Table of Contents
1. Introduction to Palliative Nursing Care
2. National Consensus Project for Quality Palliative Care: Promoting Excellence in Palliative Nursing
3. Hospital-Based Palliative Care
4. Principles of Patient and Family Assessment
5. Communication in Palliative Care: An Essential Competency for Nurses
Section II. Symptom Assessment and Management
6. Pain Assessment
7. Pain at the End of Life
8. Fatigue
9. Anorexia and Cachexia
10. Nausea and Vomiting
11. Dysphagia, Xerostomia, and Hiccups
12. Bowel Management: Constipation, Diarrhea, Obstruction, and Ascites
13. Artificial Nutrition and Hydration
14. Dyspnea, Terminal Secretions, and Cough
15. Urinary Tract Disorders
16. Lymphedema Management
17a. Skin Disorders: Pressure Ulcers: Prevention and Management
17b. Skin Disorders: Malignant Wounds, Fistulas, and Stomas
18. Pruritis, Fever, and Sweats
19. Neurological Disorders
20. Anxiety and Depression
21. Delirium, Confusion, Agitation, and Restlessness
22. Insomnia
23. Sexuality
24. Urgent Syndromes at the End of Life
25. Sedation for Refractory Symptoms
26. Complementary and Alternative Therapies in Palliative Care
27. Withdrawal of Life-Sustaining Therapies: Mechanical Ventilation, Dialysis, and Cardiac Device
Section III. Psychosocial Support
28. The Meaning of Hope in the Dying
29. Bereavement
30. Supporting Families in Palliative Care
31. Planning for the Actual Death
32. Spiritual Assessment
33. Spiritual Care Intervention
34. Meaning in Illness
Section IV. Special Patient Populations
35. Caring for Those with Chronic Illness
36. Cultural Considerations in Palliative Care
37. Elderly Patients
38. Poor, Homeless, and Underserved Populations
39. End-of-Life Care for Patients with Mental Illness and Personality Disorders
40. Patients with Acquired Immunodeficiency Syndrome
41. Caring for the Patient With Substance Use Disorder at the End of Life
42. Palliative Care of Cancer Survivors
43. Veterans
Section V. End-of-Life Care Across Settings
44. Improving the Quality of Care Across All Settings
45. Long-Term Care: Focus on Nursing Homes
46. Home Care and Hospice Home Care
47. The Intensive Care Unit
48. Palliative Care Nursing in the Outpatient Setting
49. Rehabilitation and Palliative Care
50. The Emergency Department
51. The Role of Nursing in Caring for Patients Undergoing Palliative Surgery for Advanced Disease
52. Palliative Chemotherapy and Clinical Trials in Advanced Cancer: The Nurse's Role
53. Rural Palliative Care
54. Palliative Care in Mass Casualty Events with Scarce Resources
Section VI. Pediatric Palliative Care
55. Symptom Management in Pediatric Palliative Care
56. Pediatric Hospice and Palliative Care
57. Pediatric Care: Transitioning Goals of Care in the Emergency Department, Intensive Care Unit, and In Between
58. End-of-Life Decision-Making in Pediatric Oncology
59. Palliative Care in the Neonatal Intensive Care Unit
60. Grief and Bereavement in Pediatric Palliative Care
61. Pediatric Pain: Knowing the Child Before You
Section VII. Special Issues for the Nurse in End-of-Life Care
62. The Advanced Practice Registered Nurse
63. Reflections on Occupational Stress in Palliative Care Nursing: Is it Changing?
64. Ethical Considerations in Palliative Care
65. Palliative Care and Requests for Assistance in Dying
66. Nursing Education
67. Nursing Research
68. Enhancing Team Effectiveness
69. Clinical Interventions, Economic Impact, and Palliative Care
70. International Palliative Care Initiatives
71. Palliative Care in Canada
72. Palliative Care in Australia and New Zealand
73. Palliative Care in the UK
74. Palliative Care in Europe
75. Palliative Care in Latin America
76. Palliative Care in Africa
77. Palliative Care in Japan
78. Palliative Care in South Korea
79. Palliative Care in Eastern Europe
80. Palliative Care in the Philippines
81. Palliative Care in Situations of Conflict
82. Palliative Care as a Human Right
83. A Good Death
Appendix