Geriatric Palliative CareR. Sean Morrison, Diane E. Meier Oxford University Press, 8 mai 2003 - 464 pages 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 des matières
Disease and SyndromeSpecific Aspects of Palliative Care | 91 |
Symptom Distress in Older Patients | 203 |
Communication | 305 |
Structures of Care for the Chronically Ill with Palliative Care Needs | 343 |
413 | |
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acute advance care planning advance directive Alzheimer’s Alzheimer’s disease analgesic Ann Intern anticholinergic anxiety assessment associated benefit bronchodilators cancer patients cause chemotherapy chronic illness chronic obstructive pulmonary Clin clinical clinicians communication congestive heart failure COPD corticosteroids death decision delirium dementia depression dialysis dose drugs dying dyspnea end-of-life Engl ethics family members fatigue frail frailty function Geriatr Soc goals heart failure hospice care hospital ical important improve increased individual interventions JAMA liative life-sustaining long-term lung cancer Medicare Medicine ment morphine mortality NSAIDs nursing home nutrition older adults older patients opioids oral outcomes oxygen pain management Palliat palliative palliative care patient and family patients with advanced person physical physician pleurodesis preferences professionals prognosis programs Psychiatry randomized rehabilitation Respir respiratory risk role side effects stroke Symptom Manage terminally ill theophylline therapy tients tion tive treat treatment trial