless ways of dying.aFor all of us who are grappling with the OC elder boom, OCO "How We Die Now" offers new ways of thinking about our longer lives."

"Anne's contribution to our understanding of the needs of young people with cancer has been unparalleled and without her extraordinary insights our services would be that much poorer." From the foreword by Simon Davies, CEO Teenage Cancer Trust This topical and timely text provides valuable insights into the choices and experiences of palliative and end of life care for young people with cancer and other life limiting illnesses. With a focus on palliative care provision across a range of different clinical settings, this comprehensive new resource explores care in the home, the hospice and hospital. It looks at how and where families and young people can access palliative care, and what support is offered to attain their preferred place of death. Bereavement support for families is discussed, as well as a discussion of multi-disciplinary work, interagency co-operation and resource issues. This will be essential reading for community children's nurses, specialist palliative care teams, children's hospices, school nurses, social workers and student nurses as well as families. * A comprehensive resource on end of palliative are provision for children and young adults with cancer and other life limiting illnesses * Timely and topical, tying in with the latest Department of Health palliative care strategy Better Care: Better Lives' * Written in an accessible style that does not assume either detailed medical or theoretical knowledge * Explores palliative care provision in a range of different clinical settings including the home, hospice, and hospital * Provides valuable insights into the experiences of parents, children and young people

Modern medical technology has changed not only the way we live but also the way we die. Until two generations ago, people usually died suddenly, after an accident or serious illness. Now, most of us will live with chronic conditions, and our dying will usually take longer, require more care, and demand more planning than ever before. Handbook for Mortals is warmly addressed to all those who wish to approach the final years of life with greater awareness of what to expect and greater confidence about how to make the end of their lives a time of growth, comfort, and meaningful reflection. Written by Dr. Joanne Lynn and a team of experts, this book provides equal measures of practical information and wise counsel. Readers will learn what decisions they will need to face, what choices are available to them, where to look for help, how to ease pain and other symptoms, what to expect with specific diseases, how the health-care system operates, and how the entire experience affects dying persons, their families, and their friends. Such practical information is indispensable. But equally important are the personal stories included here of how people have come to terms with serious illness and dying, how they have faced their fears and made their choices. These give us moving firsthand insights into a profoundly important process, one that is often kept hidden in our culture. From down-to-earth advice on how to talk to your doctor to inspiring quotes from such writers as Emily Dickinson, W. H. Auden, Jane Kenyon, and others, Handbook for Mortals addresses the needs of both the body and the spirit in our final years.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The most thorough text available on providing patients and families with quality end-of-life care "The study/learning questions at the end of each chapter make this book an excellent resource for both faculty who wish to test knowledge, and individual learners who wish to assess their own learning....The book is well written and easy to read. 3 Stars."--Doody's Review Service End of Life Care: A Practical Guide offers solution-oriented coverage of the real-world issues and challenges that arise daily for clinicians caring for those with life-limiting illnesses and conditions. End of Life Care: A Practical Guide includes specific clinical guidance for pain management and other common end of life symptoms. The second edition has been made even more essential with the addition of chapter-ending Q&A for self assessment and board review, new coverage of multicultural medicine, an increased number of algorithms to assist decision making on complicated clinical, legal, and ethical issues. Six sections walk you through the complexities of caring for patients who are nearing the end of life: Preparing Patients for End of Life Management of Symptoms Diagnostic and Invasive Interventions Ethical Dilemmas Special Populations Diversity No other text better assists physicians and other clinicians in providing patients near the end of life with support, guidance, and hope in the face of "hopelessness" than End of Life Care: A Practical Guide.

Alzheimer disease afflicts more than twelve million people worldwide, and its incidence is increasing at a staggering rate. People with the disorder are living longer than have those in previous generations, and they require interventions for quality-of-life issues associated with palliative care. However, the symptoms of Alzheimer disease often fail to place such persons into settings where palliative care resources are available to them. Indeed, clinicians and other caregivers may be unsure about what constitutes effective palliation in these cases. At the same time, the ethical issues involved in providing end-of-life care to persons with Alzheimer disease remain on the margins of mainstream bioethics.

