Choices in Palliative Care

About this textbook

• The average person lives with chronic disease for three to six years.
• Nine out of ten deaths in America are caused by chronic illness.
• Half of all care of HIV/AIDS patients is defined as palliative care.

Keeping up with these statistics means improving on traditional concepts of palliative care to meet growing demands. Choices in Palliative Care brings together 31 leading experts to spotlight core issues in the field, identify ways PC can fill gaps in current care systems, and demonstrate state-of-the-art care that is both cost-effective and clinically appropriate. This far-sighted volume redefines palliative care as interdisciplinary and integrative, providing liaisons between patients, families, and doctors; minimizing loved ones’ care burdens; bridging acute and long-term care to respond to clients’ evolving needs; adaptable to non-fatal (and possibly curable) chronic illnesses.

Key areas of coverage:

• PC in acute care, long-term nursing facilities, hospice, and home settings
• Models of PC for AIDS/HIV, cancer, heart disease, chronic lung disease, Alzheimer’s
• Specific quality-of-life issues concerning children and the elderly
• Successful business planning for PC, from funding to staffing, program development to quality improvement
• Legal, ethical, and policy issues specific to PC

Because so much of the future of health care delivery depends on the palliative field, Choices in Palliative Care is must reading for public health administrators, planners, and policymakers. Those teaching health service delivery courses will find this material especially useful.

Written for:

Upper level health service delivery courses; health administrators, health care planners, and public policy professionals

Keywords:

• Cancer
• Dementia
• HIV and AIDS
• Heart disease
• Palliative care
• Palliative care programs
• Quality management

Table of Contents

• List of Contributors
• Preface
• Chapter 1. Palliative Care in Acute Care Hospitals
  Randy Hebert, M.D., M.P.H.,
  Nicole Fowler, Ph.D., M.H.S.A, and Robert Arnold, M.D.
• Chapter 2. Palliative Care in Nursing Facilities
  Brenda Mamber, L.C.S.W
• Chapter 3. Patient-Centered Palliative Care in the Home
  Francine Rainone, D.O., Ph.D., M.S., and Marlene McHugh, M.S., R.N., F.N.P.
• Chapter 4. Hospice Care
  Carolyn Cassin, M.P.A.
• Chapter 5. The Role of Cancer Rehabilitation in the Maintenance of Functional Integrity and Quality of Life
  Andrea Cheville, M.D.,
  Vivek Khemka, MB, BCh, BAO, and Sean O’Mahony, MB, BCh, BAO
• Chapter 6. HIV/AIDS and Palliative Care: Models of Care and Policy Issues
  Peter A. Selwyn, M.D., M.P.H.,
  Linda Robinson Ph.D.,
  Martha G. Dale, M.P.H., and Ruth McCorkle, Ph.D., FAAN
• Chapter 7. Palliative Care and Chronic Obstructive Lung Disease
  Manoj Karwa, M.D.,
  Alpana Chandra, M.D., and Adnan Mirza, M.D.
• Chapter 8. Palliative Care and Chronic Heart Failure
  Vikas Bhatara, M.D.,
  Edmund H. Sonnenblick, M.D.,
  Thierry H. Le Jemtel, M.D., and Vladimir Kvetan, M.D.
• Chapter 9. Palliative Care for Patients with Alzheimer’s
  Dementia: Advance Care Planning Across
• Transition Points
  Jennifer Rhodes-Kropf, M.D.
• Chapter 10. Children and Issues Around Palliative Care
  Tamara Vesel, M.D.,
  Rita Fountain, and Joanne Wolfe, M.D., M.P.H.
• Chapter 11. Palliative Care and the Elderly: Complex Case Management
  Sean O’Mahony, M.B., B.Ch., B.A.O., and
  Franca Martino-Starvaggi, C.S.W.
• Chapter 12. The Business of Palliative Medicine: Business Planning, Models of Care and Program Development
  Ruth Lagman, M.D., M.P.H., and Declan Walsh, M.Sc., F.A.C.P., F.R.C.P. (Edin)
• Chapter 13. Palliative Care and Quality Management: The Core Principles of Quality Improvement and their Utility in Designing Clinical Programs for End of Life Care and Complex Case Management Models
  Sarah Myers, M.P.H., and Arthur E. Blank, Ph.D.
• Chapter 14. Ethics and the Delivery of Palliative Care
  Linda Faber-Post, J.D., B.S.N., M.A.
• Index