End Of Life In Care Homes

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End of Life in Care Homes

Author : Jeanne Samson Katz
Publisher : OUP Oxford
ISBN 13 : 0191587273
Total Pages : 216 pages
Book Rating : 4.1/5 (915 download)

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Book Synopsis End of Life in Care Homes by : Jeanne Samson Katz

Download or read book End of Life in Care Homes written by Jeanne Samson Katz and published by OUP Oxford. This book was released on 2003-04-03 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: In our society, the overwhelming majority of people die in later life. They typically die slowly of chronic diseases, with multiple co-existing problems over long periods of time. They spend the majority of their final years at home, but many will die in hospitals or care homes. This book explores the possibilities for improving the care of older people dying in residential care and nursing homes. It argues that there are aspects of palliative care that, given the right circumstances, are transferable to dying people in settings that are not domestic or hospice based. End of Life in Care Homes describes what happens in nursing and residential care homes when a resident is dying, how carers cope, and the practical, health and emotional challenges that carers face on top of their day-to-day work. Based on detailed research from both the UK and US, the book shows how the situation can be improved.

Approaching Death

Author : Committee on Care at the End of Life
Publisher : National Academies Press
ISBN 13 : 0309518253
Total Pages : 457 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Approaching Death by : Committee on Care at the End of Life

Download or read book Approaching Death written by Committee on Care at the End of Life and published by National Academies Press. This book was released on 1997-10-30 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."

Dignity in Care for Older People

Author : Lennart Nordenfelt
Publisher : John Wiley & Sons
ISBN 13 : 9781444316421
Total Pages : 232 pages
Book Rating : 4.3/5 (164 download)

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Book Synopsis Dignity in Care for Older People by : Lennart Nordenfelt

Download or read book Dignity in Care for Older People written by Lennart Nordenfelt and published by John Wiley & Sons. This book was released on 2009-09-08 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: The notion of quality of life has for several decades beenwell-established in ethical debate about health care and the careof older people. Dignity in Care for Older Peoplehighlights the notion of dignity within the care of the elderly,focusing on the importance of theoretical concepts. Primarily based on a Research Project, Dignity and Older Europeans,funded by the European Commission, this book provides a thoroughinvestigation of the concept of dignity and related concepts suchas quality of life and autonomy. It includes a chapter devoted tothe dignity of human embodiment, emphasizing the importance of thenotion of the lived body in the context of elderly care. As aresult of the conceptual study a model of dignity emerges in whichfour variants of dignity stand out: dignity of merit, dignity asmoral status, dignity of identity and Menschenwürde (thespecifically human value). From this follows a discussion of howthese variants of dignity can be used in characterizing the care ofthe elderly. The notions of dignity and dignified care arediscussed particularly in relation to demented persons and dyingpersons. The book also contains a chapter on the dignity of thedead person. International in focus, Dignity in Care for Older Peopleprovides a contemporary discussion of the care of older people, andwill be of use to qualified nurses and social care practitionersworking with older people, as well as those on ethics andgerontology courses.

Improving the Quality of Long-Term Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309132746
Total Pages : 344 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Improving the Quality of Long-Term Care by : Institute of Medicine

Download or read book Improving the Quality of Long-Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Improving the Quality of Care in Nursing Homes

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309036461
Total Pages : 432 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Improving the Quality of Care in Nursing Homes by : Institute of Medicine

Download or read book Improving the Quality of Care in Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1986-02-01 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.

Fragility Fracture Nursing

Author : Karen Hertz
Publisher : Springer
ISBN 13 : 3319766813
Total Pages : 169 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Fragility Fracture Nursing by : Karen Hertz

Download or read book Fragility Fracture Nursing written by Karen Hertz and published by Springer. This book was released on 2018-06-15 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Cancer Pain Relief and Palliative Care

Author : WHO Expert Committee on Cancer Pain Relief and Active Supportive Care
Publisher : Technical Report Series
ISBN 13 :
Total Pages : 88 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Cancer Pain Relief and Palliative Care by : WHO Expert Committee on Cancer Pain Relief and Active Supportive Care

