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Books > Medicine > Nursing & ancillary services > Nursing > Terminal care nursing
About her career as a Hospice Nurse and her book, Margaret Dodson says: I have been honored to share in the living, dying, and deaths of the most extraordinary "ordinary" people. I have entered into lives months away from their dying and moments away from their dying. Each person I have met in this work has been etched into my heart; how could I help but be touched by them? I realized that I needed to go away for a few days with a list of the people and families I had cared for during the year, and I needed time to spend my "last visit" with them privately to say goodbye. As I sat looking at the sea and feeling so full of these stories, they began to pour from me onto these pages. I would look at a name and I was transported not only to that person but also to that family, their home, the conversations, the intimacies, the suffering, the peace and even the joy. It would be presumptuous to say I have become wise by these experiences, but my gratitude for this enrichment is boundless. Much of the time I do not feel wise; yet, as the years have passed and the stories accumulate, I do feel as though I have acquired lessons to share. The lessons Margaret has learned are this book.
With an 'Attitude of Gratitude', author David Fraser Wright survived a 20 year wait for a liver transplant. He has selected ideas, artwork, and reactions to events, over that time, and presents them to you, from a year by year compilation - with the most inspirational one from each year, followed by an idea guide for 'What's Next?'.
"We as the American hospices are not sent to help the poor African hospices, but to deepen relationships with them, to assess needs and to discover how they function. We can share our knowledge with them, and they in turn can share their knowledge and insight with us." Hospice and Palliative Care is a new concept in Africa, and is established, funded and carried out in different ways than American hospices. The author's 3-pronged purpose in writing this book is to: 1) Approach hospice care from a missional point of view, 2) Share the importance of compassionate, faith-based end-of-life care, and 3) Understand and appreciate Zambia's challenges of hospice and palliative care.
Death comes for us all, and the desire to ease into that death is as ancient as humankind. The idea that sometimes it is better to die quickly and in control of that death--rather than linger in pain and misery once impending death is certain--has troubled yet comforted humankind. In Doctor, Please Help Me Die, author Tom Preston, MD, presents a thorough overview and discussion of end-of-life issues and physician-assisted death in America. Doctor, Please Help Me Die traces the history of patients seeking relief from suffering at the end of life and discusses how cultural and professional customs have inhibited many doctors from helping their patients at the end. Preston shows how most doctors fail their patients by not discussing dying with them and by refusing to consider legal physician aid in dying--ultimately deceiving the public in their refusal to help patients die. He discusses the religious, political, and legal battles in this part of the culture war and gives advice to patients on how to gain peaceful dying. Preston presents a strong argument for why every citizen who is dying ought to be extended an inalienable right to die peacefully, and why every physician has an ethical obligation to assist patients who want to exercise this right safely, securely, and painlessly.
The Oxford Textbook of Palliative Social Work is a comprehensive, evidence-informed text that provides clinicians, researchers, policy-makers, and academics with a broad range of content to inform and enhance palliative social work practice. This definitive resource brings together an array of more than 150 international authors and is edited by three leading palliative social work pioneers to address the needs of professionals providing interprofessional, culturally sensitive, biopsychosocial-spiritual care for patients and families living with serious illness. Social workers from diverse settings will benefit from the historical perspective and international scope as well as the wealth of patient and family narratives. In keeping with the dynamic growth of the field over the last decade, this second edition offers a substantially deeper dive both conceptually and contextually into the more nuanced delivery of palliative social work. This edition includes additional chapters that reflect the increased integration of palliative social work across populations, diagnoses, and settings. Each chapter has been extensively updated integrating current evidence, with a section specifically devoted to interventions for the purpose of affirming the scope of social work palliative practice. A new preface highlights aspects of social-political inequity and injustice that informed the development, process, and ultimate content of this Text. International palliative social work practice is reflected by regional voices and highlighted by an exploration of the unique response to the COVID-19 pandemic as it evolved in their respective countries. Professional issues explore topics of mentoring, supervision, advocacy, leadership, certification, legacy, and resilience.
Caregivers. Beyond tired, beyond stressed, they hunger for a glimmer of hope. You can see it in their eyes and hear it in their voices. They are stretched way too thin and panic simmers just under the surface. What if the next thing to go wrong makes them snap? With Each Passing Moment, a devotional memoir, offers hope and encouragement for weary caregivers. The short chapters are arranged alphabetically by emotional, physical, and spiritual needs that caregivers face daily.
