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This new edition provides the essential clinical guidance both for
those embarking upon a career in palliative medicine and for those
already established in the field. A team of international experts
here distil what every practitioner needs to know into a practical
and reliable resource.
The Oxford American Handbook of Hospice and Palliative Medicine and
Supportive Care is an easily-navigable source of information about
the day-to-day management of patients requiring palliative and
hospice care. The table of contents follows the core curriculum of
the American Board of Hospice and Palliative Medicine, thus meeting
the educational and clinical information needs of students,
residents, fellows, and nurse practitioners. Succinct,
evidence-based, topically-focused content is supplemented by
extensive tables, algorithms, and clinical pearls. This edition
includes new sections on grief and bereavement, medical marijuana,
and physician assisted suicide, and has been updated throughout to
incorporate National Consensus Project for Quality Palliative Care
Clinical Practice Guidelines.
Nutrition, appetite, and involuntary weight loss are issues that
affect a large number of cancer patients and cancer survivors.
Aspects such as symptom management, behavioural modification,
exercise and medication are all important aspects of cancer care,
but nutritional issues at the end of life can be accompanied by
contentious ethical factors as well as religious and cultural
influences that need to be addressed by health professionals. This
book enables physicians, nurses and also dieticians to better
discuss these complex issues with patients and their families.
This comprehensive reference book provides both background
information and practical, clinical advice for managing the cancer
patient at all stages of their disease trajectory. It includes
information that relates to patients who are continuing to receive
disease-specific therapy, the cancer survivor, as well as patients
with advanced or recurrent cancer receiving palliative care.
Basic principles such as epidemiology and physiology set the scene,
leading into the cachexia/anorexia syndrome, treatment options,
nutritional counselling, enteral and parenteral nutrition,
complementary/alternative therapies, exercise, clinical outcomes
measures in each of the clinical groups, and focus on special
populations and their specific needs. Multidimensional,
interdisciplinary clinical evaluation and treatment is emphasised,
and ethical, religious, and cultural factors are also addressed.
Multidisciplinary in nature, this book draws on the experience of
the editors' work across the fields of oncology, palliative care,
surgery, primary care, nursing, dietetics and nutritional science.
It will prove invaluable to all general practitioners, internists,
medical oncologists and surgeons, nurses, palliative care
specialists and related professionals involved in the care of the
cancer patient.
Patients with advanced cancer may develop a number of clinical
complications related to tumor progression or a variety of
aggressive treatments. The majority of these patients are elderly,
often with multiple co-morbidities that require appropriate
assessment and management. In the palliative stage of their
disease, patients undergo a progressive transition from active
acute care to community-based hospice care. This transition
requires modification in the diagnostic tests, monitoring
procedures and pharmacological treatments to adjust them to the
palliative and short-term nature of the care. Internal Medicine
Issues in Palliative Cancer Care looks at internal medicine through
a prognosis-based framework and provides a practical approach to
maximizing comfort and quality of life while minimizing aggressive
investigations and therapies for patients with life-limiting
disease. Forty-six common internal medicine conditions are
organized into nine clinical categories: pulmonary, cardiovascular,
nephrologic and metabolic, gastrointestinal, hematologic,
infectious, endocrine, rheumatologic, and neuro-psychiatric. This
evidence-based resource is ideal for educating clinicians
delivering palliative care to cancer patients in acute care
facilities about complex internal medicine problems,
decision-making regarding diagnostics and therapeutics which
require a good understanding of state-of-the-art internal medicine
and palliative care principles.
The rapidly evolving field of Palliative Care focuses on the management of phenomena that produce discomfort and that undermine the quality of life of patients with incurable medical disorders. The interdisciplinary clinical purview includes those factors - physical, psychological, social, and spiritual - that contribute to suffering, undermine the quality of life, and prevent a death with comfort and dignity. Palliative Care is a fundamental part of clinical practice, the "parallel universe" to therapies directed at cure or prolongation of life. All clinicians who treat patients with chronic life threatening diseases are engaged in palliative care, continually attempting to manage complex symptomatology and functional disturbances. The scientific foundation of palliative care is advancing, and similarly, methods are needed to highlight, for practioners at the bedside, the findings of empirical research. Topics in Palliative Care Series is divided into sections that address a range of issues. Addressing aspects of sumptom control, psyshocsoical functioning, spiritual or existential concerns, ethics, and other topics, the chapters in each section review the given area and focus on a small number of salient issues for analysis. The authors present and evaluate existing data, provide a context drawn from clinical and research settings, and integrate knowledge in a manner that is both practical and readable. The specific topics covered in Volume 5 are Cultural issues in Palliative Care, Palliative Care in Geriatrics, Communication Issues in Palliative Care, Outcomes Research in Palliative Care, Opiod Tolerance; Reality of Myth?, and Pain and other symptoms: Treatment Challenges.
