James C. Raines and Nic T. Dibble
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199735853
- eISBN:
- 9780199863457
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199735853.001.0001
- Subject:
- Social Work, Children and Families
There are three essential differences between this book and most others in the field of ethics. First, instead of focusing on specific issues, it focuses on the process of ethical decision-making. ...
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There are three essential differences between this book and most others in the field of ethics. First, instead of focusing on specific issues, it focuses on the process of ethical decision-making. Second, instead of writing for a specific profession, it is written for all mental health professionals working in elementary and secondary schools. Finally, most other books on ethics assume that they are writing for the individual ethical agent, it argues that the best ethical decisions are made in collaboration with others. The books examines a seven-step process for resolving difficult ethical dilemmas in schools: (i) knowing yourself and your professional responsibilities, (ii) analyzing the predicament, (iii) seeking consultation, (iv) identifying courses of action, (v) managing clinical concerns, (vi) implementing the decision, and (vii) reflecting on the process. Each chapter contains real-life scenarios based on real practice or actual cases in the public domain, ethical guidelines for addressing key points, exercises, and relevant internet sites.Less
There are three essential differences between this book and most others in the field of ethics. First, instead of focusing on specific issues, it focuses on the process of ethical decision-making. Second, instead of writing for a specific profession, it is written for all mental health professionals working in elementary and secondary schools. Finally, most other books on ethics assume that they are writing for the individual ethical agent, it argues that the best ethical decisions are made in collaboration with others. The books examines a seven-step process for resolving difficult ethical dilemmas in schools: (i) knowing yourself and your professional responsibilities, (ii) analyzing the predicament, (iii) seeking consultation, (iv) identifying courses of action, (v) managing clinical concerns, (vi) implementing the decision, and (vii) reflecting on the process. Each chapter contains real-life scenarios based on real practice or actual cases in the public domain, ethical guidelines for addressing key points, exercises, and relevant internet sites.
Frank Prochaska
- Published in print:
- 2008
- Published Online:
- January 2010
- ISBN:
- 9780199539796
- eISBN:
- 9780191713460
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199539796.001.0001
- Subject:
- History, British and Irish Modern History
This book examines the importance of Christianity as an inspiration for political and social behaviour in the nineteenth century, and the forces that undermined both religion and charity in the ...
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This book examines the importance of Christianity as an inspiration for political and social behaviour in the nineteenth century, and the forces that undermined both religion and charity in the twentieth. The waning of religion and the growth of government responsibility for social provision were closely intertwined. The book shows how the creation of the modern British state undermined religious belief and customs of associational citizenship. Through a study of four areas of social provision – education, visiting, infant welfare, and nursing – it unravels the complex evolving relationship between voluntarism and the state, and poses a new interpretation of Christian decline and the development of democratic traditions in Britain.Less
This book examines the importance of Christianity as an inspiration for political and social behaviour in the nineteenth century, and the forces that undermined both religion and charity in the twentieth. The waning of religion and the growth of government responsibility for social provision were closely intertwined. The book shows how the creation of the modern British state undermined religious belief and customs of associational citizenship. Through a study of four areas of social provision – education, visiting, infant welfare, and nursing – it unravels the complex evolving relationship between voluntarism and the state, and poses a new interpretation of Christian decline and the development of democratic traditions in Britain.
Rachel Trubowitz
- Published in print:
- 2012
- Published Online:
- September 2012
- ISBN:
- 9780199604739
- eISBN:
- 9780191741074
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199604739.001.0001
- Subject:
- Literature, 17th-century and Restoration Literature
This book focuses on changing seventeenth-century English views of maternal nurture and the nation. The revaluation of maternal nursing goes hand-in-hand with the reformation of the nation, ...
