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Case Studies in Palliative and End-of-Life Care

ISBN: 978-0-470-95825-4
328 pages
November 2012, Wiley-Blackwell
Case Studies in Palliative and End-of-Life Care (0470958251) cover image
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.
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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

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Margaret L. Campbell, PhD, RN, FPCN is Associate Professor – Research in the Office for Health Research at the College of Nursing at Wayne State University in Detroit, Michigan.

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  • 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
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