ABSTRACT Hospice care is a valuable approach to persons with progressive, fatal illness, that emphasizes the relief of symptoms -making what time they have left the best possible -rather than a futile attempt at cure when cure is not possible. Pressure sores are a common problem in the hospice setting that may contribute to the suffering of the patient. Risk factors for pressure sores include immobility, poor nutrition and the catabolic state, moisture, and sheer forces. In managing pressure sores in the hospice, it is important to remember that the primary goal is to relieve symptoms and not necessarily to cure disease. The most important factor is having a dedicated nursing staff, while specific approaches are secondary. Beyond this, important factors are good positioning, optimizing nutrition and adequate analgesia. Once these are achieved, the general principal is “clean it up, cover it up and leave it alone.” Surgical procedures and cultures and systemic antibiotics are to be avoided in this setting....
{"title":"Management of Pressure Sores in the Inpatient Hospice Setting","authors":"T. Kinzel, Facp., A. Fellow","doi":"10.1300/J132V07N03_16","DOIUrl":"https://doi.org/10.1300/J132V07N03_16","url":null,"abstract":"ABSTRACT Hospice care is a valuable approach to persons with progressive, fatal illness, that emphasizes the relief of symptoms -making what time they have left the best possible -rather than a futile attempt at cure when cure is not possible. Pressure sores are a common problem in the hospice setting that may contribute to the suffering of the patient. Risk factors for pressure sores include immobility, poor nutrition and the catabolic state, moisture, and sheer forces. In managing pressure sores in the hospice, it is important to remember that the primary goal is to relieve symptoms and not necessarily to cure disease. The most important factor is having a dedicated nursing staff, while specific approaches are secondary. Beyond this, important factors are good positioning, optimizing nutrition and adequate analgesia. Once these are achieved, the general principal is “clean it up, cover it up and leave it alone.” Surgical procedures and cultures and systemic antibiotics are to be avoided in this setting....","PeriodicalId":81892,"journal":{"name":"Loss, grief & care","volume":"4 1","pages":"167-173"},"PeriodicalIF":0.0,"publicationDate":"2008-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84936815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reported Accidents in Narcolepsy","authors":"F. Rn, Carol E. Ferrans Rn, B. Eshler","doi":"10.1300/J132V05N03_08","DOIUrl":"https://doi.org/10.1300/J132V05N03_08","url":null,"abstract":"","PeriodicalId":81892,"journal":{"name":"Loss, grief & care","volume":"98 1","pages":"71-80"},"PeriodicalIF":0.0,"publicationDate":"2008-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81025479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Depression, Denial, and Withdrawal in Mothers of Seriously 111 Children and Adolescents","authors":"E. Susman, P. Pizzo","doi":"10.1300/J132V02N03_11","DOIUrl":"https://doi.org/10.1300/J132V02N03_11","url":null,"abstract":"","PeriodicalId":81892,"journal":{"name":"Loss, grief & care","volume":"69 1","pages":"69-79"},"PeriodicalIF":0.0,"publicationDate":"2008-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89876145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Milligan, F. EdD, James D. Spitler MEd, Oren A. Mulkey Jr. Ms
{"title":"Chapter 1 The Emergence of the Home Health Aide as a Vital Link to the Dying Patient","authors":"M. Milligan, F. EdD, James D. Spitler MEd, Oren A. Mulkey Jr. Ms","doi":"10.1300/J132V07N01_01","DOIUrl":"https://doi.org/10.1300/J132V07N01_01","url":null,"abstract":"","PeriodicalId":81892,"journal":{"name":"Loss, grief & care","volume":"75 1","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2008-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88429194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Burnout in the Professional Care Giver: Does the Phoenix Have to Burn or Why Can't Icarus Stay Aloft?","authors":"R. Lynn","doi":"10.1300/J132V03N01_02","DOIUrl":"https://doi.org/10.1300/J132V03N01_02","url":null,"abstract":"","PeriodicalId":81892,"journal":{"name":"Loss, grief & care","volume":"79 1","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2008-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88030286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chapter 1 Psychosocial Support Needs of Older Women Caregivers and Older Women Living Alone","authors":"L. Selker","doi":"10.1300/J132V07N01_02","DOIUrl":"https://doi.org/10.1300/J132V07N01_02","url":null,"abstract":"","PeriodicalId":81892,"journal":{"name":"Loss, grief & care","volume":"646 1","pages":"21-30"},"PeriodicalIF":0.0,"publicationDate":"2008-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86702773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Traumatic Amputation in Childhood: Functional and Psychosocial Aspects","authors":"John R. Demon","doi":"10.1300/J132v02n03_01","DOIUrl":"https://doi.org/10.1300/J132v02n03_01","url":null,"abstract":"","PeriodicalId":81892,"journal":{"name":"Loss, grief & care","volume":"37 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2008-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86877135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-10-22DOI: 10.4324/9781315801322-13
Acp Merrill M. Mitler
{"title":"The Realpolitik of Narcolepsy and Other Disorders with Impaired Alertness","authors":"Acp Merrill M. Mitler","doi":"10.4324/9781315801322-13","DOIUrl":"https://doi.org/10.4324/9781315801322-13","url":null,"abstract":"","PeriodicalId":81892,"journal":{"name":"Loss, grief & care","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2008-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89298138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suffering and Its Amelioration in the Genetic Disease Muscular Dystrophy","authors":"Stephen Lubowe","doi":"10.1300/J132V03N03_08","DOIUrl":"https://doi.org/10.1300/J132V03N03_08","url":null,"abstract":"","PeriodicalId":81892,"journal":{"name":"Loss, grief & care","volume":"124 1","pages":"87-104"},"PeriodicalIF":0.0,"publicationDate":"2008-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74682424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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