The Hospice Companion is a guide to best practices in end-of-life care, informed by the most current evidence-based literature in the field. It is intended to be used “at the ...
The Hospice Companion
is a guide to best practices in end-of-life care, informed by the most current evidence-based literature in the field. It is intended to be used “at the bedside” and during interdisciplinary team meetings to efficiently and effectively improve patient care and provide useful family and caregiver support. It should be thought of as a “decision support tool” to be used by all members of the hospice interdisciplinary team, including nurses, physicians, counselors, and social workers. This is the third edition of this clinical guide and it includes forty chapters allotted into three sections (General Processes; Personal, Social, and Environmental Processes; Clinical Processes and Symptom Management) plus five appendices. The symptom management chapters are arranged alphabetically, covering the gamut of common and highly burdensome problems encountered in caring for patients with far-advanced illness, from agitation and anxiety to xerostomia. Chapters are concise, averaging 1,000 to 1,500 words (the exception is the chapter on pain, in view of its complexity). Each is organized around the specific clinical issue of concern by defining the problem and its usual causes, findings, and differential diagnosis. This is followed by outlining salient features of assessment and management according to practical, psychosocial, biomedical, and spiritual categories. Each chapter concludes with a list of goals that should be defined in establishing a plan of care and what should be documented in the clinical record as well as a list of recommended readings from the contemporary literature.Less