Enhanced Palliative Care A Handbook For Paramedics Nurses And Doctors

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Enhanced Palliative Care: A handbook for paramedics, nurses and doctors

Author : Neil Pryde
Publisher : Class Professional Publishing
ISBN 13 : 1859598765
Total Pages : 475 pages
Book Rating : 4.8/5 (595 download)

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Book Synopsis Enhanced Palliative Care: A handbook for paramedics, nurses and doctors by : Neil Pryde

Download or read book Enhanced Palliative Care: A handbook for paramedics, nurses and doctors written by Neil Pryde and published by Class Professional Publishing. This book was released on 2022-01-11 with total page 475 pages. Available in PDF, EPUB and Kindle. Book excerpt: Specifically designed to enhance your knowledge and skills within generalist palliative care, this informative textbook provides a comprehensive overview of the principle areas you may encounter whilst working with adult palliative and end-of-life patients, and their families. The development of the text has been backed by Macmillan Cancer Support and each chapter has been written by a range of specialist and generalist authors. The topics covered include approaches to palliative care and symptom management in a wide range of conditions and populations, with chapters linked to case studies to encourage interactive learning and understanding. Communication skills are also highlighted to help aid confidence when engaging in open and difficult conversations. The text is in line with Scottish Palliative Care Guidelines and the NES Framework for Palliative and End of Life Care. The book may either be used as course reading for relevant training programmes, such as the Enhanced Palliative Care course, as well as by healthcare professionals hoping to develop their skills and practice. It is aimed at anyone involved in management and prescribing within non-specialist palliative care, both in hospitals and in the community, including paramedics, nurses, doctors, pharmacists, and other key health professionals.

Community Palliative Care and COVID-19

Author : Tania Blackmore
Publisher : Class Professional Publishing
ISBN 13 : 1859599206
Total Pages : 88 pages
Book Rating : 4.8/5 (595 download)

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Book Synopsis Community Palliative Care and COVID-19 by : Tania Blackmore

Download or read book Community Palliative Care and COVID-19 written by Tania Blackmore and published by Class Professional Publishing. This book was released on 2020-11-18 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook is an essential guide to caring for the community palliative care patient in relation to COVID-19, when the patient’s preferred place of care is at home or the hospice. It will guide you through appropriate care procedures and protocols in managing end-of-life patients who show symptoms of COVID-19. Key features include: Difficult conversations and communication skills Symptom management Advance care planning Caring for stable patients with palliative needs and those who are at end-of-life Supporting the family and friends of the patient Your own well-being as a healthcare professional Supported by applicable case studies from a range of community care settings, this guide will be relevant to anyone affected by the challenges of COVID-19 when managing end-of-life patients or caring for older people, including paramedics, nurses and palliative care providers.

Alexander's Nursing Practice - E-Book

Author : Ian Peate
Publisher : Elsevier Health Sciences
ISBN 13 : 0443112053
Total Pages : 1424 pages
Book Rating : 4.4/5 (431 download)

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Book Synopsis Alexander's Nursing Practice - E-Book by : Ian Peate

Download or read book Alexander's Nursing Practice - E-Book written by Ian Peate and published by Elsevier Health Sciences. This book was released on 2024-04-04 with total page 1424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Alexander’s Nursing Practice is the most comprehensive textbook available for undergraduate nursing students today. This resource will prepare students for their future role as healthcare professionals in a variety of settings. It covers all the basics of nursing, including care of patients with common disorders, core nursing issues like medicines management and infection prevention and control, and how to nurse specific patient groups. The sixth edition has been fully updated to incorporate the latest evidence, policies and registration requirements, and reflects the transformative changes currently occurring in healthcare policies, procedures and technologies. With a host of features to enhance the learning and teaching experience, this book will make a significant contribution to preparing compassionate nurses who will deliver patient-centred, high quality and holistic care. Key features Designed to help the reader navigate the demands of the latest NMC educational requirements Expert team of contributors led by renowned editor, Ian Peate OBE FRCN Fully updated with the latest evidence and trends - incorporates the latest practice guidelines, research findings and clinical standards relevant to the nursing field Addresses the role of nurses in primary care settings, general practice nursing responsibilities, chronic disease management, health screening and the delivery of integrated, patient-centred care within the UK primary care landscape Richly illustrated throughout to reinforce key concepts, demonstrate clinical procedures and engage students in active learning Includes a wide range of helpful learning features including case studies and critical thinking exercises – helps the reader to analyse complex situations, make evidence-based decisions and communicate effectively with patients and healthcare team members Pedagogical features to help students navigate the textbook, organise their learning and review key concepts efficiently Supplemented with online material including MCQs, image bank, critical thinking questions, extra online material (supplementary text), website figure references and extra online images

