All Resources (eChapter)
Surviving and Thriving: The Nurse-Patien...t Relationship in Palliative Care
This chapter discusses the notion that the task of palliative care nurses is to recognise that contradictory emotions and thoughts that surrounds a practice in which there is emphasis on building a ti...me/life-limited relationship. The chapter contains suggestions for building and maintaining a ‘good-enough’ nurse–patient relationship in palliative care, one that ensures that the palliative care nurse can provide the care and support needed in the timeframe that is both constrained and enabled by an ill person’s impending death.
Ethical Decision-Making in Palliative Ca...re
This chapter discusses the issues and practicalities involved in ethical decision-making in palliative care. It introduces an approach to ethical decision-making using clinical pragmatism as a framewo...rk for end-of-life care. The article also includes a discussion of the conflicting opinions and advance directives. It also offers both a case study and a comprehensive reference list.
Spirituality in Palliative Care
This chapter discusses the issues and practicalities involved in spirituality in relation to palliative care. It introduces an approach to identifying the spiritual needs of people requiring palliativ...e care. In particular, the spiritual needs of older people, children with life-limiting conditions and their parents, people who are recently bereaved, and those with chronic illness or chronic pain will be discussed.
Symptom Assessment in Palliative Care
This chapter discusses the framework for symptom assessment in palliative care nursing that takes into account many complex issues. It sets symptom assessment within the wider context of the nursing a...dmission assessment. It presents key assessment principles, and explores the communication skills and attitudes that characterise the ‘human element’ of assessment. It also offers practical case studies and a comprehensive reference list.
Strategies to Manage Pain in Palliative ...Care
This chapter provides an overview of the assessment and management of pain at the end of life. Barriers to adequate pain management are addressed, along with evidence-based guidelines and practice rec...ommendations. It also offers both case studies and a comprehensive reference list.
Dyspnoea and Breathlessness in Palliativ...e Care Nursing
This chapter explores dyspnoea, or breathlessness, a common and distressing symptom experienced by many people with advanced progressive diseases. Dyspnoea can be profoundly disruptive and is often a ...source of considerable anxiety to the individual and family. This chapter offers a number of strategies, assessment tools and interventions for dealing with dyspnoea. It also offers a case study and a comprehensive reference list.
This chapter covers the causes, assessment and management of fatigue in palliative care. It offers a definition of fatigue, and explores the causes and the pathophysiology of the condition. Assessment... and interventions for fatigue are discussed. This chapter also contains case studies and a comprehensive reference list.
Constipation in Palliative Care
As a person’s highly-subjective experience, constipation requires diligent nursing assessment and individualised intervention. This chapter considers the application of best available evidence and e...xpert opinion to the clinical practice of nursing for the management of constipation in palliative care settings.
Nausea and Vomiting
This chapter discusses the common and distressing conditions of nausea and vomiting, which affects people with a range of advanced and progressive conditions. It explores the aetiology and pathophysio...logy of nausea and vomiting, while also providing assessment tools and suggestions for interventions. It also offers a comprehensive reference list.
Nutrition and Hydration
This chapter addresses the nutritional and hydration needs of people receiving palliative care. It is written with awareness that the major tenet of palliative care is the comfort of the individual. T...he broad nutritional needs of the person approaching the end of their life are addressed. The chapter also discusses specific hydration needs. It also offers case studies and a comprehensive reference list.
This chapter discusses the care of people with terminal illnesses who have skin breakdown and wounds. The nursing care of people with malignant wounds, and palliative wound care generally, is about re...cognising the relationship between the physical nature of wounds and the distress they cause, which requires us to plan wound care interventions with an understanding of the impact of broken skin and wounds on the individuals concerned, their family and social group.
Delirium in Palliative Care
This chapter discusses delirium in the palliative care setting. It also explores delirium in people in the earlier stages of disease, including those at home. Evidence-based information is provided on... assessment and management strategies to enable nurses to provide best practice care for people in palliative care experiencing delirium. The chapter also offers case studies and a comprehensive reference list.
Sexuality and intimacy in Palliative Car...e
This chapter focuses on the physical and psychological changes a man or woman may experience as a result of natural ageing and chronic illness. Issues relating to patient-centred communication about s...exuality and intimacy are explored. A range of strategies to address sexuality and intimacy within the palliative care setting is provided, along with case studies and a comprehensive reference list.
Caring for Families in the Palliative Ca...re Setting
This chapter discusses how the impending death of a family member presents both a crisis and challenge to families. Furthermore, family members attempt to make meaning of what they are experiencing so... as to make some sense of order in what is perceived by many as a chaotic time. This chapter also offers case studies and a comprehensive reference list.
Understanding Grief and Bereavement in t...he Palliative Care Setting
This chapter outlines a number of ‘understandings’ in relation to grief and bereavement and how these may be applied in a clinical setting. It will equip nurses to facilitate the narrative and sup...port the people in their care to begin creating meaning around their experience. There are also a number of tools included that may be adapted for an individual client base, case studies and a comprehensive reference list.
Palliative Care in Chronic Illness
This chapter focuses on the issues involved in providing a palliative approach to care for individuals with chronic life-threatening illnesses. It provides a discussion of the issues surrounding the n...eed for an integrated, palliative approach to chronic illness. This chapter also offers case studies and a comprehensive reference list.
Ageing, Dementia and Palliative Care
This chapter focuses on the palliative care needs of older people, which are often more complex than those of younger people, and specifically the palliative care needs of people living with dementia.... This chapter also offers case studies and a comprehensive reference list.
Palliative Care in the Acute Hospital Sy...stem
This chapter looks at how acute hospitals are focusing on the care of people with acute needs and those with reversible exacerbations of chronic illness. It discusses palliative care consult services ...and integrated care pathways. This chapter also offers case studies and a comprehensive reference list.
Paediatric Palliative Care
This chapter provides an overview of the issues involved in child and adolescent palliative care. It explores the various illness trajectories experienced by children and the wide range of health and ...psychosocial issues for the child and their family in the process of dying. It also offers strategies that can be used in a comprehensive approach to care. This chapter also offers case studies and a comprehensive reference list.
eChapter End Matter
This chapter includes the index to the third edition of Palliative Care Nursing: A Guide to Practice. This new edition has been thoroughly updated, rewritten and revised. It offers nurses and healthca...re professionals an evidence-based approach to providing better care for people in palliative care and for those who love and support them.