Contents -- List of Education Plans for Achieving Competencies -- Contributors -- Foreword -- Preface -- Section I: Looking at the Whole Person in Palliative Care -- 1 Spirituality and Culture as Domains of Quality Palliative Care -- The Spiritual Nature of the Person -- Suffering as a Human Condition -- Spiritual and Religious Perspectives on Death -- Research Regarding Spirituality -- Quality Nursing Care: Addressing the Spiritual Needs of Patients and Their Families -- Life and Death Across Cultures -- Cultural Perspectives Regarding Illness and Death -- Quality Nursing Care: Developing Cultural Competence -- Nurses' Need for Self-Reflection and Self-Healing in Palliative Care -- Conclusion -- References -- 2 Holistic Integrative Therapies in Palliative Care -- Specific Holistic Healing Modalities -- Herbology -- Homeopathy -- Prayer -- The Healing Journey at the End of Life -- Self-care for the Healer -- Exercises -- Key Points -- Resources -- References -- Section II: Social and Professional Issues in Palliative Care -- 3 Death and Society -- Changes in the Definition of Death in Society -- Beyond Taboos in Acknowledging Death -- Where People Die -- Death Trajectories -- Patient-Requested Euthanasia and Assisted Suicide -- The Evolution of Hospice and Palliative Care -- Generalist and Specialist Palliative Care -- Changes in Health Care Economics -- Promoting Quality Palliative Care -- Conclusions -- References -- 4 Professional Organizations and Certifications in Hospice and Palliative Care -- Evolutionary Perspective of Hospice and Palliative Care Nursing -- Developing the Scope, Standards, and Competencies of Palliative and Hospice Nursing Practice -- Competencies -- Certification in Hospice and Palliative Care Nursing -- Future Visions for Hospice and Palliative Care Nursing -- References.

5 The Nurse's Role as a Member of the Interdisciplinary Palliative Care Team -- Palliative Care Frameworks -- Delivery Model of Care -- Principles of Palliative Care -- The Interdisciplinary Team -- Characteristics of an Effective Interdisciplinary Team -- The Developing Role of Nursing in Practicing Palliative Care -- The Nurse's Role in Interdisciplinary Care -- Continuing Professional Education -- Conclusion and Future Direction -- References -- 6 Ethical Aspects of Palliative Care -- Ethics and Ethical Theory -- Ethical Theories -- Ethical Principles and Concepts -- Elements of a Decision-Making Framework -- Conceptual Confusion and Difficult Decisions in End-of-life Care -- From Letting Die to Assisted Dying: Background Issues -- Conclusion -- References -- 7 Legal Aspects of End-of-Life Care -- Law and Ethics: Same or Different? -- Nursing and the Law -- The Right to Die -- Purpose and Types of Advance Directives -- The Support Study -- The Patient Self-Determination Act -- Do Not Resuscitate Directives -- Informed Consent -- Intractable Pain Legislation -- Ethics Committees -- Education of Nurses and Other Health Care Professionals Regarding Advance Directives -- Conclusion -- Resource -- References -- Section III: Psychosocial Considerations -- 8 Communicating with Seriously Ill and Dying Patients, Their Families, and Their Health Care Providers -- Introductory Phase -- Working Phase -- Termination Phase -- Conclusion -- Keypoints -- References -- 9 Caring for Families: The Other Patient in Palliative Care -- Families and End-of-life Care -- Caring for Families Across the Health Care Continuum -- Assessing Families During End-of-life Care -- Family Structure -- Roles and Expectations -- Swot Analysis -- Knowledge Deficits Related to EOLC -- Site of Care -- Goals and Plans for Care -- Barriers to Developing an Effective Plan of Care.

Interventions: Facilitating Role Development for Family -- Teaching Plans -- Conclusions -- References -- 10 Loss, Suffering, Bereavement, and Grief -- Loss and Suffering -- Living with and Dying from Life-Threatening Illness -- Experience of Loss and Suffering Across the Life Span -- Theoretical Underpinnings and Theories on Death and Dying -- Dimensions of Loss, Suffering, Grief, and Bereavement -- Significance and Meaning of the Relationship to Loss and Suffering -- Assessment-Where Am I (The Nurse) on the Journey? -- Assessment-Where is the Patient on the Journey? The Life Cycle Continuum-across the Life Span on the Journey -- Assessment-Where Are the Significant Others on the Journey? -- Child's Experience of Loss -- Risk Factors for Complicated Grief -- Context of Caregiving and Related Interventions -- Conclusions -- Acknowledgments -- References -- Section IV: Physical Aspects of Dying -- 11 Symptom Management in Palliative Care -- Assessment at the End of Life -- Interventions at End of Life -- Dyspnea Near the End of Life -- Assessment of Dyspnea -- Interventions for Dyspnea -- Medications -- Nonpharmacologic Interventions -- Nausea and Vomiting Near the End of Life -- Anxiety and Altered Cognition -- Constipation -- Fatigue -- Terminal Dehydration -- Conclusions -- References -- 12 Pain Assessment and Pharmacological Interventions -- Section 1: Pain Assessment and Pharmacological Interventions -- Pharmacological Therapy -- Section 2: Pain Management in Special Populations -- Special Considerations for Older Adults -- Conclusions -- References -- 13 Nondrug Pain Interventions -- Psychological Interventions -- Physiatric Interventions -- Neurostimulatory Interventions -- Invasive Interventions -- Integrative Interventions -- How to Integrate Nondrug Interventions into a Comprehensive Pain Management Plan.

The Role of Nurses in Implementing Nondrug Interventions -- References -- 14 Peri-Death Nursing Care -- Peri-Death 1: Symptoms and Experiences Before Death -- Pain -- Peri-Death 2: Death -- Peri-Death Religious and Cultural Rituals -- Peri-Death 3: Funerals as a Ceremony of Death -- References -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- R -- S -- T -- U -- V -- W -- X -- Y.