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This book focuses on changing seventeenth-century English views of maternal nurture and the nation. The revaluation of maternal nursing goes hand-in-hand with the reformation of the nation, especially between 1603 and 1675. Maternal nurture gains new prominence in the early modern cultural imagination at the precise moment when England undergoes a major conceptual paradigm shift — from the traditional, dynastic body politic, organized by organic bonds, to the post-dynastic, modern nation, comprised of symbolic and affective relations. The period’s interlocking reassessments of maternal nurture and the nation also manifest (especially in the case of Milton) English Protestant views of Judeo-Christian relations. The book’s five chapters examine a wide range of reformed-and-traditional, well-known-and-somewhat-obscure texts — including A pitiless Mother, William Gouge’s Of Domesticall Duties, Shakespeare’s Macbeth, Charles I’s Eikon Basilike, and Milton’s Paradise Lost and Samson Agonistes — and such early modern visual images as The power of women (a late sixteenth-century Dutch engraving), William Marshall’s engraved frontispiece to Richard Braithwaite’s The English Gentleman and Gentlewoman (1641), and Peter Paul Rubens’s painting of Roman Charity (1630). The book demonstrates that the idealized figure of the nurturing mother equivocally mediates between customary Judaic/Hebraic paradigms of English kingship and reformed models of England as the new Israel.Less
This book focuses on changing seventeenth-century English views of maternal nurture and the nation. The revaluation of maternal nursing goes hand-in-hand with the reformation of the nation, especially between 1603 and 1675. Maternal nurture gains new prominence in the early modern cultural imagination at the precise moment when England undergoes a major conceptual paradigm shift — from the traditional, dynastic body politic, organized by organic bonds, to the post-dynastic, modern nation, comprised of symbolic and affective relations. The period’s interlocking reassessments of maternal nurture and the nation also manifest (especially in the case of Milton) English Protestant views of Judeo-Christian relations. The book’s five chapters examine a wide range of reformed-and-traditional, well-known-and-somewhat-obscure texts — including A pitiless Mother, William Gouge’s Of Domesticall Duties, Shakespeare’s Macbeth, Charles I’s Eikon Basilike, and Milton’s Paradise Lost and Samson Agonistes — and such early modern visual images as The power of women (a late sixteenth-century Dutch engraving), William Marshall’s engraved frontispiece to Richard Braithwaite’s The English Gentleman and Gentlewoman (1641), and Peter Paul Rubens’s painting of Roman Charity (1630). The book demonstrates that the idealized figure of the nurturing mother equivocally mediates between customary Judaic/Hebraic paradigms of English kingship and reformed models of England as the new Israel.
Betty R. Ferrell and Nessa Coyle
- Published in print:
- 2008
- Published Online:
- November 2011
- ISBN:
- 9780195333121
- eISBN:
- 9780199999910
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195333121.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
The essence of nursing care continually exposes nurses to suffering. Although they bear witness to the suffering of others, their own suffering is less frequently exposed. This book attempts to give ...
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The essence of nursing care continually exposes nurses to suffering. Although they bear witness to the suffering of others, their own suffering is less frequently exposed. This book attempts to give voice to the suffering that nurses witness in patients, families, colleagues, and themselves. By making this suffering visible, the book aims both to honor and help solve the problem. The book offers nurses' colleagues in other professions — social workers, psychologists, chaplains, ethicists, and physicians — a window onto what it means to practice nursing.Less
The essence of nursing care continually exposes nurses to suffering. Although they bear witness to the suffering of others, their own suffering is less frequently exposed. This book attempts to give voice to the suffering that nurses witness in patients, families, colleagues, and themselves. By making this suffering visible, the book aims both to honor and help solve the problem. The book offers nurses' colleagues in other professions — social workers, psychologists, chaplains, ethicists, and physicians — a window onto what it means to practice nursing.
David J. Bearison
- Published in print:
- 2006
- Published Online:
- November 2011
- ISBN:
- 9780195156126
- eISBN:
- 9780199999873
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195156126.001.0001
- Subject:
- Palliative Care, Paediatric Palliative Medicine, Patient Care and End-of-Life Decision Making
Over 50,000 children die of medical causes each year in the U.S., and 85% of them do so in hospitals. While great strides have been made in palliative care, many of these children still suffer ...
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Over 50,000 children die of medical causes each year in the U.S., and 85% of them do so in hospitals. While great strides have been made in palliative care, many of these children still suffer considerably in the last months of life. Studies have found that pediatricians, who often do not expect to confront death on a frequent basis, and other hospital staff typically feel inadequately trained to manage the situation and are emotionally unprepared for the death. All of the feelings associated with caring for a chronically ill child – guilt, anger, frustration, ambivalence, exhaustion – are magnified when a child's life can no longer be prolonged. This book is based directly on the voices of those who care for children at the end of their lives: the doctors, nurses, social workers, pastoral counselors, and psychologists. Centered on seven cases, the author has elicited and recorded the stories of these professionals about their experiences of caring for patients. The narratives illustrate how clinicians from different professional roles speak about the biological, psychological, spiritual, and social dimensions of caring for terminally ill patients. The author analyzes their ways of making sense of and giving meaning to their difficult experiences, unearthing common and distinct themes and issues across disciplines.Less
Over 50,000 children die of medical causes each year in the U.S., and 85% of them do so in hospitals. While great strides have been made in palliative care, many of these children still suffer considerably in the last months of life. Studies have found that pediatricians, who often do not expect to confront death on a frequent basis, and other hospital staff typically feel inadequately trained to manage the situation and are emotionally unprepared for the death. All of the feelings associated with caring for a chronically ill child – guilt, anger, frustration, ambivalence, exhaustion – are magnified when a child's life can no longer be prolonged. This book is based directly on the voices of those who care for children at the end of their lives: the doctors, nurses, social workers, pastoral counselors, and psychologists. Centered on seven cases, the author has elicited and recorded the stories of these professionals about their experiences of caring for patients. The narratives illustrate how clinicians from different professional roles speak about the biological, psychological, spiritual, and social dimensions of caring for terminally ill patients. The author analyzes their ways of making sense of and giving meaning to their difficult experiences, unearthing common and distinct themes and issues across disciplines.
