Case Studies in Palliative and End-of-Life Care (eBook)

Margaret L. Campbell (Herausgeber)

eBook Download: PDF

2012
John Wiley & Sons (Verlag)
9781118363287 (ISBN)

Infos

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.

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.

Inhalt

Case Studies in Palliative and End-of-Life Care 5
Table of Contents 7
Contributor List 10
Introduction 14
REFERENCES 15
Section 1 Communication Case Studies 17
TAKE AWAY POINTS 19
REFERENCES 19
Case 1.1 Communicating about a Progressive Diagnosis and Prognosis 21
HISTORY 21
PHYSICAL EXAMINATION 22
DIAGNOSTICS 22
CLINICAL QUESTION 22
DISCUSSION 22
BACK TO OUR CASE 25
TAKE AWAY POINTS 26
REFERENCES 26
Case 1.2 Diagnosis/Prognosis Uncomplicated Death at Home 28
HISTORY 28
PHYSICAL EXAMINATION 29
DIAGNOSTICS 29
CLINICAL QUESTION 29
DISCUSSION 29
BACK TO OUR CASE 32
TAKE AWAY POINTS 32
REFERENCES 33
Case 1.3 Accommodating Religiosity and Spirituality in Medical Decision-Making 34
HISTORY 34
PHYSICAL EXAMINATION 35
DIAGNOSTICS 35
CLINICAL QUESTION 35
DISCUSSION 35
BACK TO OUR CASE 39
TAKE AWAY POINTS 40
REFERENCES 40
Case 1.4 Discussing Cardiopulmonary Resuscitation When it May Be Useful 42
HISTORY 42
PHYSICAL EXAMINATION 43
DIAGNOSTICS 43
CLINICAL QUESTION 43
DISCUSSION 43
BACK TO OUR CASE 46
TAKE AWAY POINTS 47
REFERENCES 47
Case 1.5 Discussing CPR When it is a Non-Beneficial Intervention 49
HISTORY 49
PHYSICAL EXAMINATION 50
DIAGNOSTICS 50
CLINICAL QUESTION 51
DISCUSSION 51
BACK TO OUR CASE 53
TAKE AWAY POINTS 55
REFERENCES 55
Case 1.6 Discussing Brain Death, Organ Donation, and Donation after Cardiac Death 57
HISTORY: CASE 1 57
CLINICAL QUESTION 58
DISCUSSION 58
BACK TO OUR CASE 61
HISTORY: CASE 2 61
CLINICAL QUESTION 62
DISCUSSION 62
BACK TO OUR CASE 64
SUMMARY 65
TAKE AWAY POINTS 65
REFERENCES 65
Case 1.7 Discussing Physiological Futility 68
HISTORY 68
PHYSICAL EXAMINATION 69
DIAGNOSTICS 69
CLINICAL QUESTION 69
DISCUSSION 69
BACK TO OUR CASE 74
TAKE AWAY POINTS 74
REFERENCES 75
Case 1.8 Wounded Families: Decision-Making in the Setting of Stressed Coping and Maladaptive Behaviors in Health Crises 76
HISTORY 76
CLINICAL QUESTION 77
DISCUSSION 77
BACK TO OUR CASE 81
TAKE AWAY POINTS 83
REFERENCES 83
Case 1.9 Notification of an Expected Death 84
HISTORY 84
CLINICAL QUESTION 84
DISCUSSION 85
BACK TO OUR CASE 87
TAKE AWAY POINTS 87
REFERENCES 87
Case 1.10 Death Notification after Unexpected Death 89
HISTORY 89
CLINICAL QUESTION 90
DISCUSSION 90
BACK TO OUR CASE 95
TAKE AWAY POINTS 97
REFERENCES 97
Section 2 Symptom Management Case Studies 99
TAKE AWAY POINTS 101
REFERENCES 101
Case 2.1 Pain: Cancer in the Home 103
HISTORY 103
PHYSICAL EXAMINATION 104
DIAGNOSTICS 104
CLINICAL QUESTION 105
DISCUSSION 105
BACK TO OUR CASE 111
