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Excellent end of life care for people with heart failure is challenging but possible. Failure to address this aspect of care has serious consequences for patients, their families, clinicians and the use of health resources. Heart Failure: From Advanced Disease to Bereavement illustrates the complexity and importance of end of life care for patients with advanced heart failure. This book is a pocket reference for everyday use in the clinic, ward or home visit for all doctors, nurses and AHPs caring for people with advanced heart failure. It outlines the underlying pathophysiology of heart failure, summarises standard pharmacological and device therapy, and sets the context of the challenges resulting from an unpredictable course of disease. In easily digestible summaries, this book presents practical advice about how and when to integrate a palliative care approach alongside standard heart failure management, how to communicate honestly in the face of uncertainty, the rationalisation of medication and device therapies at the end of life, symptom control, care for the dying, and care after death.
More and more evidence is confirming that "breast is best" for both baby and mother. Increasing numbers of women are choosing to breastfeed, yet sometimes "the natural thing to do" can present difficulties. Nearly 200 women contributed their experiences to the authors of the book. They talk about their experience breastfeeding, from the first few days, through to becoming confident together, returning to work and weaning.
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