www.lifeanddeathmatters.ca Katherine Murray, RN, BSN, MA, CHPCN(C), FT has a love for hospice and palliative care and a pas- sion for education. She creates exceptional resources that help nurses, health care workers and personal support workers provide excellent care for the dying person and their family. Kath’s resources also provide caregivers with strategies to sustain themselves by finding meaning and value in the process of providing care. facebook.com/LifeAndDeathMatters @LDMatters 1.888.788.6781 [email protected] Printed in U.S.A. This is your guide to integrating a palliative approach into your practice. The quality of life for people with life-limiting illness can be improved by integrating a palliative approach into care. This book will help every nurse, as every nurse provides care for the dying person and that person’s family, whether working in a facility for long term care, acute care, emergency care or intensive care, in a hospice, a palliative care unit or a home in the community. What the experts are saying “Full of theoretical and practical information, ‘Essentials’ pro- vides us with the knowledge, know-how and courage to deepen ournursingpracticeandengageinthepalliativeapproachwhile maintaining our authentic selves in the process.” — Julia Johnston, RN-EC, MN, CHPCN(C), Nurse Practitioner, President, Canadian Hospice Palliative Care Nurses Group “This Essentials text is a valuable resource for all team members committed to quality patient care. The content is practical and addresses the real, clinical issues in daily practice. It is an invalu- able resource for those new in practice as well as those who are experienced clinicians.” — Betty Ferrell, PhD, RN, FAAN, Director & Professor, Nursing Research & Education, City of Hope Medical Center “… It is a work of art and heart aimed at providing practical knowledgeandskillforthoseworkingwiththefrail,illanddying. Following these guidelines, the reader will be enlightened and find that caring at end of life is not just helpful for the patient but alsorewardingtoone’sselfandtheenjoymentofcaringnursing.” — Dr. Michael Downing, Palliative Medicine, BC Cancer Agency,Victoria, Canada; Co-editor, Medical Care of the Dying “This will soon become the ‘go to guide’ for those seeking direc- tion in how to embed palliative approaches into their practice.” — Kelli I. Stajduhar, RN, PhD, Professor, School of Nursing and Centre on Aging; Associate Director Research and Scholarship; Research Scientist, End of Life Program, Fraser Health Authority “This is a wonderful textbook … it also promotes primary palli- ative care concepts of listening, being present, bearing witness, andadvocatingforthosewithseriousillnessandtheirfamilies— all reminders of the vital, sacred work that nurses are privileged to do every day.” — Pam Malloy, RN, MN, FPCN, FAAN, Director and Co-Investigator of the ELNEC Project; Special Advisor on Global Initiatives, American Association of Colleges of Nursing (AACN) “… For the new practitioner, this book provides your foundation. Fortheexperiencedpractitioner,thereminderofwhywedowhat we do. Keep this book close when you need to do the deep work of care-​ giving. It will sustain and guide your practice and bring your palliative care nursing to a place of fulfillment.” — Philip Larkin, Professor of Clinical Nursing (Palliative Care), University College Dublin and Our Lady’s Hospice and Care Services, Dublin, Ireland; President, European Association for Palliative Care EssentialsinHospiceandPalliativeCare: A PRACTICAL RESOURCE FOR EVERY NURSE