Peter Hoskin and Wendy Makin
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780192628114
- eISBN:
- 9780191730115
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192628114.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
Consultants and nurses in palliative medicine who do not have a background in oncology need to know about the different types of cancer to be able to deal with palliation in these patients. The new ...
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Consultants and nurses in palliative medicine who do not have a background in oncology need to know about the different types of cancer to be able to deal with palliation in these patients. The new edition of this book continues to provide comprehensive coverage of cancer management aimed at palliative care professionals. To aid understanding in the specialty, the format of the book has been thoroughly revised to include numerous tables, figures, algorithms, case histories, and key points to ensure that it will prove an invaluable, practical guide to oncology for all health care professionals involved in the care of patients with malignant disease. It provides a comprehensive overview of the management of malignant disease from the perspective of palliative medicine. The pathology, diagnosis, and management of individual tumour sites are described, with an emphasis on the symptoms produced in advanced disease and the place of oncological treatment in their management. Introductory chapters present the principles of oncological management, and later chapters address specific symptoms from the viewpoint of their pathophysiology and management. Each chapter is enhanced by typical case histories and patient journeys.Less
Consultants and nurses in palliative medicine who do not have a background in oncology need to know about the different types of cancer to be able to deal with palliation in these patients. The new edition of this book continues to provide comprehensive coverage of cancer management aimed at palliative care professionals. To aid understanding in the specialty, the format of the book has been thoroughly revised to include numerous tables, figures, algorithms, case histories, and key points to ensure that it will prove an invaluable, practical guide to oncology for all health care professionals involved in the care of patients with malignant disease. It provides a comprehensive overview of the management of malignant disease from the perspective of palliative medicine. The pathology, diagnosis, and management of individual tumour sites are described, with an emphasis on the symptoms produced in advanced disease and the place of oncological treatment in their management. Introductory chapters present the principles of oncological management, and later chapters address specific symptoms from the viewpoint of their pathophysiology and management. Each chapter is enhanced by typical case histories and patient journeys.
John Ellershaw and Susie Wilkinson (eds)
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198509332
- eISBN:
- 9780191730177
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198509332.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
Even for the most experienced healthcare professional, managing the last few days of life can be difficult. This book provides guidelines for the care of the dying based on the Liverpool Integrated ...
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Even for the most experienced healthcare professional, managing the last few days of life can be difficult. This book provides guidelines for the care of the dying based on the Liverpool Integrated Care Pathway for the Dying Patient (LCP). Developed at a hospice, the information can be disseminated and adapted to fit different settings such as hospitals and nursing homes. The LCP is a multiprofessional document that incorporates evidence-based practice and appropriate guidelines related to care of the dying. It provides a template that describes the process of care, which is generally delivered in a clinical situation and incorporates the expected outcome of care delivery. The LCP replaces all other documentation in this phase of care. Care pathways can provide a potentially powerful aid to professionals involved in palliative care. Basic principles of treatment are translated into daily practice, including bedside documentation systems, policies and procedures, standards of practice, continuing education, and quality improvement programmes. The book also includes chapters on symptom control, ethical issues, communication skills, and spiritual care.Less
Even for the most experienced healthcare professional, managing the last few days of life can be difficult. This book provides guidelines for the care of the dying based on the Liverpool Integrated Care Pathway for the Dying Patient (LCP). Developed at a hospice, the information can be disseminated and adapted to fit different settings such as hospitals and nursing homes. The LCP is a multiprofessional document that incorporates evidence-based practice and appropriate guidelines related to care of the dying. It provides a template that describes the process of care, which is generally delivered in a clinical situation and incorporates the expected outcome of care delivery. The LCP replaces all other documentation in this phase of care. Care pathways can provide a potentially powerful aid to professionals involved in palliative care. Basic principles of treatment are translated into daily practice, including bedside documentation systems, policies and procedures, standards of practice, continuing education, and quality improvement programmes. The book also includes chapters on symptom control, ethical issues, communication skills, and spiritual care.
