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The growing geriatric population in the United States has created an increasing need for palliative medicine services across the range of medical and surgical specialties. Yet, palliative medicine lacks the resources to carry such a workload itself. Geriatric Palliative Care addresses this need by encouraging individual specialties to "own" the management of elderly with the same vigor as they "own" other key management competencies within their specialty. This clinically focused and highly practical handbook, which compliments the more comprehensive text Geriatric Palliative Care by Sean Morrison and Diane Meier (Oxford University Press, 2003), encourages this process of learning and ownership across many medical specialties. Designed to be readable and easily accessible to a range of health care providers, Geriatric Palliative Care outlines specific strategies for caring for specific palliative care issues common in elderly patients. The handbook also provides evidence based advice for helping patients, relatives, and staff cope with such issues as polypharmacy, dementia and consent, multiple pathologies, home care, elderly caregivers, and supporting the elderly in the place where they would like to be.
A world of possibilities opens up for Joy Harkness when she sets out on a journey that's going to show her the importance of friendship, love, and what makes a house a home Coming-of-age can happen at any age. Joy Harkness had built a university career and a safe life in New York, protected and insulated from the intrusions and involvements of other people. When offered a position at Amherst College, she impulsively leaves the city, and along with generations of material belongings, she packs her equally heavy emotional baggage. A tumbledown Victorian house proves an unlikely choice for a woman whose family heirlooms have been boxed away for years. Nevertheless, this white elephant becomes the home that changes Joy forever. As the restoration begins to take shape, so does her outlook on life, and the choices she makes over paint chips, wallpaper samples, and floorboards are reflected in her connection to the co-workers who become friends and friendships that deepen. A brilliant, quirky, town fixture of a handyman guides the renovation of the house and sparks Joy's interest to encourage his personal and professional growth. Amid the half-wanted attention of the campus's single, middle-aged men, known as "the Coyotes,"and the legitimate dramas of her close-knit community, Joy learns that the key to the affection of family and friends is being worthy of it, and most important, that second chances are waiting to be discovered within us all.
This volume examines crucial concerns in palliative care, including the proper balance between comfort and cure for the patient, the integration of spiritual well-being, and the challenges of providing care in the absence of basic medical services and supplies. In the first section, palliative-care pioneers Constance Dahlin, Eduardo Bruera, Neil MacDonald, and Declan Walsh recount the early history of the discipline. Part 2 discusses the role of poetry, prose, plays, and other aspects of the humanities in the practice of palliative care. Part 3 explores essential current issues in the field, including autonomy, the use of opioids, and the impact of artificial intelligence on the evolution of palliative care. The final section focuses on the spiritual dimensions of pain and suffering. Rich with anecdotes and personal stories and featuring contributions from pioneers and current practitioners, The Pursuit of Life is an essential assessment of the past, present, and future of palliative care. In addition to the editors, the contributors include W. Andrew Achenbaum, Stacy L. Auld, Elena Pagani Bagliacca, Costantino Benedetti, Courtenay Bruce, Eduardo Bruera, Joseph Calandrino, Jim Cleary, Constance Dahlin, Andrea Ferrari, Mauro Ferrari, Joseph J. Fins, Bettie Jo Tennon Hightower, Kathryn B. Kirkland, Robin W. Lovin, Neil MacDonald, Charles Millikan, Dominique J. Monlezun, Tullio Proserpio, Giovanna Sironi, Daniel P. Sulmasy, and Declan Walsh.
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