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History of the Advanced Practice Role in Palliative Nursing

History of the Advanced Practice Role in Palliative Nursing  

Constance Dahlin and Patrick J. Coyne

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0001
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
their services. References 1. Lynch M , Dahlin C , Hultman T , Coakley E. Palliative care nursing—defining the discipline? J Hospice Palliat Nurs . 2011; 13(2): 106–11. 2. Dahlin C , Lynch M. Evolution of the advanced practice nurse in palliative care. In: Dahlin CM , Lynch MT , eds. Core Curriculum for the Advanced Practice Hospice and Palliative Registered Nurse . 2nd ed. Pittsburgh, PA: Hospice and Palliative Nurses Association; 2013:3–12. 3. Yale Bulletin and Calendar . American Academy Honors Three from YSN . 2001. Available
The Advanced Practice Registered Nurse in Outpatient Palliative Cancer Care

The Advanced Practice Registered Nurse in Outpatient Palliative Cancer Care  

Barbara Reville

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0012
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
Care and the Hospice and Palliative Nurses Association’s APRN competencies. 46 , 47 Nurses often work alongside non- nursing providers. Whether the palliative APRN is the only nurse on a palliative care team or the sole palliative care clinician in an oncology clinic, it is important to maintain “a nursing orientation.” 27 (p 108) When nurses “unconsciously use a medical or institutional model as their perspective for organizing care,” they limit their potential contribution. 48 (p 27) The key principles of advanced nursing practice are reviewed in the following
The Advanced Practice Registered Nurse in the Palliative Care Clinic

The Advanced Practice Registered Nurse in the Palliative Care Clinic  

Lisa A. Stephens and Amelia Cullinan

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0013
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
medication titration), using appropriate guidelines to allow him or her to practice within his or her professional nursing scope of practice. When patients are undergoing dose titration of pain medications or require close monitoring for other reasons, the coordinating nurse can make routine phone calls to check in with the patient, ensuring that the correct protocol is followed and optimal results are achieved. Because this registered nurse acts as the “right hand” of the APRN, he or she should be located in the clinic to ensure optimal communication and collaboration with
The Advanced Practice Registered Nurse in the Geriatric Outpatient Setting

The Advanced Practice Registered Nurse in the Geriatric Outpatient Setting  

Joan E. Dacher and Sherrie Murray

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0015
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
primary care . Available at http://www. nursingworld .org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/Issue-Briefs/APRNs-as-PCPs.pdf . Published 2010. Accessed October 28, 2014. 18. Graham MC. Advocacy in practice: accountable care organizations the future of health care? Nurse Practitioner . 2011; 36(8): 11. 19. Byock I , Twohig JS , Merriman M. Promoting excellence in end-of-life care: a report on innovative models of palliative care. J Palliat Med. 2006; 9(1): 137–52. 20. Bauer JC. Nurse practitioner as an underutilized resource
The Palliative Advanced Practice Registered Nurse in the Specialty Outpatient Setting

The Palliative Advanced Practice Registered Nurse in the Specialty Outpatient Setting  

Linda M. Gorman

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0016
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
Chapter 16 The Palliative Advanced Practice Registered Nurse in the Specialty Outpatient Setting Linda M. Gorman Key Points ◆ The palliative advanced practice registered nurse (APRN) in a specialty practice cares for patients with chronic illnesses to manage their symptoms and address goals of care throughout the disease trajectory. This is especially important in the outpatient setting. ◆ Those with end-stage renal disease (ESRD) have a variety of uncomfortable symptoms that are often underrecognized and undertreated.
The Palliative Advanced Practice Registered Nurse in the Nursing Home

The Palliative Advanced Practice Registered Nurse in the Nursing Home  

MariJo Letizia

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0020
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
patient care needs. The care provided by nursing home staff can be affected when turnover occurs, potentially leading to a higher nurse-to-patient ratio. Nursing homes may be understaffed, with a pattern of high turnover among all team members, including direct care providers as well as administrators. 3 A higher rate of turnover in these settings may be related to lower pay, more difficult work, less professional respect, and greater understaffing than in other types of healthcare facilities. 2 Education of nursing staff is another important variable to consider
Credentialing, Certification, and Scope of Practice Issues for the Palliative Advanced Practice Registered Nurse

