Essentials in Hospice and Palliative Care: A Practical Resource For Every Nurse by Katherine MurrayEssentials in Hospice and Palliative Care: A Practical Resource For Every Nurse by Katherine Murray

Essentials in Hospice and Palliative Care: A Practical Resource For Every Nurse

byKatherine MurrayIllustratorJoanne ThomsonEditorSarah Weber

Paperback | September 12, 2016

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All Life and Death Matters resources were created by Kath Murray, a veteran hospice and palliative care nurse, and are designed to:

  • Meet national competencies and learning outcomes related to hospice and palliative care and end-of-life care
  • Enhance best practice interactions
  • Increase caregiver confidence and competence in caring for the dying person and family
  • Decrease caregiver fears and concerns
  • Increase caregiver ability to respond to challenging issues
  • Help instructors and students provide excellent care for the dying person and their family

The book provides information on:

  • Understanding the dying process
  • Integrating a palliative approach
  • Preparing to care
  • Using standardized tools
  • Enhancing physical comfort
    • Principles and practices of hospice and palliative care
    • The process of providing care
    • Pain and symptom management
  • Providing psychosocial care
  • Palliative care and physician assisted dying
  • Caring in the last days and hours
  • Caring for you, the caregiver!


Title:Essentials in Hospice and Palliative Care: A Practical Resource For Every NurseFormat:PaperbackDimensions:314 pages, 11 × 8.5 × 0.85 inPublished:September 12, 2016Publisher:Life and Death MattersLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:1926923111

ISBN - 13:9781926923116


Table of Contents

CONTENTSDedication vAbout the Cover viAcknowledgements viiPreface xvChapter 1: Understanding the Dying Process 1Common Patterns of Dying 1People Have Never Died Like This 3Common Trajectories of Dying 4Reflections 9Chapter 2: Integrating a Palliative Approach 11A Dream of Better Care for the Dying 11Principles of Hospice and Palliative Care 13Evolving Models of Hospice and Palliative Care 13Common Issues in the Process of Providing Care 16The Next Steps for Hospice and Palliative Care 19Summary 26Chapter 3: Preparing to Care 29Preparing to Care-an Essential Practice 29Striving for Best Practice 30Preparing by Striving for Best Practice Interactions 35Personal Strategies for Preparing to Care 43Chapter 4: Using Standardized Tools 49The Rationale for Using Standardized Tools 49Best Practice for Assessments and Information Sharing 50Screening Tools for Identifying When to Integrate a Palliative Approach 51Symptom Screening Tools 59Symptom Assessment Tools 65Communication Tool 80Psychosocial Assessment Tools 82Ethics Framework 92Chapter 5: Enhancing Physical Comfort 99Part 1: Principles of Symptom Management 99Using Opioids to Manage Symptoms 101Addressing the Side Effects of Opioids 106Addressing Concerns and Fears about Opioids 108Best Practices for Relieving Symptoms with Opioids 111Nonpharmacological Comfort Measures-Comfort Basket 118Part 2: Common Symptoms 119Anorexia and Cachexia 119Changes in Bowel Function 127Delirium 133Dyspnea 144Fatigue 155Dry Sore Mouth 160Nausea and Vomiting 163Pain 173Chapter 6: Providing Psychosocial Care 189What Is Psychosocial Care? 189Common Psychosocial Responses to the Diagnosis of Life-Limiting Illness 189Supporting People through Times of Transitions 190Experiencing Multiple Losses Due to Progressive Life-Limiting Illness 192Preparing for Expected Losses 193Grief-an Adaptive Response to Loss 194Grief as a Whole Person Experience 195Supporting Hope 202Supporting a Grieving Person 203Facilitating Self-Determination and Autonomy with Advance Care Planning 206Understanding Physician Assisted Dying and Medical Assistance in Dying 210Spirituality and the Search for Meaning, Purpose, and Connection 217Supporting Intimacy and Sexuality 223Strengthening the "Social" in "Psychosocial" 225Supporting Children Whose Loved One Is Dying 226Chapter 7: Caring in the Last Days and Hours 231Preparing the Person and the Family for the Last Days and Hours 231Preparing to Meet the Person's Needs in the Last Days and Hours 235Providing Care in the Last Days and Hours 240When Death Occurs 247Chapter 8: Caring for You! 255Providing Care for the Dying Will Change You 255Considering Compassion Fatigue 255Preventing Compassion Fatigue 258Closing Thoughts 265Appendix 267Bibliography 275

Editorial Reviews

Kath has taken the theory and principles of palliative care, her experience as an excellent bedside nurse, and her compassion for both those receiving and giving care, and merged them into these amazing books.Kath presents complex issues in practical and clear ways. Through stories and illustrations she reminds us that care includes the person, the family, and ourselves. She shares all the necessary tools, knowledge, and skills, while emphasizing that it is our presence and human connection with people that create truly meaningful moments for all those who are involved. Wendy Wainwright, MSW, MEd, Co-author, Transitions in Dying and Bereavement, Co-editor, Medical Care of the Dying