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Renal nursing : care and management of people with kidney disease
Now in its fifth edition, Renal Nursing continues to be the essential evidence-based guide to nephrology and kidney care for nurses and allied health care professionals. This comprehensive text examines the stages of chronic kidney disease, pre-dialysis care, acute kidney injury, renal replacement therapy, renal nutrition, renal care in children and young people and more.
* Offers thorough coverage of all major aspects of kidney care
* Includes updated content on current practice, changes in policies, care and management, with the latest research evidence and current NICE guidance on renal replacement therapy
* Has an innovative chapter on patient and public involvement in kidney care
Renal Nursing is an indispensable resource for nurses working in nephrology, dialysis and transplantation, nurses in post-registration renal courses, student nurses in renal wards, specialist renal dietitians, pharmacists and other allied health professionals in related fields.
eBook
Comprehensive Guide to Supportive and Palliative Care for Patients with Cancer
Leading palliative care experts illustrate how you can improve both communication with cancer patients and their quality of life.For more than twenty years, this guide has been the go-to resource for busy practicing oncology and palliative care clinicians. This fourth edition, now titled Comprehensive Guide to Supportive and Palliative Care for Patients with Cancer, provides physicians, advanced practice clinicians, and patients and their families with detailed information and advice for alleviating the suffering of cancer patients and their loved ones. Drawing on the work of experts who have developed revolutionary approaches to symptom management and palliative care, as well as on lessons learned during her decades as a teacher and clinician, Dr. Janet L. Abrahm and her coauthors illustrate how to help patients and families understand their prognosis, communicate their care preferences, and minimize their distress.This edition reflects important updates in the field while addressing the informational needs of a broader market of health care providers, including social workers, psychologists, psychiatrists, bereavement counselors, and chaplains. This new edition features three new chapters—Spiritual Care in Palliative Care, Psychological Considerations, and Bereavement—as well as specific guidelines about • advance care planning at all phases of cancer• understanding complex family dynamics and communication challenges• partnering with interpreters in the care of patients and family members with limited English-language proficiency• special considerations to take into account for LGBTQ+ patients and their loved ones• caring for patients who have a serious mental illness along with a cancer diagnosis• nonpharmacologic management of pain and other symptoms associated with cancer or its treatmentThe book features self-reflective exercises that encourage readers to consider their own biases before having discussions with patients and family members, as well as numerous patient stories that illustrate the techniques and insights clinicians can use to provide holistic, multidimensional care for a diverse cancer patient population.
eBook
Palliative care : a guide for health social workers
\"This book is an innovative, practical approach to equipping health social workers with theoretical and clinical tools to integrate palliative care principles into practice with individuals, families, teams and institutions. The editors and authors seek to honor the coherence of palliative care and social work, re- awakening the potential of thousands of health social workers to lead and inform the IOM mandate for high quality, humane patient- centered family focused care\"-- Provided by publisher.
Book
Correction: Prognostic tools or clinical predictions: Which are better in palliative care?
[This corrects the article DOI: 10.1371/journal.pone.0249763.].
Journal Article
INTER-RATER AGREEMENT BETWEEN PALLIATIVE CARE CLINICANS WHEN EVALUATING ABDOMINAL RADIOGRAPHS TO QUANTIFY THE DEGREE OF FAECAL SHADOWING VISIBLE
The validity of extrapolating the appearance of a plain abdominal radiograph as a marker of the severity of constipation in palliative care is questionable. Recently, poor inter-rated agreement between 4 clinician's reports of faecal shadowing was demonstrated. Acknowledged weaknesses of this work included the number of participating clinicians was small (n=4) and their clinical experience disparate. This study's aim was to investigate whether a larger group of palliative care clinicians' training and experience affected their levels of agreement of their assessments of faecal shadowing visible on plain abdominal radiographs Six Australian hospital-based palliative care services were approached. This resulted in 50 clinicians (medical specialists, registrars, junior medical officers (RMO) and nurses) each consenting to individually report the degree of faecal shadowing in the right colon, left colon and sigmoid on the same 10 radiographs. De-identified demographic details were summarised and Fleiss's Kappa (FK) was used to evaluate concordance between multiple raters within clinical groupings. The regression coefficient was calculated to assess whether there was any differences between the group scores of the most experienced clinicians and the least experienced clinicians When the medical clinicians' reports were examined, very little agreement was identified either within (table 1) or between groups (table 2), regardless of the level of experience of the doctors. Regardless of the level of experience, clinicians fail to agree when quantifying the appearance of faecal shadowing on plain abdominal radiographs making this an unreliable investigation on which to base treatment decisions.
Journal Article