Palliative Care Nursing: Principles and Evidence for Practice

By Sheila Payne; Jane Seymour et al. | Go to book overview

Subject index
Page numbers in italics refer to figures, tables and boxes. Those in bold indicate main discussion.
academic perspectives see research access, 6, 93–4
availability of specialist care, 6, 90–3
and equity, 763
NHS reforms, 95–6
older people, 99–102, 104, 369–70, 371
see also non-cancer patients; social exclusion
ACTION project, 339–40
End-of-Life caring programme, 340, 341–2
benefits and limitations, 343–7
actions and behaviours, nursing management model, 749–50, 751
active ending of life, 397–8, 399 see also euthanasia
acute hospital care, 108–25
experiences of, 111–13
general nurses, 111–12
challenges, 113–16, 118, 121–2
palliative care needs, 109–11
specialist nurses
challenges, 116–17, 121, 122
responsibilities, 117–21
see also hospitals
acute pain, 270
management in cancer, 277–8
acute palliative care units, 630
acute vs chronic disease, 22, 130
adjuvant analgesia, 284–6
Africa, 49
FHSSA, 48
African immigrants, 94–5
African refugees/asylum seekers, 376–7
aftercare, bereavement services, 495–6, 543–4
age
and adjustment to cancer, 302
and death anxiety, 101
health risks in bereavement, 524
and social value, 352–3
see also older people
AIDS/HIV, 94–5, 97
AIDS-dementia complex, 373
drug users, 378
refugees/asylum seekers, 376, 377
alcohol misuse, in bereavement, 514–15
allodynia, 274
American Academy of Hospice and Palliative Medicine, 48
American Psychiatric Association, 20
analgesia
adjuvant, 284–6
commonly used, 284
effectiveness, Oxford Pain Scale, 280–1
non-steroidal anti-inflammatory, 273, 274
nurse's role, 292–3
routes of administration, 287–92
intravenous, 288
oral, 287–8
perspinal (epidural/intrathecal), 291
rectal, 290
subcutaneous, 288–9
transdermal, 289
transmucosal/sublingual, 289–90
see also pain management
analgesic ladder, WHO three-step, 282–3, 284
anthropological perspectives, 23–4
anticipatory grief, 359–60, 440, 523–4
anticonvulsants, 284–6
antidepressants, 284–6, 307, 515
antispasmodics, 286
anxiety, 303–4
family care-givers, 322–3
bereaved, 513–14
management, 304
see also death anxiety
appropriate prior experiential learning (APEL), 582
artificial feeding, 202–4
advantages and disadvantages, 203–4
PVS, 389–90, 393
Anthony Bland case, 197–8
types, 202
Asian Pacific region, 48, 49, 403
aspirin, 265
assessment, 163–85
and evaluation, 166
family care-giver's needs, 323–4, 325
focus, 167
medical model, 164–5
nursing models, 165–6
outcome instruments, 175
pain, 279–82
patient-based outcome, 167–79
appropriate to palliative care, 176–7
areas of focus, 167, 169, 171–5
clinical application in palliative care, 178–9
contextual nature, 170
individual nature, 167–8
multidimensional nature, 168–9
nursing care, 175–6
perspectives, 177–8
proxy, 175, 177–8
psychological morbidity, 172
purpose, 163–4
quality of life, 170, 173–4, 178, 179
satisfaction with care, 174–5, 728–9

-779-

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