In a time when the nation's health care system is still unrefined, dying persons and their families are forced to confront numerous problems; among the worst are huge medical bills, isolation, fear, and little to no coordination among the services and care provided. As more and more people suffer from chronic illnesses that prolong the dying process, the need for an effective code of treatment for terminally ill and dying patients grows substantially. This sourcebook attempts to fill that need. It provides professionals who care for dying persons an extensive yet user-friendly guide on how to render the best possible treatment. It is complete with bar graphs, pie charts, an annotated bibliography, and lists of other resources. Overview chapters focus on the epidemiology of dying, patterns of treatment and service, the experience of dying persons, family roles, health care systems, and financing. Other chapters discuss dying of specific diseases, socio-cultural factors that influence how we die, and differences in dying by age. Care for the Dying concludes with an important discussion of future directions and a useful appendix that includes methods for measuring quality in health care. Undoubtedly, this book is a necessity for all who pursue the best care possible for people in their last stages of life.
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Health care professionals seeking to improve the quality of life for those living with serious illness and nearing the end of life will find exactly what their organization needs in the second edition of this acclaimed book by Dr. Joanne Lynn and her colleagues. Improving Care for the End of Life provides expert guidance on how to make significant improvements now, at all levels of the health care system from the bedside and the hospital to the health care policy and legislative arenas by using the rapid-cycle breakthrough approach to change. The ideas are proven, and the stories of teams that have put them to use will inspire and enlighten. New to the second edition: BL New chapters to address issues of growing interest such as continuity of care, and the special needs of dementia patients and their loved ones BL Details on trajectories of care and how these affect decisions at the end of life BL Updated and expanded information on pain management, advance care planning, ventilator withdrawal, depression and delirium, advanced heart and lung disease, and more BL Scores of new insights, measurement approaches, and tips based on the experiences of hundreds of improvement teams nationwide BL Thoroughly updated references The sourcebook speaks to all managers of health care systems serving people with serious illnesses, including doctors in offices, nurse managers on hospital units, social workers in long-term care facilities, administrators of home care and hospice agencies, hospital chaplains, directors of volunteer services, and others.
If you are responsible for clinical care in a palliative care organization or ward, you don't need to read this review. Just buy the book and get started! As with the first edition, this book is immensely practical. It has an infectious energy that leaves you wanting to get out and do something - by next Tuesday! This book belongs on the library shelf in every palliative care organization, but I doubt it will gather much dust! (Roger Woodruff)
This book would be most helpful not only to those in end-of-life care looking for ways to enhance and improve existing programs, but also for those who are creating programs in palliative care or hospice. Nurse managers, administrators of home care and hospice agencies, and medical directors will find real guidance. (Doody's Notes)
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