John Ellershaw and Susie Wilkinson (eds)
- Published in print:
- 2010
- Published Online:
- November 2011
- ISBN:
- 9780199550838
- eISBN:
- 9780191730528
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199550838.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
Even for the most experienced healthcare professional, managing the last few days of life can be difficult. This book provides guidelines for the care of the dying based on the Liverpool Care Pathway ...
More
Even for the most experienced healthcare professional, managing the last few days of life can be difficult. This book provides guidelines for the care of the dying based on the Liverpool Care Pathway for the Dying Patient (LCP). Developed at a hospice, the information can be disseminated and adapted to fit different settings such as hospitals and nursing homes. The LCP is a multiprofessional document that incorporates evidence-based practice and appropriate guidelines related to care of the dying. It provides a template that describes the process of care which is generally delivered in a clinical situation and incorporates the expected outcome of care delivery. The LCP replaces all other documentation in this phase of care. Care pathways can provide a potentially powerful aid to professionals involved in palliative care. Basic principles of treatment are translated into daily practice, including bedside documentation systems, policies and procedures, standards of practice, continuing education, and quality-improvement programmes. This book includes chapters on symptom control, ethical issues, communication skills, and spiritual care, which underpin the use of the LCP.Less
Even for the most experienced healthcare professional, managing the last few days of life can be difficult. This book provides guidelines for the care of the dying based on the Liverpool Care Pathway for the Dying Patient (LCP). Developed at a hospice, the information can be disseminated and adapted to fit different settings such as hospitals and nursing homes. The LCP is a multiprofessional document that incorporates evidence-based practice and appropriate guidelines related to care of the dying. It provides a template that describes the process of care which is generally delivered in a clinical situation and incorporates the expected outcome of care delivery. The LCP replaces all other documentation in this phase of care. Care pathways can provide a potentially powerful aid to professionals involved in palliative care. Basic principles of treatment are translated into daily practice, including bedside documentation systems, policies and procedures, standards of practice, continuing education, and quality-improvement programmes. This book includes chapters on symptom control, ethical issues, communication skills, and spiritual care, which underpin the use of the LCP.
Derek Doyle and David Jeffrey
- Published in print:
- 2000
- Published Online:
- November 2011
- ISBN:
- 9780192632272
- eISBN:
- 9780191730245
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192632272.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
Most people with far-advanced illness wish to be cared for at home for as long as possible. The challenge of providing good palliative care at home is therefore of major importance for family ...
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Most people with far-advanced illness wish to be cared for at home for as long as possible. The challenge of providing good palliative care at home is therefore of major importance for family doctors, nurses, and all those committed to maintaining the highest possible quality of life for the dying person. As modern specialist palliative care has raised both standards of care and also public expectations of family doctors and community nurses, this book helps to place specialist care in context. As palliative care is a major responsibility for teams providing care at home, the book provides a definitive guide on how to provide effective care for people with far-advanced disease. It has been written by two palliative specialists, both of whom have been family doctors. The book deals with all the physical, emotional, spiritual, and social problems that will be encountered by family doctors and community nurses caring for patients and relatives in a home setting. It deals in detail with emergencies, communications, and ethical issues, and emphasises throughout the importance of team work.Less
Most people with far-advanced illness wish to be cared for at home for as long as possible. The challenge of providing good palliative care at home is therefore of major importance for family doctors, nurses, and all those committed to maintaining the highest possible quality of life for the dying person. As modern specialist palliative care has raised both standards of care and also public expectations of family doctors and community nurses, this book helps to place specialist care in context. As palliative care is a major responsibility for teams providing care at home, the book provides a definitive guide on how to provide effective care for people with far-advanced disease. It has been written by two palliative specialists, both of whom have been family doctors. The book deals with all the physical, emotional, spiritual, and social problems that will be encountered by family doctors and community nurses caring for patients and relatives in a home setting. It deals in detail with emergencies, communications, and ethical issues, and emphasises throughout the importance of team work.
Cicely Saunders, Mary Baines, and Robert Dunlop
- Published in print:
- 1995
- Published Online:
- November 2011
- ISBN:
- 9780192625144
- eISBN:
- 9780191730009
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192625144.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
The new edition of this book has been updated to incorporate recent advances in both the approach to, and treatment of, the terminally ill. Based on many years of monitoring clinical practice and ...