TAKE AWAY POINTS 112
REFERENCES 112
Case 2.2 Treating an Acute, Severe, Cancer Pain Exacerbation 114
HISTORY 114
PHYSICAL EXAMINATION 115
DIAGNOSTICS 115
CLINICAL QUESTION 115
DISCUSSION 115
BACK TO OUR CASE 117
TAKE AWAY POINTS 118
REFERENCES 119
Case 2.3 Pain and Advanced Heart Failure 120
HISTORY 120
PHYSICAL EXAMINATION 120
DIAGNOSTICS 121
CLINICAL QUESTION 121
DISCUSSION 121
BACK TO OUR CASE 124
TAKE AWAY POINTS 124
REFERENCES 124
Case 2.4 Dyspnea and Advanced COPD 126
HISTORY 126
PHYSICAL EXAMINATION 127
DIAGNOSTICS 127
CLINICAL QUESTION 127
DISCUSSION 127
BACK TO OUR CASE 130
TAKE AWAY POINTS 131
REFERENCES 131
Case 2.5 Dyspnea and Heart Failure 133
HISTORY 133
PHYSICAL EXAMINATION 134
DIAGNOSTICS 134
CLINICAL QUESTION 135
DISCUSSION 135
BACK TO OUR CASE 141
TAKE AWAY POINTS 142
REFERENCES 142
Case 2.6 Treating Dyspnea during Ventilator Withdrawal 144
HISTORY 144
PHYSICAL EXAMINATION 144
DIAGNOSTICS 145
CLINICAL QUESTION 145
DISCUSSION 145
BACK TO OUR CASE 151
TAKE AWAY POINTS 152
REFERENCES 152
Case 2.7 Cough Associated with COPD and Lung Cancer 154
HISTORY 154
PHYSICAL EXAMINATION 155
DIAGNOSTICS 155
CLINICAL QUESTION 155
DISCUSSION 156
BACK TO OUR CASE 159
TAKE AWAY POINTS 160
REFERENCES 160
Case 2.8 Hiccups and Advanced Illness 161
HISTORY 161
PHYSICAL EXAMINATION 162
DIAGNOSTICS 162
CLINICAL QUESTION 162
DISCUSSION 162
BACK TO OUR CASE 166
TAKE AWAY POINTS 167
REFERENCES 167
Case 2.9 Treating Nausea Associated with Advanced Cancer 168
HISTORY 168
PHYSICAL EXAMINATION 168
DIAGNOSTICS 169
CLINICAL QUESTION 169
DISCUSSION 169
BACK TO OUR CASE 174
TAKE AWAY POINTS 175
REFERENCES 175
Case 2.10 Nausea Associated with Bowel Obstruction 177
HISTORY 177
PHYSICAL EXAMINATION 178
DIAGNOSTICS 178
CLINICAL QUESTION 178
DISCUSSION 178
BACK TO OUR CASE 181
TAKE AWAY POINTS 182
REFERENCES 182
Case 2.11 Nausea Related to Uremia, Dialysis Cessation 184
HISTORY 184
PHYSICAL EXAMINATION 185
DIAGNOSTICS 185
CLINICAL QUESTION 185
DISCUSSION 185
BACK TO OUR CASE 189
TAKE AWAY POINTS 190
REFERENCES 190
Case 2.12 Opioid-Induced Pruritus 192
HISTORY 192
PHYSICAL EXAMINATION 192
DIAGNOSTICS 193
CLINICAL QUESTION 193
DISCUSSION 193
BACK TO OUR CASE 197
TAKE AWAY POINTS 197
REFERENCES 198
Case 2.13 Pruritus in End-Stage Renal Disease 199
HISTORY 199
PHYSICAL EXAMINATION 200
CLINICAL QUESTION 200
DISCUSSION 200
BACK TO OUR CASE 203
TAKE AWAY POINTS 203
REFERENCES 204
Case 2.14 Opioid-Induced Constipation 206
HISTORY 206
PHYSICAL EXAMINATION 207
DIAGNOSTICS 207
CLINICAL QUESTION 208
DISCUSSION 208
BACK TO OUR CASE 212
TAKE AWAY POINTS 212
REFERENCES 212
Case 2.15 Depression in Advanced Disease 214
HISTORY 214
PHYSICAL EXAMINATION 215
DIAGNOSTICS 215
CLINICAL QUESTION 215
DISCUSSION 215
BACK TO OUR CASE 218
TAKE AWAY POINTS 219
