By Kenneth J. Doka PhD

"Counseling people with Life-Threatening Illness offers a realistic consultant for counselors who paintings with consumers and households impacted via life-threatening disease. The language and content material are applicable for undergraduate and graduate classes, in addition to workshops and trainings for professionals....As the healthcare process keeps to adapt, Counseling people with Life-Threatening Illness is a precious source for counselors as they locate themselves engaged on interdisciplinary groups with members and households impacted by means of life-threatening illness."--The expert Counselor Journal

"With attribute readability, Doka attracts at the vintage and modern literature in addition to his personal pedagogy and perform in loss of life and loss of life to provide orienting thoughts for the entire spectrum of care humans might require while disease intrudes into their lives. for every section of the disorder trajectory...he deals clever recognition to the issues and customers humans confront, and in numerous examples of exact scientific events he brings to existence the techniques that tell compassionate care."

From the Foreword through Robert A. Neimeyer, PhD
collage of Memphis

"This e-book would offer an excellent creation to the psychosocial and non secular domain names for any general practitioner or nurse getting into palliative care. It presents loads of details, combined with a few distilled knowledge, in addition to a fantastic grounding approximately how you can relate to those sufferers and their households in a patient-centered way."--IAHPC e-newsletter (International organization for Hospice and Palliative Care)

This holistic, family-centered consultant to counseling people with life-threatening disease considers not just the actual manifestations of the affliction, yet its mental, social, fiscal, and religious implications. Revised and up to date to mirror the most up-tp-date study and stronger theoretical improvement, this moment version encompasses new cures that increase meaning-making at life's finish, and gives elevated sections on counseling households throughout the disease and as they grieve. one of many book's most vital alterations consists of the variation of a version of concurrent care. This version of care has nice implications for end-of-life care, bridging the divide among therapy that's essentially palliative and remedy that seeks to treatment or expand existence.

Comprehensive and functional, the e-book discusses such social and mental elements as gender, race, ethnicity, social type, schooling, and intelligence, and the way they tell the adventure of gravely sick humans. The preliminary quandary of prognosis is addressed besides detailed concerns should you dwell with continual sickness, those who find themselves terminally sick, and those that get well.

New to This Edition:

  • Generational variations as a resource of variety
  • Expanded sections regarding meaning-making recommendations (dignity-enhancement remedy, dwelling eulogies, memory treatment, lifestyles evaluation, meaning-centered treatment, moral/ethical matters, and middle wills)
  • Discussion of end-of-life phenomena and how you can support sufferer and relatives in analyzing and responding to them
  • Enhanced assurance of caregiver matters
  • Expanded dialogue of spirituality
  • Additional behavioral concepts to aid ache administration
  • Anticipatory mourning
  • Post-death grief for relatives
  • Chronic care and rehabilitation
  • Incorporates Rand examine on Concurrent Care and different new versions

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Extra resources for Counseling Individuals with Life Threatening Illness, Second Edition

Example text

SENSITIVITY TO THE PROBLEM OF PAIN AND DISCOMFORT Pain will be a major focus of attention for individuals experiencing severe symptoms or physical discomfort, leaving them little energy for anything else. Intense pain can exacerbate psychological distress, disrupt social relationships, and intensify spiritual alienation, but none of these issues can be addressed until individuals achieve at least minimal comfort. One of the most important tasks of caregivers is to help individuals who are experiencing pain to achieve a reasonable degree of physical comfort.

It is better to say nothing than to provide people with partial information that can only increase their anxieties. Full disclosure, with time allotted for discussion, is the only way to present unsettling news. There is a nonverbal dimension to open communication as well. The caregiver needs to convey both by the use of space and demeanor as well as words that he and she welcomes communication. Providing privacy, maintaining eye contact, and, when appropriate and acceptable including reassuring physical contact, all facilitate communication.

A woman facing a mastectomy may believe her sexual life is over. Individuals may fear that disease will lead to financial impoverishment and familial disintegration. Even meanings of death can differ. To some, death can be the great enemy, to be fought at all costs. Others may be resigned to death. Some may fear death greatly; others may show less anxiety. Some may see death as an entry to a new form of existence; others as the end of existence. Images arise from a number of sources. Individuals may have had different experiences with death.

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