Credentialing, Certification, and Scope of Practice Issues for the Palliative Advanced Practice Registered Nurse  

Kerstin Lea Lappen

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0003
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
ports/policy-perspectives-competition-regulation-advanced-practice- nurses /140307aprnpolicypaper.pdf . Accessed July 19, 2014. 9. American Nurses Association . Available at http://www. nursingworld .org/EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2 . Accessed July 30, 2014. 10. American Nurses Association . Nursing : Scope and Standards of Practice . 2nd ed. Silver Spring, MD: ANA/ Nursebooks .org; 2010. 11. Kjervik D , Brous EA. Law and Ethics in Advanced Practice Nursing . New York, NY: Springer Publishing Company; 2010. 12. Dahlin C
Data Utilization for the Palliative Advanced Practice Registered Nurse

Data Utilization for the Palliative Advanced Practice Registered Nurse  

Marilyn Bookbinder and Debbie Rochester-Gibbons

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0005
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
affiliations with nursing schools. APRNs in exemplary organizations can hold university faculty positions and offer leadership as preceptors, and in developing curriculums for observerships, internships, residency and fellowship programs. As health information technology leaders, APRNs can establish the linkages needed among nurses , informatics, analytics, and patient outcomes. They can improve workflows and help reduce the barriers nurses face in documenting routine care. These linkages are critical to capturing the data needed to populate nursing-sensitive indicators
The Advanced Practice Registered Nurse in Primary Care

The Advanced Practice Registered Nurse in Primary Care  

Rosemary Gorman and Dorothy Wholihan

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0014
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
patient needs and includes patient input. To provide holistic, consistent care, a PCP must provide generalist palliative care services. According to Palliative Nursing : Scope and Standards , 6 as nurses , all APRNs practice primary palliative care. Basic palliative care is inherent in the definition of nursing : alleviation of suffering through the diagnosis and treatment of human response. Furthermore, all nurses provide psychosocial and spiritual support and assist with advance care planning within the context of a patient’s cultural background. Quill and Abernethy recommend
The Palliative Advanced Practice Registered Nurse Within a Hospice Organization

The Palliative Advanced Practice Registered Nurse Within a Hospice Organization  

Rikki N. Hooper

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0017
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
Position Statement: Nursing Care and Do Not Resuscitate (DNR) and Allow Natural Death (AND) Decisions. March 12, 2012. Available at http://www. nursingworld .org/MainMenuCategories/EthicsStandards/Ethics-Position-Statements.aspx . Accessed September 29, 2014. 22. Hospice and Palliative Nurses Association . Dahlin C , ed. Competencies for Advanced Practice Hospice and Palliative Care Nurses . Pittsburgh, PA: HPNA; 2014. 23. Dahlin C , Lynch M. Evolution of the advanced practice nurse in palliative care. In Dahlin CM , Lynch MT , eds. Core Curriculum for the
The Palliative Advanced Practice Registered Nurse in the Home Setting

The Palliative Advanced Practice Registered Nurse in the Home Setting  

Gretchen P. Fitzgerald, Michele A. Naugle, and Jacaline P. Wolf

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0019
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
palliative care do not have acute care issues that require skilled nursing visits, nor do they technically meet the criteria of being homebound. Although additional home visits made by a registered nurse , in addition to standard care through a medical clinic, resulted in higher patient satisfaction, it was more costly to the practice. 15 This may be attributed to the fact that registered nurses are unable to bill for their services. One study described an interdisciplinary program in which the registered nurse was responsible for patient education only, and the physician’s
The Advanced Practice Registered Nurse in Hospice

