"From its beginning with Eugene Stead, MD at Duke University, the Mission of the Physician Assistant profession has been to create, increase or expand health care access in areas and populations with the greatest need.1 Dr. Henry Silver's Child Health Associate Program at the University of Colorado is a good example as is Dr. Hu Myer's Alderson Broaddus Program which serves isolated rural communities in West Virginia.2 Dr. Richard Smith's MEDEX Program at the University of Washington was also designed specifically to serve rural and medical underserved communities of the Pacific Northwest.3"--
Supports clinicians in providing the best possible care to patients with serious illness The first comprehensive clinical guide for practicing palliative care and hospice clinicians, this evidence-based reference is designed to promote best practices in the delivery of safe, compassionate patient care. With a dual focus on evaluation and intervention, the book covers all aspects of providing palliative and hospice care for vulnerable and diverse populations. It provides an overview of common disease manifestations, typical trajectories of illness, symptom management, and recommendations for nursing care. Written in easy-to-access outline format, the resource is organized by body system and includes common diagnoses encountered in palliative and hospice care. Individual diagnoses include a definition, incidence, etiology, pathophysiology, predisposing factors, subjective and objective data, diagnostic tests, differential diagnoses, complications, disease-modifying treatments, palliative interventions/symptom management, prognosis, and nursing interventions. The text provides referral guidelines for serious illness as well as general and disease-specific hospice care admission guidelines. Also included are comprehensive tables of diagnostic testing, disease-specific palliative and symptom management interventions, prognostic and screening tools, patient teaching and clinician resources, and guides to pain management and wound care. Key Features: Delivers current guidelines for management of symptoms associated with serious illness Provides an in-depth review of common conditions seen in palliative and hospice care Organized by body system for quick information retrieval Delivers in-depth, evidence-based, and consistently organized disease-specific guidelines Presents hospice and palliative care management guidelines Contains reproducible patient/family education handouts Reviews procedures commonly used in hospice and palliative practice
Physician Assistant Clinics aims to provide an authoritative and continuously updated clinical information resource that covers all of the relevant PA specialties. Our clinical review articles address the key points, diagnosis, prognosis, clinical management, and complications of disease and techniques, evidence, and controversies in the field. Information for quick reference, as well as in-depth coverage of a topic, is a hallmark of the Clinics’ series.This issue of Physician Assistant Clinics is devoted to Oncology and is edited by Alexandria Garino, MS, PA-C of Yale School of Medicine Physician Associate Program. Articles in this issue include: Nutrition in Cancer Care; Primary Care of the Cancer Survivor; Oncologic Emergencies; Advances in Lung Cancer; New Pharmaceutical Agents in Oncology; Ethical Considerations in Oncology; High Dose Chemotherapy and Stem Cell Rescue; Management of Graft versus Host Disease; Breast Cancer; Colon Cancer; Gynecologic Cancer; Oncology-Related Side Effects; and Improving Access to Care: The PA/MD Team.
A renowned expert in palliative care, who is featured in the Netflix documentary, End Game, Dr. Pantilat delivers a compassionate and sensitive guide to living well with serious illness. In Life After the Diagnosis, Dr. Steven Z. Pantilat, a renowned international expert in palliative care demystifies the medical system for patients and their families. He makes sense of what doctors say, what they actually mean, and how to get the best information to help make the best medical decisions. Dr. Pantilat covers everything from the first steps after the diagnosis and finding the right caregiving and support, to planning your future so your loved ones don't have to. He offers advice on how to tackle the most difficult treatment decisions and discussions and shows readers how to choose treatments that help more than they hurt, stay consistent with their values and personal goals, and live as well as possible for as long as possible.
Praise for previous editions: "The evidence-based protocols are designed as a primary reference and are useful, substantive, and timely....The broader contributions of useful format and succinct review of the evidence make it likely that this text will continue to be the leading resource in nursing education and practice." --The Gerontologist "As a gerontological clinical educator/research nurse, I will often use this as a reference. The format and the content are good, and the explanations of how to best use the evidence simplify the process of sifting through mountains of information to figure the best practice." Score: 97 --Doodys The result of a collaboration between expert practitioners and educators in geriatric nursing, the seventh edition of this acclaimed reference has been updated and revised with new information on chronic conditions and emerging models of care presented in 10 completely new chapters. It provides the most current, evidence-based protocols for improving both quality of care and patient outcomes when caring for older adults in multiple disciplines and settings. As in past editions, the seventh edition is distinguished by its use of a rigorous systematic method (AGREE: Appraisal of Guidelines for Research and Evaluation) to improve the validity of the book's evidence-based content. Chapters provide assessment and management principles, clinical interventions, and information on specialty practice and models of care. Included in most chapters are protocols developed for each clinical condition by experts in that specific area. Evidence is current and derived from all settings of care, including community, primary, acute, and long-term care. Protocols include an overview and evidence-based assessment and intervention strategies. Illustrative case studies with discussion are presented in most chapters, along with chapter objectives and references with evidence ratings. Instructor's resources include an AACN Mapping Grid, Course Cartridge, Transition Guide, PowerPoints, and Test Bank. New to the Seventh Edition: Updated to encompass the latest trends in older adult care, chronic conditions, and emerging models of care New chapters on care and management of diabetes and respiratory care New chapters on issues surrounding nutrition and dementia, and mental illness New chapter on care and comfort at the end of life New chapters on adopting principles of diversity, equity, and inclusion and an age-friendly health system into practice New chapters on models of care in long-term, community-based, and primary care Key Features: Delivers easy-to-follow geriatric protocols for best practices Updates evidence regularly to reflect current practice standards Encompasses a broad scope of content including detailed information rarely covered in professional literature Offers case studies and discussions to illustrate application of protocol to practice Written by renowned leaders in geriatric nursing education and practice Use of AGREE (Appraisal of Guidelines for Research and Evaluation) to improve the validity of evidence throughout the text
This issue of Physician Assistant Clinics, devoted to Geriatrics, is guest edited by Steven D. Johnson, PA-C. Articles in this issue include: Falls and the Older Adult: Prevention and evaluation; Cognitive Decline and Dementia; Shared Medical Appointments for Older Adults; Advanced Care Planning and Physician Orders for Life-Sustaining Treatment Program (POLST); Palliative Care; Home Care; Successful Aging; Functional Assessment and Pain Management; and more! CME is also available for subscribers to the series.
