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Palliative care has evolved rapidly in recent years. Not only is the field dealing with an increasingly elderly and multi-morbid population, it is also addressing a wider variety of complex diagnoses such as heart failure, renal failure, advanced lung disease, frailty, and dementia. Challenging Cases in Palliative Care is unique, as it uses examples of real-world cases from palliative care practices. It also includes expert commentary to support modern clinicians in managing the'messiness'of clinical care, as well as the increasingly complex needs of patients today. As part of our Challenging Cases series, the cases in this book not only cover a range of physical and psychosocial problems seen in palliative care, they also reflect the core curriculum for UK speciality trainees. Each case brings together expert interpretation of the available evidence, management strategies, guidelines and best practice, while discussing complexities in clinical decision-making and controversies in approach.

This practical, thought-provoking guide provides the unemotional, clear, and accurate advice necessary for communicating with patients in a palliative care setting – a pivotal aspect of being a palliative care expert that is so difficult to quantify and teach. It uses genuine anecdotes and case studies to bring theory to life and assist in everyday application.The revised edition includes sections on the conversation about assisted dying and how it feels to be on the other side of clinical communication as a patient or carer.Communication in Palliative Care is a wide-ranging, invaluable resource to palliative care professionals across all clinical settings.Features: Offers the lessons learned over a lifetime of care in practice from diagnosis into bereavement Addresses the topics of daily concern to palliative care professionals and carers working in oncology or with non-malignant disease and with the elderly across all clinical settings Presents a succinct summary of points and lessons from each case study

Crossing Over provides a unique view of patients, families, and their caregivers in the face of incurable illness. Twenty richly-detailed narratives bring vividly to life the experiences of dying and bereavement, weaving together emotions, physical symptoms, spiritual concerns, and the stresses of family life, as well as the professional and personal challenges of providing hospice and palliative care. Drawing on a variety of qualitative research methods, including participant-observation, interviews, and journal keeping, the narratives depict the sights, sounds, tastes, and smells of daily life in patients'homes and in the palliative care unit. Crossing Over moves far beyond conventional case reports in medicine, which typically concentrate narrowly on symptoms and treatments, and beyond clichés about'dying with dignity.'It provides intimate views of the anger and fear, tenderness and reconciliation, jealousy and love, unexpected courage and unshakable faith, social support and'falling through the cracks,'which are all part of facing death in North American society. It provides an extraordinary portrait of the processes of giving and receiving hospice and palliative care in the real world, as opposed to idealized versions in many textbooks. This edition of Crossing Over has been thoroughly revised and updated to reflect changes in hospice and palliative care and in North American society since the first edition in 2000. Chief among these are the expansion of hospice and palliative care as a field, the ravages of the COVID-19 pandemic, the wider availability of medical aid in dying, and a heightened awareness of how structural racism, classism, and other forms of discrimination shape individuals'and families'experiences right up to the close of life.

Palliative medicine is the medical care provided for people who have a life limiting illness or condition. It encompasses both the physical symptoms a person may experience but also the psychosocial, emotional, and ethical issues that may arise. Now in its fourth edition, Palliative Medicine: A Case-Based Manual walks clinicians through the management of the most common situations found in palliative medicine, from diagnosis and managing symptoms through to grief and bereavement. Using real patient case scenarios and an easy-to-read question and answer format, it gives students and medical professionals an accessible, evidence-based entryway to gain the skills and knowledge needed to provide high quality palliative and end of life care to patients and their families. This new edition has been fully updated to cover the latest guidance, including new chapters dedicated to medical cannabis, opioids, grief and bereavement, and wider issues including palliative care in the community, structurally vulnerable populations, and public health. Written by over 50 experienced palliative care clinicians and educators, this book will be a welcome guide for palliative care workers, medical and nursing students, and medical professionals of any specialty where palliative needs might arise.

Der freiwillige Verzicht auf Nahrung und Flüssigkeit – Sterbefasten genannt – ist eine natürliche Form des Sterbens. Der Tod tritt selbstbestimmt aufgrund von Unterlassen, nicht durch eine aktive Handlung ein. Christiane zur Nieden beschreibt authentisch, wie sie ihre Mutter beim Sterbefasten begleitete und welche widersprüchlichen Gedanken und Gefühle auch sie selbst durchlebte. Sie stellt wichtige Aspekte des Prozesses vor, etwa die richtige Pflege, gelungene Kommunikation, rechtliche Voraussetzungen und die kontroverse Debatte um das Thema. Das Buch macht Betroffenen und Angehörigen Mut und zeigt, dass ein selbstbestimmtes, würdevolles Sterben bei gut angeleiteter Begleitung auch zu Hause möglich ist.

