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Tables of Contents for Core Curriculum for the Generalist Hospice and Palliative Nurses
Chapter/Section Title
Page #
Page Count
Preface
xiii
An Overview of Hospice and Palliative Care
History of Hospice and Palliative Care
1
1
Development of Modern Hospice and Palliative Care Movements
2
2
Hospice Philosophy
4
1
Philosophy of Palliative Care
5
2
Hospice Care in the United States
7
1
Palliative Care in the United States
8
7
Interdisciplinary Collaborative Practice in the Hospice and Palliative Care Settings
Introduction
15
1
Coordinate and Supervise
15
2
Collaborate
17
3
Advocate
20
1
Practice Issues
20
3
Professional Development
23
6
Patterns of Disease Progression
HIV/AIDS (Human Immunodeficiency Virus) (Acquired Immunodeficiency Disease Syndrome)
29
9
Neoplastic Conditions
38
12
Neurological Conditions
50
2
Cardiac Conditions
52
2
Pulmonary Conditions
54
2
Renal Conditions
56
1
Gastrointestinal Conditions
57
1
General Debility
57
1
Endocrine Disorders
58
5
Patient Care: Pain Management
Introduction
63
2
Assessment of Pain
65
5
Pharmacologic Intervention
70
7
Pain During the Final Days of Life
77
2
Summary of Principles of Pain Management
79
1
Evaluation
79
10
Symptom Management
Principles
89
1
Alteration in Skin and Mucous Membranes
90
8
Altered Mental Status: Confusion, Delirium, Terminal Restlessness, Agitation
98
5
Anorexia and Cachexia
103
4
Ascites
107
2
Aphasia
109
1
Bladder Spasms
110
2
Bowel Incontinence
112
2
Bowel Obstruction
114
2
Constipation
116
2
Diarrhea
118
2
Dysphagia/Odynophagia
120
2
Dyspnea/Cough
122
3
Edema
125
2
Extrapyramidal Symptoms (EPS)
127
1
Hematologic Symptoms
128
3
Hiccoughs
131
2
Impaired Mobility, Fatigue, Lethargy, Weakness
133
3
Increased Intracranial Pressure (ICP)
136
2
Myoclonus
138
2
Nausea and Vomiting
140
5
Paresthesia and Neuropathy
145
2
Seizures
147
2
Urinary Incontinence/Retention
149
6
Care of the Patient and Family
Patient/Family Education and Advocacy-Definitions
155
1
Caregiver Support: Access Appropriate Resources to Meet the Needs of Patient and Family
155
2
Education
157
2
Advocacy
159
3
Resource Management
162
3
Spiritual, Psychosocial, Family and Cultural Issues
165
10
Grief and Loss
175
6
The Dying Patient and Family in Traditional Care Settings
The Challenge for Nurses to Provide Quality End of Life Care
181
1
The Need for Improved Care at the End of Life (EOL)
182
5
The Role of the Nurse
187
2
The Nurse's Role in Improving Care Systems
189
2
Death and Dying in the Hospital Setting
191
2
The End of Life Patient in the Long Term Care Setting
193
6
Conclusion
199
6
End-of-Life Care for the Child and Family
Introduction
205
1
Common Pediatric Diagnoses Seen in Hospice/Palliative Services
205
3
Differences Between Pediatric and Adult Hospice Care
208
2
General Issues Related to Admission of Pediatric Patients
210
2
Developmental Considerations in Pediatric Assessment
212
2
General Care Issues for Child/Family
214
4
Counsel/Provide Emotional Support Child's Grief
218
7
Indicators of Imminent Death
Introduction
225
1
The Process of Dying-Goals of Care During the Last Days
225
1
Identification and Respondence to Indicators of Imminent Death
226
1
Terminal Symptoms
227
3
Caregiver Support During the Final Days and Hours
230
1
Signs that Death has Occurred
231
1
Visit at Time of Death
231
4
Economic Issues in Hospice and Palliative Care
Economic Outcomes for End of Life Care
235
3
Access to Healthcare Systems at the End of Life
238
1
Reimbursement Sources for End of Life Care
239
9
Relevant Economic Issues in End of Life Care
248
11
Trends for the Future
Issues Affecting Health Care Delivery in the Next 20 Years
259
2
Goals for Reform of End of Life Care in the Next 10 Years
261
1
Actualizing a New Model for Reform of End of Life Care
261
1
Legislation as a Component of Reform
261
1
Reimbursement as a Component of Reform
262
1
Standards of Care as a Component of Reform
262
1
Research as a Component of Reform
263
1
Key Partnerships as a Component of Reform
263
1
Future Professional Roles in Hospice/Palliative Care
264
1
Model Programs
265
4
Appendix 1: Website/Internet Resources
269
4
Appendix 2: Commonly Used Medications
273
4
Appendix 3: Standards of Hospice Care for Children
277
4
Appendix 4: Standards of Hospice Nursing Practice and Professional Performance
281
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