Geriatric Palliative Care

✍ Scribed by R. Sean Morrison, Diane E. Meier, Carol Capello

• Publisher: Oxford University Press, USA
• Year: 2003
• Tongue: English
• Leaves: 462
• Edition: 1
• Category: Library

✦ Synopsis

Geriatric Palliative Care covers a broad spectrum of issues characterizing care near the end of life for older adults. Beginning with the social and cultural context of old age and frailty, this volume details specific aspects of palliative care relevant to particular disorders (e.g. cancer, strokes, dementia, etc.) as well as individual symptoms (e.g., pain, fatigue, anxiety, etc.). Communication between care-givers and patients, in a variety of settings, is also discussed.The theme of this book is that palliative care is the best approach to the care of chronically ill and frail elderly because of its focus on: quality of life; support for functional independence; and the centrality of the patient's values and experiences in determining the goals of medical care. Indeed, Geriatric Palliative Care provides a comprehensive medical reference for all clinicians who care for older adults.

✦ Table of Contents

Contents......Page 15
Contributors......Page 19
Introduction......Page 23
Part I: Overview: The Social and Cultural Context of Old Age and Frailty......Page 33
1. Variability in End-of-Life Care in the United States......Page 35
2. Developmental Challenges and Opportunities for “Growth”: The Inner Life at the End of Life......Page 49
3. Assessing Quality of Life and Quality of Dying in the Elderly: Implications for Clinical Practice of Palliative Medicine......Page 55
4. The Place of Love in the Care of Persons with Advanced Dementia......Page 62
5. Artificial Nutrition and Hydration......Page 68
6. Age, Rationing, and Palliative Care......Page 78
7. Ethical Aspects of Geriatric Palliative Care......Page 87
8. Respecting Diversity......Page 111
Part II: Disease- and Syndrome-Specific Aspects of Palliative Care......Page 123
9. Frailty and Its Implications for Care......Page 125
10. Heart Disease......Page 142
11. Cancer......Page 155
12. Stroke: Prognosis, Treatment, and Rehabilitation......Page 166
13. Dementia and Neurodegenerative Diseases......Page 192
14. Chronic Lung Disease and Lung Cancer......Page 205
15. End-Stage Renal Disease and Discontinuation of Dialysis......Page 224
Part III: Symptom Distress in Older Patients......Page 235
16. Pain......Page 237
17. Dyspnea......Page 262
18. Gastrointestinal Symptoms......Page 288
19. Fatigue......Page 303
20. Delirium, Anxiety, and Depression......Page 318
Part IV: Communication......Page 337
21. Advance Care Planning for Frail, Older Persons......Page 339
22. Doctor–Patient Communication......Page 346
23. Decision Making for the Cognitively Impaired......Page 364
Part V: Structures of Care for the Chronically Ill with Palliative Care Needs......Page 375
24. Can We Make the Health-Care System Work?......Page 377
25. Palliative Care in the Nursing Home......Page 389
26. Family Caregivers: Burdens and Opportunities......Page 408
27. Home Care for Frail, Older Adults......Page 418
28. Hospital-Based Palliative Care......Page 434
A......Page 445
B......Page 446
C......Page 447
D......Page 448
E......Page 450
F......Page 452
H......Page 453
K......Page 455
M......Page 456
N......Page 457
P......Page 458
R......Page 460
S......Page 461
W......Page 462