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* Hospice and Home Care
How We Die: Reflections on Life's Final Chapter [icon]
By Sherwin B. Nuland. An award-winning account by a noted surgeon describing in frank yet compassionate detail just what the death process is really like. Chapters cover different types of death and the signs of dying, making clear the processes and choices that go along with each one. It addresses both medical and emotional realities of common conditions such as cancer, heart disease, AIDS, Alzheimer's, severe trauma, and just plain wearing out. Available in hard and soft covers, as well as in an audio casette version.


* Palliative Medicine
Oxford Textbook Of Palliative Medicine (Second Edition) [icon]
Edited by Derek Doyle, Geoffrey Hanke, and Neil MacDonald. The second edition of "the Bible of palliative care" is a comprehensive medical textbook and reference volume covering most practical aspects of hospice comfort care for the terminally ill. Covers quality of life assessment, pain and symptom management, pediatric issues, nutrition, psychiatric issues, special roles of members of the caregiving team such as nurses, occupational therapists, and social workers, plus many other topics. Now available in paperback. Published April, 1999.

Hospice and Palliative Care [icon]
By Virginia F. Sendor and Patrice M. O'Connor. In an accessible question and answer format, the authors explain what hospice and palliative care is, describe the services offered to both patient and family (including children), discuss admission requirements, Medicare coverage, reimbursement issues, the resources available to patient and family, and how to locate these resources in the United States. Written with the patient and the patient's family in mind, this book is also a valuable resource for social workers, medical and nursing students, and health care professionals. Includes special sections on AIDS, Alzheimer's disease, advance directives, bereavement, the role of the physician, the role of volunteers, the concept of informed consent, and euthanasia. Published July 1997.

Toolkit of Instruments to Measure End of Life Care [icon]
Joan Teno, of the Center for Gerontology and Health Care Research at Brown University, and faculty and staff at the Center to Improve Care of the Dying, have assembled a comprehensive annotated bibliography of instruments to measure factors important to quality of care at the end of life. Instruments cover general quality of life, functional status, pain and physical symptoms, depression and other emotional states, survival time, appropriateness of aggressive care, cognitive status, advance care planning, spiritual well-being, system performance for end-of-life care, caregiver burden, grief, family satisfaction with care, and other factors. You can search the Growth House database from this site.

Hospice Care for Patients With Advanced Progressive Dementia [icon]
By Ladislav Volicer (Editor), Ann Hurley (Editor). An outstanding technical reference with contributions from twenty-seven specialists who cover a range of issues in care of patients with severe and terminal dementia. There is no cure for the progressive dementias and the afflicted person can live for from two to twenty years (average is eight).

Coma and Impaired Consciousness: A Clinical Perspective [icon]
By G. Bryan Young (Editor), Allan H. Ropper (Editor), Charles Bolton (Editor). This comprehensive text examines every aspect of coma, including related anatomy, physiology, neurochemistry, pharmacology, new diagnostic and therapeutic approaches, prognostic factors, and decision algorithms for clinical management. Throughout, the emphasis is on practical approaches to monitoring and management of coma and the special needs of comatose patients. Published April, 1998.

American Society For Parenteral and Enteral Nutrition (ASPEN) [icon]
A professional membership organization for physicians, nurses, dieticians, pharmacists, and other allied health care professionals involved with the provision of clinical nutrition therapies. The organization works to ensure that every patient receives optimal nutritional care. Web site has information and links related to artificial feeding and hydration. An extensive line of publications include clinical practice guidelines, nutrition support clinical pathways, patient education resources, and two professional journals. Also offers an electronic mailing list.


* Pain Management
StopPain.org [icon]
The Department of Pain Management and Palliative Care at Beth Israel Medical Center in New York provides high-quality, detailed information for both caregivers and professionals. Content includes an extensive line of print publications on hospice care, pain management, caregiving for special situations, bereavement, and related topics. The Program for Pain Due to Nerve Injury aims to improve the care of persons suffering with neuropathic pain conditions, such as postherpetic neuralgia, painful polyneuropathy, and other neurological problems. Materials on end-of-life care include helpful reviews of common physical symptoms such as fatigue and shortness of breath. The affiliated Jacob Perlow Hospice serves New York city.


* Death With Dignity
Dying Well [icon]
By Ira Byock, M.D. The author is a prominent spokesperson for the hospice movement and is president of the Academy of Hospice and Palliative Medicine. This book shows that the immediacy of death can give rare opportunities for emotional and spiritual growth. While presenting a compassionate look at how people can increase their control over health care at the end of life, Byock shares his opinions on the euthanasia debate, assisted suicide, vegetative states, and feeding tubes. Related web site is dyingwell.org.