In "Ethical Foundations of Palliative Care for Alzheimer Disease," leading ethicists and clinicians from the United States and Europe explore ethical and scientific concerns about the diagnosis and prognosis of Alzheimer disease, challenges arising from applying palliative procedures to its symptoms, key philosophical and theological concepts central to our understanding of the disease and to end-of-life decisions, and the changing patterns of relevant medical, social, and economic policies. Cross-cultural, multidisciplinary, and state-of-the-art, this volume is a unique and important resource for bioethicists, clinicians, and policy makers everywhere.

Contributors: David A. Bennahum, M.D., University of New Mexico; Pierre Boitte, Ph.D., Catholic University of Lille, France; Roger A. Brumback, M.D., Creighton University Medical Center; Wim J. M. Dekkers, M.D., Ph.D., University Medical Centre Nijmegen, The Netherlands; Elizabeth Furlong, R.N., Ph.D., J.D., Creighton University Medical Center; Eugenijus Gefenas, M.D., Ph.D., Vilnius University, Lithuania; Bert Gordijn, Ph.D., University Medical Centre Nijmegen, The Netherlands; Amy M. Haddad, R.N., Ph.D., Creighton University Medical Center; Soren Holm, M.D., Ph.D., Dr.Med.Sci., University of Manchester; Franz J. Illhardt, D.D., Ph.D., Freiburg University; Rien Janssens, Ph.D., University Medical Centre Nijmegen, The Netherlands; Givi Javashvili, M.D., Ph.D., State Medical Academy of Georgia, Tbilisi; Judith Lee Kissell, Ph.D., Creighton University Medical Center; Gunilla Nordenram, D.D.S., Ph.D., Karolinska Institute, Stockholm; Richard L. O'Brien, M.D., Creighton University Medical Center; Marcel G. M. Olde Rikkert, M.D., Ph.D., University Medical Centre Nijmegen, The Netherlands; Winifred J. Ellenchild Pinch, R.N., Ed.D., Creighton University Medical Center; Patricio F. Reyes, M.D., Creighton University Medical Center; Anne-Sophie Rigaud, M.D., Ph.D., Hopital Broca, Paris; Linda S. Scheirton, Ph.D., Creighton University Medical Center; Jos V. M. Welie, M.Med.S., J.D., Ph.D., Creighton University Medical Center.

A clinical case-based handbook has a role in general clinicians' practice of caring for patients with serious or life-limiting illness. The explosion of the field of Hospice and Palliative Medicine impacts all physicians and healthcare providers. Fellowship trained s- cialists graduate in greater numbers annually. These and more seasoned specialists are now certified by the American Board of Medical Specialties as subspecialists. Research in this field is expanding in scope and quantity, and peer reviewed journals devoted to this work are multiplying. Moreover, peer reviewed journals in primary care and other subspecialties of medicine regularly include papers that focus on end-of-life care, quality of life issues, and symptom management. Overall then, access to clinical information necessary to care for patients with life-limiting illness is not only essential, but also increasingly available. This case-based clinical book aims to help with the actual practice of caring for patients with life-limiting illness. Numerous texts and journals exist to provide the data to inform care, yet there remains a need to find practical points and information about the practical application of the principles of palliative care. Thus, we hope that the cases, key points, and practical tips will help health care providers who are not experts already in palliative care in the care of patients with serious illness and challenging problems. Some chapters follow one patient through the course of an illness to highlight the applicability of palliative care throughout the disease process.

