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Author: Edwina Brown
Publisher: Oxford University Press
Pages: 400pp
ISBN: 9780199695690
This Oxford specialist handbook is an excellent guide for all health professionals involved in the care of patients with advanced renal disease.
Beginning with an explanation of chronic kidney disease, it looks at co-morbidities, complications at end-stage and causes of death, before moving to quality of life and the role of the palliative care team in the management of symptoms and pain.
The need for good communication with the patient, the patient’s family and staff members is stressed, because ethical decisions have to be made about treatments such as dialysis and final care.
It recognises the difficulties facing a renal team who will have to change the focus of their care for someone they may have come to know well.
Healthcare professionals are encouraged to acknowledge their own needs – in particular the psychological burden of providing for the physical, cultural, religious and spiritual needs of patients in their last days, and supporting family, friends and carers.
There is a comprehensive appendix by senior pharmacist Wendy Lawson on drug handling. The professionalism, humanity and caring in every chapter of this guide are a credit to the contributors.
Reviewer: Susan Watkins
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