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The new edition of this book has been updated to incorporate recent advances in both the approach to, and treatment of, the terminally ill. Based on many years of monitoring clinical practice and research at St Christopher's Hospice, the author presents practical, balanced advice on the general ethical and medical principles of caring for dying patients. This will continue to be an invaluable handbook for all hospice physicians and nurses as a compassionate source of factual information.Less
The new edition of this book has been updated to incorporate recent advances in both the approach to, and treatment of, the terminally ill. Based on many years of monitoring clinical practice and research at St Christopher's Hospice, the author presents practical, balanced advice on the general ethical and medical principles of caring for dying patients. This will continue to be an invaluable handbook for all hospice physicians and nurses as a compassionate source of factual information.
Margaret Robbins
- Published in print:
- 1998
- Published Online:
- November 2011
- ISBN:
- 9780192626219
- eISBN:
- 9780191730016
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192626219.001.0001
- Subject:
- Palliative Care, Palliative Medicine Research, Patient Care and End-of-Life Decision Making
The past 30 years has seen a huge expansion in the provision of palliative care services. Because palliative medicine is a multidisciplinary specialty – combining the expertise of oncologists, ...
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The past 30 years has seen a huge expansion in the provision of palliative care services. Because palliative medicine is a multidisciplinary specialty – combining the expertise of oncologists, anaesthetists, nurses, and many other therapeutic groups – the effectiveness of such treatment can be very difficult to measure. Additionally, research involving terminally ill patients and their carers can also present a number of practical and ethical problems. In spite of this, current health policy demands evidence of the effectiveness and value for money of health service interventions at all levels of complexity, including the service level. This book provides an introduction to the theory and practice of the evaluation of palliative care services. It examines the methodological issues involved in the evaluation of palliative care and outlines a practical approach that is readily applicable to many other health care interventions. In particular, research issues involving terminally ill patients and their carers are analysed and discussed, and approaches suggested for future work.Less
The past 30 years has seen a huge expansion in the provision of palliative care services. Because palliative medicine is a multidisciplinary specialty – combining the expertise of oncologists, anaesthetists, nurses, and many other therapeutic groups – the effectiveness of such treatment can be very difficult to measure. Additionally, research involving terminally ill patients and their carers can also present a number of practical and ethical problems. In spite of this, current health policy demands evidence of the effectiveness and value for money of health service interventions at all levels of complexity, including the service level. This book provides an introduction to the theory and practice of the evaluation of palliative care services. It examines the methodological issues involved in the evaluation of palliative care and outlines a practical approach that is readily applicable to many other health care interventions. In particular, research issues involving terminally ill patients and their carers are analysed and discussed, and approaches suggested for future work.
Cicely Saunders
- Published in print:
- 2006
- Published Online:
- November 2011
- ISBN:
- 9780198570530
- eISBN:
- 9780191730412
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198570530.003.0002
- Subject:
- Palliative Care, Palliative Medicine Research
Should a patient know he is dying? This question is argued freely by nurses and doctors and also by his friends and relations. It is wrong to be dogmatic in advancing one's own views and it is ...
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Should a patient know he is dying? This question is argued freely by nurses and doctors and also by his friends and relations. It is wrong to be dogmatic in advancing one's own views and it is impossible to suggest a general rule, but people need to consider some basic principles on the subject if they are not to be caught unawares and to make decisions based on little more than feelings. The care of the dying is pre-eminently the time for doctor, nurse and chaplain to cooperate. In practice, at the moment, many people are so out of touch with the Church that they find it hard to respond to the visit of a clergyman at this stage. In many hospitals the chaplain's visit is a routine but it is a great help to him if he is told as soon as possible of anyone who is in special need.Less
Should a patient know he is dying? This question is argued freely by nurses and doctors and also by his friends and relations. It is wrong to be dogmatic in advancing one's own views and it is impossible to suggest a general rule, but people need to consider some basic principles on the subject if they are not to be caught unawares and to make decisions based on little more than feelings. The care of the dying is pre-eminently the time for doctor, nurse and chaplain to cooperate. In practice, at the moment, many people are so out of touch with the Church that they find it hard to respond to the visit of a clergyman at this stage. In many hospitals the chaplain's visit is a routine but it is a great help to him if he is told as soon as possible of anyone who is in special need.
Cicely Saunders
- Published in print:
- 2006
- Published Online:
- November 2011
- ISBN:
- 9780198570530
- eISBN:
- 9780191730412
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198570530.003.0007
- Subject:
- Palliative Care, Palliative Medicine Research
This paper shows the willingness of Cicely Saunders to write for a wide variety of publications and audiences, even from an early stage in her writing career. It appeared in a now long-forgotten ...
