This book explores the emotional problems patients relatives close friends and professionals experience and the support they need when someone is dying. It focuses on the skills required to support the patient and to provide pre- and post-bereavement counselling for relatives. Clear and easy to read the book is based on the author's previous work but now includes valuable new insights from her recent research in this field and is illustrated with examples from her practical and international experience. It emphasises practical communication skills that can be applied in everyday working practice. It encourages readers to reflect on their own practice strengths and weaknesses and their contribution to the multi-professional team. Questions and exercises at the end of each chapter encourage reflection discussion and learning. This is a book that all health professionals will find of great benefit especially those working in palliative and terminal care hospices and nursing homes. It is of particular use to members of nursing teams. It will also be of interest to patients and relatives who are close to a dying person.
Table of Contents
Chronic renal failure. Acute renal failure. Renal osteodystrophy. Selected disease processes. Pharmacology. Investigation of structure and function. An overview of treatment. Vascular access. The extracorporeal circuit. Anticoagulation. Dialysate preparation. Impact of chronic illness. Dialysing the acutely ill patient. Acute complications of haemodialysis. Assessment of therapy. Haemofiltration. Plasma exchange and haemoperfusion. Anatomy and physiology. Initiation and maintenance of therapy. Treatment: modalities modifications and measurement. Complications of therapy. The history of transplantation. Recipient selection and preparation. Donor selection and preparation. The perioperative period. Complications of transplantation. Renal function in the child. Extracorporeal management. Paediatric peritoneal dialysis. Paediatric renal transplantation. Physical and psychological consequences of renal disease in children.