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The Final Journey
Complete Hospice Care for Departing Vaisnavasby Susan Pattinson RN, CHPN (Sangita devi dasi)

 

The Final Journey Contents:
Chapter 1. What is Hospice?
  • Brief history of hospice
  • Palliative care vs. aggressive treatment
  • Spirituality and the devotee's decision
  • Quotes from Srila Prabhupada
Chapter 2. Practical Matters
  • Basics hospice care
  • Practicalities of caring for a dying devotee
  • Financial concerns, Living Will, and Medical Power of Attorney.
Chapter 3. What is Holistic Care?
  • Essential aspect of holistic care (mental, physical, emotional, and spiritual needs)
  • ‘Spiritual pain’ and how to talk to a person who is dying
  • How to create a Krsna conscious environment for the dying patient
Chapter 4. Terminal Illnesses
  • Some of the most common hospice-appropriate terminal diseases are briefly and informatively explained
Chapter 5. The Grief Process
  • This chapter gives one an understanding of the emotions and behaviors that can be expected of all concerned.
Chapter 6. Pain Management
  • Types and character of pain
  • What questions to ask to understand the pain your patient is experiencing.
  • Medications commonly used in the hospice setting
  • Medication uses, precautions, and possible side effects.
Chapter 7. Symptom Management
  • Conditions and symptoms caused by the immobility and/or disease process of the terminally ill patient.
  • Understanding and managing symptoms for the comfort of the patient
Chapter 8. Personal Care
  • Giving a bed bath, washing hair
  • Changing linens when your patient is bed-ridden
  • Skin care
  • Repositioning an immobile patient
Chapter 9. Complementary Therapies for Comfort Care
  • Common complementary therapies, included are:
    • breathing and relaxation exercises, visualization
    • heat and cold applications
    • aromatherapy
    • massage
    • music therapy
Chapter 10. Care of the Caregiver
  • Recognize and avoid caregiver burnout in order to continue providing quality care to your patient.
Chapter 11. Signs and Symptoms of Approaching Death.
  • Explains how to help the patient with "closure"
  • Recognizing "Nearing Death Awareness" in the patient, and giving permission to "let go".
Chapter 12. Post-mortem Care, Cremation Ceremony, and Memorial Service
  • Quotes from His Divine Grace A.C. Bhaktivedanta Swami Prabhupada.
  • Interview with Padma Nabh Goswami (Radha Raman Temple; Vrndavana, India)
Chapter 13. Grieving, Healing, and Rejoicing for the Vaisnava
  • Focuses on the loved ones left behind grief, mourning, and bereavement

 

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