Palliative and End of Life Care for Paramedics

Author : Tania Blackmore
Publisher : Class Professional Publishing
ISBN 13 : 1801610177
Total Pages : 199 pages
Book Rating : 4.8/5 (16 download)

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Book Synopsis Palliative and End of Life Care for Paramedics by : Tania Blackmore

Download or read book Palliative and End of Life Care for Paramedics written by Tania Blackmore and published by Class Professional Publishing. This book was released on 2022-04-18 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: So much emphasis in paramedic practice is placed on saving lives, and so how can you provide the best care for patients who are approaching the end of theirs? Knowing when it is appropriate to transfer palliative and end of life patients to hospital can be challenging as there are often many complex factors at stake which can have an impact on both patients and their families. Digging deep into the ethical and clinical aspects of working with palliative patients as a paramedic, this book is the go-to resource to enable you to act within the patient's best interests and provide the most appropriate and effective care. Key features include: Twenty-four case studies covering a range of relevant topics to help apply principles to your own practice Clinical information on symptom control and pain management Written specifically for paramedics, by a range of specialist authors Designated chapters on the role of the paramedic in palliative care, palliative care emergencies and personal resilience Full-colour diagrams throughout. Since the onset of the COVID-19 pandemic, we are all more aware of the importance of patient-centred palliative care; this book is full of tips and techniques to help you feel more confident in ensuring patients not only die 'well' but also live with dignity and comfort.

Handbook of Palliative Care

Author : Richard Kitchen
Publisher : John Wiley & Sons
ISBN 13 : 1119784360
Total Pages : 390 pages
Book Rating : 4.1/5 (197 download)

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Book Synopsis Handbook of Palliative Care by : Richard Kitchen

Download or read book Handbook of Palliative Care written by Richard Kitchen and published by John Wiley & Sons. This book was released on 2024-05-29 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of palliative care Comprehensive resource utilising up-to-date evidence and guidelines to support non-specialists in palliative care in both hospital and community settings Building on the success of previous editions, this new edition of the award winning handbook has a practical focus and provides the user with an approach to clinical challenges while also providing enough information to explain why this approach is suggested. The 4th edition of Handbook of Palliative Care supports non-specialists in palliative care in both hospital and community settings and focuses on holistic care and therapeutic interventions. With several new chapters and content significantly updated to reflect new evidence and practice, the 4th edition also presents up-to-date evidence, guidance in a succinct format and utilises flow charts and figures to enhance the accessibility of information. Written by four highly accomplished nursing and medical authors with over 100 years’ experience between them in hospital, hospice, care home and community settings, Handbook of Palliative Care provides: Guidance from clinicians who are experts in their field An acknowledgment of the requirements of healthcare professionals attending to patients with palliative care needs, along with a dedicated chapter addressing this topic Contemporary guidance on medicine management, symptom control and managing complications of cancer Palliative care in heart failure, renal disease and advanced liver, neurological and respiratory diseases An in-depth look at patient and public involvement in palliative care and inequity Skill development including communication, ethical considerations and spiritual care New chapters including frailty, dementia, and multi-morbidity; and palliative care for people living with mental illness and people with intellectual disabilities This 4th edition of Handbook of Palliative Care is an ideal supporting resource for doctors, nurses and other healthcare professionals caring for patients with palliative care needs in the UK and beyond. The 1st edition was the winner of the 1999 BMA Medical Book of the Year Prize.

