A Practical Guide to Palliative Care

Section 1: THE PALLIATIVE CARE APPROACH

Ch. 1 Definitions
Ch. 2 Philosophy-From "Cure" to "Comfort"
Ch. 3 The Transition from "Diagnose and Treat" to "Palliate"
Ch. 4 Historical Perspective: What Has Changed?

Section 2: CULTURAL DIVERSITY IN END-OF-LIFE CARE

Ch. 5: Planning for Diverse Populations
Ch. 6: African American Culture & End-of-Life
Ch. 7: Hispanic Views on Death & Dying
Ch. 8: Understanding the Jewish Culture
Ch. 9: Mourning in the Asian Culture
Ch.10: Death Practices in the Muslim Culture
Ch.11: Building Cultural Bridges with Other Cultures

Section 3: APPROACH TO THE PATIENT

Ch.12: Delivering Bad News
Ch.13: The Family Conference
Ch.14: Dealing with Anger
Ch.15: The Spiritual Assessment
Ch.16: Giving Realistic Hope
Ch.17: The "DNR" or "AND" Discussion in Seriously Ill Patients
Ch.18: Advanced Directives in Health Care
Ch.19: Decision-Making Ability
Ch.20: Goal Setting
Ch.21: The Hospice Conversation
Ch.22: Telling the Children
Ch.23: What if a Patient Asked You to Pray?
Ch.24: Death Pronouncement
Ch.25: Completing the Death Certificate
Ch.26: Informing Significant Others of a Patient's Death
Ch.27: Writing a Condolence Letter
Ch.28: Caring for the Family

Section 4: PREDICTING LIFE EXPECTANCY

Ch.29: "How Long Do I Have?"
Ch.30: Guidelines for Hospice
Ch.31: Physician Prediction of Life Expectancy
Ch.32: Palliative Performance Score

Section 5: DELIVERY OF PALLIATIVE CARE<

Ch.34: The Hospital Palliative Care Unit
Ch.35: Consulting in the Hospital
Ch.36: Hospice in Delivery of Palliative Care

Section 6: TERMINAL CARE

Ch.38: The Syndrome of Imminent Death
Ch.39: Near Death Awareness (NDA)
Ch.40: Terminal Delirium

Section 7: NONPAIN SYMPTOM MANAGEMENT

Ch.42: Tips for Maximizing Chances of Success
Ch.43: Dyspnea, Air Hunger, Shortness of Air
Ch.44: Oral Care Basics

Section 8: PAIN CONTROL

Ch.63: Myths About Opioid Use
Ch.64: Legal Liability of UnderTreating Pain
Ch.65: Principles of Pain Management
Ch.66: Assessment of Pain
Ch.67: Converting One Opioid to Another (Equianalgesic Dosing)
Ch.68: Opioid Dose Escalation
Ch.69: Managing Opioid Side Effects
Ch.70: Opioid Withdrawal
Ch.71: Morphine
Ch.72: Hydrocodone for Pain
Ch.73: Oxycodone for Pain

Section 9: PALLIATIVE INTERVENTIONS

Ch.82: Tube Feeding in Palliative Care
Ch.83: Palliative Chemotherapy
Ch.84: Palliative Radiation
Ch.85: "Response Rate" in Cancer Chemotherapy
Ch.86: Ventilator Withdrawal
Ch.87: Bowel Obstruction
Ch.88: Treating the "Death Rattle"
Ch.89: Aggressive Wound Management

Section 10: THE PALLIATIVE PEDIATRIC PATIENT

Ch.90: Children and Death
Ch.91: Neonatal Population
Ch.92: Pediatric Intensive Care Unit
Ch.93: Pediatric Withdrawal of Life Support
Ch.94: The Dying Adolescent

Section 11: CHARTING"

Ch.95: Documentation in Palliative Care
Ch.96: Coding & Billing for Hospice/Palliative Care

Section 12: ETHICS AT THE END OF LIFE

Ch.97: Ethics & Legal Issues
Ch.98: Hastened Death: The Rule of Double Effect
Ch.99: When to Stop-Medical Futility
Ch.100: Caring for Yourself and Avoiding Burnout


Appendices

Index