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hospice care - perceptual, financial, and institutional
- and offers a two-pronged approach to addressing
such barriers for LGBTQ patients.
Chapter 4 describes a new LGBTQ-inclusive approach
to taking a comprehensive history that places the
primary emphasis on the patient as person.
Chapter 5 explains how to coordinate and facilitate a
family meeting focused on shared decision making,
how to use shared decision making for issues
surrounding palliative sedation, and how family
dynamics may play a role in the shared decisionmaking process.
Chapter 6 explains how to help patients and families
identify their own unique goals for care, how to use a
set of key questions to refocus interdisciplinary/
interprofessional team meetings on patient- and
family-centered outcomes of care, and how to
conduct an environmental and safety risk
assessment.
Chapter 7 provides an overview of the ethical principles
that guide practice, the elements of advance care
planning, and the legal issues that may have an impact
on LGBTQ individuals, in particular, as they navigate
serious and life-threatening illness and seek to remain
the authors of their own lives.
Chapter 8 provides specific, actionable strategies for
teaching patients and families about patient-care
skills, end-stage disease progression, pain and
symptom management, medication management,
disposal of supplies, and signs and symptoms of
imminent death.
Chapter 9 explains the developmental tasks of life
completion and life closure as well as the roles that
despair, hope, and meaning play in the context of
advanced illness. The chapter describes LGBTQinclusive assessment skills and supportive techniques
for addressing psychosocial and spiritual issues, and
explains how a spiritual/existential history and a
spiritual/existential assessment differ. Finally, this

NHPCO NewsLine | Fall 2017

chapter examines the ways in which the members of
the interdisciplinary/interprofessional team work in
collaboration with one another to support the patient
and family in achieving their goals for care in the
psychosocial and spiritual/existential domains.
Chapter 10 explains how to assess the structural
integrity of an institution's or program's bridge to
LGBTQ individuals and their families, and how to
construct that bridge in order to reach, welcome, and
serve LGBTQ individuals and families. After you have
finished reading Chapter 10, consider ways you can
encourage your organization to implement the types of
changes described.
At the back of the book, you will find a glossary of
important terms, a list of the references cited, and brief
biographies of the experts who reviewed and validated
the content. Additional resources, such as downloadable
pocket guides, can be found on the website for LGBTQInclusive Hospice and Palliative Care.
Printer-Friendly PDF

Acquaviva, Kimberly
LGBTQ-Inclusive Hospice and Palliative Care
dx.doi.org/10.17312/
harringtonparkpress/2017.03lgbtqihpc.00a
© 2017 by Kimberly Acquaviva
Kimberly D. Acquaviva, PhD, MSW, CSE is a
tenured faculty member at the George
Washington University School of Nursing. She is a
Certified Sexuality Educator (CSE) through
AASECT (American Association of Sexuality
Educators, Counselors, and Therapists). You can
learn more about her work at www.kimberlyacquaviva.com and you can find her on Twitter at
@kimacquaviva.

http://www.lgbtq-inclusive.com http://www.lgbtq-inclusive.com http://dx.doi.org/10.17312/ http://www.kimberly-acquaviva.com/ http://www.kimberly-acquaviva.com/ http://www.twitter.com/kimacquaviva

Table of Contents for the Digital Edition of NHPCO NewsLine Fall 2017