Foundations of Adult Nursing

Author : Dianne Burns
Publisher : SAGE Publications Limited
ISBN 13 : 1529615305
Total Pages : 415 pages
Book Rating : 4.5/5 (296 download)

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Book Synopsis Foundations of Adult Nursing by : Dianne Burns

Download or read book Foundations of Adult Nursing written by Dianne Burns and published by SAGE Publications Limited. This book was released on 2023-11-29 with total page 415 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering the issues, themes and principles that explain what it means to be a nurse today, this book provides the theory you need to know and applies it to the diverse patient groups and settings that you will encounter on your placements. Key features of the book are: · Introduces the core aspects of adult nursing · An evidence-based approach with discussion of literature, policy and research and suggested further reading for every chapter · Over 30 case scenarios to help you understand the realities of practice across a range of settings including primary care and the community · Activity boxes which challenge assumptions and encourage reflection The book has been closely developed in line with the latest NMC Standards and Essential Skills Clusters and supports you across your entire degree programme as you develop into nurses of the future ready to deliver and lead care.

The Palliative Care Handbook

Author : Rod Macleod
Publisher :
ISBN 13 : 9780987582874
Total Pages : 160 pages
Book Rating : 4.5/5 (828 download)

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Book Synopsis The Palliative Care Handbook by : Rod Macleod

Download or read book The Palliative Care Handbook written by Rod Macleod and published by . This book was released on 2015-11-01 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'This handbook is not for the bookshelf but will be kept close at hand as an essential and trusted palliative care resource.' - A/Prof Colm Cunningham Director, Dementia Centre The Palliative Care Handbook is an internationally best-selling and highly accessible resource for supporting palliative care where ever it occurs. Not only widely used by doctors and nurses, it is has a strong record of assisting patients and families as they seek simple, brief and accurate information about the symptoms and treatments they encounter. 'Recently when my mother was facing her last days, I had trouble understanding the medications that were being recommended and symptoms that were of concern. I came across a copy of The Palliative Care Handbook and within minutes found a brief and easy to understand description of the things my mum was going through - and not just physical, but emotional and spiritual too. I then looked up the drugs that had been prescribed and this helped me feel much better informed.' Andrew, NSW. The three authors are international experts in their fields and author Professor Rod MacLeod recently was appointed Member of the New Zealand Order of Merit for services to palliative care. It is significant the eighth edition includes section in dementia as palliative care for people with dementia is an increasing issues. NSW Minister for Health, Jillian Skinner, will launch the latest edition of The Palliative Care Handbook in Sydney on November 18. This is the first edition of the book to be made available through bookstores "Now updated to include sections on dementia, nutrition and deprescribing, as well as the latest drug information, the eight edition of The Palliative Care Handbook continues to be an essential guide in end-of-life care for use by clinicians as well as patients and families. Further online resources available from palliativecarebridge.com.au"

Enhanced Palliative Care

Author : PRYDE
Publisher : Class Professional
ISBN 13 : 9781859598757
Total Pages : 472 pages
Book Rating : 4.5/5 (987 download)

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Book Synopsis Enhanced Palliative Care by : PRYDE

Download or read book Enhanced Palliative Care written by PRYDE and published by Class Professional. This book was released on 2021-11-02 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt: Enhanced Palliative Care A Handbook for Paramedics, Nurses and Doctors. Specifically designed to enhance your knowledge and skills within generalist palliative care, this informative textbook provides a comprehensive overview of the principle areas you may encounter whilst working with adult palliative and end-of-life patients, and their families. The development of the text has been backed by Macmillan Cancer Support and each chapter has been written by a range of specialist and generalist authors. The topics covered include approaches to palliative care and symptom management in a wide range of conditions and populations, with chapters linked to case studies to encourage interactive learning and understanding. Communication skills are also highlighted to help aid confidence when engaging in open and difficult conversations. The text is in line with the Scottish Palliative Care Guidelines and the NES Framework for Palliative and End of Life Care. The book may either be used as course reading for relevant training programmes, such as the Enhanced Palliative Care course, as well as by healthcare professionals hoping to develop their skills and practice. It is aimed at anyone involved in management and prescribing within non-specialist palliative care, both in hospitals and in the community, including paramedics, nurses, doctors, pharmacists, and other key health professionals.

