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Resilience in Palliative Care - Achievement in adversity (Paperback)
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Resilience in Palliative Care - Achievement in adversity (Paperback)
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The first book of its kind, Resilience and Palliative Care -
Achievement in adversity takes the increasing international
literature on resilience and applies it to palliative and
end-of-life care. The book offers an overview of all key aspects of
palliative care, presented through a resilience perspective. Why do
some patients and families break down while others surmounts the
challenges facing them? What interventions strengthen individual,
family and community coping? This book aims to facilitate change
with people facing the crisis of death, dying and bereavement. Much
of the existing literature has focused on risk, problems and
vulnerability; the emerging concept of resilience focuses on
strengths and possibilities. The 'total pain'/'total care' approach
pioneered by Dame Cicely Saunders and St Christopher's Hospice now
needs reinterpreting in the light of changing contexts and
challenges. The realities of demographic change and
resource-constrained health and social care environments have
generated an increasingly risk focused approach to service
delivery. A narrowly medicalised approach has inevitable
limitations; professional care alone will be unable to meet need
and demand in the face of ageing populations, changing patterns of
illness and the need for equity. The resilience approach offers a
counterbalance that harnesses the strengths of individuals and the
communities in which they live and in which most of their dying
will take place. Resilience thinking emphasises the importance of
public health and creates a partnership between patients,
professionals and community structures, seeking to build community
capacity and to deliver a preventive health care that will leave
future generations less afraid of the dying and bereavement that
will confront all of us. This book offers insights into how, at all
levels of planning and delivering palliative care, there is the
opportunity to maximise coping, build an infrastructure for
self-help, and increase the capacity of strengthened teams and
organisations.
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