Long Goodbye: The Deaths Of Nancy Cruzan [icon]
By Bill Colby. Author Bill Colby was the lawyer for the family of Nancy Cruzan, the only right-to-die case ever to come before the U.S. Supreme Court. Written with the drive of a novel, this absorbing memoir is a page-turner that lets us follow the Cruzan family during their agonizing struggle with removal of a feeding tube for their permanently-comatose daughter. Colby's clear narrative gives a no-nonsense introduction to troubling ethical questions of brain death, artificial nutrition and hydration, and medical interventions that can prolong physical existence long after the mind is gone. New paperback edition includes a discussion guide on advance care planning suitable for use in book clubs. Published 2002.


* General Bereavement
Living With Grief: When Illness Is Prolonged [icon]
Chronic illness and prolonged dying create special tensions that can be a terrible burden both for the person who is ill and those affected by the illness. Changes in role relationships have psychological and practical ripple effects throughout the extended family. Here's a compilation of resource materials provided by the Hospice Foundation of America, edited by Kenneth Doka. Articles cover disease-specific situations such as Alzheimer's, AIDS, and cognitive dementia. Published April 1997.


* Health Care Directories
Coping With Mild Traumatic Brain Injury [icon]
By Diane Roberts Stoler, Ed.D. A practical guide for professionals, families and individuals coping with acquired and traumatic brain injury. Neurological problems can complicate caregiving. The book covers many different aspects of brain trauma, including concussion, stroke and brain tumor. Published January, 1998.

The Brain Tumor Society [icon]
Supports research, education, and support for those affected by brain tumors. Web site includes FAQs, information on grants and funding opportunities, basic facts for patients and families, clinical trials, and links to related resources.

Traumatic Brain Injury (TBI) Chat Room [icon]
Provides information and chat room services related to traumatic brain injury. Includes special sections for children and teens, a discussion board, an ICQ list, and links related to caregiving, disability, neuropsychology, vestibular disorders, and support organizations. Connected to the Brain Injury Webring, which connects similar sites.

International Alliance of ALS/MND Associations [icon]
The International Alliance of ALS/MND Associations was formed in 1992 to represent the interests of people affected by amyotrophic lateral sclerosis/motor neurone disease. The site contains an on-line newsletter and other information, and an international directory of organisations for people with ALS/MND and their carers. Some of the text content is available in English, French and Spanish.


* Cancer
A Physician's Guide to Pain and Symptom Management in Cancer Patients [icon]
By Janet L. Abrahm, M.D. This clearly-written textbook for cancer care is suitable for both physicians and patients stresses the importance of reducing suffering at all stages of cancer care: at diagnosis, during curative therapy, and should curative efforts fail, at the end of life. Published 2000.

The Cancer Chemotherapy Handbook [icon]
Called the "Bible of Chemotherapy" by some, this new edition is concisely written yet comprehensive in scope. It's an authoritative practical guide to the more than 85 specific drugs currently used in cancer treatment. This edition includes new chapters on pediatric cancer therapy, high-dose chemotherapy with stem cell support, blood transfusion therapy, and pain management. The expanded index covers special toxicity criteria associated with transplantation. Published May, 1997.

Lippincott's Cancer Chemotherapy Handbook [icon]
By Delia C. Baquiran, Jean Gallagher. Published January 1998. 384 pages, spiral edition. This pocket-sized reference book is from Memorial Sloan-Kettering Cancer Center, New York City, NY. Covers current facts on chemotherapeutic drugs, including management of toxic side effects. A good quick reference for the student, oncology nurse, physician or pharmacist.

In The Country Of Illness [icon]
Robert Lipsyte's witty memoir of his struggle with testicular cancer is an unconventional mix of journalistic narrative and common sense advice on how he learned to live with serious illness. Lipsyte, a successful journalist and sportswriter, was diagnosed with this distinctive type of men's cancer at age 40. Overall, it's a strong account of how an active man faced serious illness, tacking the medical system with the same strength and energy that he brought to other areas of his life.

AJCC Cancer Staging Handbook [icon]
Pocket-sized manual for staging cancer at various anatomical sites. Excerpted from the AJCC Cancer Staging Manual, 5th edition. The gold standard for communicating staging information and completeness of pathology reports. Includes brief overviews of general topics in oncology such as epidemiology, pathology, surgery, radiation, and specific types of cancer. By Irvin D. Fleming. Published February, 1998.

The Management Of Terminal Malignant Disease [icon]
By Cicely Saunders and Nigel Sykes, Editors. The contributors (many from St. Christopher's Hospital, London) represent the various specialists in the interdisciplinary team providing palliative care for the terminally ill cancer patient. Published January, 1993.


* Eldercare
ALZwell Caregivers Site [icon]
An excellent resource for caregivers of the frail elderly, the memory impaired, and those with Alzheimer's, memory impairment, or dementia. Has good links to many related eldercare and dementia resources. This site has a touching personal feel that captures the heartache of supporting a loved one who is gradually slipping away. You can search the Growth House database from this site.