In der gegenwärtigen Diskussion um Palliative Care und der weltweit angestrebten erweiterten Terminologie und des erweiterten Adressatenkreises soll in diesem Zusammenhang die Wirkungsweise und der Nutzen von Case Management belegt werden. Betroffenenorientierte Palliative Care in einem vielfragmentierten Sozial- und Gesundheitssystem zu ermöglichen, stellt eine der Kernherausforderungen in der Betreuung von Palliativpatienten dar. Ausgehend von der Ottawa Charta wird ein systemischer Blick in die ambulante Palliative Care geworfen, um die Schilderungen von unmittelbarer Fallebene auf organisationale und gesundheitspolitische Rahmenbedingungen rückzubinden. Mit einem besonders sorgenden, empathischen und ganzheitlichen Blick auf die betroffenen Menschen und ihre individuellen Hilfebedürfnisse besteht bei der Autorin der Anspruch eines salutogenesischen, das Kohärenzgefühl stärkende Versorgungsselbstverständnis. Das vorsorgende, präventive Potential von Palliative Care, welches sich in der expliziten Verknüpfung von Palliative Care mit New Public Health und Gesundheitsförderung entfalten wird, soll betont werden Bei der Umsetzung von Case Management bilden Ansätze der Care Ethik für die Autorin den ethischen Handlungsrahmen.

Case Studies in Palliative and End-of-Life Care uses a case-based approach to provide students and practitioners with an important learning tool to improve critical thinking skills and encourage discussion toward improving experiences for patients and their families. The book is organized into three sections covering subjects related to communication, symptom management, and family care. Each case is presented in a consistent, logical format for ease of use, highlighting key evidence-based concepts including the case history, care setting, diagnosis and prognosis, assessment, treatment considerations, and family support. A key reference, Case Studies in Palliative and End-of-Life Care is an invaluable resource for clinicians who provide palliative care to patients with life-limiting illnesses and those at the end of life along with their families.

Do you need a succinct introduction to the key theories and principles of palliative care and their application to practice? Key Concepts in Palliative Care provides just this in a compact, fifty-concept guide to the field. Taking account of the government′s'End of Life Care Strategy', contributors set out the key issues affecting practice across a range of health and social care contexts. The book covers topics ranging from dying and death to symptom management and spiritual care, backed up with practical examples. Each entry comprises: oa snapshot definition of the topic okey points oa discussion of the main debates olinks to practice through thought-provoking case histories, and osuggestions for further reading. Key Concepts in Palliative Care is an ideal text and handy source of reference for health and social care professionals who are developing their knowledge and skills in palliative care.

Palliatieve zorg wordt steeds belangrijker, alleen al door de stijging van het aantal patiënten met kanker. Er is inmiddels veel ervaring opgedaan en het is goed deze ervaring en bijbehorende kennis te delen.Casusboek palliatieve zorg beoogt een aanvulling te zijn op de bestaande standaardwerken over palliatieve zorg. Een groot aantal deskundigen op het gebied van de palliatieve zorg hebben hun ervaring en kennis gebundeld in de vorm van casuïstiek gebaseerd op hun eigen praktijk. Hoewel er in de praktijk meestal meerdere problemen tegelijkertijd spelen,is er voor gekozen, ten behoeve van de overzichtelijkheid, steeds één probleem in de schijnwerpers te zetten. Iedere casus wordt beëindigd met een multiple choice vraag. De antwoorden worden gegeven en besproken aan de hand van de nationale richtlijnen en recente literatuur.

A clinical case-based handbook has a role in general clinicians'practice of caring for patients with serious or life-limiting illness. The explosion of the field of Hospice and Palliative Medicine impacts all physicians and healthcare providers. Fellowship trained s- cialists graduate in greater numbers annually. These and more seasoned specialists are now certified by the American Board of Medical Specialties as subspecialists. Research in this field is expanding in scope and quantity, and peer reviewed journals devoted to this work are multiplying. Moreover, peer reviewed journals in primary care and other subspecialties of medicine regularly include papers that focus on end-of-life care, quality of life issues, and symptom management. Overall then, access to clinical information necessary to care for patients with life-limiting illness is not only essential, but also increasingly available. This case-based clinical book aims to help with the actual practice of caring for patients with life-limiting illness. Numerous texts and journals exist to provide the data to inform care, yet there remains a need to find practical points and information about the practical application of the principles of palliative care. Thus, we hope that the cases, key points, and practical tips will help health care providers who are not experts already in palliative care in the care of patients with serious illness and challenging problems. Some chapters follow one patient through the course of an illness to highlight the applicability of palliative care throughout the disease process.

Crossing Over provides a unique view of patients, families, and their caregivers striving together to maintain comfort and hope in the face of incurable illness. The narratives weave together emotions, physical symptoms, spiritual concerns, and the stresses of family life, as well as the professional and personal challenges of providing hospice and palliative care. Based on a vast amount of participant-observation and in-depth interviews, Crossing Over moves far beyond dry technical manuals for symptom control, and tired clichés about death with dignity, to depict the sights, sounds, tastes, and smells of the daily in patients homes and the palliative care unit. It captures the breathtaking diversity of people's aspirations and ideals as they face death, and the views of the professionals who care for them. Anger and fear, tenderness and reconciliation, jealousy and love, social support and falling through the cracks, unexpected courage and unshakable faith-- all of these are part of facing death in late twentieth-century North America, and this book brings them to life in an extraordinary portrait of the processes of giving and receiving palliative care.