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Advanced Practice Palliative Nursing is the first text devoted to advanced practice nursing care of seriously ill and dying patients and their families. This comprehensive work addresses all aspects of palliative care, including patients’ and families’ physical, psychological, social, and spiritual needs. Chapters cover the history and role of advanced practice palliative nursing, settings where advanced practice registered nurses deliver palliative care, the role and function of the palliative advanced practice registered nurse, advanced pain and symptom management, the importance of communication in palliative nursing, special populations needing a palliative care focus, pediatric palliative care, spiritual and existential issues, reimbursement, and nursing leadership on palliative care teams. Each chapter contains case examples supported by evidence based practice to ensure the highest quality of care. The text is written by leaders in the field, including authors who have pioneered the role of advanced practice registered nurses in palliative care. This volume offers advanced practice content and practical resources for clinical practice across all settings of care and encompassing all ages, from pediatrics to geriatrics.Less

Using real life case studies to link knowledge to actual practice and written by senior nurses for nurses, this resource is essential for all nurses who work in acute care settings.

Skillful nursing care during the final hours of life can bring comfort and quality, not only to the patient but also to the patient’s loved ones who are attending the death. Symptom burden can increase during this time, and knowledgeable assessment and management are essential to providing a peaceful death. Common concerns during this time include delirium, dyspnea, death rattle, and cough. Urgent syndromes, such as superior vena cava obstruction, pleural effusion, pericardial effusion, hemoptysis, spinal cord compression, and hypercalcemia, require expert care. Although in most cases symptoms can be effectively managed, there are situations in which, despite aggressive management, symptoms remain uncontrolled. In these rare incidents of refractory symptoms, palliative sedation may be warranted. The goal of this therapy is to provide relief, not to hasten death. Finally, although assistive devices, such as mechanical ventilation, dialysis, and cardiac devices, replace failing organs, extend life, and improve quality of life by relieving symptom distress, there are times when the burden of these treatments exceeds the benefits. As a consequence, when the patient is near death or unresponsive, decisions may be made to cease these therapies. Palliative care, including expert nursing care along with an interdisciplinary team, is needed to provide a safe and comfortable experience during these final hours.Less

Through an exploration of the ethical nature of nursing, Caring Matters Most asserts that the act of nursing itself embodies goodness. Nurses can develop this goodness, or moral character, in themselves by cultivating five habits: trustworthiness, imagination, beauty, space, and presence. Practicing these habits will sustain nurses in their everyday work. The habit of trustworthiness can help nurses to meet the demands of the workplace. The habit of imagination is a counterbalance to the threat of automation, and the habit of beauty is a way for nurses to be good to themselves amid the daily difficulties the tasks of nursing present. The habit of space is a remedy to the incivilities that arise within the nursing community. The habit of presence encourages nurses to be grateful, and in turn, gratefulness puts nurses in the presence of the good of nursing. Ultimately, Caring Matters Most offers a vision of the good society that the work of nursing seeks to create—for the community of nurses and for the world.Less

The Clinical Pocket Guide to Advanced Practice Palliative Nursing is a companion guide to Advanced Practice Palliative Nursing, the first text devoted to advanced practice nursing care of the seriously ill and dying. Each chapter of this pocket guide presents point-of-care guidance on palliative care issues for quick reference in daily practice. Edited by leaders in the field, this handbook provides consistency in the nursing process from assessment to management and evaluation of symptoms and various clinical situations. The Clinical Pocket Guide to Advanced Practice Palliative Nursing contains clinical pearls developed from the textbook and practical tools on pain and symptom assessment, functional status, and communication, making it an ideal resource for practicing advanced practice nurses.Less

This textbook encompasses the knowledge, skills, and expertise needed to deliver excellent nursing care to critically ill patients. Emphasis is placed on a holistic and compassionate approach towards humanizing the impact of the environment, organ support, and monitoring, as well as critical illness itself. Chapters cover the general aspects of critical care such as the critical care environment or critical care continuum and specific organ systems and diseases. The structure of the systems chapters reminds the reader of the underlying anatomy and physiology as well as highlighting areas of particular relevance to critical care. The focus on priorities for management builds on the ABCDE assessment and offers insight into key interventions in urgent situations as well as outlining evidence-based practice. The book is ideal for those new to the critical care environment, but will also act as a reminder for more experienced nurses when faced with a new situation or when teaching/mentoring students. The patient and their family remain the centre of all This new edition brings the definitions, pathophysiology, and management of fast-changing and challenging areas such as ARDS, sepsis and multiple organ dysfunction, resuscitation, and acute kidney injury up to date as well as including any evidence-based changes associated with nursing practice in critical care. A new chapter covers major incident planning and management and the role of critical care in pandemic situations.Less

This guide enables nurses to identify which clinical problems are true emergencies, which require urgent attention and those that can wait – differential diagnoses for each clinical presentation are identified, along with the actions required to ensure effective treatment is provided.Less

Effective palliative care that rests on a sound ethical foundation requires ongoing discussions about patient and family values and preferences. This is especially important when addressing care at end-of-life including artificial nutrition and hydration, withdrawal of life-sustaining therapies and palliative sedation as well as requests for assistance in hastening death. The eighth volume in the HPNA Palliative Nursing Manuals series, Legal and Ethical Aspects of Palliative Care, provides an overview of critical communication skills and formal organizational mechanisms, such as ethics committees and interdisciplinary rounds, required for decisions in ethical dilemmas which respect diversity in the views of colleagues, as well as patients. The content of the concise, clinically focused volumes in the HPNA Palliative Nursing Manuals series is one resource for nurses preparing for specialty certification exams and provides a quick-reference in daily practice.Less

The Oxford Handbook of Adult Nursing gives expert and practical advice on all aspects of the nurse's role. It provides a complete picture of the care of adults with chronic and acute illness, and covers the role of the nurse as manager and co-ordinator of care. It is written by practising nurses and is an invaluable source of information.Less

The second edition of the Oxford Handbook of Adult Nursing addresses the philosophy, principles, and practice of general adult nursing, and the ways in which general adult nurses relate to people, engage critically with professional knowledge, and organize appropriate nursing care and interventions. The content provides information to help general nurses to draw on their personal and professional values, knowledge, and experience when making general practice decisions and organizing care. The handbook is designed to be a broad reference source, focused on the types of conditions that general adult nurses are most likely to come across in their everyday work, whether this is in hospital, hospice, or community locations. The handbook is arranged in four sections, each of which presents key facts related to professional nursing values, communication and interpersonal skills, nursing practice and decision-making, and leadership, management, and teamwork. Details of clinical procedures are not included, as these are expertly addressed in the Oxford Handbook of Clinical Skills in Adult Nursing. Part 1—Professional nursing values (Chapters 1–4)—outlines the values and statutory responsibilities underpinning all nursing practice, decision-making, and patient care. Part 2—Communication and interpersonal skills (Chapters 5–11)—discusses key features of empathetic communication in different nursing contexts. Part 3—Nursing practice and decision-making (Chapters 12–26)—provides key facts about health conditions in different body systems, along with potential investigations and treatment approaches. These chapters also highlight related nursing considerations, to stimulate and support thinking and decision-making in practice. Part 4—Nursing leadership, teamwork, and collectives (Chapters 27–31)—focuses on leadership, management, and teamwork, and the way nurses interact with each other, patients, and the public. Each chapter also lists useful sources of further information. The majority of these are online resources, in recognition of the way most people use information and communication technology in everyday nursing practice, education, and research. Other texts in the Oxford nursing handbook series provide a wide range of specialist texts to cover the detail of more specialized aspects of nursing practice, and reference to these are included throughout the text.Less