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Laminated, trifold quick reference guide providing expert advice on palliative wound care - assessment, etiology, dressing selection, dressing products, and symptom management.
There were between 1.5 and 1.6 million patients on hospice in 2012 according to the National Hospice and Palliative Care Organization (NHPCO 2013). Of these patients many will either be admitted with or develop wounds while under hospice care. These can have debilitating effects beyond the obvious tissue breakdown and pain most nurses associate with wounds, they can also bring psycho-social issues such as malodor and require over frequent dressing changes. These can serve as a reminder to the patient and their family of the morbidity and mortality associated with end of life care and detract from the comfort that hospice is designed to bring. The author has developed a PICOT question, 'Should wound treatments originally started for curative purposes in hospice patients suffering wounds (P) be treated in a continuing fashion to remedy the wound and prevent pain (I) or should only basic pain treatment such as analgesics (C) be used as pain develops for the greatest relief and quality of life to the patient (O) during hospice and end of life care (T)'. This will be answered by reviewing current literature and evidence based practices being proposed by Calvary Hospital and institutions such as the Centers for Medicare and Medicaid Services (CMS) and the Wound, Ostomy and Continence Nurses' Society (WOCNS). The concept of the Betty Neuman theory of holistic and flexible care will be used as a looking glass for vision and direction that care should take.
Rev. ed. of: Acute and chronic wounds / [edited by] Ruth A. Bryant, Denise P. Nix. 3rd ed. c2007.
Written by renowned wound care experts Sharon Baranoski and Elizabeth Ayello, in collaboration with an interdisciplinary team of experts, this handbook covers all aspects of wound assessment, treatment, and care.
Nurses often develop long-term relationships with the patients and families for whom they care; providing quality care until the end of life is absolutely fundamental to nursing. This important book provides the guidelines and tools necessary to provide this care. -- Publisher description.
An on-the-go reference for hospice nurses and those interested in end-of-life care, this practical guide covers the essential elements in the compassionate and holistic care of terminally ill patients and their families. Nurses care for patients facing end-of-life issues in every practice specialty and, as the U.S. population continues to age, the need for proficiency in end-of-life skills will become increasingly important. Fast Facts for the Hospice Nurse: A Concise Guide to End-of-Life Care is an invaluable resource that provides emotional, administrative, and palliative support, whether in a hospice, long-term care facility, or acute care setting. This vital go-to text clearly and concisely lays out not only how to care for patients facing end-of-life issues, but also how to engage in self-care and cope with occupational stress. Beginning with an overview of hospice care, including its history and philosophy, this book offers a timeline of the growth of the hospice movement in the United States. Subsequent sections include up-to-date information on the clinical responsibilities of the hospice nurse in addressing the physical, psychological, and spiritual needs of terminally ill patients and their families in a culturally sensitive way. This book also outlines the administrative duties of the hospice nurse, including hospice documentation, a review of hospice regulations, and quality management. The closing section focuses on occupational stress in hospice nursing and how to engage in self-care. This text can serve as a useful clinical resource and also as a reference for nurses seeking hospice certification from the Hospice and Palliative Credentialing Center. Key Features Organized within the context of the scope and standards of practice of the Hospice and Palliative Nurses Association. Addresses key points about issues unique to hospice nursing and highlights evidence-based interventions Addresses important Medicare regulations and reimbursement Offers numerous clinical resources to assist with hospice nursing practice Serves as a concise study resource for hospice nursing certification
Background: The goal of hospice care is to maximize quality of life and provide peace, comfort, and dignity to patients with terminal illness. Older dying patients pose unique challenges to meeting this essential goal, especially in the care of wounds. Wound care in dying patients can be complex, expensive, and threaten quality of life. With the huge demographic shift towards older people, hospice nurses need to adequately address the comfort needs of dying elderly patients with wounds. Yet, little is known about how the phenomenon of wound care is experienced in hospice nursing practice. Problem: A review of the literature illustrated a paucity of studies concerning the experiences of hospice nurses caring for dying patients with wounds. In order for hospice nurses to give holistic care, a greater understanding of their wound care experiences, as well as psychological, social, and spiritual factors related to their wound care experiences, is needed. Aim of the Study: The purpose of this study was to gain an understanding of the experiences of hospice nurses in caring for elderly patients with wounds at the end-of-life, a phenomenon not well known. Methodology: Through the use of semi-structured interviews, this exploratory qualitative descriptive study examined the experiences of 13 hospice nurses in caring for elderly patients with wounds at the EOL. Findings: The rich descriptive data generated from this study provide a beginning understanding of hospice nurses' experiences with wounds at the end-of-life. Content analysis of participant interview data revealed five themes that provide valuable new insights into hospice nurses' experiences concerning wound care in clinical practice: Difficult to Achieve Comfort; Healing is Unrealistic; Coping with Conflict; Hospice Wound Knowledge Deficit, and Positive Affirmation. The findings have the potential to inform hospice nurse practice and to suggest areas for future research.
Designed for health care professionals in multiple disciplines and clinical settings, this comprehensive, evidence-based wound care text provides basic and advanced information on wound healing and therapies and emphasizes clinical decision-making. The text integrates the latest scientific findings with principles of good wound care and provides a complete set of current, evidence-based practices. This edition features a new chapter on wound pain management and a chapter showing how to use negative pressure therapy on many types of hard-to-heal wounds. Technological advances covered include ultrasound for wound debridement, laser treatments, and a single-patient-use disposable device for delivering pulsed radio frequency.