Oxford American Handbook of Hospice and Palliative Medicine and Supportive Care

Author : Sriram Yennurajalingam
Publisher : Oxford University Press
ISBN 13 : 0199375313
Total Pages : 529 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Oxford American Handbook of Hospice and Palliative Medicine and Supportive Care by : Sriram Yennurajalingam

Download or read book Oxford American Handbook of Hospice and Palliative Medicine and Supportive Care written by Sriram Yennurajalingam and published by Oxford University Press. This book was released on 2016-03-14 with total page 529 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oxford American Handbook of Hospice and Palliative Medicine and Supportive Care is an easily-navigable source of information about the day-to-day management of patients requiring palliative and hospice care. The table of contents follows the core curriculum of the American Board of Hospice and Palliative Medicine, thus meeting the educational and clinical information needs of students, residents, fellows, and nurse practitioners. Succinct, evidence-based, topically-focused content is supplemented by extensive tables, algorithms, and clinical pearls. This edition includes new sections on grief and bereavement, medical marijuana, and physician assisted suicide, and has been updated throughout to incorporate National Consensus Project for Quality Palliative Care Clinical Practice Guidelines.

Oxford Textbook of Palliative Nursing

Author : Betty Rolling Ferrell
Publisher : Oxford University Press
ISBN 13 : 0190862394
Total Pages : 1000 pages
Book Rating : 4.1/5 (98 download)

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Book Synopsis Oxford Textbook of Palliative Nursing by : Betty Rolling Ferrell

Download or read book Oxford Textbook of Palliative Nursing written by Betty Rolling Ferrell and published by Oxford University Press. This book was released on 2019-02-15 with total page 1000 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oxford Textbook of Palliative Nursing remains the most comprehensive treatise on the art and science of palliative care nursing available. Dr. Betty Rolling Ferrell and Dr. Judith A. Paice have invited 162 nursing experts to contribute 76 chapters addressing the physical, psychological, social, and spiritual needs pertinent to the successful palliative care team. Organized within 7 Sections, this new edition covers the gamut of principles of care: from the time of initial diagnosis of a serious illness to the end of a patient's life and beyond. This fifth edition features several new chapters, including chapters on advance care planning, organ donation, self-care, global palliative care, and the ethos of palliative nursing. Each chapter is rich with tables and figures, case examples for improved learning, and a strong evidence-based practice to support the highest quality of care. The book offers a valuable and practical resource for students and clinicians across all settings of care. The content is relevant for specialty hospice agencies and palliative care programs, as well as generalist knowledge for schools of nursing, oncology, critical care, and pediatric. Developed with the intention of emphasizing the need to extend palliative care beyond the specialty to be integrated in all settings and by all clinicians caring for the seriously ill, this new edition will continue to serve as the cornerstone of palliative care education.

Oxford Handbook of Palliative Care

Author : Max Watson
Publisher : Oxford University Press, USA
ISBN 13 : 0198745656
Total Pages : 977 pages
Book Rating : 4.1/5 (987 download)

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Book Synopsis Oxford Handbook of Palliative Care by : Max Watson

Download or read book Oxford Handbook of Palliative Care written by Max Watson and published by Oxford University Press, USA. This book was released on 2019 with total page 977 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical guide briefly covers the historical and epidemiological background of palliative care and the growth of palliative medicine as a specialty, before dealing with major physical, psychological, spiritual, and symptom management issues from diagnosis to bereavement care.

