Palliative and End-of-Life Care: Clinical Practice Guidelines
Author: Kim K Kuebler
Palliative and End-of-Life Care, 2nd Edition provides clinicians with the guidelines and tools necessary to provide quality, evidenced-based care to patients with life-limiting illness. This text describes the care and management of patients with advanced disease throughout the disease trajectory, extending from diagnosis of advanced disease until death. Four units provide the general principles of palliative and end-of-life care, important concepts, advanced disease management, and clinical practice guidelines. Clinical practice guidelines offer in-depth discussions of the pathophysiology of 19 different symptoms, interventions for specific symptom management (including in-depth rationales), and suggestions for patient and family teaching.
• Defines dying as a normal, healthy process aided by the support of an interdisciplinary team.
• Provides in-depth pathophysiology, assessment, and intervention information based upon the disease trajectory.
• Highlights opportunities for patient and family teaching.
• Describes psychosocial issues experienced by patients and their families.
• Reviews uncomplicated and complicated grief and mourning, providing suggestions to help the family after a patient's death.
• Includes case studies at the end of chapters to reinforce key concepts of compassionate care.
• New chapters including Advance Care Planning, Ethical Issues, Spiritual Care Across Cultures, Pharmacology, Sleep, and Nutrition.
• Includes a new appendix on Assessment Tools and Resources for more comprehensive coverage of palliative and end-of-life care.
Doody Review Services
Reviewer:Niki Koesel, MSN,ANP/CNS(Hospice & Palliative Care Charlotte Region)
Description:This book provides guidelines for advanced practice nurses (APN) with evidence-based practice in hospice and palliative care across the disease trajectory of advanced life-limiting illnesses. Narrative reviews, simplistic well designed tables, and case studies demonstrate the comprehensive flow of disease management, while focusing on specific pathophysiology of each disease and related symptom burden.
Purpose:The purpose is to support the integration of palliative care into the treatment plan earlier in the trajectory of advanced illness rather than preserving it for the final days of life. The authors successfully achieve this goal by reinforcing an understanding of the underlying disease and its expected trajectory of decline. The authors clearly demonstrate the role of the APN in this specialty of medicine throughout the progression of disease as a constant for the patients and families. As this field of practice continues to grow, expertise is essential to promote this integrative effort and broaden the role of palliative care.
Audience:The audience is the APN. While it is an invaluable resource for novice practitioners, it also provides a comprehensive review for seasoned practitioners. The primary authors share their expertise drawn from practices across the country, while the contributing authors provide a non-palliative care clinician perspective.
Features:The book describes general principles related to palliative/end of life care, management of advanced illness across the disease trajectory, and, finally, focuses onmanaging symptom burden. Chapters on sleep and nutrition are new to this edition and review the impact they have on advanced illness. Case studies on practice guidelines at the close of each chapter aid in application of treatment options, which provide excellent additions to the comprehensive approach of the book.
Assessment:This is an exceptional addition to the palliative care provider's library. It provides a broad understanding of the trajectory of multiple disease processes and emphasizes the significance of the APN in the management of these patients across the continuum. As palliative medicine continues to grow, the comfort of the APN in managing multiple aspects in advanced illness is critical to optimizing good quality of life and end of life care.
Prozac Nation: Young and Depressed in America
Author: Elizabeth Wurtzel
Full of promise is how anyone would have described Elizabeth Wurtzel at age ten, a bright-eyed little girl who painted, wrote stories, and excelled in every way. By twelve she was cutting her legs in the girls' bathroom and listening to scratchy recordings of the Velvet Underground. College was marked by a series of breakdowns, suicide attempts, and hospitalizations before she was finally given Prozac in combination with other psychoactive drugs, all of which have worked sporadically as Elizabeth's mood swings rise and fall like the lines of a sad ballad. This memoir, both harrowing and hilarious, gives voice to the high incidence of depression - especially among America's youth. Prozac Nation is a collective cry for help, a generational status report on today's young people, who have come of age fully entrenched in the culture of divorce, economic instability, and AIDS. "This private world of loony bins and weird people which I always felt I occupied and hid in," writes Elizabeth, "had suddenly turned inside out so that it seemed like this was one big Prozac Nation, one big mess of malaise. Perhaps the next time half a million people gather for a protest march on the White House green it will not be for abortion rights or gay liberation, but because we're all so bummed out." Writing with a vengeance (Nirvana, Joni Mitchell, and Dorothy Parker all rolled into one), Elizabeth Wurtzel will not go gentle into that good night. She wants off medication, she wants a family, and most definitely, a life worth living.
Publishers Weekly
Twenty-six-year-old Wurtzel, a former critic of popular music for New York and the New Yorker, recounts in this luridly intimate memoir the 10 years of chronic, debilitating depression that preceded her treatment with Prozac in 1990. After her parents' acrimonious divorce, Wurtzel was raised by her mother on Manhattan's Upper West Side. The onset of puberty, she recalls, also marked the onset of recurrent bouts of acute depression, sending her spiraling into episodes of catatonic despair, masochism and hysterical crying. Here she unsparingly details her therapists, hospitalizations, binges of sex and drug use and the paralyzing spells of depression which afflicted her in high school and as a Harvard undergraduate and culminated in a suicide attempt and ultimate diagnosis of atypical depression, a severe, episodic psychological disorder. The title is misleading, for Wurtzel skimps on sociological analysis and remains too self-involved to justify her contention that depression is endemic to her generation. By turns emotionally powerful and tiresomely solipsistic, her book straddles the line between an absorbing self-portrait and a coy bid for public attention. First serial to Vogue, Esquire and Mouth2Mouth.
Library Journal
From her first attempted suicide as a 12 year old, Wurtzel records her life as an intellectually gifted but emotionally deprived young woman struggling with clinical depression. She describes her adolescence and her acceptance to Harvard despite a checkered high school career. At the university, she lived constantly on the precipice of a nervous breakdown-and slipped down into the abyss from time to time. Always, she fought back-relying on therapy, drugs (both licit and illicit), friends, and an innate inner strength-and found some salvation in the recognition she received for her writing. Ultimately, treatment with a combination of lithium and prozac allowed her to maintain her stability, but she is unwilling to accept a fate of life-long drug dependence. Graphically written, this book expresses the pain and anger of Wurtzel's unremitting protest against her disability. It will appeal to young readers seeking stories of depression they can relate to. Recommended.-Carol R. Glatt, VA Medical Ctr. Lib., Philadelphia
Booknews
"Full of promise" is how anyone would have described Elizabeth Wurtzel at age ten, a bright-eyed little girl who painted, wrote stories, and excelled in school. By age 12, she was cutting her legs with razor blades, and college turned into a series of breakdowns, crises, and a suicide attempt. Not until being prescribed Prozac, in combination with other psychoactive drugs and therapy, was some stability possible for her. Written with spunk and wit, this is an excellent picture of a young woman's struggle with depression and her view of the dire effects our social and cultural milieu has on the young. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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