REFERENCES 219
Case 2.16 Treating Anxiety 221
HISTORY 221
PHYSICAL EXAMINATION 222
DIAGNOSTICS 223
CLINICAL QUESTION 223
DISCUSSION 223
BACK TO OUR CASE 227
TAKE AWAY POINTS 227
REFERENCES 227
Case 2.17 Terminal Secretions 229
HISTORY 229
PHYSICAL EXAMINATION 229
DIAGNOSTICS 230
CLINICAL QUESTION 230
DISCUSSION 230
BACK TO OUR CASE 233
TAKE AWAY POINTS 234
REFERENCES 234
Case 2.18 Fungating Wounds and the Palliative Care Patient 236
HISTORY 236
PHYSICAL EXAMINATION 237
DIAGNOSTICS 238
CLINICAL QUESTION 238
DISCUSSION 238
BACK TO OUR CASE 243
TAKE AWAY POINTS 243
REFERENCES 244
Case 2.19 Pressure Ulcer Care in Palliative Care 245
HISTORY 245
PHYSICAL EXAMINATION 246
DIAGNOSTICS 246
CLINICAL QUESTION 247
DISCUSSION 247
BACK TO OUR CASE 252
TAKE AWAY POINTS 253
REFERENCES 254
Case 2.20 Treating Ascites 255
HISTORY 255
PHYSICAL EXAMINATION 256
DIAGNOSTICS 256
CLINICAL QUESTION 257
DISCUSSION 257
BACK TO OUR CASE 261
TAKE AWAY POINTS 262
REFERENCES 262
Case 2.21 Delirium Management in Palliative Care 263
HISTORY 263
PHYSICAL EXAMINATION 264
DIAGNOSTICS 264
MEDICATIONS 265
CLINICAL QUESTION 265
DISCUSSION 265
BACK TO OUR CASE 270
TAKE AWAY POINTS 271
REFERENCES 271
Section 3 Family Care Case Studies 273
TAKE AWAY POINTS 274
Case 3.1 Caring for the Family Expecting a Loss 275
HISTORY 275
CLINICAL QUESTION 276
DISCUSSION 277
BACK TO OUR CASE 279
TAKE AWAY POINTS 281
REFERENCES 281
Case 3.2 Anticipatory Grief and the Dysfunctional Family 282
HISTORY 282
CLINICAL QUESTION 283
DISCUSSION 283
BACK TO OUR CASE 289
TAKE AWAY POINTS 291
REFERENCES 291
Case 3.3 Acute and Uncomplicated Grief after an Expected Death 293
HISTORY 293
CLINICAL QUESTION 294
DISCUSSION 294
BACK TO OUR CASE 302
TAKE AWAY POINTS 302
REFERENCES 303
Case 3.4 Bereavement after Unexpected Death 305
HISTORY 305
CLINICAL QUESTION 306
DISCUSSION 306
BACK TO OUR CASE 313
TAKE AWAY POINTS 313
REFERENCES 314
Case 3.5 Complicated Grief 316
HISTORY 316
CLINICAL QUESTION 317
DISCUSSION 317
BACK TO OUR CASE 323
TAKE AWAY POINTS 323
REFERENCES 323
Index 325

Produkt-Details

• Erscheint lt. Verlag: 31.7.2012
• Reihe/Serie: Case Studies in Nursing
• Reihe/Serie: Case Studies in Nursing
• Reihe/Serie: Case Studies in Nursing
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Pflege ► Palliativpflege / Sterbebegleitung
• Schlagworte: Approach • Book • Cancer & Palliative Care Nursing • Care • CASE • casebased • Clinicians • Communication • consistent • Covering • endoflife • evidencebased concepts • Format • highlighting • History • important learning • Key • Krankenpflege • Logical • nursing • Palliative • Palliativmedizin • Pflege i. d. Krebs- u. Palliativmedizin • sections • Studies • subjects • Three • use
• ISBN-13: 9781118363287 / 9781118363287