The Advanced Practice Registered Nurse in Hospice  

Susan Gibson

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0018
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
at http://www.nhpco.org/sites/default/files/public/NDS_2012_National_Summary_20131106.pdf Accessed June 1 2015. 15. Nursing theories: an overview . Current Nursing . Available at http://currentnursing.com . Updated 2012. Accessed July 13, 2014. 16. American Nurses Association and Hospice and Palliative Nurses Association . Palliative Nursing : Scope and Standards—An essential resource for nurses . 2014 . Silver Spring, MD: Nursesbooks , 2014. 17. Centers for Medicare and Medicaid Services (CMS) . Medicare Hospice Benefits . Baltimore, MD: US Department
Fundamental Skills and Education for the Palliative Advanced Practice Registered Nurse

Fundamental Skills and Education for the Palliative Advanced Practice Registered Nurse  

Dorothy Wholihan and Charles Tilley

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0002
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
ts vary. Employment Opportunities Nurse scientist, nursing faculty Healthcare administration, clinical nurse faculty Adapted from American Association of Colleges of Nursing . 1 The PhD-Prepared Palliative Nurse There is an urgent need for PhD-prepared nurses committed to increasing the body of knowledge within palliative nursing . The Hospice and Palliative Nurses Associations (HPNA) 2012–2015 Research Agenda highlights the need to integrate evidence into practice and guides nurse researchers in prioritizing research studies
The Palliative Advanced Practice Registered Nurse in the Rehabilitation Setting

The Palliative Advanced Practice Registered Nurse in the Rehabilitation Setting  

Anne Mahler and Sharon Verney

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0021
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
identifying and setting collaborative goals. 8 Nursing supports the patient’s existing abilities and facilitates the use of adaptive strategies. Rehabilitation nurses provide comprehensive and compassionate end-of-life care, including the provision of comfort and the relief of pain. 5 The advanced practice rehabilitation nurse merges the roles of direct care provider, educator, consultant, researcher, and manager when providing care. 9 The APRN may be an 10 adult, geriatric, or family practice nurse practitioner or clinical nurse specialist, or a palliative and hospice
Reimbursement for the Palliative Advanced Practice Registered Nurse

Reimbursement for the Palliative Advanced Practice Registered Nurse  

Constance Dahlin

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0004
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
Medicaid Services, NHIC . Part B. Physician assistant, nurse practitioner, clinical nurse specialist, certified nurse-midwife billing guide. Washington, DC: CMS; 2010. 16. Dahlin C. A Primer in APRN Reimbursement . Pittsburgh, PA: Hospice and Palliative Nurses Association; 2015. 17. APRN Consensus Work Group, National Council of State Boards of Nursing APRN Advisory Committee . Consensus Model for ARPN Regulation: Licensure, Accreditation, Certification, and Education . 2008. Available from www. nursingworld .org/ConsensusModelforAPRN . Accessed September 28,
The Role of the Advanced Practice Registered Nurse in Spiritual Care

The Role of the Advanced Practice Registered Nurse in Spiritual Care  

Betty R. Ferrell

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0044
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
In: Yarbro CH , Wujcik D , Gobel BH , eds. Cancer Nursing : Principles and Practice . 7th ed. Sudbury, MA: Jones & Bartlett; 2010. 4. Taylor EJ. Religion: A Clinical Guide for Nurses . New York, NY: Springer; 2012. 5. The Joint Commission . Spiritual assessment. 2009. Available at http://www.jointcommission.org/AccreditationPrograms/HomeCare/Standards/09_FAQs/PC/Spiritual_Assessment.htm . Accessed December 31, 2008. 6. Ferrell B , Coyle N. The Nature of Suffering and the Goals of Nursing . New York, NY: Oxford University Press, 2008. 7. Ferrell
The Role of the Pediatric Palliative Advanced Practice Registered Nurse

The Role of the Pediatric Palliative Advanced Practice Registered Nurse  

Cheryl Ann Thaxton and Leiann Neubauer

in Advanced Practice Palliative Nursing

Print Publication Year: 
Feb 2016
Series: 
Other
Published Online: 
Apr 2016
eISBN: 
9780190204761
DOI: 
10.1093/med/9780190204747.003.0057
Career: 
Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Skills, Nursing Skills
Item type: 
chapter
ISBN: 
9780190204747
practices. In October 2014, three national nursing organizations joined forces to transform the care and culture of serious illness. Together, the Hospice and Palliative Nurses Association, the Hospice and Palliative Nurses Foundation, and the HPCC launched a campaign aimed at (1) increasing the number of certified hospice and palliative nurses ; (2) advancing research into best practices of hospice and palliative care; (3) elevating palliative nursing leadership at the local and national levels; and (4) enhancing nursing competence through certification. Other groups
Introduction to mental health nursing

Introduction to mental health nursing  

Patrick Callaghan, Helen Waldock, Dave Richards, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Helen Waldock, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, and Dave Richards

in Oxford Handbook of Mental Health Nursing (2 ed.)

