Health care professionals seeking to improve the quality of life for those living with serious illness and nearing the end of life will find exactly what their organization needs in the second edition of this acclaimed book by Dr. Joanne Lynn and her colleagues. Improving Care for the End of Life provides expert guidance on how to make significant improvements now, at all levels of the health care system from the bedside and the hospital to the health care policy and legislative arenas by using the rapid-cycle breakthrough approach to change. The ideas are proven, and the stories of teams that have put them to use will inspire and enlighten. New to the second edition: � New chapters to address issues of growing interest such as continuity of care, and the special needs of dementia patients and their loved ones. � Details on trajectories of care and how these affect decisions at the end of life � Updated and expanded information on pain management, advance care planning, ventilator withdrawal, depression and delirium, advanced heart and lung disease, and more � Scores of new insights, measurement approaches, and tips based on the experiences of hundreds of improvement teams nationwide � Thoroughly updated references The sourcebook speaks to all managers of health care systems serving people with serious illnesses, including doctors in offices, nurse managers on hospital units, social workers in long-term care facilities, administrators of home care and hospice agencies, hospital chaplains, directors of volunteer services, and others.
After more than fifteen years in health care as a medical social worker, I've seen my share of QI ideas. Believe me, this is the best book I've ever seen on this subject. It is everything you as a health care professional would need to get serious about using quality improvement to make real changes in practice--and in principle. If you work in end-of-life care and are tired of seeing patients with unrelieved pain, want to move beyond the living will to comprehensive advance care planning, are willing to recognize the role of spirituality in bereavement--just for example--the information you need is here. This is not your ordinary quality improvement book. It talks about real action and practical ways to change entrenched systems. The quotes at the beginning of the chapters are from Will Rogers and Yoda and Anonymous: "Never be afraid to try something new. Remember, amateurs built the Ark. Professionals built the Titanic." The authors, Dr. Joanne Lynn, Janice Lynch Schuster, and Andrea Kabcenell, have a penchant for clear writing and well-organized outlines. The book is sponsored by the Center to Improve Care of the Dying and the Institute for Healthcare Improvement. If you are ready to start improving end-of-life care tomorrow, read the book today.
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