In an ageing society, care homes have become an increasingly important provider of services to older people at the end-of-life. One of the main themes running through this book concerns the extent to which the principles of palliative care can be integrated into nursing or residential homes. Contributors from nursing and medicine, from the social and health sciences, and from ethics and health planning provide an international perspective on key issues in relation to end-of-life care such as:: assessment; loss, autonomy and the ethics of end-of-life decision making; spiritual care; dementia and dying; professional, organisational and policy development. This first collection of its kind will provide an invaluable resource to all of those engaged in improving the quality of residential and nursing home care for older, dying people.
Series editors preface Introduction Historical and policy contexts Assessment of need in care homes Loss and change Spiritual care in care homes perceptions and practice Caring for people with dementia at the end of life The role of the physician in nursing home care in The Netherlands Ethics and end-of-life decision making The performance of the hour of death Changing care practices beyond education and training to practice development Organizational structures for enhancing standards of palliative care Conclusion References Index.
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