Care of the dying: a pathway to excellence
Gespeichert in:
| Weitere Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Oxford [u.a.]
Oxford Univ. Press
2011
|
| Ausgabe: | 2. ed. |
| Schlagworte: | |
| Online-Zugang: | Publisher description Table of contents only Inhaltsverzeichnis Klappentext |
| Beschreibung: | IX, 260 S. Ill., graph. Darst. |
| ISBN: | 9780199550838 0199550832 |
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| 650 | 4 | |a Terminal care | |
| 650 | 4 | |a Palliative treatment | |
| 650 | 4 | |a Terminal Care | |
| 650 | 4 | |a Terminally Ill | |
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Datensatz im Suchindex
| _version_ | 1804143703215833088 |
|---|---|
| adam_text | Contents
Foreword
xi
Cicely Saunders
Contributors
xv
Introduction
xix
John Ellershaw
1
What about care pathways?
1
Kris Vanhaecht, Massimiliano
Panellá,
Ruben van Zelm,
and Walter Sermeus
Introduction
1
The pathway history and definition
2
Pathways as concept, model, process, and product
3
Discussion and challenges for palliative care
11
2
What is the Liverpool Care Pathway for the Dying Patient
(LCP)?
15
John Ellershaw and Deborah Murphy
Introduction
15
The LCP Continuous Quality Improvement Programme
15
Care in the last hours or days of life
16
Format and outline of the LCP
17
What is variance reporting?
17
Innovation and change model
18
What is organizational governance?
18
LCP generic version
12
document
19
Diagnosing dying: the decision to commence the LCP to
support care in the last hours or days of life
20
How should the LCP be completed?
22
Conclusion
30
3
Symptom control in care of the dying
33
Paul Glare, Andrew Dickman, and Margaret Goodman
How can the Liverpool Care Pathway
influence symptom control?
33
vi
CONTENTS
How do you manage pain in the dying patient?
36
How do you manage agitation in the dying patient?
40
How do you manage nausea and vomiting in
the dying patient?
43
How do you manage respiratory tract secretions
in the dying patient?
44
How do you manage dyspnoea in the dying patient?
45
What are the benefits of using a continuous
subcutaneous infusion (CSCI) to deliver medication?
47
Comfort measures in the last hours or days of life
51
Mouth care
52
Micturition difficulties
53
Bowel care
55
Management of skin
56
4
Ethical issues in care of the dying
63
Andrew Thorns and Eve
Garrara
What is the moral justification for the
Liverpool Care Pathway?
63
How can the Liverpool Care Pathway for the
Dying Patient influence ethical decision making?
63
An ethical framework
64
Withholding and withdrawing interventions
and treatments at the end of life
66
If there is a decision between a treatment that will
prolong life and one that will only promote
comfort, should the right action always be one
that extends life?
68
Cardiopulmonary resuscitation (CPR)
69
Issues of hydration and nutrition
71
Issues of ventilation
73
Shortening and ending life: the doctrine of double
effect and assisted dying
74
Issues relating to capacity and decision making
77
5
Communication in care of the dying
85
Susie Wilkinson
What are the skills that facilitate communication?
87
Blocking tactics that can hinder communication
87
Are the patient and their family aware of the
patient s deteriorating condition?
91
CONTENTS
j
vu
The patient assessment
91
Handling difficult questions
94
Dealing with uncertainty
96
Breaking bad news of a deteriorating condition
96
Communicating with relatives
98
Handling feelings and emotions
99
Communicating with families who want
to protect patients from the truth
100
Cultural issues in communication
102
The challenge of working with colleagues
103
6
Spiritual/religious issues in care of the dying
107
Peter Speck
How can the Liverpool Care Pathway for the
Dying Patient (LCP) influence religious
and/or spiritual care?
107
Is there a research base for spiritual care in
palliative care?
107
What is spiritual care?
109
What is religious care?
109
What about people who claim to be neither
religious nor spiritual?
110
When should we make the assessment? Ill
How can we assess this aspect of people s lives? Ill
What about the needs of different religious/faith groups
113
What of the non-religious spiritual needs?
124
Who should meet the needs assessed?
125
Acknowledgement
126
7
Supporting family and friends as
death approaches and afterwards
129
Carole
Mula
Bereavement
129
Anticipatory grief
131
Current risk management strategies
132
Key considerations alongside risk factors
135
What is involved in making an assessment?
135
Preparing the family for the imminent death
136
Last offices
137
Organ/tissue donation
137
Viii
CONTEMTS
Medical and legal
issues
138
Saying goodbye and viewing the deceased
139
Information needs
140
8
Supporting children
—
as death approaches and afterwards
145
Barbara Monroe
The impact of bereavement upon children
145
How do we help parents to help their children?
