Overview

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.

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Jo Hockley is currently research fellow/clinical nurse specialist at St Columba's Hospice, Edinburgh. She has worked within the hospice movement since 1979 but has spent most of her energies disseminating palliative care into the acute hospital sector. She has set up two hospital-based palliative care teams in the UK and has published widely on this subject and other practice issues in palliative care. She is currently working on a collaborative action research project with independent nursing homes in Edinburgh developing palliative care at the end of life. David Clark is Professor of Medical Sociology within the Academic Palliative Medicine Unit of the University of Sheffield. He has written widely on the sociology of religion, family life and end-of-life care and he has been involved in research and teaching in palliative care since 1989. His current interests include the history of hospice, palliative care and related fields; policy development and international issues in the growth of palliative care; and palliative care ethics.

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