Contents Preface PART I: MANAGEMENT FROM THE OUTPATIENT CLINIC Introduction: The Scope of the Issue Facts About Needle Exchange Programs, Injection Drug Use, and Seroprevalence Among Four Intravenous Drug Users Chapter 1. Give me the Bottom Line Lesson 1: Assessment of Primary Problems Chapter 2. The Sky Is Not the Limit Lesson 2: Setting Behavioral Limits Chapter 3. So, What's the Point? Lesson 3: Applying the Harm Reduction Model Chapter 4. Flattery Will Get You Nowhere Lesson 4: Identifying and Dealing with Manipulative Behaviors Chapter 5. Fasten Your Seat Belt; It's Going to Be a Rough Ride Lesson 5: Relapse Prevention PART II: MANAGEMENT FROM THE HOME HEALTH CARE AGENCY Chapter 6. Back to the Drawing Board Lesson 6: Development and Assessment of Coping Skills Chapter 7. In the Eye of the Beholder Lesson 7: Want versus Need: Drug-Seeking Behavior Chapter 8. Russian Roulette Lesson 8: The Prevalence of Violence and Risk-Taking Behaviors Chapter 9. Secrets Lesson 9: Voluntary Disclosure: Ethics of Confidentiality Within the Community Chapter 10. So, What Now, Babe? Lesson 10: Dealing with the Change in Expectations PART III: MANAGING THE HOSPICE PHASE AT HOME Chapter 11. "Will You Still Love Me?" Lesson 11: Staying Focused Chapter 12. "Why Don't I Die?" Lesson 12: Recognizing the Turning Point "I Hate Living Like This" Does Not Mean "Help Me Die" Lesson 13: Open Communication Chapter 14. Cliff-Hangers Lesson 14: Accepting Limitations Chapter 15. Beyond Belief Lesson 15: Safety First Chapter 16. Running on Empty Lesson 16: Promoting Physical Comfort Chapter 17. What If They Gave a Funeral and Nobody Came? Lesson 17: Ensuring and Enabling Peace Chapter 18. Honor Their Journey Lesson 18: Unsung Heroes Chapter 19. The Grand Canyon Lesson 19: Pitfalls to Avoid Chapter 20. Refilling the Empty Vessel Lesson 20: Lessons We Have Learned References Glossary Bibliography Index
