- Preface
- Acknowledgments
- Contributors
- Part One The Palliative Advanced Practice Registered Nurse
- Chapter 1 History of the Advanced Practice Role in Palliative Nursing
- Chapter 2 Fundamental Skills and Education for the Palliative Advanced Practice Registered Nurse
- Chapter 3 Credentialing, Certification, and Scope of Practice Issues for the Palliative Advanced Practice Registered Nurse
- Chapter 4 Reimbursement for the Palliative Advanced Practice Registered Nurse
- Chapter 5 Data Utilization for the Palliative Advanced Practice Registered Nurse
- Part Two The Palliative Advanced Practice Registered Nurse across Healthcare Settings
- Chapter 6 Palliative Care in the Emergency Department
- Chapter 7 Palliative Care in the Intensive Care Unit Setting
- Chapter 8 Palliative Care in the Medical, Surgical, and Geriatric Patient Care Unit
- Chapter 9 Palliative Care in the Oncology Unit
- Chapter 10 Palliative Care in the Cardiac Specialty Unit
- Chapter 11 Palliative Care in the Solid Organ Transplant Unit
- Part Three Pain and Symptom Management for the Palliative Advanced Practice Registered Nurse
- Part Four Communication
- Chapter 38 Introducing Palliative Care
- Chapter 39 Advance Care Planning
- Chapter 40 Family Meetings
- Chapter 41 Communication at the Time of Death
- Chapter 42 Navigating Ethical Discussions in Palliative Care
- Chapter 43 Culturally Respectful Palliative Care
- Part Five Spiritual Care
- Chapter 44 The Role of the Advanced Practice Registered Nurse in Spiritual Care
- Chapter 45 Communication Principles in Spiritual Care
- Chapter 46 Life Review
- Chapter 47 Interdisciplinary Team Collaboration and the Provision of Spiritual Care
- Part Six Special Situations: Withdrawal of Technology
- Chapter 48 Withdrawal of Cardiology Technology
- Chapter 49 Withdrawal of Respiratory Technology
- Chapter 50 Discontinuation of Life-Sustaining Therapies
- Chapter 51 Palliative Sedation
- Part Seven Special Populations
- Chapter 52 Recurrent Disease and Long-Term Survivorship
- Chapter 53 Cognitive Impairment
- Chapter 54 Patients with Substance Use Disorder
- Chapter 55 Economically Disadvantaged Urban Dwellers
- Chapter 56 Veterans
- Part Eight The Pediatric Palliative Advanced Practice Registered Nurse
- Chapter 57 The Role of the Pediatric Palliative Advanced Practice Registered Nurse
- Chapter 58 Pediatric Palliative Care Across the Continuum
- Chapter 59 Preparing for the Unexpected
- Chapter 60 Pediatric Oncology
- Chapter 61 Pediatric Palliative Care in the Community
- Chapter 62 Communication in Pediatrics
- Index
(p. 90) Palliative Care in the Cardiac Specialty Unit
- Chapter:
- (p. 90) Palliative Care in the Cardiac Specialty Unit
- Author(s):
Beth Fahlberg
- DOI:
- 10.1093/med/9780190204747.003.0010
Heart disease is the leading cause of mortality in the United States, accounting for approximately 600,000 deaths per year. However, despite the fact that many people are dying from heart disease, palliative specialists infrequently participate in the care of patients with heart disease. Cardiac patients have unique needs, experiences, pathophysiologies and devices that necessitate a specialized approach to palliative care for this population. Patients with heart problems represent only 11.5% to 15% of Medicare patients who die with the support of hospice. The APRN can promote individualized decisions. To do so, the APRN must have an understanding of common cardiac diagnoses, tests, treatments and medications as well as the cardiac patient and provider mindset will facilitate effective teamwork between the Palliative APN and cardiac team members.
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- Preface
- Acknowledgments
- Contributors
- Part One The Palliative Advanced Practice Registered Nurse
- Chapter 1 History of the Advanced Practice Role in Palliative Nursing
- Chapter 2 Fundamental Skills and Education for the Palliative Advanced Practice Registered Nurse
- Chapter 3 Credentialing, Certification, and Scope of Practice Issues for the Palliative Advanced Practice Registered Nurse
- Chapter 4 Reimbursement for the Palliative Advanced Practice Registered Nurse
- Chapter 5 Data Utilization for the Palliative Advanced Practice Registered Nurse
- Part Two The Palliative Advanced Practice Registered Nurse across Healthcare Settings
- Chapter 6 Palliative Care in the Emergency Department
- Chapter 7 Palliative Care in the Intensive Care Unit Setting
- Chapter 8 Palliative Care in the Medical, Surgical, and Geriatric Patient Care Unit
- Chapter 9 Palliative Care in the Oncology Unit
- Chapter 10 Palliative Care in the Cardiac Specialty Unit
- Chapter 11 Palliative Care in the Solid Organ Transplant Unit
- Part Three Pain and Symptom Management for the Palliative Advanced Practice Registered Nurse
- Part Four Communication
- Chapter 38 Introducing Palliative Care
- Chapter 39 Advance Care Planning
- Chapter 40 Family Meetings
- Chapter 41 Communication at the Time of Death
- Chapter 42 Navigating Ethical Discussions in Palliative Care
- Chapter 43 Culturally Respectful Palliative Care
- Part Five Spiritual Care
- Chapter 44 The Role of the Advanced Practice Registered Nurse in Spiritual Care
- Chapter 45 Communication Principles in Spiritual Care
- Chapter 46 Life Review
- Chapter 47 Interdisciplinary Team Collaboration and the Provision of Spiritual Care
- Part Six Special Situations: Withdrawal of Technology
- Chapter 48 Withdrawal of Cardiology Technology
- Chapter 49 Withdrawal of Respiratory Technology
- Chapter 50 Discontinuation of Life-Sustaining Therapies
- Chapter 51 Palliative Sedation
- Part Seven Special Populations
- Chapter 52 Recurrent Disease and Long-Term Survivorship
- Chapter 53 Cognitive Impairment
- Chapter 54 Patients with Substance Use Disorder
- Chapter 55 Economically Disadvantaged Urban Dwellers
- Chapter 56 Veterans
- Part Eight The Pediatric Palliative Advanced Practice Registered Nurse
- Chapter 57 The Role of the Pediatric Palliative Advanced Practice Registered Nurse
- Chapter 58 Pediatric Palliative Care Across the Continuum
- Chapter 59 Preparing for the Unexpected
- Chapter 60 Pediatric Oncology
- Chapter 61 Pediatric Palliative Care in the Community
- Chapter 62 Communication in Pediatrics
- Index