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This paper shows the willingness of Cicely Saunders to write for a wide variety of publications and audiences, even from an early stage in her writing career. It appeared in a now long-forgotten magazine called Better Health and was written not just for nurses working in the community, but also for family carers of terminally ill people. It detailed some of the typical problems and concerns which can arise in the final stages of life and the frustrations which patients and carers may experience, as well as giving simple and practical advice on how they can be overcome.Less
This paper shows the willingness of Cicely Saunders to write for a wide variety of publications and audiences, even from an early stage in her writing career. It appeared in a now long-forgotten magazine called Better Health and was written not just for nurses working in the community, but also for family carers of terminally ill people. It detailed some of the typical problems and concerns which can arise in the final stages of life and the frustrations which patients and carers may experience, as well as giving simple and practical advice on how they can be overcome.
Nick Bosanquet and Chris Salisbury
- Published in print:
- 1999
- Published Online:
- November 2011
- ISBN:
- 9780192629913
- eISBN:
- 9780191730153
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192629913.003.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This review aims to identify the most appropriate and cost-effective models of service delivery and level of provision for palliative care services. This includes the role of nurses in hospitals and ...
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This review aims to identify the most appropriate and cost-effective models of service delivery and level of provision for palliative care services. This includes the role of nurses in hospitals and the community, and the care of dying patients in acute hospitals. Ten key research questions were identified within this aim including the current need for and provision of services, proposed alternative models of provision, appropriate skill mix in nursing, the relationship between alternative models of care and patient satisfaction, carer satisfaction and patient's quality of life, and the impact of alternative models on other services. In this study a comprehensive review of literatures from the UK, North America, Europe, and Australia was conducted. Over 2,000 documents were identified, of which 673 were deemed to be relevant. Data extracted from these literatures were collated and synthesized in the sections of this study, along with tables of summary data derived from relevant papers.Less
This review aims to identify the most appropriate and cost-effective models of service delivery and level of provision for palliative care services. This includes the role of nurses in hospitals and the community, and the care of dying patients in acute hospitals. Ten key research questions were identified within this aim including the current need for and provision of services, proposed alternative models of provision, appropriate skill mix in nursing, the relationship between alternative models of care and patient satisfaction, carer satisfaction and patient's quality of life, and the impact of alternative models on other services. In this study a comprehensive review of literatures from the UK, North America, Europe, and Australia was conducted. Over 2,000 documents were identified, of which 673 were deemed to be relevant. Data extracted from these literatures were collated and synthesized in the sections of this study, along with tables of summary data derived from relevant papers.
Iris Marion Young
- Published in print:
- 2005
- Published Online:
- September 2006
- ISBN:
- 9780195161922
- eISBN:
- 9780199786664
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0195161920.003.0009
- Subject:
- Philosophy, General
Many old people who need nursing care live in residences that routinely deprive them of privacy in the sense of a secure personal space where one dwells according to one’s own habits with things of ...
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Many old people who need nursing care live in residences that routinely deprive them of privacy in the sense of a secure personal space where one dwells according to one’s own habits with things of one’s own. It is argued that old people should not have to do without a home in this sense just because they have become unable to live independently, or because their relatives are unable or unwilling to make a home for them in their own dwellings. Services and institutions offering shelter and care to needy persons often fail to appreciate what is required for individuals not simply to stay alive, physically well, and nourished, but to have the life of a person. A room of one’s own or its equivalent should be understood not as a luxury that social services can ill afford, but rather as a basic element of the value of privacy.Less
Many old people who need nursing care live in residences that routinely deprive them of privacy in the sense of a secure personal space where one dwells according to one’s own habits with things of one’s own. It is argued that old people should not have to do without a home in this sense just because they have become unable to live independently, or because their relatives are unable or unwilling to make a home for them in their own dwellings. Services and institutions offering shelter and care to needy persons often fail to appreciate what is required for individuals not simply to stay alive, physically well, and nourished, but to have the life of a person. A room of one’s own or its equivalent should be understood not as a luxury that social services can ill afford, but rather as a basic element of the value of privacy.
Frank Prochaska
- Published in print:
- 2008
- Published Online:
- January 2010
- ISBN:
- 9780199539796
- eISBN:
- 9780191713460
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199539796.003.0005
- Subject:
- History, British and Irish Modern History
The Victorian medical profession's inability to cure patients or to offer an explanation for death gave strength to religion. This chapter focuses on district nursing, which developed rapidly in the ...
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The Victorian medical profession's inability to cure patients or to offer an explanation for death gave strength to religion. This chapter focuses on district nursing, which developed rapidly in the nineteenth century under Christian supervision. It gives special attention given to the Ranyard Mission and its Bible Nurses. With the advances in medicine, the tension between science and religion increased and the Christian message became weakened and diffused. Once the state became interested in registering and regulating nurses, district nursing, like nursing generally, gradually transformed in ideological, professional, and administrative terms.Less
The Victorian medical profession's inability to cure patients or to offer an explanation for death gave strength to religion. This chapter focuses on district nursing, which developed rapidly in the nineteenth century under Christian supervision. It gives special attention given to the Ranyard Mission and its Bible Nurses. With the advances in medicine, the tension between science and religion increased and the Christian message became weakened and diffused. Once the state became interested in registering and regulating nurses, district nursing, like nursing generally, gradually transformed in ideological, professional, and administrative terms.