Emergencies in Supportive and Palliative Care

Author : David Currow
Publisher : Oxford University Press
ISBN 13 : 0192653466
Total Pages : 337 pages
Book Rating : 4.1/5 (926 download)

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Book Synopsis Emergencies in Supportive and Palliative Care by : David Currow

Download or read book Emergencies in Supportive and Palliative Care written by David Currow and published by Oxford University Press. This book was released on 2024-02-09 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised according to up-to-date clinical guidance, this second edition provides a practical, accessible guide to emergency situations encountered in the practice of supportive and palliative care. Designed for rapid use, it addresses the immediate clinical challenges while more definitive measures are being put in place. Structured around frequently encountered symptoms, the book is split into two sections. The first section explores how patients with life-limiting illnesses such as cancer, AIDS, and end-stage organ failure normally present, and looks at the reversibility of their condition. The second section provides a detailed approach to specific clinical conditions, and is for use once the clinical diagnosis has been reached on the basis of the presenting symptoms. An improved order to the table of contents for this edition matches clinical practice. Guiding the decision-making process is an understanding of where the patient is on their disease trajectory. The book uses three categories (terminal, deteriorating, and stable), which consider how the patient's needs are changing as their disease progresses. A brand new chapter 'Care at the end of life' outlines good clinical care for the last hours days of life when the diagnosis of dying has been actively made. The book provides trainees in palliative medicine, nurses, family doctors, and other allied health professionals with a pocket guide to the emergency care of people requiring supportive and palliative care, and it complements and cross-refers to the Oxford Handbook of Palliative Care.

Oxford Handbook of Palliative Care

Author : Max Watson
Publisher : Oxford University Press
ISBN 13 : 0199234353
Total Pages : 1078 pages
Book Rating : 4.1/5 (992 download)

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Book Synopsis Oxford Handbook of Palliative Care by : Max Watson

Download or read book Oxford Handbook of Palliative Care written by Max Watson and published by Oxford University Press. This book was released on 2009-03-26 with total page 1078 pages. Available in PDF, EPUB and Kindle. Book excerpt: Revised throughout with an additional emphasis on nursing care, this handbook is a concise and authoritative guide to modern palliative care. An ideal resource for the busy professional management of patients with end of life care needs.

MD Anderson's Guide to Supportive and Palliative Care for Nurses

Author : Manju P. Joy
Publisher :
ISBN 13 : 9781733329712
Total Pages : pages
Book Rating : 4.3/5 (297 download)

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Book Synopsis MD Anderson's Guide to Supportive and Palliative Care for Nurses by : Manju P. Joy

Download or read book MD Anderson's Guide to Supportive and Palliative Care for Nurses written by Manju P. Joy and published by . This book was released on 2019-07-31 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Since 1999, nurses at The University of Texas MD Anderson Cancer Center have played key roles on the palliative care interdisciplinary team, which includes a mobile consultation team, an ambulatory outpatient center, and a dedicated acute inpatient palliative care unit. Passionate about continuing the development of evidence-based palliative care, the second edition of this handbook is intended to serve as a guide for healthcare providers in palliative medicine, along with referring physicians and nurses. This second edition includes input from nurses, physicians, social workers, chaplains, occupational and physical therapists, and pharmacists to provide guidance on the best practices to successfully work as an interdisciplinary team to deliver the optimal care to palliative care patients.

Palliative Care Nursing

Author : Marianne Matzo, PhD, APRN-CNP, FPCN, FAAN
Publisher : Springer Publishing Company
ISBN 13 : 0826127193
Total Pages : 725 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Palliative Care Nursing by : Marianne Matzo, PhD, APRN-CNP, FPCN, FAAN

