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Cancer Pain Relief and Palliative Care (Paperback)
Loot Price: R521
Discovery Miles 5 210
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Cancer Pain Relief and Palliative Care (Paperback)
Series: Technical Report Series, No 804
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Loot Price R521
Discovery Miles 5 210
Expected to ship within 10 - 15 working days
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This report considers what can - and should - be done to comfort
patients suffering from the distressing symptoms of advanced
cancer. Prepared by nine renowned experts in oncology, neurology,
pain management and nursing care, the book draws together the
evidence and arguments needed to define clear lines of action,
whether on the part of the medical and nursing professions or in
the form of national legislation. Throughout, arguments for
palliative care take their force from the magnitude of unrelieved
suffering currently borne by the majority of terminally ill
patients. Although methods for the relief of pain are emphasized,
other physical, psychological and spiritual needs for comfort are
also included in the report's comprehensive recommendations. The
report opens with a review of global trends in the incidence of
cancer and prospects for cure that show why, for many years to
come, palliative care will remain the only realistic, humane
treatment for many cancer patients. The concepts of palliative care
is explained in terms of its concern with quality of life and
comfort before death, emphasis on the family as the unit of care,
dependence on a teamwork approach, organizational components and
relationship to curative interventions. The relief of cancer pain
is considered in two sections. The first reviews the types of
cancer pain and factors influencing its severity, and explains the
simple, yet highly effective method of pain relief developed by
WHO. Because the WHO method requires the use of morphine and
codeine, the second section goes through the steps, including legal
and administrative procedures, required to assure the adequate
availability and use of opioids for medical purposes. Theoretical
problems, such as the risk that opioids will be diverted into
illicit channels or that patients will become addicted, are soundly
refuted. Subsequent sections concentrate on measures for the relief
of other physical symptoms, the psychosocial needs of the patient
and family, and the need for spiritual comfort. A section devoted
to ethics provides a number of important statements concerning the
legal and ethical distinction between killing the pain and killing
the patient, the need to recognize the limits of both medicine and
the patient's physical and moral resources, and the ethical
responsibility of the society that encourages home care to look
after the family care-givers as well as the patient. The report
takes a firm stand against the legalization of euthanasia.
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