End of life in Care Homes A Palliative Care Approach

by Katz, Jeanne Sampson; Peace, Sheila M

• ISBN13: 9780198510710
• ISBN10: 0198510713
• Format: Paperback
• Copyright: 2003-05-22
• Publisher: Oxford University Press

Summary

In our society, the overwhelming majority of people who die are the elderly. They spend the majority of their final years at home, but usually die in hospitals or nursing homes surrounded by strangers. This book explores the possibilities for improving the care of older people dying in residential and nursing homes. It argues that there are aspects of palliative care that, given the right circumstances, are transferable to people dying in institutional settings. "End of Life in Care Homes" describes what happens in nursing and residential homes when a resident is dying, how carers cope, and the practical, health and emotional problems that carers face on top of their day-to-day work. Based on research from a multi-professional group of well-known contributors, the book shoes how the situation can be improved. Palliative care practitioners, general practitioners and Macmillan nurses who are involved in community nursing and nursing homes and other health care professionals who come into contact with dying patients in residential settings will find this book of great value. Geriatricians, policy makers, directors and administrators of residential and nursing homes should also find it a useful source of information.

Table of Contents

List of contributors	x
1 Introduction	1	(14)
Jeanne Katz and Sheila Peace
2 The development of residential and nursing home care in the United Kingdom	15	(28)
Sheila Peace
3 Who dies in care homes for older people?	43	(16)
Moyra Sideli and Carol Komarowy
4 Managing dying residents	59	(16)
Jeanne Katz
5 Dealing with death	75	(12)
Jeanne Katz
6 The needs of relatives and other residents when a death occurs	87	(12)
Carol Komarowy
7 The role of external health workers	99	(16)
Jeanne Katz
8 The training needs of carers	115	(16)
Moyra Sideli
9 Practical applications of the principles and practices of palliative care to the residential sector	131	(26)
Jeanne Katz
10 Dying in long-term care facilities in the United states	157	(18)
Miriam S. Moss, Sidney Z. Moss, and Stephen R. Connor
11 Issues for palliative care in nursing and residential homes	175	(20)
David Field and Katherine Froggatt
12 End of life in care homes	195	(6)
Sheila Peace and Jeanne Katz
Index	201