Download or read book Cancer Pain Relief and Palliative Care written by WHO Expert Committee on Cancer Pain Relief and Active Supportive Care and published by Technical Report Series. This book was released on 1990 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Considers what can - and should - be done to comfort patients suffering from the distressing symptoms of advanced cancer. Prepared by nine renowned experts in oncology, neurology, pain management and nursing care, the book draws together the evidence and arguments needed to define clear lines of action, whether on the part of the medical and nursing professions or in the form of national legislation. Throughout, arguments for palliative care take their force from the magnitude of unrelieved suffering currently borne by the majority of terminally ill patients. Although methods for the relief of pain are emphasized, other physical, psychological, and spiritual needs for comfort are also included in the report's comprehensive recommendations. The concept of palliative care is explained in terms of its concern with quality of life and comfort before death, emphasis on the family as the unit of care, dependence on teamwork, and relationship to curative interventions. Subsequent sections concentrate on measures for the relief of pain and other physical symptoms, the psychosocial needs of the patient and family, and the need for spiritual comfort. A section devoted to ethics provides several important statements concerning the legal and ethical distinction between killing the pain and killing the patient, and the need to recognize the limits of medicine. ..". crammed with very valuable information ... an altogether excellent book..." - Family Practice ..". a comprehensive report on cancer pain relief and active supportive care ... a valuable reference for those specializing in cancer care and for the generalist caring for dying patients..." - Nursing and Health care WHO definition of palliative care

Becoming Dead Right

Author : Frances Shani Parker
Publisher : Loving Healing Press
ISBN 13 : 1932690352
Total Pages : 212 pages
Book Rating : 4.9/5 (326 download)

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Book Synopsis Becoming Dead Right by : Frances Shani Parker

Download or read book Becoming Dead Right written by Frances Shani Parker and published by Loving Healing Press. This book was released on 2007-01-01 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Becoming Dead Right" guides readers through the general and "how to" information maze that prepares them for dealing with death. This book is filled with poetry, stories, wisdom, and common sense that can help baby boomers, students, caregivers, and policy makers understand that society can make important changes that can ensure safe, dignified, individualized care at the end of ones life.

Care of the Dying Patient

Author : David A. Fleming
Publisher : University of Missouri Press
ISBN 13 : 0826272215
Total Pages : 172 pages
Book Rating : 4.8/5 (262 download)

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Book Synopsis Care of the Dying Patient by : David A. Fleming

Download or read book Care of the Dying Patient written by David A. Fleming and published by University of Missouri Press. This book was released on 2010-04-15 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although the need for improved care for dying patients is widely recognized and frequently discussed, few books address the needs of the physicians, nurses, social workers, therapists, hospice team members, and pastoral counselors involved in care. Care of the Dying Patient contains material not found in other sources, offering advice and solutions to anyone—professional caregiver or family member—confronted with incurable illness and death. Its authors have lectured and published extensively on care of the dying patient and here review a wide range of topics to show that relief of physical suffering is not the only concern in providing care. This collection encompasses diverse aspects of end-of-life care across multiple disciplines, offering a broad perspective on such central issues as control of pain and other symptoms, spirituality, the needs of caregivers, and special concerns regarding the elderly. In its pages, readers will find out how to: effectively utilize palliative-care services and activate timely referral to hospice, arrange for care that takes into account patients’ cultural beliefs, and respond to spiritual and psychological distress, including the loss of hope that often overshadows physical suffering. The authors especially emphasize palliative care and hospice, since some physicians fear that such referrals may be viewed by patients and families as abandonment. They also address ethical and legal risks in pain management and warn that fear of overprescribing pain medication may inadvertently lead to ineffective pain relief and even place the treating team at risk of liability for undertreatment of pain. While physicians have the ability to treat disease, they also help to determine the time and place of death, and they must recognize that end-of-life choices are made more complex than ever before by advances in medicine and at the same time increasingly important. Care of the Dying Patient addresses some of the challenges frequently confronted in terminal care and points the way toward a more compassionate way of death.

End of Life in Care Homes

Author : Jeanne Samson Katz
Publisher : OUP Oxford
ISBN 13 : 0198510713
Total Pages : 215 pages
Book Rating : 4.1/5 (985 download)

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Book Synopsis End of Life in Care Homes by : Jeanne Samson Katz

Download or read book End of Life in Care Homes written by Jeanne Samson Katz and published by OUP Oxford. This book was released on 2003-04-03 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: In our society, the overwhelming majority of people die in later life. They typically die slowly of chronic diseases, with multiple co-existing problems over long periods of time. They spend the majority of their final years at home, but many will die in hospitals or care homes. This book explores the possibilities for improving the care of older people dying in residential care and nursing homes. It argues that there are aspects of palliative care that, given the right circumstances, are transferable to dying people in settings that are not domestic or hospice based. End of Life in Care Homes describes what happens in nursing and residential care homes when a resident is dying, how carers cope, and the practical, health and emotional challenges that carers face on top of their day-to-day work. Based on detailed research from both the UK and US, the book shows how the situation can be improved.