Fixing You: Neck Pain & Headaches is an easy-to-use self-help guidebook to fixing just about every type of neck pain. This is because, no matter what the diagnosis, painful issues of the neck have the same root causes; that of poor neck function and poor shoulder function. These root problems can be easily corrected through the exercises found in this book. Visit www.FixingYou.net for more information. Rick Olderman MSPT, CPT and Pilates instructor is a physical therapist with over a decade of experience working with difficult chronic and acute injuries. Rick's typical clients are those who have been to a variety of specialists and health care practitioners with little or no change in their pain. Often these clients feel significant if not complete relief in 1-3 sessions after using the Fixing You approach. How does Rick do this? Through assessing and correcting improper biomechanics at the root of all neck pain. Rick reveals his secrets in Fixing You: Neck Pain & Headaches to guide you in assessing your injuries through simple tests and then give you specific exercises correcting the biomechanics leading to your pain. Readers will also have FREE access to video clips of all assessments and exercises found in Fixing You: Neck Pain & Headaches. This ensures that you are both assessing and correcting your injuries properly. No other book has ever done so much to help you beat your pain.

"NEW YORK TIMES "BESTSELLER
In this wonderful book, Jon Katz, the owner of Bedlam Farm, learns once again about the unexpected places animals can take us. As trained hospice volunteers visiting homes and nursing facilities in upstate New York, Katz and his affectionate and intuitive border collie Izzy bring comfort and canine companionship to people who most need it. An eighty-year-old Alzheimer's patient smiles for the first time in months when she feels Izzy's soft fur. A retired logger joyfully remembers his own beloved dog. As Izzy bonds with patients and Katz focuses on their families, the author begins to come to terms with his own life, discovering dark realities he has never confronted. Meanwhile, Lenore, a spirited, bright-eyed black Labrador puppy, arrives at Bedlam Farm. Her genial personality and boundless capacity for affection steer Katz out of the shadows, rekindle his love of working with dogs, and restore his connection to the farm and the animals and people around him.

A brilliant transplant surgeon brings compassion and narrative drama to the fearful reality that every doctor must face: the inevitability of mortality.
When Pauline Chen began medical school, she dreamed of saving lives. What she could not predict was how much death would be a part of her work. Almost immediately, she found herself wrestling with medicine's most profound paradox-that a profession premised on caring for the ill also systematically depersonalizes dying. Final Exam follows Chen over the course of her education and practice as she struggles to reconcile the lessons of her training with her innate sense of empathy and humanity. A superb addition to the best medical literature of our time.

Cancer-related bone pain is experienced by patients with primary bone tumours such as myeloma and osteosarcoma, but is more commonly seen in patients with malignant tumours that have metastasised to bone. Bone pain is one of the most common and severe forms of pain associated with breast, prostate and lung cancer, yet little is known about the underlying mechanisms responsible for the pain. Cancer patients identify bone pain as the most disruptive cancer-related event in terms of their quality of life and daily functioning, and it is also associated with increased incidence of morbidity, depression, and anxiety. Part of the Oxford Pain Management Library, this volume summarises the latest evidence-based and practical information on the management of cancer-related bone pain. Chapters cover the pathophysiology and clinical features of bone pain, general principles of management and the use of opioids and other agents. It will be an invaluable reference for all health care professionals involved in the management of patients with bone pain from various disciplines including palliative care, anaesthetics, oncology and general practice.

Pain is a universal human experience, but acute and chronic pain has both physical and psychological effects. For that reason the World Health Organisation recognised pain relief as a basic human right. Orofacial pain is seen as particularly damaging - deemed 'inescapable' by its sufferers. This book takes a problem-based learning approach to orofacial pain, focusing on neuropathic trigeminal pain and persistent temporomandibular disorder. Topics covered include symptomology of several types of orofacial pain, pain progression and the psychosocial factors involved in pain. Each chapter includes detailed patient cases illustrating how to identify relevant physical changes and psychometric tests to measure levels of depression, anxiety and stress in the clinical situation. The book aims to enable clinicians to gain a better understanding of patient pain, to reassure the patient that they are understood and to build an effective pain management strategy, recognising the biopsychosocial nature of pain.

