This very accessible, straightforward book helps to allay those concerns and enables pre-registration students to prepare confidently for the challenges they will face when they are caring for dying patients and supporting their families. Each chapter is based on a different and realistic scenario - reflecting a range of circumstances - to demonstrate the essential generic knowledge and skills they need to develop, and draws out the important practical and theoretical issues students should consider and address if patients and their families are to receive the best possible care. Written by two experienced palliative care lecturer/practitioners, and mapping closely to the NMC's 2010 domains, End-of-Life Nursing Care is tailored to the needs of student nurses working with adult patients. Annie Pettifer and Joanna de Souza explore the importance of their role in end-of-life care and how this interfaces with the roles of other multidisciplinary professionals involved in the care of their patients. It will also be helpful to students of other health care professions and support newly-qualified healthcare professionals working in adult health.

Managing Physical Symptoms

Managing Physical Symptoms

Managing physical symptoms
Joanna De Souza

This chapter will explore:

  • The aims of symptom control at the end of life
  • The common physical symptoms that cause distress at the end of life
  • Assessing and managing symptoms


Looking after someone who is uncomfortable or distressed is always difficult, particularly when you have given them all the medication they are prescribed and the symptoms don't go away. Often we are looking after patients in busy environments when there doesn't always seem to be time to ask someone more senior to come and give advice.

Good symptom control is one of the key features of palliative and end-of-life care. If we return to the definition of palliative care from the World Health Organisation, this states that: ‘Palliative care is the relief ...

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