Dementia in Nursing Homes

Author : Sandra Schüssler
Publisher : Springer
ISBN 13 : 3319498320
Total Pages : 244 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Dementia in Nursing Homes by : Sandra Schüssler

Download or read book Dementia in Nursing Homes written by Sandra Schüssler and published by Springer. This book was released on 2017-05-19 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by leading international experts, this book discusses the latest advances in the field of dementia in nursing homes. The topics and findings covered are based on their survey and on a scientific literature review. Dementia is spreading worldwide, placing a growing burden on healthcare systems and caregivers, as well as those affected. With increasing and complex care needs, nursing home admission is often necessary. Globally, over half of nursing home residents suffer from dementia. The book provides essential information on the most important issues in dementia in nursing homes today, including meaningful activities, patient-/person-centered care, psychosocial interventions, challenging behavior, inclusion and support of family members, pain, staff training and education, communication, polypharmacy, quality of life, end-of-life care and advanced care planning, depression, delirium, multidisciplinary approaches, physical restraints and care dependency. Each topic is covered by an international expert in dementia. As such, the book will appeal to professional nurses, nursing scientists, nursing students, other healthcare professionals, and to a broad readership, and will provide a valuable resource for those working in nursing homes, as well as researchers in the field.

Environment and Aging

Author : Mortimer Powell Lawton
Publisher : Study of Aging
ISBN 13 :
Total Pages : 232 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Environment and Aging by : Mortimer Powell Lawton

Download or read book Environment and Aging written by Mortimer Powell Lawton and published by Study of Aging. This book was released on 1986 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Nursing Staff in Hospitals and Nursing Homes

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309175704
Total Pages : 558 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Nursing Staff in Hospitals and Nursing Homes by : Institute of Medicine

Download or read book Nursing Staff in Hospitals and Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1996-03-27 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.

Participatory Research in Palliative Care

Author : J. M. Hockley
Publisher : Oxford University Press
ISBN 13 : 0199644152
Total Pages : 209 pages
Book Rating : 4.1/5 (996 download)

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Book Synopsis Participatory Research in Palliative Care by : J. M. Hockley

Download or read book Participatory Research in Palliative Care written by J. M. Hockley and published by Oxford University Press. This book was released on 2013 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: Participatory Research in Palliative Care discusses participatory research methods within the discipline of palliative care. Providing an overview of the action research methods, it uses exemplars from studies within palliative care, as well as discusses the prominent issues currently faced in this methodology from a global perspective.

Dying in America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309303133
Total Pages : 470 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Dying in America by : Institute of Medicine

Download or read book Dying in America written by Institute of Medicine and published by National Academies Press. This book was released on 2015-03-19 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Families Caring for an Aging America

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309448093
Total Pages : 367 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Families Caring for an Aging America by : National Academies of Sciences, Engineering, and Medicine

Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

Dignity Therapy

Author : Harvey Max Chochinov
Publisher : OUP USA
ISBN 13 : 0195176219
Total Pages : 216 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Dignity Therapy by : Harvey Max Chochinov

Download or read book Dignity Therapy written by Harvey Max Chochinov and published by OUP USA. This book was released on 2012-01-04 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Maintaining dignity for patients approaching death is a core principle of palliative care. Dignity therapy, a psychological intervention developed by Dr. Harvey Max Chochinov and his internationally lauded research group, has been designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as they grapple with the reality of life drawing to a close. In the first book to lay out the blueprint for this unique and meaningful intervention, Chochinov addresses one of the most important dimensions of being human. Being alive means being vulnerable and mortal; he argues that dignity therapy offers a way to preserve meaning and hope for patients approaching death. With history and foundations of dignity in care, and step by step guidance for readers interested in implementing the program, this volume illuminates how dignity therapy can change end-of-life experience for those about to die - and for those who will grieve their passing.