Case Studies in Palliative and End-Of-Life Care

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.

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. Key Features: * Includes more than 35 cases covering a range of palliative and end-of-life care subjects * Emphasizes care of the family as well as the patient * Easy to follow, structured format for each case * Written by experts in the field

Contributor List viii
 
Introduction xii
 
Margaret L. Campbell
 
Section 1 Communication Case Studies 1
 
Case 1.1 Communicating about a Progressive Diagnosis and Prognosis 5
Julia A. Walch
 
Case 1.2 Diagnosis/Prognosis Uncomplicated Death at Home 12
Constance Dahlin
 
Case 1.3 Accommodating Religiosity and Spirituality in Medical Decision-Making 18
Jennifer Gentry
 
Case 1.4 Discussing Cardiopulmonary Resuscitation When it May Be Useful 26
Kelli Gershon
 
Case 1.5 Discussing CPR When it is a Non-Beneficial Intervention 33
Judy Passaglia
 
Case 1.6 Discussing Brain Death, Organ Donation, and Donation after Cardiac Death 41
Christine Westphal and Rebecca Williams
 
Case 1.7 Discussing Physiological Futility 52
Judy C. Wheeler
 
Case 1.8 Wounded Families: Decision-Making in the Setting of Stressed Coping and Maladaptive Behaviors in Health Crises 60
Kerstin McSteen
 
Case 1.9 Notification of an Expected Death 68
Peg Nelson
 
Case 1.10 Death Notification after Unexpected Death 73
Garrett K. Chan
 
Section 2 Symptom Management Case Studies 83
 
Case 2.1 Pain: Cancer in the Home 87
Constance Dahlin
 
Case 2.2 Treating an Acute, Severe, Cancer Pain Exacerbation 98
Patrick J. Coyne
 
Case 2.3 Pain and Advanced Heart Failure 104
Margaret L. Campbell
 
Case 2.4 Dyspnea and Advanced COPD 110
Margaret L. Campbell
 
Case 2.5 Dyspnea and Heart Failure 117
Garrett K. Chan
 
Case 2.6 Treating Dyspnea during Ventilator Withdrawal 128
Margaret L. Campbell
 
Case 2.7 Cough Associated with COPD and Lung Cancer 138
Peg Nelson
 
Case 2.8 Hiccups and Advanced Illness 145
Marian Grant
 
Case 2.9 Treating Nausea Associated with Advanced Cancer 152
Judy C. Wheeler
 
Case 2.10 Nausea Associated with Bowel Obstruction 161
Terri L. Maxwell
 
Case 2.11 Nausea Related to Uremia, Dialysis Cessation 168
Linda M. Gorman
 
Case 2.12 Opioid-Induced Pruritus 176
Richelle Nugent Hooper
 
Case 2.13 Pruritus in End-Stage Renal Disease 183
Linda M. Gorman
 
Case 2.14 Opioid-Induced Constipation 190
Grace Cullen Oligario
 
Case 2.15 Depression in Advanced Disease 198
Todd Hultman
 
Case 2.16 Treating Anxiety 205
Darrell Owens
 
Case 2.17 Terminal Secretions 213
Terri L. Maxwell
 
Case 2.18 Fungating Wounds and the Palliative Care Patient 220
Laura C. Harmon
 
Case 2.19 Pressure Ulcer Care in Palliative Care 229
Laura C. Harmon
 
Case 2.20 Treating Ascites 239
Darrell Owens
 
Case 2.21 Delirium Management in Palliative Care 247
Kerstin McSteen
 
Section 3 Family Care Case Studies 257
 
Case 3.1 Caring for the Family Expecting a Loss 259
Patricia A. Murphy and David M. Price
 
Case 3.2 Anticipatory Grief and the Dysfunctional Family 266
Rita J. DiBiase
 
Case 3.3 Acute and Uncomplicated Grief after an Expected Death 277
Rita J. DiBiase
 
Case 3.4 Bereavement after Unexpected Death 289
Garrett K. Chan
 
Case 3.5 Complicated Grief 300
Rita J. DiBiase
 
Index 309