Download or read book Palliative Care Nursing written by Marianne Matzo, PhD, APRN-CNP, FPCN, FAAN and published by Springer Publishing Company. This book was released on 2018-06-28 with total page 725 pages. Available in PDF, EPUB and Kindle. Book excerpt: “This 5th edition is an important achievement; it is a symbol of commitment to the field of palliative nursing, where we have been and where we are going.” - Betty Rolling Ferrell, PhD, MA, FAAN, FPCN, CHPN From the Foreword The aging population has only grown since the first edition of this comprehensive and seminal publication nearly 20 years ago. Based on the need to humanize rather than medicalize the illness experience for patients, this text delves into palliative care beyond the specific diseases affecting the patient. Instead, content focuses on the whole person and family. Palliative patients struggle with chronic, debilitating, and painful conditions, and grapple with the fact that life as they knew it has already passed away. Families and friends reciprocally suffer, not knowing how to help and therefore become the secondary victims of the disease. This is not the challenge of a lone nurse, or a single physician, therapist, or social worker. Rather, palliative and hospice care requires the expertise and unique roles of an interprofessional team to help the patient and family strengthen their resilience, continue to find meaning and purpose in life, and cure what can be cured. Palliative Care Nursing, Fifth Edition, delivers advanced empirical, aesthetic, ethical and personal knowledge. This new edition brings an increased focus on outcomes, benchmarking progress, and goals of care. It expounds upon the importance of the cross-disciplinary collaboration introduced in the previous edition. Every chapter in Sections I, II, and III includes content written by a non-nursing member of the interprofessional team. Based on best-evidence and clinical practice guidelines, this text presents comprehensive, targeted interventions responsive to the needs of palliative and hospice patients and family. Each chapter contains compassionate, timely, appropriate, and cost-effective care for diverse populations across the illness trajectory. Key Features The expanded new edition offers current, comprehensive, one-stop source of highly-relevant clinical information on palliative care Life-span approach: age-appropriate nursing considerations (e.g. geriatric, pediatric and family) Includes disease-specific and symptom-specific nursing management chapters Promotes a holistic and interdisciplinary approach to palliative care Offers important legal, ethical and cultural considerations related to death and dying Case Studies with Case Study Conclusion in each clinical chapter New to The Fifth Edition: An expanded chapter on Palliative Care incorporates most up to date scope and standards, information on Basic and Advanced HPNA certification, self-reflection and self-care for nurses. A chapter on Interprofessional Collaboration Instructor Resources: Power points and Test bank

Fundamental Aspects of Palliative Care Nursing

Author : Robert Becker
Publisher :
ISBN 13 : 9781856423946
Total Pages : 0 pages
Book Rating : 4.4/5 (239 download)

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Book Synopsis Fundamental Aspects of Palliative Care Nursing by : Robert Becker

Download or read book Fundamental Aspects of Palliative Care Nursing written by Robert Becker and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new and expanded edition is aimed directly at the learning needs of student nurses and is unique in that context. Whilst there are many high quality books available for academic study in palliative care this is currently the only one that balances a strong educational focus for developing nursing practice with an understanding of the particular needs of student nurses. The text maintains a sensitive and supportive approach to the key themes of palliative care nursing, but contains important new material of a wide range of initiatives that are impacting on end of life care across the UK. It will provide the reader with a concise, easy to read and learning oriented text that will give advice and direction to the many challenges faced in this most important area of patient care.

The Palliative Care Handbook (9th edition)

Author : Professor Rod MacLeod
Publisher : HammondCare
ISBN 13 : 0648241580
Total Pages : 129 pages
Book Rating : 4.6/5 (482 download)

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Book Synopsis The Palliative Care Handbook (9th edition) by : Professor Rod MacLeod

Download or read book The Palliative Care Handbook (9th edition) written by Professor Rod MacLeod and published by HammondCare. This book was released on 2018-01-01 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Palliative Care Handbook 9th edition is a sought-after resource globally and now for the first time this new edition includes extensive support for advanced dementia. A popular resource promoting clinical excellence in palliative care, this ninth edition has been updated by authors Professor Rod MacLeod and Dr Stephen Macfarlane to include comprehensive guidelines for people with dementia receiving end-of-life care. It builds on previous editions to address the fact that dementia is now a leading cause of death across the globe but that often people with dementia are more likely to receive the palliative care that they need. Although small in size – for ease of use by clinicians – the book’s impact is large and is often purchased by families and patients to help them understand the symptoms, treatments and drugs they are encountering. The Palliative Care Handbook offers a thorough understanding of symptoms and treatments which emphasise the importance of a holistic approach to managing patients’ physical, psychological, social and spiritual needs. The first section of the book provides an explanation of palliative care as well as guidelines for alleviation of the symptoms and challenges commonly encountered. Considerations of the needs of the person with dementia are now embedded throughout this section. The second section is a comprehensive listing of drug information including unlicensed uses and interactions. Since its first publication in 1994, The Palliative Care Handbook has been consistently revised, developed and updated to be an essential and practical international resource enabling quality palliative care.