Contents -- Preface -- Identifying the Palliative Care Needs of Home-Based People with End-Stage Dementia and Their Caregivers -- Abstract -- Introduction -- Dementia -- What Is Dementia? -- How Is Dementia Diagnosed? -- Providing the Diagnosis of Dementia -- What Are the Characteristics of End-Stage Dementia? -- Palliative Care in End-stage Dementia -- Who Receives Palliative Care Services? -- What Are the Barriers to Quality End-of-Life Care? -- Dementia Not Seen as a Terminal Illness -- Nature of Advanced Dementia and Treatment Decisions -- Assessment and Management of Symptoms -- Challenging Caregiver Stress and Bereavement Issues -- Health System Challenges -- Guidelines for Palliative Care in End-Stage Dementia -- What Resources Are Required to Support End-of-Life Care in the Home? -- What Are the Palliative Care Needs of Home-Based People with Dementia at End-Stage and Their Carers? -- What Is the Context in Which Caregivers Are Looking after People at Home with End-Stage Dementia? -- Desire and Ability to Remain at Home -- Duration of Care -- Behaviors of Concern -- Caregiver Burden -- What Are the Palliative Care Needs of People with Dementia and Their Caregivers? -- Diagnosis and Specialist Referral -- Planning for the Future -- Caregiver Supports -- Avenues of Support - Formal and Informal -- Family Support -- Counselling as a Coping Strategy -- Services Received -- a. Respite -- b. Showering -- c. Cooking and Feeding -- d. Continence -- f. Equipment -- h. Private Nursing Care -- Services Required -- What is the Relevance of These Findings? -- Conclusion -- References -- Mental Distress in AIDS-Orphaned Children: The Efficacy of Natural Mentoring Palliative Care -- Introduction -- Part I -- Palliative Care -- Distress -- Anxiety -- Child Abuse -- Social Discrimination -- Social Support -- Self-Esteem.

Parental/Fostering Care -- Orphaning -- Mentoring Programs -- Natural Mentoring -- Part II -- The Literature -- Method -- Procedure -- Assigning the Participants -- Measures -- Mental Health Variables -- Natural Mentoring Relationship -- Analysis -- Results, Discussion, and Conclusions -- References -- Quality of Sexual Life of Nursing Home Residents -- Abstract -- Introduction -- Historical and Social Context -- Toward Quality of Life -- Toward the Sexualization of the Elderly -- State of the Situation -- Residents' Sexual Lives -- Staff Perceptions and Reactions -- Strategies to Enhance Quality of Sexual Life -- Defining a Sexological Goal -- Developing a Sexuality Policy -- Training for Staff -- Preserving Sexual Identity -- Conducting Research -- Conclusion -- References -- Back to the Future: A Research Journey in Haematology and Palliative Care -- Abstract -- Introduction -- From the Consumer Perspective -- From the health professionals' Perspective -- The Model for Integration of Haematology and Palliative Care -- The 'Functional' Model -- The 'Refractory' Model -- The 'Evolving' Model -- Conclusion -- References -- The Changing Role of the Licensed Practical Nurse in Nursing Home Care -- Abstract -- Introduction -- The Role of the LPN -- Different Types of Care -- Methods -- Design -- Data-Collection -- Data-Analysis -- Results -- Type of Activities -- Frequency -- Duration -- Conclusions and Discussion -- Acknowledgments -- References -- Special Considerations for Providing Care for Obese Nursing Home Residents -- Abstract -- Introduction -- Obesity Epidemic in the US -- Current Estimates of Obesity in Nursing Homes -- Nursing Home Care for Obese Residents -- Case Study One -- Incontinence Care -- Case Study Two - Bathing -- Special Considerations for Caring for Obese Nursing Home Residents -- Admission Assessments -- Staffing.

Environmental Modifications, Equipment and Supplies -- Lift Policies -- Skin Care -- Development of Model Obese Nursing Home Resident Care Program -- Public Policy Considerations -- Conclusion -- References -- Palliative Care and Dementia: Is a Good Death Possible at Home? -- Abstract -- Introduction -- What Are the Principles of a Good Death? -- Can People with End-Stage Dementia Have a Good Death at Home? -- Conclusion -- References -- Where and How Non Oncological Respiratory Patients Die: A Palliative Answer -- Abstract -- Introduction -- Fine Model -- Appendix 1. -- Appendix 2. -- Appendix 3. -- Appendix 4. -- Appendix 5. -- Appendix 6. -- References -- Can Data Envelopment Analysis Be Used to Study Performance Efficiency in Nursing Homes? -- Abstract -- Introduction -- Data Envelopment Analysis -- DEA Applied to Nursing Homes -- Results -- Conclusion -- References -- Quality of Life for Older Persons Living in Nursing Homes: A Cross-Sectional Study -- Abstract -- Introduction -- Methods -- Design and Sample -- Measurements -- Physical Parameters -- Barthel ADL Scores -- Elderly Mobility Scale -- Psychological Parameters -- Life Satisfaction Index-A Form Scale -- Geriatric Depression Scale -- Subjective Happiness Scale -- UCLA Loneliness Scale -- Data Analysis -- Results -- Demographic Data -- Physical and Psychological Health -- Demographic Data and Psychological Parameters -- Discussion -- Conclusion -- Acknowledgments -- References -- Neonatal Palliative Care: New Practice, New Challenges -- Abstract -- Introduction -- In the Neonatal Domain, Four Main Situations Have Been Recognized as Possibly Opening the Field of Palliative Care -- 1. Situations Occurring in Intensive Care Units -- 2.Situations Related to Extreme Prematurity -- What Care for These "Too-Small" and What Matters to Their Parents?.

3.Situations Resulting from Prenatal Diagnosis -- 4.The Situations of Emergency -- Current Developments -- Suggestions for Future -- Conclusion -- References -- Depression and Mood Distress Among Female Patients with Gynecological Cancer in a Program of Palliative Cancer Care -- Introduction -- Anti-Tumor Therapy of Gynecological Cancer -- Phases of Experiencing Gynecological Cancer -- Psychological Disorders and Cancer -- Psychological Disorders and Gynecological Cancer -- Conclusion -- Acknowledgments -- References -- Index.