147
Helping parents to talk to their children
149
Giving information
150
Being present and being involved
150
When death is unexpected
250
Viewing the body
151
Attending funerals
151
Children s understanding of death
152
Subsequent support
152
Children need support to remember
153
9
Induction and implementation of the
Liverpool Care Pathway for the Dying Patient
157
Maureen Gambles, Anita Roberts, and Rita Doyle
Introduction
157
Implementing the LCP
158
Phase
1:
Induction
159
Phase
2:
Implementation
161
Phase
3:
Dissemination
165
Phase
4:
Sustainability
170
Summary
170
10
Dissemination and sustainability strategy for
the LCP programme: incorporating a model for
national audit for care of the dying
173
Deborah Murphy and Tamsin McGlinchey
National clinical audit in context
175
The impact of national clinical audit
175
NCDAH: driving up quality in care of the dying as part of a
Continuous Quality Improvement Programme
177
Key performance indicators (KPIs)
183
LCP version
12
consultation exercise
186
Summary
186
CONTENTS
j
¡χ
11 International
development of the Liverpool Care Pathway for the
Dying Patient (LCP)
189
Ruthmarijke
Smeding,
Maria Bolger, and John Ellershaw
LCP International: setting the scene
189
LCP international activity
190
Phase
1:
Induction
—
establishing the project and
preparing the environment for organizational change
191
Phase
2:
Implementation
197
Phase
3:
Dissemination
198
Phase
4:
Sustainability
201
Development of a State/Country/National LCP Office
203
Conclusion
203
Appendix
1
The LCP core documentation and
supporting information
207
Appendix
2
Ongoing assessment of the plan of care
(non inpatient
setting)
229
Appendix
3
Completed pathway
231
Appendix
4
Coping with dying leaflet
253
Index
255
Even for the most experienced healthcare professional, managing the last few days of life can be
difficult. This unique book provides guidance and support for the care of the dying based on the
Liverpool Care Pathway for the Dying Patient (LCP). This continuous Quality Improvement
Programme can be disseminated across the health economy including hospitals, nursing homes,
and the community.
The LCP is a multiprofessional document that incorporates evidence-based practice and
appropriate guidance and support related to Care of the Dying. It provides a template which
describes the process of care which is generally delivered in a clinical situation and incorporates
the expected outcome of care delivery. The LCP replaces all other documentation in this phase
of care. Care pathways can provide a potentially powerful aid to professionals involved
in
palüative care.
In this book, basic principles of treatment are translated into daily practice,
including bedside documentation systems, policies and procedures, standards of practice,
continuing education, and quality improvement programmes. It also includes chapters on
symptom control, ethical issues, communication skills, and spiritual care written by
experts in the field which underpin the use of the LCP.
Care of the Dying, Second Edition will prove invaluable to all healthcare professionals
involved in the care of the dying patient, organizations, and Trusts who want to develop
demonstrable measures and outcomes of care.
|
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| spelling | Care of the dying a pathway to excellence ed. by John Ellershaw ... 2. ed. Oxford [u.a.] Oxford Univ. Press 2011 IX, 260 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Terminal care Palliative treatment Terminal Care Terminally Ill Critical Pathways Sterbebegleitung (DE-588)4466515-5 gnd rswk-swf Sterbebegleitung (DE-588)4466515-5 s DE-604 Ellershaw, John edt http://www.loc.gov/catdir/enhancements/fy0615/2003271858-d.html Publisher description http://www.loc.gov/catdir/enhancements/fy0615/2003271858-t.html Table of contents only Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020889595&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020889595&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
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| title | Care of the dying a pathway to excellence |
| title_auth | Care of the dying a pathway to excellence |
| title_exact_search | Care of the dying a pathway to excellence |
| title_full | Care of the dying a pathway to excellence ed. by John Ellershaw ... |
| title_fullStr | Care of the dying a pathway to excellence ed. by John Ellershaw ... |
| title_full_unstemmed | Care of the dying a pathway to excellence ed. by John Ellershaw ... |
| title_short | Care of the dying |
| title_sort | care of the dying a pathway to excellence |
| title_sub | a pathway to excellence |
| topic | Terminal care Palliative treatment Terminal Care Terminally Ill Critical Pathways Sterbebegleitung (DE-588)4466515-5 gnd |
| topic_facet | Terminal care Palliative treatment Terminal Care Terminally Ill Critical Pathways Sterbebegleitung |
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