Focussing on end-of-life care for people who use, or have used, substances, this book explores their social and health care needs and the multiple disadvantages they have often experienced, discussing the complexities around access to care that result. Presenting models of good practice, case studies and empirically based evidence, Substance Use, End-of-Life Care is informative, rigorous and useful for policy and practice development. The first section foregrounds the personal experiences of people living with substance use, their families and friends, and the health and social care professionals who work with them. The second section looks at how health inequalities can impact people in need of palliative care, including chapters on health literacy, mental health and learning disabilities. The final section explores social challenges that may be experienced, including homelessness, sex work, racism and incarceration. This interdisciplinary volume is essential for researchers, practitioners, students and educators working around substance use, mental health and palliative and end-of-life care, who are looking for guidance and a reference for their work in supporting people at the end of their lives who have multiple and often complex needs.

Named a 2013 Doody's Core Title! "Bushfield and DeFord offer us an excellent, informed and sensitive work that speaks both of the erosion of family systems due to addiction and the complications that arise when these victimized families face end-of-life care." --Illness, Crisis and Loss With a growing elderly population comes an increased need to recognize the medical and psychological needs of older adults suffering from addiction, particularly towards the end of life. This guide describes the challenges such persons and families present to those providing end-of-life care, and shows caregivers how to best negotiate these issues with clients and their families. The authors place special emphasis on the role of the family, presenting a cohesive family systems approach to end-of-life care. The book demonstrates how hospice teams can work collaboratively with the client and family to help alleviate some of the emotional stress and pain of addiction. The authors also present practical guidelines for recognizing and diagnosing addiction, determining appropriate interventions, and outlining special concerns for addicted people in end-of-life care. Key features: Identifies the known markers of substance abuse and appropriate interventions Provides guidance on how to address the physiological, psychological, and spiritual effects of addiction Details what every hospice team needs to know about family systems theory Discusses the emotional process of addicted clients, and what hospice teams, caregivers, and family members can do to help

Drawing on ethnographic research conducted by an American nurse, Caring in Context is an exploration of how most of the world experiences cancer, and how nurses bear witness and respond to the suffering of others when they have little means to help—or for complex reasons, choose not to. This compelling book centers on nurses in a government cancer hospital in South India and examines key contexts that influence nursing practice and the delivery of healthcare, including hierarchical legacies of colonialism and the caste system, resource scarcity, power and perceived powerlessness, and gender inequities. These themes are illustrated through intersecting narratives, such as the story of Hameeda, an orphaned teenager with sarcoma who lives at the hospital until she becomes paralyzed, and Sister Meena, a nurse who strives to provide better care but encounters overwhelming structural obstacles and is chastised by her superiors for doing too much. Offering a critical re-examination of the realities faced by clinicians, patients, and family members who struggle to deliver and receive cancer care, Caring in Context’s unique perspective and accessible style will appeal to a wide and interdisciplinary audience, from practitioners, academics, and advocates to anyone interested in the complex context of the human experience.

Examining the historical context of healthcare whilst focusing on building a more just, equitable world, this book proposes a radical imagination for nursing and presents possibilities for speculative futures embracing queer, feminist, posthuman, and abolitionist frames. Bringing together radical and emancipatory perspectives from an international selection of authors, this book reflects on the realities created by the COVID-19 pandemic, recognizing that our situation is not new but the result of ongoing hegemonies and injustices. The authors attend to the history of nursing and related institutions, examining the assumptions, ideologies, and discourses that shape the discipline and its place within healthcare. They explore the impact of this context on contemporary nursing and look at alternative visions for the future. The final section specifically focuses on ways that we can move forward. Envisioning new possibilities for nursing, this innovative volume is a vital resource for practitioners, scholars and students keen to promote social justice within and without nursing. It is an important contribution to nursing theory, philosophy and history.

Research shows that racism affects the working lives of nurses and nurse academics, as well as healthcare service delivery and outcomes. This book looks at the impact of racism, from experiences of microaggression to discrimination and structural and institutionalised racism. Focusing on the work of five researchers and practitioners who have chosen to address and investigate the racism they experience, witness or observe in the UK’s National Health Service and Universities, this book includes personal reflections on their findings. The substantive chapters are framed by a discussion of policy and research on racism, thoughts on research supervision within this field and a drawing together of the key themes developed through the book. Giving voice to nurses’ and lecturers’ responses to racism in nursing education and practice, this is an important contribution for students, researchers and practitioners with an interest in health inequalities, healthcare organisations, research methods and workforce development.

The book brings together the most up-to-date knowledge and expertise covering the whole topic of alcohol. It presents the practical skills needed to offer ethical intervention and treatment and implement ethical person-centered care. It is a practice-based text that aims to improve ethical relationships, responses, care and practice necessary to be effective in interventions and treatment with those experiencing alcohol use and health problems. The focus is on combining the principles and philosophy of alcohol prevention and intervention, in hospital and community. Each chapter provides self-assessment exercises, reflective practice exercises, key points and a "to learn more" section, and develops a theoretical framework, before broadening to include application in care and practice. This work will appeal to a wide readership, from professionals working within the mental health care and practice environment to mental health students.

Here’s the step-by-step guidance you need to develop individualized plans of care while also honing your critical-thinking and analytical skills. You’ll find about 160 care plans in all, covering acute, community, and home-care settings across the life span.