Like the first edition, this is a seminal textbook for the advanced practice nursing care of the seriously ill and dying. This comprehensive work addresses all aspects of palliative care including physical, psychological, social, and spiritual needs. It brings to the forefront current issues of health equity, managing through crisis, and meeting the needs of diverse populations. Each chapter contains case examples and a strong evidence base to support the highest quality of care. The text is written by leaders in the field and includes authors who have pioneered the role of the advanced practice nurse in palliative care. This volume offers advanced practice content and practical resources for clinical practice across all settings of care and encompassing all ages, from pediatrics to geriatrics.This newly revised edition has been reorganized to meet the needs of the APRN according to role delineation and practice issues. It offers foundation information on leadership, practice, and the various roles of the APRN as an administrator, educator, policy advocate, and researcher. The various settings of APRN work includes acute care settings (clinical care unit, intensive care unit, and emergency department), clinic (specialty care, primary care, and palliative care), community, rehabilitation, residential facilities, and telehealth. This edition also gives particular attention to special populations, including chapters on health disparities, economic disadvantages for urban dwellers, members of the LGBTQ+ community, Veterans, and Survivorship. There are sections wholly devoted to pediatric care, end of life communication, and the ethics APRNs have to navigate on a daily basis. Written by current APRNs for fellow APRNs, this text provides practical resources for clinical practice across a variety of topics.

PrefaceAcknowledgmentsList of ContributorsSection I The Palliative APRN1 Palliative APRN Practice and Leadership: Past, Present, and FutureConstance Dahlin and Patrick J. Coyne2 Fundamental Skills and Education for the Generalist and Specialist Palliative APRNDorothy Wholihan, Charles Tilley, and Adrienne Rudden3 Credentialing, Certification, and Scope of Practice Issues for the Palliative APRNKerstin Lea Lappen, Matthew McGraw, and Kate MeyerSection II Palliative APRN Roles4 The Palliative APRN in AdministrationKaren Mulvihill5 The Palliative APRN in Nursing EducationCarrie L. Cormack and Kathleen O. Lindell6 The Palliative APRN in Policy and Payment ModelsMarian Grant7 The Palliative APRN in Research and Evidence-Based PracticeJanice Linton and Joan G. CarpenterSection III Clinical Settings of Palliative APRNs8 The Palliative APRN in the Medical, Surgical, and Geriatrics Patient Care UnitPhyllis B. Whitehead and Carolyn White9 The Palliative APRN in the Intensive Care SettingClareen Wiencek10 The Palliative APRN in the Emergency DepartmentSarah Loschiavo and Angela Starkweather11 The Palliative APRN in the Palliative Care ClinicBrooke Smith and Lisa A. Stephens12 The Palliative APRN in Primary CareRosemary Gorman, Dorothy Wholihan, and Sarah Bender13 The Palliative APRN in Specialty CardiologyBeth Fahlberg, Ann Laramee, and Erin Donaho14 The Palliative APRN in the Community SettingNicole DePace15 The Palliative and Hospice APRN in Hospice and Home Health ProgramsRikki N. Hooper, Chari Price, and Jamie Lee Rouse16 The Palliative APRN in RehabilitationLorie Resendes Trainor17 The Palliative APRN in TelehealthKatherine Kyle and Constance Dahlin18 The Palliative APRN in the Rural CommunityTraci Sickich19 The Palliative APRN in Residential FacilitiesMelissa McClean and Victoria NallsSection IV Populations at Risk20 Health Disparities in Palliative Care and Social Determinants of HealthAlma Y. Dixon and Cecilia R. Motschenbacher21 Economically Disadvantaged Urban DwellersNatasha Curry22 Inclusive Palliative Care within the LGBTQ+ CommunityJessica Nymeyer23 Care of Veterans with Palliative Care NeedsAlice C. Foy, Robert David Rice, and Joseph Albert Melocoton24 Recurrent Disease and Long-Term SurvivorshipDenice Economou and Brittany BradfordSection V Pediatric Palliative Care25 The Pediatric Palliative APRNCheryl Ann Thaxton and Nicole Sartor26 The Pediatric Palliative APRN in the Acute Care SettingFaith Kinnear and Gina Santucci27 The Pediatric Palliative APRN in Perinatal and Neonatal Palliative CareMaggie C. Root and Mallory Fossa28 The Pediatric Palliative APRN in the ClinicAlice Bass and Vanessa Battista29 The Pediatric Palliative APRN in OncologyAmy Corey Haskamp and Joanne M. Greene30 The Pediatric Palliative APRN in the CommunityJoan "Jody" Chrastek and Jaime Hensel31 Communication in Pediatric Palliative CareMallory Fossa, Julia McBee, and Rachel RuschSection VI Communication in Palliative Care32 Advance Care Planning: Advance Directives, Medical Order Sets, and Surrogate Decision-MakingHannah N. Farfour33 Family MeetingsJennifer Gentry, Kerrith McDowell, and Paula McKinzie34 Communication at the End of LifeMarlene E. McHugh, Penelope R. Buschman, and Susan M. DelisleSection VII Psychosocial, Cultural, and Spiritual Aspects of Care35 Culturally Respectful Palliative CareHelen Foley and Polly Mazanec36 Ensuring Quality Spiritual CareBetty Ferrell37 Life ReviewJamil Davis, Mimi Jenko, and James C. Pace38 Grief and BereavementKatharine Adelstein and Elizabeth Archer-NandaSection VIII Symptoms39 Anorexia and CachexiaRobert Smeltz and Renata Shabin40 Bowel SymptomsKimberly Chow and Lauren Koranteng41 FatigueShila Pandey42 Nausea and VomitingKatherine E. DeMarco43 PainJudith A. Paice44 Respiratory SymptomsEmber S. Moore and Kathleen Broglio45 Cognitive ImpairmentAbraham A. Brody and Donna E. McCabe46 Serious Mental IllnessKristyn Pellecchia and Ryan Murphy47 Patients with Substance Use Disorders and Dual DiagnosesJeannine M. Brant and Tonya Edwards48 AnxietyKira Stalhandske49 DeliriumBonnie D. Evans and Erica J. Hickey50 Depression and SuicideJohn Chovan51 Palliative EmergenciesAnn Quinn Syrett, Marcia J. Buckley, and Beth Carlson52 Challenging Symptoms: Pruritus, Hiccups, Dry Mouth, Fevers, and Sleep DisordersBarton T. Bobb and Devon S. WojcikewychSection IX Ethical Considerations53 Navigating Ethical DilemmasNessa Coyle and Timothy W. Kirk54 Discontinuation of Cardiac TherapiesPatricia Maani Fogelman and Janine A. Gerringer55 Discontinuation of Respiratory TherapiesBrenna Winn56 Discontinuation of Other Life-Sustaining TherapiesKathy Plakovic and Jennifer Donoghue57 Palliative SedationDavid Collett and Kelly BaxterAppendix I Palliative APRN Billing and CodingConstance DahlinAppendix II Perinatal and Pediatric Pain and Symptom TablesConstance Dahlin, Amy Corey Haskamp, Joanne Greene, Maggie Root, Mallory Fossa, Faith Kinnear, Alice Bass, Nicole Sarter, Gina Santucci, Cheryl Thaxton, Jaime Hensel, Jody Chrastek, and Vanessa BattistaIndex