Print Publication Year: 
Oct 2015
Series: 
Oxford Handbooks in Nursing
Published Online: 
Dec 2015
eISBN: 
9780191773105
DOI: 
10.1093/med/9780198703853.003.0001
Career: 
Nurse, Trainee Nurse, Qualified Nurse
Specialty: 
Medical Skills, Nursing Skills, Psychiatry
Item type: 
chapter
ISBN: 
9780198703853
leadership. • Strengthen mental health nursing education. Compassion in practice: the Chief Nursing Officer’s vision and strategy for nursing , midwifery, and care staff in England (2013) This vision 9 identifies six qualities (six Cs) that are required of all nurses , midwives, and care staff (see Figure 1.1 and Table 1.2 ): • Care —put care at the heart of nursing and all health and social care organizations. It is argued that care is the essence of mental health nursing . Mental health nurses can care by ‘mobilizing hope, confidence and
Evidence-based mental health nursing

Evidence-based mental health nursing  

Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, and Patrick Callaghan

in Oxford Handbook of Mental Health Nursing (2 ed.)

Print Publication Year: 
Oct 2015
Series: 
Oxford Handbooks in Nursing
Published Online: 
Dec 2015
eISBN: 
9780191773105
DOI: 
10.1093/med/9780198703853.003.0013
Career: 
Nurse, Trainee Nurse, Qualified Nurse
Specialty: 
Medical Skills, Nursing Skills, Psychiatry
Item type: 
chapter
ISBN: 
9780198703853
Essentials of Nursing Research: appraising evidence for nursing practice , 8th edn. Lippincott Williams & Wilkins: Philadelphia, PA, 2013. 5 Benton DC and Cormack DFS. Reviewing and evaluating the literature. In: DFS Cormack (ed.) The Research Process in Nursing , 4th edn. Blackwell Science: Oxford, 2000. pp. 69–84. 6 Critical Appraisal Skills Programme (CASP) website. www.casp-uk.net 7 Callaghan P and Crawford P. Evidence-based mental health nursing practice. In: P Callaghan , J Playle and L Cooper (eds) Mental Health Nursing Skills . Oxford
Essential mental health nursing skills

Essential mental health nursing skills  

Patrick Callaghan, Madeline O’Carroll, Richard Gray, Dan Bressington, Helen Waldock, Ben Hannigan, Peter Ryan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Madeline O’Carroll, Madeline O’Carroll, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Richard Gray, Dan Bressington, Helen Waldock, Patrick Callaghan, Patrick Callaghan, Helen Waldock, Patrick Callaghan, Patrick Callaghan, Patrick Callaghan, Ben Hannigan, and Peter Ryan

in Oxford Handbook of Mental Health Nursing (2 ed.)

Print Publication Year: 
Oct 2015
Series: 
Oxford Handbooks in Nursing
Published Online: 
Dec 2015
eISBN: 
9780191773105
DOI: 
10.1093/med/9780198703853.003.0002
Career: 
Nurse, Trainee Nurse, Qualified Nurse
Specialty: 
Medical Skills, Nursing Skills, Psychiatry
Item type: 
chapter
ISBN: 
9780198703853
service users on inpatient mental health units who may be at risk of harm to self or others is a key component of mental health inpatient nursing care. It is a commonly used nursing intervention for service users, and involves the allocation of one nurse (or sometimes two) to one person for a prescribed length of time, in order to provide intensive nursing care. Definition of observation According to the Standing Nursing and Midwifery Advisory Committee practice guidance, ‘Safe and Supportive Observation of Patients at Risk’, 11 observation is defined as

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