You're returning home from a conference at the other end of the county, switch on the answering machine at two in the morning and hear the words, "I'm dying." First, you know it just can't be true-she's been a hypochondriac all her life-but this time it may be. How do you literally drop a full life overnight to run a home hospice? This book is written by a younger sister, a psychotherapist and Psychosynthesis trainer. It's a story we all need to know as the population grows older, and most become caregivers in the home at some point. Included are many useful quotes, references from experts like James Pennebacker and Steven Levine, and the author's reflections. CYNTHIA PINCUS RUSSELL Russell, PhD, has published extensively in both general and academic periodicals. She teaches and supervises Psychosynthesis, collecting techniques from a variety of cultures for rapid recovery and growth. Dr. Russell has also been on the clinical faculty at Yale School of Medicine for years and served as Assistant Clinical Professor in Psychiatry (Psychology) as a supervisor. Her writing includes three books, dozens of articles, research on adult development and depression, poetry, non-fiction and fiction. Her book, "Double Duties," was a Woman Today Book Club selection, and Book of the Year of the New Haven Public Library. An essay, "Coming Home," was reprinted in seven languages. Recent publications include the poem "Memorial Day" in "Beyond Lament," an anthology of poems on the Holocaust, and poems in "Castalian Springs," "Orange Willow Review," "Red Oak" and many others. Articles have appeared in "The New York Times," "Parents," "Columbia," and other periodicals. Her "Patient as Teacher" program represents twelve years of research and interviews, and has been excerpted on line by the Yale School of Medicine.
As a doctor at the end of a 24-hour shift in the intensive care unit, it's usually easy for me to fall asleep. Exhaustion hits me like a rock and it doesn't matter that the morning sun is pouring into my bedroom. After so many long hours of fighting for life and pushing back death, when I finally hit my bed and close my eyes, the next day arrives in an instant. Except for that one day when I couldn't sleep no matter what I tried. Saddened from seeing the familiar turmoil as my patients' families were caught unprepared, confused and distraught by an unexpected medical disaster, I tossed and turned in bed. In the ICU, every day is about people with devastating illness, the fragility of our bodies, and our mortality. There are lots of questions. Should we pursue aggressive, possibly painful interventions, or should we shift our focus and allow a natural and peaceful passing? In the end, it usually comes down one question: "What should we do?" It's an impossible question, for which there is only one, impossible answer. It's up to you. I decided to write Last Wish to help my patients and everyone who reads this book be better prepared to answer that question. My patients allowed me to share their stories as they struggled with life, death and somewhere in-between so that their victories and also their failures could help you think about your own wishes and those of your loved ones, and be better prepared if you're faced with an unexpected tragedy. In this book, just as with my patients, I'm not advocating any particular path, just showing you what the road might look like so you can consider the issues. I hope Last Wish will provide some insight for you and your family. At the very least, I hope it sparks discussion and helps you to consider planning for the inevitable mortality we all face. Lauren Van Scoy, M.D.
When you or a loved one are diagnosed with a terminal illness,
you wonder what can be done to make life easier and more meaningful
during the remaining time on earth. In "A Hospice Guide Book, "
author Dr. Curtis E. Smith shows how the concept of hospice, which
emphasizes the important provisions of comfort care through the
end-of-life journey, can help terminal patients die a comfortable,
peaceful death with dignity. A resource for families, patients, and health care providers, "A
Hospice Guide Book" provides a thorough explanation of the hospice
concept. It discusses "A Hospice Guide Book" presents a plethora of information about hospice, enabling those who could become hospice patients the opportunity to receive the benefit of expert comfort care; pain control management; symptom control; and emotional, spiritual, and psychosocial support as they live with their terminal illness during the end-of-life journey and peacefully transition from this life to the next.
