- 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
- Chapter 12 The Advanced Practice Registered Nurse in Outpatient Palliative Cancer Care
- Chapter 13 The Advanced Practice Registered Nurse in the Palliative Care Clinic
- Chapter 14 The Advanced Practice Registered Nurse in Primary Care
- Chapter 15 The Advanced Practice Registered Nurse in the Geriatric Outpatient Setting
- Chapter 16 The Palliative Advanced Practice Registered Nurse in the Specialty Outpatient Setting
- Chapter 17 The Palliative Advanced Practice Registered Nurse Within a Hospice Organization
- Chapter 18 The Advanced Practice Registered Nurse in Hospice
- Chapter 19 The Palliative Advanced Practice Registered Nurse in the Home Setting
- Chapter 20 The Palliative Advanced Practice Registered Nurse in the Nursing Home
- Chapter 21 The Palliative Advanced Practice Registered Nurse in the Rehabilitation Setting
- Chapter 22 Palliative and Hospice Care in Rural Areas: Access and Delivery
- Part Three Pain and Symptom Management for the Palliative Advanced Practice Registered Nurse
- Chapter 23 Pain
- Chapter 24 Dyspnea
- Chapter 25 Bowel Symptoms
- Chapter 26 Anorexia and Cachexia
- Chapter 27 Cough
- Chapter 28 Challenging Symptoms
- Chapter 29 Fatigue
- Chapter 30 Nausea and Vomiting
- Chapter 31 Anxiety
- Chapter 32 Delirium
- Chapter 33 Depression and Suicide
- Chapter 34 Dual Diagnosis and Post-Traumatic Stress Disorder
- Chapter 35 Grief and Bereavement
- Chapter 36 Symptom Clusters in Various Solid Tumors and Hematologic Malignancies
- Chapter 37 Palliative Emergencies
- 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. 506) Cognitive Impairment
- Chapter:
- (p. 506) Cognitive Impairment
- Author(s):
Abraham A. Brody
- DOI:
- 10.1093/med/9780190204747.003.0053
Dementia and Down syndrome are increasingly prevalent causes of cognitive impairment. They are responsible for significant mortality, in an aging population.. The economic cost of dementia is more than cancer and heart disease combined. Despite the prevalence and cost, palliative care is significantly underutilized in this population. Palliative care specialists have limited knowledge about how to provide gold-standard, evidence-based practice. This chapter discusses the identification, clinical presentation, and differential diagnosis of cognitive impairment; prognosis; management of dementias and their neuropsychiatric symptoms; approaches to functional decline; how to identify other symptoms when the patient cannot subjectively report; how to provide spiritual support and work with caregivers; and hospice eligibility and considerations.
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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
- Chapter 12 The Advanced Practice Registered Nurse in Outpatient Palliative Cancer Care
- Chapter 13 The Advanced Practice Registered Nurse in the Palliative Care Clinic
- Chapter 14 The Advanced Practice Registered Nurse in Primary Care
- Chapter 15 The Advanced Practice Registered Nurse in the Geriatric Outpatient Setting
- Chapter 16 The Palliative Advanced Practice Registered Nurse in the Specialty Outpatient Setting
- Chapter 17 The Palliative Advanced Practice Registered Nurse Within a Hospice Organization
- Chapter 18 The Advanced Practice Registered Nurse in Hospice
- Chapter 19 The Palliative Advanced Practice Registered Nurse in the Home Setting
- Chapter 20 The Palliative Advanced Practice Registered Nurse in the Nursing Home
- Chapter 21 The Palliative Advanced Practice Registered Nurse in the Rehabilitation Setting
- Chapter 22 Palliative and Hospice Care in Rural Areas: Access and Delivery
- Part Three Pain and Symptom Management for the Palliative Advanced Practice Registered Nurse
- Chapter 23 Pain
- Chapter 24 Dyspnea
- Chapter 25 Bowel Symptoms
- Chapter 26 Anorexia and Cachexia
- Chapter 27 Cough
- Chapter 28 Challenging Symptoms
- Chapter 29 Fatigue
- Chapter 30 Nausea and Vomiting
- Chapter 31 Anxiety
- Chapter 32 Delirium
- Chapter 33 Depression and Suicide
- Chapter 34 Dual Diagnosis and Post-Traumatic Stress Disorder
- Chapter 35 Grief and Bereavement
- Chapter 36 Symptom Clusters in Various Solid Tumors and Hematologic Malignancies
- Chapter 37 Palliative Emergencies
- 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