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Palliative Care in the Acute Hospital Sy...stem
In Australia, the majority of deaths occur in general hospital wards. Most of these deaths are neither sudden nor unexpected. The Australian Institute of Health and Welfare (2006) reported that over... 50% of deaths occurred in a hospital, with only 11% of these occurring in a designated palliative care bed. Elderly people and those with multi-system disease form the majority of in-hospital deaths. People who die without palliative care support may be in rural or regional centers, where access to a designated palliative care bed is difficult. It is only relatively recently that the need for palliative care services in acute hospitals has been acknowledged, and 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.
Caring for Dying People in Critical Care
This chapter explores issues of caring for dying people in critical care through interviews with doctors and nurses in general adult critical-care units in the United Kingdom (Seymour 2001). It con...cludes with some recommendations for the care of dying people in the challenging environment of critical care.
Complementary Therapies in a High-Tech H...ealth Care Environment: A Pleasing and Powerful Partnership
In order to fully appreciate why the transformation of a high-tech health care environment was considered in the first place, one needs to have an understanding of the complexity of the environment as... well as the needs and clinical details of the patients being cared for in this environment. This chapter gives an overview of cardiovascular disease and some aspects of its management in a coronary care unit that has been programmed for healing and promoting health.