Geriatric Palliative Care

by Morrison, R. Sean; Meier, Diane E.; Capello, Carol

• ISBN13: 9780195141917
• ISBN10: 0195141911
• Format: Hardcover
• Copyright: 2003-05-08
• Publisher: Oxford University Press

Summary

Geriatric Palliative Care covers a broad spectrum of issues characterizing care near the end of life for older adults. Beginning with the social and cultural context of old age and frailty, this volume details specific aspects of palliative care relevant to particular disorders (e.g. cancer, strokes, dementia, etc.) as well as individual symptoms (e.g., pain, fatigue, anxiety, etc.). Communication between care-givers and patients, in a variety of settings, is also discussed. The theme of this book is that palliative care is the best approach to the care of chronically ill and frail elderly because of its focus on: quality of life; support for functional independence; and the centrality of the patient's values and experiences in determining the goals of medical care. Indeed, Geriatric Palliative Care provides a comprehensive medical reference for all clinicians who care for older adults.

Table of Contents

Contributors	xvii
Introduction	xxi
R. Sean Morrison
Diane E. Meier
Part I Overview: The Social and Cultural Context of Old Age and Frailty
Variability in End-of-Life Care in the United States	3	(14)
John E. Wennberg
Megan McAndrew Cooper
Susan W. Tolle
Developmental Challenges and Opportunities for ``Growth'': The Inner Life at the End of Life	17	(6)
Robert N. Butler
Assessing Quality of Life and Quality of Dying in the Elderly: Implications for Clinical Practice of Palliative Medicine	23	(7)
J. Randall Curtis
Donald L. Patrick
The Place of Love in the Care of Persons with Advanced Dementia	30	(6)
Stephen G. Post
Artificial Nutrition and Hydration	36	(10)
Colleen Christmas
Tom Finucane
Age, Rationing, and Palliative Care	46	(9)
Daniel Callahan
Eva Topinkova
Ethical Aspects of Geriatric Palliative Care	55	(24)
Linda Emanuel
Madelyn A. Iris
James R. Webster
Respecting Diversity	79	(14)
Marion Danis
Risa Lavizzo-Mourey
Part II Disease- and Syndrome-Specific Aspects of Palliative Care
Frailty and Its Implications for Care	93	(17)
Jeremy D. Walston
Linda P. Fried
Heart Disease	110	(13)
Julia M. Addington-Hall
Angie Rogers
Anne McCoy
J. Simon R. Gibbs
Cancer	123	(11)
Natalie R. Sacks
Janet L. Abrahm
Stroke: Prognosis, Treatment, and Rehabilitation	134	(26)
Steven R. Flanagan
Stanley Tuhrim
Dementia and Neurodegenerative Diseases	160	(13)
Ellen Olson
Chronic Lung Disease and Lung Cancer	173	(19)
John P. Krcmarik
Thomas J. Prendergast
E. Wesley Ely
James R. Runo
End-Stage Renal Disease and Discontinuation of Dialysis	192	(13)
Lewis M. Cohen
Michael J. Germain
Maura J. Brennan
Part III Symptom Distress in Older Patients
Pain	205	(25)
Bruce A. Ferrell
J. Elizabeth Whiteman
Dyspnea	230	(26)
Cynthia X. Pan
Gastrointestinal Symptoms	256	(15)
Nigel P. Sykes
Fatigue	271	(15)
Deborah Witt Sherman
Marianne LaPorte Matzo
Delirium, Anxiety, and Depression	286	(21)
Elizabeth Goy
Linda Ganzini
Part IV Communication
Advance Care Planning for Frail, Older Persons	307	(7)
Joan M. Teno
Doctor-Patient Communication	314	(18)
James A. Tulsky
Decision Making for the Cognitively Impaired	332	(13)
Timothy E. Quill
Robert McCann
Part V Structures of Care for the Chronically Ill with Palliative Care Needs
Can We Make the Health-Care System Work?	345	(12)
Janice Lynch Schuster
Sarah Myers
Susan K. Rogers
Susan C. Emmer
Joanne Lynn
Palliative Care in the Nursing Home	357	(19)
John M. Carter
Eileen Chichin
Family Caregivers: Burdens and Opportunities	376	(10)
Carol Levine
Home Care for Frail, Older Adults	386	(16)
Knight Steel
Caroline Vitale
Hospital-Based Palliative Care	402	(11)
Daniel Fischberg
Diane E. Meier
Index	413