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Nausea and Vomiting
eChapter
Added: 05/04/2012
Nausea and vomiting commonly occur together, but they are distinct symptoms. Nausea has been defined as an unpleasant feeling in the back of the throat and stomach that may or
may not result in vomi...ting. Vomiting is a forceful contraction of the stomach muscles that causes the contents of the stomach to come up through the mouth. Separate assessment of these symptoms is often required to identify specific causal mechanisms and appropriate intervention strategies. 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 pathophysiology of nausea and vomiting. This chapter also provides assessment tools and suggestions for interventions. It also offers a comprehensive reference list.
Strategies to Manage Pain in Palliative ...Care
eChapter
Added: 05/04/2012
Pain is a deleterious symptom that frequently occurs at the end of life. The pain can often be severe, contributing to suffering and compromised quality of life. Uncontrolled pain has devastating cons...equences. Pain can interfere with function such as mobility, and can cause psychological distress. Unrelieved pain may also have a negative impact on a person’s survival. Fortunately, management of pain has become a priority for several organizations around the globe. The International Association for Hospice and Palliative Care (IAHPC) and the Worldwide Palliative Care Alliance (WPCA) declared palliative care and pain treatment as a human right. The International Association for the Study of Pain (IASP) named 2009 the Global Year against Cancer Pain. Effective strategies are available to control pain in most people. However, comprehensive assessment and a variety of treatment strategies are necessary to achieve optimal pain control. This chapter provides an overview of the assessment and management of pain at the end of life. Barriers to adequate pain management will be addressed, along with evidence- based guidelines and practice recommendations. Nurses are on the front line of a person’s care and often facilitate it across the illness trajectory; therefore, they are in an ideal position to assess, manage, and advocate for better pain control.
Pain Management in Palliative Care
eChapter
Added: 27/07/2009
Nurses have a primary responsibility to recognise pain, to provide a comprehensive pain assessment and to participate in the overall pain management plan. Nurses should also act as advocates for pa...tients and families and reassure them that most pain can be adequately relieved. This chapter provides an overview of the assessment and management of pain at the end of life. Definitions of pain and barriers to adequate pain management are also addressed. Pain guidelines, developed internationally as a basis for evidence-based practice, are also discussed.
Chemotherapy for People with Gynanecolog...ical Cancer
eChapter
Added: 01/06/2009
Outlines the main objectives of chemotherapy Informs about the administration of chemotherapy treatments Includes a tabulated summary of commonly used chemotherapy drugs and their side-effects ...Summarises the side-effects associated with chemotherapy treatments, how to assess them and how they can be managed Chemotherapy plays an important role in the cure and palliation of women with gynaecological cancers, but it is associated with significant physical and psychological distress. The provision of information before commencing treatment can greatly assist in helping women to address their concerns and cope with the experience. In this chapter learn more about chemotherapy; its purposes, administration and side-effects. Also, understand more about new target therapies.
Quality Use of Medicines
eChapter
Added: 28/05/2009
Describes the meaning of QUM (Quality use of medicines) Prompts caregivers to focus upon the individual needs of the patient rather than their 'worldview' Provides suggestions for achieving prop...er practice and administration of medication The use of medicines to treat and prevent disease has enhanced the health and well-being of people throughout the world. This chapter focuses on the meaning of the term 'quality use of medicines' (QUM) in the care of people with dementia. It explores some of the factors that influence clinical decision-making and some of the challenges to QUM. Real-life examples from residential aged care are used to highlight what is actually happening in some aged-care facilities and how nurses can play a crucial role in influencing QUM.
Pain Management in Aged Care
eChapter
Added: 16/05/2009
The experience of pain is a distressing and debilitating experience for any person of any age. In the majority of cases, the identifying of the cause of pain and the initiation of effective treatment ...is a simple and straightforward process. In recent years significant strides have been made in all areas of pain management, including new treatment techniques, improved pain medications and a better understanding of pain transmission. However, residents in aged care facilities still tend to suffer unnecessary pain and it is essential that staff working with older people realise that pain is just as distressing to those in their care as it is to the young or middle aged. The ethical obligation to manage pain and to relieve suffering should be at the core of the nurse’s practice and this chapter explores these issues at depth.
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