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
This issue of Physician Assistant Clinics, guest edited by Donna Seton and Rich Lamkin, is devoted to Hospice and Palliative Care Medicine. Articles in this issue include: Introduction to Hospice and Palliative Care Medicine, The Role of the Physician Assistant in Hospice and Palliative Care Medicine, Breaking Serious News: Communication in Hospice and Palliative Care Medicine, Advance Care Planning and Goals of Care in Hospice and Palliative Care Medicine, Palliative Care and Spirituality, Prognostic Tools in Hospice and Palliative Care Medicine, Basics of Pain Management in Hospice and Palliative Care Medicine, Dyspnea in Hospice and Palliative Care Medicine, Gastrointestinal Symptoms in Hospice and Palliative Care Medicine, Psychiatric Issues in Hospice and Palliative Care Medicine, Pediatric Palliative Care Basics in Hospice and Palliative Care Medicine, and more.
Written by NPs and PAs who have a wealth of experience in the care of older adults across all practice settings, Gerontology and Geriatrics for NPs and PAs takes an evidence-based approach to both gerontology and geriatrics, incorporating the latest national and international guidelines and standards of care. This first-of-its-kind text takes an interprofessional, teamwork-based approach that reflects Interprofessional Education Collaborative (IPEC) core competencies, as well as the unique perspectives that NPs and PAs each bring to the collaborative care of older adults. - Covers both primary care and acute care of older adults and fully addresses both graduate-level and practitioner core competencies necessary for optimal care of older adults. - Places a strong emphasis on wellness (including nutrition and the Healthy People 2020 targets), normal aging, common syndromes of aging, disease management, patient safety (particularly in acute care settings), and a patient-centered care approach. - Features vibrant, full-color illustrations, a full-color design for ease of navigation, and graduate-level learning features that include Key Points at the end of each chapter for quick reference and exam preparation. - Addresses a wide range of topics specifically focused on the common medical problems of older adults, with chapters logically organized for efficient study and quick clinical reference. Evolve Instructor site with an image collection and test bank is available to instructors through their Elsevier sales rep or via request at https://evolve.elsevier.com.
Awarded first place in the 2019 AJN Book of the Year Awards in the Gerontologic Nursing category second place in the Advanced Practice Nursing category. Gain expert primary care of older adults with a case-based approach to geriatric primary care and multimorbidity management Written by two leading academic and clinical experts in geriatric primary care, Case Studies in Geriatric Primary Care and Multimorbidity Management, 1st Edition uses detailed Exemplar Case Studies and Practice case studies to teach you how to think like an expert geriatric clinician. Because most older adults have more than one condition when seeking care, both Exemplar and Practice Case Studies place a strong emphasis on "multimorbidity" management, (the management of patients with a host of complex, interacting conditions). To provide extensive practice in learning how to think like an expert, case studies reflect the reality that care does not necessarily begin or end in the primary care setting, cases move fluidly from primary care to acute care to inpatient rehabilitation to assisted living to long-term care. Building on foundational introductory chapters, cases also call on you to develop interprofessional collaboration skills and reflect the diversity of today's older adults, in terms of age (young-old to old-old), gender, culture, ethnicity, sexuality, socioeconomic status, and more! As you work through both basic-level and advanced Practice Case Studies, you can make extensive notes in the printed book and then go online to submit answers for grading and receive expert feedback for self-reflection. - NEW! Introductory unit on the core principles of caring for older adults gives you a strong foundation in the principles of geriatric primary care and multimorbidity management. - NEW! and UNIQUE! Exceptionally detailed, unfolding Exemplar Case Studies demonstrate how an expert advanced practitioner "thinks clinically" to provide care to older adults with multiple conditions. - NEW and UNIQUE! Exceptionally detailed, unfolding Practice Case Studies emphasize patient diversity and multimorbidity management across healthcare settings to help you develop advanced clinical reasoning skills for geriatric primary care. - NEW and UNIQUE! Strong emphasis on multimorbidity management focuses on caring for older adults with multiple chronic conditions. - NEW! Emphasis on the continuum of care across settings reflects the reality that care does not necessarily begin or end in the primary care setting but can move from primary care to acute care to inpatient rehabilitation to assisted living to long-term care, and so forth. - NEW! Online answer submission for grading and expert feedback for self-reflection. - NEW! Emphasis on patient diversity reflects the makeup of today's older adult, population in terms of age (young-old to old-old), gender, culture, ethnicity, sexuality, socioeconomic status, and more. - NEW! Emphasis on interprofessional collaboration use Exemplar Case Studies and Practice Case Studies to allow you to demonstrate your interprofessional collaboration skills.