This book is about the journey of dealing with ALS (Lou Gehrig's Disease). My wife Kenni Spencer, contacted this "evil disease" in 2009 and none of us even knew what it was nor what to expect. As with all terminal diseases, the print journey, is usually defined in words of hope, thankfulness, and new experiences. STOP...this book is about the "real face" of ALS. It charts the known's, the unknowns, the fears, the hopelessness, and the frustrations. This book shares the rawness and frankness of the ALS disease journey. It shares the whole dynamics that this disease manifests itself within the family structure. This book, the true face of ALS (Lou Gehrig's Disease), is not to enjoy, but to clarify and understand the reality of it's impact. There is this huge degree of hopelessness for ALS victims. I am hoping that by writing this book, and explaining the journey, some bits of hope can be realized for futures to come.
John Chuchman, Pastoral Bereavement Educator and Companion shares his Grief and Caregiving workshop and seminar materials and background information hoping to help anyone experiencing a loss in life and anyone wishing to improve his/her basic caregiving skills.
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.
The essence of nursing care continually exposes nurses to
suffering. Although they bear witness to the suffering of others,
their own suffering is less frequently exposed. This slim volume
attempts to give voice to the suffering that nurses witness in
patients, families, colleagues, and themselves. By making this
suffering visible, the authors wish to honor it and to learn from
it.
Author Tom Preston, MD, and his terminally ill patients and their families often face the controversial predicament of how to die when suffering has been medically extended. Through their conversations, they demonstrate how dying is a process, how physicians alter when and how we die, and why "natural" death is a misnomer after medical interventions prolong the process. Their cases also explain why patients-not physicians or others-should be able to make their own decisions about when and how to die. Dr. Preston gives compelling reasons as to why aid-in-dying is not suicide when used by terminally ill patients, and why physicians who help them die are not assisting suicide. He shows us the ethical aspects of aid-in-dying and how they are consistent with other current and legal medical practices that help patients end their suffering. He debunks claims that legalized aid-in-dying would be abused for financial, social, or political reasons. Dr. Preston also shows how outdated cultural attitudes impede society's understanding of how we die, why many physicians withdraw from their dying patients, and how the sanctity-of-life principle has become distorted to obstruct physician assisted deaths. "Patient-Directed Dying" is a powerful manifesto calling for mercy and reason in helping terminally ill patients die a peaceful death.
Dame Cicely Saunders was the founder of the Hospice Movement, in which Britain leads the world. Her work transformed our approach to the care of the dying, and also the debate about euthanasia. She died in 2005 and her memorial service was held in Westminster Abbey in March 2006. Over 1600 people attended. This biography, by Shirley du Boulay, includes a 4-page plate section and new chapters by Marianne Rankin covering the years after 1984.
After the Nancy Cruzan case was decided by the Supreme Court in 1990, and ultimately resolved by the Courts of the State of Missouri, the decision to withhold or withdraw life-prolonging nutrition and hydration appeared to many to be as noncontroversial as decisions to refuse respirators or dialysis. Even the Catholic Church held that, although there should be a presumption in favor of providing nutrition and hydration, the patient or the patient's surrogate could overrule this presumption, if either believed the treatment was disproportionate or burdensome. The Schiavo case changed all that. Although the decision to remove Terri Schiavo's nutrition and hydration was made by her husband - her legal surrogate - based on his wife's belief that such treatment was disproportionate, Schiavo's immediate family protested so much that the case took years to resolve. It eventually involved all branches of government at both the state and federal levels. The ethical dilemmas that such cases pose continue to stir great controversy. This in-depth examination of these dilemmas provides information and documentation from many perspectives. The editors have included a foreword by Dr. Jay Wolfson, Terri Schiavo's court-appointed guardian ad litem, as well as Dr. Wolfson's report to Gov. Jeb Bush on the case and Gov. Bush's reply; public statements by President George Bush and Senators David Weldon, Rick Santorum, Tom DeLay, Bill Frist, and Barney Frank; statements by the pope and other representatives of the Catholic Church on this issue; plus much medical and legal background material on both precedents to the Schiavo case and its aftermath, including the results of the autopsy report. For anyone wishing an in-depth understanding of these complex ethical issues, issues many of us will have to confront in our own families, this volume is indispensable.
"Now I Lay Me Down...The Owner's Manual for the Dying Patient, Their Caregivers and Their Loved Ones" was written to help those with a terminal illness, and those who care for them, to improve the quality of their physical and spiritual life. It also gives guidance to the loved ones after death. During Mrs. Stringer's work as a hospice nurse she came to realize the importance of an open and honest relationship in the last months and days of a person's life. This is reflected in the book, as she has condensed an enormous amount of information in a straight-forward, easy to understand guide, while remaining sensitive and compassionate.