Alzheimer's Disease Society [icon]
Fact sheets, news and other materials from the UK care and research charity for people with Alzheimer's Disease and dementia.

Dancing on Quicksand [icon]
By Marilyn Mitchell. Here's a realistic memoir of what it's like to care for someone with progressive dementia, told from the point of view of a caretaker with no prior experience of this sort. The book tells how Mitchell cared for an elderly man increasingly afflicted by dementia. Gradual onset and worsening of dementia is a perplexing and common reality, and it is pictured well here. The Growth House book review includes audio excerpts read by the author.

Keeping Busy: A Handbook Of Activities For Persons With Dementia [icon]
By James R. Dowling. A book of occupational therapy ideas for use with persons with Alzheimer's Disease, AIDS dementia, and other forms of dementia. Most of the ideas are intended for use in group settings. Professionals working in such institutions, such as long-term care facilities and nursing homes, are the book's primary audience. Caregivers who have a family member at home may not find this book helpful since it assumes that care is being delivered in an institutional environment.

Reminiscence Reviewed [icon]
Joanna Bornat (Editor). The use of reminiscence and recall has become common in work with older people. This collection of professional essays examines the use of reminiscence therapy and life review in a variety of settings. Includes chapters on the use of reminiscience with persons suffering cognitive deficits such as dementia and Alzheimer's Disease. Published January, 1994.

California Registry's Retirement Housing, Assisted Living and Nursing Home Guide [icon]
Database and free referral service for all licensed retirement residences, assisted living , Alzheimer's care and residential care homes in the state of California.


* San Francisco Bay Area Resources
Family Caregiver Alliance [icon]
Provides support to caregivers of brain-impaired adults, including Alzheimer's disease, stroke, non-specific dementia, AIDS dementia, Parkinson's disease, traumatic brain injury and other disorders. Provides services to Californians statewide.


* Miscellaneous Resources
Washington Post: Life and Death Battle Plays Out In Virginia [icon]
A September 9, 1998, story on the difficult choices that familes face when confronted with persistent vegetative state situations. The story details the ethical dilemma faced by the Finn family of Virginia, which became embroiled in a legal battle over removal of father Hugh Finn's feeding tube. The story makes a strong case for documenting preferences for end of life care through the use of advance directives.

Traumatic Brain Injury Support Group List and Gopher [icon]
The ABI/TBI Information Project offers the TBI-SPRT E-Mail List and the Sasquatch ABI/TBI Gopher to provide information and caregiver support related to brain injuries. Some content is relevant to management of organic dementias.

Motor Neurone Disease Association (UK) [icon]
A national organisation in England, Wales and Northern Ireland dedicated to the support of people with MND. Motor Neurone Disease (MND) is the name given to a group of related diseases affecting the motor neurones in the brain and spinal cord. In most cases of MND, degeneration of both the upper and lower motor neurones occurs. This condition is called Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig's Disease.

Because We Care [icon]
The U.S. Administration on Aging offers this site to assist family caregivers in the United States. Content deals with the day-to-day challenges of caregiving for an older person or adult child with disabilities. Includes tips on housing options, home care, long-term care, Alzheimer's Disease, and related topics.

California Advocates for Nursing Home Reform [icon]
Advocacy organization looking out for the rights of long-term care residents in California. Web site has good consumer information about how to choose a nursing home, how to evaluate Residential Care for the Elderly (RCFE) agreements, tips on how to evaluate facility quality, special issues for dementia, and other helpful information.

Music Therapy In Dementia Care [icon]
By David Aldridge (Editor). This comprehensive guide reviews the use of music therapy with the elderly and people with dementia. The compilation draws on the diverse research and considerable personal experience of music therapists from around the world. The authors cite improvements in memory, health, and identity in those suffering from dementia, particularly Alzheimer's Disease. An essential resource for music therapists working with this population, and an interesting read for anyone working with dementia sufferers in a therapeutic context. Published 2000.

What If It's Not Alzheimer's? A Caregiver's Guide To Dementia [icon]
Edited by Lisa Radin and Gary Radin; Foreword by Murray Grossman, M.D., Ed.D. Although today the public all too often associates dementia symptoms with Alzheimer's disease, the medical profession can now distinguish various types of "other" dementias that also undermine cognitive abilities, often with onset at a younger age. This book is the first comprehensive guide dealing with frontotemporal dementia (FTD), one of the largest groups of non-Alzheimer's dementias.

A Place For Mom [icon]
Free referral service helping families find nursing homes, assisted living, Alzheimer's, retirement communities, and home care. Web site includes an online form you can use to help assess what type of assisting support needs you may have.


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