Sara Booth (ed.)
- Published in print:
- 2005
- Published Online:
- November 2011
- ISBN:
- 9780198530756
- eISBN:
- 9780191730481
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198530756.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making
This is the fourth volume in an international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. In it, ...
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This is the fourth volume in an international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. In it, the editors bring together palliative care with oncological treatment for patients with advanced breast cancer. The book is presented in a user-friendly handbook format, with the use of tables and algorithms to ensure that it is portable, accessible, and can be read and referred to on, or before going to, the ward, or before a domiciliary visit. Specialists in palliative care and oncology settings, working in the acute sector and in hospices, will find the book useful. It will also appeal to consultants as well as specialist registrars, clinical nurse specialists, and nurse practitioners in palliative care and oncology. The Palliative Care Consultations series is primarily aimed at individuals working in an acute hospital cancer centre and/or tertiary referral centre. The books are designed to give the busy clinician advice on clinical problems, both those rarely encountered and those that are very common but difficult. The volumes are site-specific and each encompasses a review of oncological or haemato-oncological management of advanced disease with symptom-control advice.Less
This is the fourth volume in an international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. In it, the editors bring together palliative care with oncological treatment for patients with advanced breast cancer. The book is presented in a user-friendly handbook format, with the use of tables and algorithms to ensure that it is portable, accessible, and can be read and referred to on, or before going to, the ward, or before a domiciliary visit. Specialists in palliative care and oncology settings, working in the acute sector and in hospices, will find the book useful. It will also appeal to consultants as well as specialist registrars, clinical nurse specialists, and nurse practitioners in palliative care and oncology. The Palliative Care Consultations series is primarily aimed at individuals working in an acute hospital cancer centre and/or tertiary referral centre. The books are designed to give the busy clinician advice on clinical problems, both those rarely encountered and those that are very common but difficult. The volumes are site-specific and each encompasses a review of oncological or haemato-oncological management of advanced disease with symptom-control advice.
Santanu Das and Kate McLoughlin (eds)
- Published in print:
- 2018
- Published Online:
- September 2018
- ISBN:
- 9780197266267
- eISBN:
- 9780191869198
- Item type:
- book
- Publisher:
- British Academy
- DOI:
- 10.5871/bacad/9780197266267.001.0001
- Subject:
- History, Cultural History
Literary and cultural-historical debate about the First World War has focused on whether the conflict inaugurated a new modernity (in Paul Fussell’s terms, a specifically ironic consciousness) or ...
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Literary and cultural-historical debate about the First World War has focused on whether the conflict inaugurated a new modernity (in Paul Fussell’s terms, a specifically ironic consciousness) or whether it revealed deep continuities, particularly in the area of memorialization. The debate can productively be widened by expanding the scope of critical attention to include, not only English trench poetry, but also the creative production of women, non-combatants, civilians, and writers and artists from Europe and the then British Empire. This enlarged canon, which in this book ranges from the British combatant poets Wilfred Owen and David Jones to the writers and nurses Mary Borden and Enid Bagnold, the civilian novelists H. G. Wells and Virginia Woolf, and the international authors Robert Service, Berta Lask, Claire Studer Goll, Ricarda Huch, Gertrud Kolmar, Anna Akhmatova and Rabindranath Tagore, enables us to rethink the very meanings of terms such as ‘modernity’ and ‘modernism’. Literature itself is illuminated through juxtaposition with film, photography and fine art. Three areas in particular reveal the ways in which literature, culture and the war coalesce in a putative modernity: the unfathomable, intensity and ‘cosmopolitanism’. These emerge via investigation of issues such as shellshock, sacrifice, death, aerial bombing, resistance, empire and race.Less
Literary and cultural-historical debate about the First World War has focused on whether the conflict inaugurated a new modernity (in Paul Fussell’s terms, a specifically ironic consciousness) or whether it revealed deep continuities, particularly in the area of memorialization. The debate can productively be widened by expanding the scope of critical attention to include, not only English trench poetry, but also the creative production of women, non-combatants, civilians, and writers and artists from Europe and the then British Empire. This enlarged canon, which in this book ranges from the British combatant poets Wilfred Owen and David Jones to the writers and nurses Mary Borden and Enid Bagnold, the civilian novelists H. G. Wells and Virginia Woolf, and the international authors Robert Service, Berta Lask, Claire Studer Goll, Ricarda Huch, Gertrud Kolmar, Anna Akhmatova and Rabindranath Tagore, enables us to rethink the very meanings of terms such as ‘modernity’ and ‘modernism’. Literature itself is illuminated through juxtaposition with film, photography and fine art. Three areas in particular reveal the ways in which literature, culture and the war coalesce in a putative modernity: the unfathomable, intensity and ‘cosmopolitanism’. These emerge via investigation of issues such as shellshock, sacrifice, death, aerial bombing, resistance, empire and race.