Expert Nursing Care Has The Potential To Greatly Reduce The Burden And Distress Of Those At Life'S End And The Ability To Offer Support For The Many Physical, Psychological, Social, And Spiritual Needs Of Patients And Their Families. This Protocol Sets Forth The Evidence-Based Guidelines For Providing Appropriate End-Of-Life Care; Including Symptom Management; Family Issues And Intervention; Withholding And Withdrawing Life Support; Communication And Conflict Resolution; And Caring For The Caregiver.

Most chronically and terminally ill patients are cared for in their own homes by family and friends, rather than in hospitals or hospices. These carers are an invaluable free resource and there is an increasing amount of research into their role and the experiences in caring for the terminally ill, patients with cancer and patients with other chronic diseases. This book provides a critique of the theoretical concept of caring, carers and caregivers. Material is based on empirical evidence from recent studies with adults with acquired chronic illnesses, including terminal illness. The empirical data within the book has been gathered from the perspective of those providing personal, domestic or emotional care to others already known to them by virtue of kinship, co-habitation or friendship, rather than carers organised on a professional or voluntary basis. This new evidence is used to make suggestions about possible ways forward within health and social care practice. Students in the fields of health and social care as well as in social sciences undertaking courses with a health focus, practitioners and researchers in palliative care and all those involved in health services provision for the chronically ill will find this book extremely valuable. Other books published by OUP: Palliative care in the home, Derek Doyle & David Jeffrey Integrated cancer care - holistic, complementary and creative approaches, Jennifer Barraclough

In this far-ranging textbook on palliative and end of life care, John Costello and a team of palliative care specialists take a patient-centred approach. Discussing palliative and end of life care across a range of diseases and illnesses, each chapter includes real-life case studies that focus on both the patient experience and the experiences of the family members of service users. Original in its approach to palliative and end of life care, Adult Palliative Care focuses on a range of non-cancer conditions. Thoughtfully balancing theory with practice, and interprofessional in its scope, Adult Palliative Care would benefit any health professional dealing with or working in the field of palliative and end of life care.

UEbersichtlich und kompakt bietet Ihnen dieses Lehrbuch einen vollstandigen UEberblick uber alle prufungsrelevanten Inhalte der Palliativmedizin. Es leitet Sie leicht verstandlich und GK-orientiert durch das gesamte Basiswissen und beinhaltet die Therapie, Versorgung und Begleitung Sterbender, sowie besondere Situation wie z.B. Notfallsituationen, der Umgang mit Kindern und LSBTI. Profitieren Sie von der langjahrigen Erfahrung der Dozenten, die sorgfaltig das Wesentliche fur Sie ausgewahlt und aufbereitet haben. Der Inhalt Das bewahrte didaktische Konzept ermoeglicht ein effizientes Lernen: * Prufungsteil - Fur eine optimale Vorbereitung auf MC-Fragen und Fallstudien * Kernaussagen - Bringen das Wichtigste auf den Punkt * Fallbeispiele - Stellen einen anschaulichen Bezug zur Praxis her * 29 Videos uber die kostenlose MoreMediaApp - Geben einen Einblick in die Arzt- und Patientensituation

All physicians are involved in the management of pain at some level or the other, but of the various specialties and health professions, orthopedic surgeons are at the frontline of delivering perioperative pain care for a wide variety of problems that range from skeletal trauma, joint replacement procedures, bone tumors and spinal conditions. Perioperative Pain Management for Orthopedic and Spine Surgery offers a concise yet comprehensive overview of the surgical spine pain management field to help practitioners effectively plan and enhance perioperative pain control. Chapters provide guidance on solving common dilemmas facing surgeons who are managing patients with pain related problems and clinical decision-making, and explore essential topics required for the trainee and practitioner to quickly assess the patient with pain, to diagnose pain and painful conditions, determine the feasibility and safety of surgical procedure needed, and arrange for advanced pain management consults and care if needed. This text also explores the latest evolving techniques and appropriate utilization of modern equipment and technology to safely provide care. Highly accessible and written by experts in the field, Perioperative Pain Management for Orthopedic and Spine Surgery is an ideal resource for practicing orthopedic and spine surgeons, anesthesiologists, critical care personnel, residents, medical students.