Compassionate Person-Centered Care for the Dying: An Evidence-Based Palliative Care Guide For Nurses

by Bonnie Freeman RN, DNP, ANP, ACHPN

Overview

A milestone resource for palliative care nurses that facilitates evidence-based compassionate and humanistic care of the dying

"A valuable contribution to the evolving field of palliative nursing care. It is authored by a model for this field, Bonnie Freeman, and brings to the bedside what her practice embodies--evidence-based clinically expert care...The CARES tool is a long-needed resource and we are all grateful to the author for moving her passion to paper. It will touch the lives and deaths of patients, families, and the nurses who care for them."

--Betty Ferrell, PhD, RN, MA, FAAN, FCPN, CHPN

Professor and Director, Division of Nursing Research and Education

City of Hope National Medical Center

From the Foreword

This groundbreaking reference for palliative care nurses is the first to provide realistic and achievable evidence-based methods for incorporating compassionate and humanistic care of the dying into current standards of practice. It builds on the author's research-based CARES tool; a reference that synthesizes five key elements demonstrated to enable a peaceful death, as free from suffering as possible: comfort, airway management, management of restlessness and delirium, emotional and spiritual support, and selfcare for nurses. The book describes, step by step, how nurses can easily implement the basic tenets of the CARES tool into their end-of-life practice. It provides a clearly defined plan that can be individualized for each patient and tailored to specific family needs, and facilitates caring for the dying in the most respectful and humane way possible.

The book identifies the most common symptom management needs in dying patients and describes, in detail, the five components of the CARES paradigm and how to implement them to enable a peaceful death and minimize suffering. It includes palliative care prompts founded on 29 evidence-based recommendations and the National Consensus Project for Palliative Care Clinical Practice Guidelines. The resource also addresses the importance of the nurse to act as a patient advocate, how to achieve compassionate communication with the patient and family, and barriers and challenges to compassionate care. Case studies emphasize the importance of compassionate nursing care of the dying and how it can be effectively achieved.

Key Features:

• Provides nurses with a clear understanding of the most common needs of the dying and supplies practical applications to facilitate and improve care
• Clarifies the current and often complex literature on care of the dying
• Includes case studies illustrating the most common needs of dying patients and how these are addressed effectively by the CARES tool
• Based on extensive evidence as well as on the National Consensus Project for Palliative Care Clinical Practice Guidelines

Product Details

ISBN-13:	9780826122483
Publisher:	Springer Publishing Company
Publication date:	02/23/2015
Sold by:	Barnes & Noble
Format:	eBook
Pages:	296
File size:	1 MB

Table of Contents

"Contents

Foreword Betty Ferrell, PhD, RN, MA, FAAN, FCPN, CHPN

Preface

Prologue

PART I: CARE FOR THE DYING

1. Introduction to the CARES Tool

2. History of Caring for the Dying

3. Goals and Objectives When Caring for the Dying

4. Establishing Care of the Dying as an Acute Event

5. Identifying the Most Common Symptom Management and End-of-Life Needs of the Dying

PART II: THE CARES TOOL

6. CARES Tool: Organization and Considerations

7. Comfort

8. Airway

9. Restlessness and Delirium

10. Emotional and Spiritual Care

11. Self-Care

PART III: FOUNDATION AND USE

12. Theories of Self-Transcendence and Structure of Caring

13. Importance of Advocacy

14. Achieving Compassionate Communication

15. Promoting a Peaceful Death

16. Case Studies

PART IV: BARRIERS AND CHALLENGES

17. Changing a Culture

18. Translating Current Literature Into Evidence-Based Practice: The Role of the DNP

PART V: ADDITIONAL APPLICATIONS

19. A Nursing Model for Care of the Dying

20. Versions and Influence of the CARES Tool

21. Preserving Hope

PART VI: LEADING CHANGE—STORIES AND PERSPECTIVES FROM SUNNYBROOK

22. Knowledge Translation for Effecting Practice Change

23. Leading Change—Stories and Perspectives

PART VII: CONCLUSIONS AND RESOURCES

24. Summary of Steven’s Peaceful Death

25. Recommended Learning Resources for Care of the Dying

Index

"