Adam D. Reich
- Published in print:
- 2014
- Published Online:
- October 2017
- ISBN:
- 9780691160405
- eISBN:
- 9781400850372
- Item type:
- chapter
- Publisher:
- Princeton University Press
- DOI:
- 10.23943/princeton/9780691160405.003.0001
- Subject:
- Sociology, Health, Illness, and Medicine
This chapter examines both the promise and paradox of care at PubliCare Hospital. On the one hand, practitioners' deep commitment to the provision of care as a right gave the facility a special ...
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This chapter examines both the promise and paradox of care at PubliCare Hospital. On the one hand, practitioners' deep commitment to the provision of care as a right gave the facility a special character. On the other hand, these same commitments seemed to go hand in hand with a lack of role differentiation or organizational structure that lef the organization in a constant state of disarray and financial peril. The chapter shows that, among practitioners across the three hospitals in Las Lomas, those at PubliCare struggled most with how to reconcile a right to health care with care as a commodity to be sold. It also considers PubliCare Hospital's “socialized medicine” for desperate and despairing patients, what is unique about PubliCare physicians and nurses, and vocational commitment and creativity at the hospital. Finally, the chapter explains how the mission of health care at PubliCare seemed to be at odds with the market for care.Less
This chapter examines both the promise and paradox of care at PubliCare Hospital. On the one hand, practitioners' deep commitment to the provision of care as a right gave the facility a special character. On the other hand, these same commitments seemed to go hand in hand with a lack of role differentiation or organizational structure that lef the organization in a constant state of disarray and financial peril. The chapter shows that, among practitioners across the three hospitals in Las Lomas, those at PubliCare struggled most with how to reconcile a right to health care with care as a commodity to be sold. It also considers PubliCare Hospital's “socialized medicine” for desperate and despairing patients, what is unique about PubliCare physicians and nurses, and vocational commitment and creativity at the hospital. Finally, the chapter explains how the mission of health care at PubliCare seemed to be at odds with the market for care.
Adam D. Reich
- Published in print:
- 2014
- Published Online:
- October 2017
- ISBN:
- 9780691160405
- eISBN:
- 9781400850372
- Item type:
- chapter
- Publisher:
- Princeton University Press
- DOI:
- 10.23943/princeton/9780691160405.003.0006
- Subject:
- Sociology, Health, Illness, and Medicine
This chapter examines the hierarchical relationships between nurses and physicians at HolyCare Hospital. If relationships at PubliCare were relatively egalitarian and informal, at HolyCare they were ...
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This chapter examines the hierarchical relationships between nurses and physicians at HolyCare Hospital. If relationships at PubliCare were relatively egalitarian and informal, at HolyCare they were hierarchical and codified. Paradoxically, in the name of the “patient experience,” most of the people working at HolyCare seemed relatively miserable. This was true across many different strata of hospital staff members. One physician administrator at PubliCare suggested that there was a “lack of collegiality” at HolyCare. Nurses and ancillary workers described the experience of working at HolyCare as one defined by fear and insecurity. The chapter considers how social values at HolyCare retained a degree of autonomy from exchange relations. It shows that the vocational values through which managers sought to secure an obedient workforce could be turned on their head and be used to advocate against management for the resources and power necessary to provide for themselves and their patients.Less
This chapter examines the hierarchical relationships between nurses and physicians at HolyCare Hospital. If relationships at PubliCare were relatively egalitarian and informal, at HolyCare they were hierarchical and codified. Paradoxically, in the name of the “patient experience,” most of the people working at HolyCare seemed relatively miserable. This was true across many different strata of hospital staff members. One physician administrator at PubliCare suggested that there was a “lack of collegiality” at HolyCare. Nurses and ancillary workers described the experience of working at HolyCare as one defined by fear and insecurity. The chapter considers how social values at HolyCare retained a degree of autonomy from exchange relations. It shows that the vocational values through which managers sought to secure an obedient workforce could be turned on their head and be used to advocate against management for the resources and power necessary to provide for themselves and their patients.
