This landmark text is the key resource for nurses working in the field of palliative care. Edited by renowned nursing experts, and written by a dynamic team of internationally known authorities in nursing and palliative medicine, the Oxford Textbook of Palliative Nursing covers the gamut of principles of care from the time of initial diagnosis of a terminal disease to the end of a patient's life and beyond. The text is distinctively developed to highlight the nurse's vital role as part of an integrated palliative care team. Various care settings are discussed including the hospital, ICU, home care, and hospice. Chapters focus on the practical aspects of nursing care, including symptom assessment, patient teaching, family support, psychosocial aspects of palliation, and spiritual care. New to the fourth edition are chapters on the National Consensus Project for Quality Palliative Care Guidelines, palliative care of veterans, palliative care in rural settings, disaster situations, palliative care in Eastern Europe, and palliative care in the Philippines.
1. Introduction to Palliative Nursing Care ; 2. National Consensus Project for Quality Palliative Care: Promoting Excellence in Palliative Nursing ; 3. Hospital-Based Palliative Care ; 4. Principles of Patient and Family Assessment ; 5. Communication in Palliative Care: An Essential Competency for Nurses ; Section II. Symptom Assessment and Management ; 6. Pain Assessment ; 7. Pain at the End of Life ; 8. Fatigue ; 9. Anorexia and Cachexia ; 10. Nausea and Vomiting ; 11. Dysphagia, Xerostomia, and Hiccups ; 12. Bowel Management: Constipation, Diarrhea, Obstruction, and Ascites ; 13. Artificial Nutrition and Hydration ; 14. Dyspnea, Terminal Secretions, and Cough ; 15. Urinary Tract Disorders ; 16. Lymphedema Management ; 17a. Skin Disorders: Pressure Ulcers: Prevention and Management ; 17b. Skin Disorders: Malignant Wounds, Fistulas, and Stomas ; 18. Pruritis, Fever, and Sweats ; 19. Neurological Disorders ; 20. Anxiety and Depression ; 21. Delirium, Confusion, Agitation, and Restlessness ; 22. Insomnia ; 23. Sexuality ; 24. Urgent Syndromes at the End of Life ; 25. Sedation for Refractory Symptoms ; 26. Complementary and Alternative Therapies in Palliative Care ; 27. Withdrawal of Life-Sustaining Therapies: Mechanical Ventilation, Dialysis, and Cardiac Device ; Section III. Psychosocial Support ; 28. The Meaning of Hope in the Dying ; 29. Bereavement ; 30. Supporting Families in Palliative Care ; 31. Planning for the Actual Death ; 32. Spiritual Assessment ; 33. Spiritual Care Intervention ; 34. Meaning in Illness ; Section IV. Special Patient Populations ; 35. Caring for Those with Chronic Illness ; 36. Cultural Considerations in Palliative Care ; 37. Elderly Patients ; 38. Poor, Homeless, and Underserved Populations ; 39. End-of-Life Care for Patients with Mental Illness and Personality Disorders ; 40. Patients with Acquired Immunodeficiency Syndrome ; 41. Caring for the Patient With Substance Use Disorder at the End of Life ; 42. Palliative Care of Cancer Survivors ; 43. Veterans ; Section V. End-of-Life Care Across Settings ; 44. Improving the Quality of Care Across All Settings ; 45. Long-Term Care: Focus on Nursing Homes ; 46. Home Care and Hospice Home Care ; 47. The Intensive Care Unit ; 48. Palliative Care Nursing in the Outpatient Setting ; 49. Rehabilitation and Palliative Care ; 50. The Emergency Department ; 51. The Role of Nursing in Caring for Patients Undergoing Palliative Surgery for Advanced Disease ; 52. Palliative Chemotherapy and Clinical Trials in Advanced Cancer: The Nurse's Role ; 53. Rural Palliative Care ; 54. Palliative Care in Mass Casualty Events with Scarce Resources ; Section VI. Pediatric Palliative Care ; 55. Symptom Management in Pediatric Palliative Care ; 56. Pediatric Hospice and Palliative Care ; 57. Pediatric Care: Transitioning Goals of Care in the Emergency Department, Intensive Care Unit, and In Between ; 58. End-of-Life Decision-Making in Pediatric Oncology ; 59. Palliative Care in the Neonatal Intensive Care Unit ; 60. Grief and Bereavement in Pediatric Palliative Care ; 61. Pediatric Pain: Knowing the Child Before You ; Section VII. Special Issues for the Nurse in End-of-Life Care ; 62. The Advanced Practice Registered Nurse ; 63. Reflections on Occupational Stress in Palliative Care Nursing: Is it Changing? ; 64. Ethical Considerations in Palliative Care ; 65. Palliative Care and Requests for Assistance in Dying ; 66. Nursing Education ; 67. Nursing Research ; 68. Enhancing Team Effectiveness ; 69. Clinical Interventions, Economic Impact, and Palliative Care ; 70. International Palliative Care Initiatives ; 71. Palliative Care in Canada ; 72. Palliative Care in Australia and New Zealand ; 73. Palliative Care in the UK ; 74. Palliative Care in Europe ; 75. Palliative Care in Latin America ; 76. Palliative Care in Africa ; 77. Palliative Care in Japan ; 78. Palliative Care in South Korea ; 79. Palliative Care in Eastern Europe ; 80. Palliative Care in the Philippines ; 81. Palliative Care in Situations of Conflict ; 82. Palliative Care as a Human Right ; 83. A Good Death ; Appendix