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In our society, the overwhelming majority of people die in later life. They typically die slowly of chronic diseases, with multiple co-existing problems over long periods of time. They spend the majority of their final years at home, but many will die in hospitals or care homes. This book explores the possibilities for improving the care of older people dying in residential care and nursing homes. It argues that there are aspects of palliative care that, given the right circumstances, are transferable to dying people in settings that are not domestic or hospice based. End of Life in Care Homes describes what happens in nursing and residential care homes when a resident is dying, how carers cope, and the practical, health and emotional challenges that carers face on top of their day-to-day work. Based on detailed research from both the UK and US, the book shows how the situation can be improved.
The fully revised and updated edition of this bestselling collection combines academic research with professional and personal reflections. Death, Dying and Bereavement addresses both the practical and the more metaphysical aspects of death. Topics such as new methods of pain relief, guidelines for breaking bad news, and current attitudes to euthanasia are considered, while the mystery of death and its wider implications are also explored. A highly distinctive interdisciplinary approach is adopted, including perspectives from literature, theology, sociology and psychology. There are wide-ranging contributions from those who come into professional contact with death and bereavement - doctors, nurses, social workers and councellors. In addition there are more intimate personal accounts from carers and from bereaved people. Death, Dying and Bereavement is the Course Reader for The Open University course Death and Dying, which is offered as part of The Open University Dilpoma in Health and Social Welfare. Some reviews of the First Edition: `The book does give a broad overview of many of the issues around death, dying and bereavement. It raises the reader's awareness and encourages deeper investigation at every level. It is easy to reda and therefore accessible to a wide audience' - Changes `Provides a richly woven tapestry of personal, professional and literary accounts of death, dying and bereavement' - Health Psychology Update `Offers a unique collection of fascinating information, research, stories, poems and personal reflections. It is unusual to experience such a diversity of writings in one book' - Nursing Times `It brings together the knowledge and skills from a multi-occupational group and thereby offers and opportunity, to whoever reads it, to enable better experiences for those who are dying and bereaved' - Journal of Interprofessional Care `For those trying to help the dying and bereaved, this volume will inspire and move you as much as it will inform and guide your work' - Bereavement Care `Provides a unique overview, and in many areas, penetrating insights into various aspects of death, dying and bereavement. One of it's major strengths is that it brings together a wide and varied discourse on death across cultures and through time' - British Journal of Sociology
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