Teamwork in Palliative Care: Fulfilling Or Frustrating?

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Peter W. Speck
Oxford University Press, 2006 - Language Arts & Disciplines - 223 pages
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Teamwork is a complex but essential component of palliative care. The needs of people diagnosed with life threatening disease will vary greatly over time, and it is rarely possible for just one professional to be able to provide adequate care. In order to ensure an holistic approach, thewhole multi-disciplinary team must be involved.Inevitable questions arise from such an approach, and this book seeks to address these. How does a team come into being? What different formats are there? How might the patient contribute to the effectiveness of their care and the way in which the team operates? What are the difficulties andfrustrations encountered in developing and maintaining such teams? What models of working and styles of leadership have developed? How are power and authority handled within the team setting? The importance of team building, training, support, attention to group process, and stress management toprotect the mental health of the team are explored. The ethical issues inherent in palliative care such as consent, autonomy, confidentiality, decision making within teams, and the legal implications of such are also discussed. The book concludes with one important question - do we know if teams arethe most effective way of providing care?This book addresses key issues surrounding the role of the team in palliative care, and is an essential guide to reappraising the importance of collaborative teamwork, and enhancing understanding of existing team structures.

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1 Introduction
2 Team or groupspot the difference
3 The effect of the setting on the work of the team
4 User involvementthe patient and carer as team members?
5 Leaders and followers
6 Sitting close to death
7 Maintaining a healthy team
how why and where?
9 Communicationan essential tool for team hygiene
10 Training in the interdisciplinary environment
11 Ethical issues in multidisciplinary teamwork within palliative care
12 Legal issues of multiprofessional teamwork
13 Team effectiveness
14 Conclusion

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About the author (2006)

Reverend Prebendary Peter Speck has been a member of a Research Ethics Committee and co-chair of Clinical Ethics Group. He was previously on the editorial board of 'Palliative Medicine' and 'Guidance on Supportive Care in Palliative Care within the UK' (NICE).

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