Case Studies in Palliative and End-of-Life Care

Contributor List viii
Introduction xii
Margaret L. Campbell
Section 1 Communication Case Studies 1
Case 1.1 Communicating about a Progressive Diagnosis and Prognosis 5
Julia A. Walch
Case 1.2 Diagnosis/Prognosis Uncomplicated Death at Home 12
Constance Dahlin
Case 1.3 Accommodating Religiosity and Spirituality in Medical Decision-Making 18
Jennifer Gentry
Case 1.4 Discussing Cardiopulmonary Resuscitation When it May Be Useful 26
Kelli Gershon
Case 1.5 Discussing CPR When it is a Non-Beneficial Intervention 33
Judy Passaglia
Case 1.6 Discussing Brain Death, Organ Donation, and Donation after Cardiac Death 41
Christine Westphal and Rebecca Williams
Case 1.7 Discussing Physiological Futility 52
Judy C. Wheeler
Case 1.8 Wounded Families: Decision-Making in the Setting of Stressed Coping and Maladaptive Behaviors in Health Crises 60
Kerstin McSteen
Case 1.9 Notification of an Expected Death 68
Peg Nelson
Case 1.10 Death Notification after Unexpected Death 73
Garrett K. Chan
Section 2 Symptom Management Case Studies 83
Case 2.1 Pain: Cancer in the Home 87
Constance Dahlin
Case 2.2 Treating an Acute, Severe, Cancer Pain Exacerbation 98
Patrick J. Coyne
Case 2.3 Pain and Advanced Heart Failure 104
Margaret L. Campbell
Case 2.4 Dyspnea and Advanced COPD 110
Margaret L. Campbell
Case 2.5 Dyspnea and Heart Failure 117
Garrett K. Chan
Case 2.6 Treating Dyspnea during Ventilator Withdrawal 128
Margaret L. Campbell
Case 2.7 Cough Associated with COPD and Lung Cancer 138
Peg Nelson
Case 2.8 Hiccups and Advanced Illness 145
Marian Grant
Case 2.9 Treating Nausea Associated with Advanced Cancer 152
Judy C. Wheeler
Case 2.10 Nausea Associated with Bowel Obstruction 161
Terri L. Maxwell
Case 2.11 Nausea Related to Uremia, Dialysis Cessation 168
Linda M. Gorman
Case 2.12 Opioid-Induced Pruritus 176
Richelle Nugent Hooper
Case 2.13 Pruritus in End-Stage Renal Disease 183
Linda M. Gorman
Case 2.14 Opioid-Induced Constipation 190
Grace Cullen Oligario
Case 2.15 Depression in Advanced Disease 198
Todd Hultman
Case 2.16 Treating Anxiety 205
Darrell Owens
Case 2.17 Terminal Secretions 213
Terri L. Maxwell
Case 2.18 Fungating Wounds and the Palliative Care Patient 220
Laura C. Harmon
Case 2.19 Pressure Ulcer Care in Palliative Care 229
Laura C. Harmon
Case 2.20 Treating Ascites 239
Darrell Owens
Case 2.21 Delirium Management in Palliative Care 247
Kerstin McSteen
Section 3 Family Care Case Studies 257
Case 3.1 Caring for the Family Expecting a Loss 259
Patricia A. Murphy and David M. Price
Case 3.2 Anticipatory Grief and the Dysfunctional Family 266
Rita J. DiBiase
Case 3.3 Acute and Uncomplicated Grief after an Expected Death 277
Rita J. DiBiase
Case 3.4 Bereavement after Unexpected Death 289
Garrett K. Chan
Case 3.5 Complicated Grief 300
Rita J. DiBiase
Index 309