This book tells the story of a caregiver for a person who is seriously ill of cancer. It is of help to both the caregiver and the person suffering from illness. It offers physical, mental, emotional, and spiritual suggestions to help with the process of the disease, and, if it comes to that, dying. The book's information is valuable as a guide for any caregiver helping another with any serious, debilitating illness, not solely cancer. The large paperback is printed in a large font which allows for comfortable and fast reading. Caregivers, I know, are always pressed for time. Book Published March 25, 2005.
Taking a multidisciplinary approach, End of Life Nursing Care flows smoothly from historical perspectives to caring for the caregiver; and includes theories, holistic models, the grief process and responses to loss, ethical and legal considerations, patient centered care, communication, management of specific terminal illnesses, and issues across the lifespan. The text covers the encircling meaningful parameters of history, sociology, psychology, pathophysiology, philosophy, and the law.
Hospice is the primary system to provide care for the terminally ill and their families. Warm, compassionate, and absolutely practical, this definitive resource from the National Hospice Organization will answer all your questions about hospice care and will show you how to make this comprehensive and flexible system work for you and your family. The Hospice Choice illustrates the gamut of situations dying people and their families may face and suggests ways to manage them. Throughout is information on the broad range of services hospice can provide:
The Hospice Choicealso addresses sensitive issues like methods of payment, issues of ethnicity, the special problems raised by sudden death, and the realities of caregiver exhaustion. It will give you the concrete information, support, and encouragement that will help you make wise, compassionate decisions for yourself and for your loved ones.
In this meditative, heartbreaking, and unexpectedly comforting book, artist and essayist Judith Margolis tells the story of her mother's illness, decline, and death through thoughtfully written vignettes, poignant drawings, and poetic, prayerful affirmations. As her mother fights a series of health crises and faces the end of her life, Margolis documents her anxious concern and her father's turmoil while juggling responsibilities and her own distress. The resulting narrative, told with quiet intensity and candor, bears witness to contentious deliberations over medical decisions, the difficulties of patient care, and the complicated dynamics of family. In this book, designed to imitate a traditional Jewish prayer book, Margolis reminds herself and others caring for a dying parent to "pray"-pray for clarity, pray to stay centered, pray to forgive oneself-as a way of acknowledging and embodying the turbulent emotions involved. Both the form of the book and Margolis's rendering of the traditions involved in a family death ground Life Support firmly in the Jewish experience, providing a spiritual layer to this honest, realistic narrative that all readers will find inspiring and relevant. Life Support: Invitation to Prayer is a unique testimony to the power of creative response to infirmity and careful documentation during times of personal loss, as well as a loving tribute to family, spirituality, and grief.
Death studies have, over the last twenty years, witnessed a flourishing of research and scholarship particularly in areas such as dying and bereavement, cultural practices and fear of dying. But, despite its importance, a specific focus on the nature of personal mortality has attracted surprisingly little attention. Reflecting on the Inevitable combines evidence from several disciplinary fields to explore the varying ways each of us engages with the prospect of personal mortality. Chapters are organized around the question of how an ongoing relationship might be possible when the threat of consciousness coming to an end points to an unspeakable nothingness. The book then argues that, despite this threat, an ongoing relationship with one's own death is still possible by means of conceptual devices, or 'enabling frames', that help shape personal mortality into a relatable object. In each chapter the subtleties and applicability of key ideas are enhanced through a series of illustrative narratives built up around the lives of four people at different ages living in two adjacent houses. Reflecting on the Inevitable is relevant not only to academics of death studies, but also those training and practicing in people-helping professions, as well as anyone experiencing or attempting to make sense of major life events.
In recent years hospice care has gone from a little-known medical alternative to a major movement in health care. By emphasizing palliative care and pain management rather than curative treatment, hospices allow the terminally ill to spend the last days, week, or months of their lives in their own homes, cared for by their families under the supervision of a team of specially trained hospice workers that includes doctors, nurses, social workers, and volunteers. The Hospice Handbook assures us that the terminally ill do have options, and the quality of their lives can still be within their control. |
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