This is the fourth book in a series devoted to research and
practice in palliative care. This rapidly evolving field focuses on
the management of phenomena that produce discomfort and undermine
the quality of life of patients with incurable medical disorders.
To highlight the diversity in this field, each volume is divided
into sections that address a range of issues. Various sections
discuss aspects of symptom control, psychosocial functioning,
spiritual orr existential concerns, ethics, and other topics. The
four sections in this volume are; Survival Estimation in Palliative
Care, Education and Training in Palliative Care, Procoagulant and
Anticoagulant Therapy in Palliative Care, and Issues in the
Assessment and Management of Common Symptoms. The authors present
and evaluate existing data, provide a context drawn from both the
clinic and research, and integrate knowledge in a manner that is
both practical and readable.
Palliative care is rapidly evolving as a multidimensional therapeutic model devoted to improving the quality of life of all patients with life-threatening illness. Symptom control, management of psychosocial and spiritual concerns, decision making consistent with values and goals, and care of the imminently dying that is appropriate and sensitive to the unique needs of the individual and family - these are among the critical issues addressed through palliative care. As this discipline has evolved, the need for research in all these areas has become widely acknowledged. Issues in Palliative Care Research describes both the progress that already has been made in the investigation of these issues and the methodological elements that must be addressed in future studies. The perspective is broad and the overriding goal is to inform about the state of the art in these rapidly evolving areas of research.
Currently, there is no comprehensive source of information available to non-specialist physicians and nurses providing end-of-life care for advanced cancer patients at a level between specialist oncology texts and nursing texts. Two eminent physicians from one of the world's foremost cancer centers have drawn together a remarkable team to provide a handbook which covers the full range of problems non-specialists will encounter. This highly accessible text covers general principles in oncology, each of the primary tumors, and management of specific symptoms and syndromes.
Palliative care is a rapidly evolving field focused on the
management of problems that undermine the quality of life of
patients with progressive incurable medical disorders. It is
fundamentally concerned with all factors- physical, psychological,
social, and spiritual- that contribute to suffering, and prevent a
death with comfort and dignity. Palliative care is a fundamental
aspect to good clinical practice, the "parallel universe" to
therapies directed at cure or prolongation of life. All clinicians
who treat patients with chronic life-threatening diseases are
engaged in providing palliative care, continually attempting to
manage complex symptomatology and functional disturbances.
The scholarly foundation of palliative care is advancing, and
resources are needed to highlight the findings of empirical
research. TOPICS IN PALLIATIVE CARE has been designed to meet the
need for enhanced communication in this field. To highlight the
diversity of concerns in palliative care, each volume of the TOPICS
IN PALLIATIVE CARE Series is divided into sections that address a
range of salient issues: symptom control, psychosocial functioning,
spiritual or existential concerns, and ethics. The authors present
and evaluate existing data, provide a context drawn from both the
clinical and research settings, and integrate knowledge in a manner
that is both practical and readable. The specific topics in this
volume are: Pediatric Palliative Care, Management of Bone Pain,
Psychopathology in Patients with Cancer, and Skin Disorders and
their Management.
The rapidly evolving field of Palliative Care focuses on the
management of phenomena that produce discomfort and that undermine
the quality of life of patients with incurable medical disorders.
The interdisciplinary clinical purview includes those factors -
physical, psychological, social, and spiritual - that contribute to
suffering, undermine quality of life, and prevent a death with
comfort and dignity. Palliative Care is a fundamental part of
clinical practice, the "parallel universe" to therapies directed at
cure or prolongation of life. All clinicians who treat patients
with chronic life-threatening diseases are ingaged in palliative
care, continually attempting to manage complex symptomatology and
functional disturbances.
The scientific foundation of palliative care is advancing, and
similarly, methods are needed to highlight, for practitioners at
the bedside, the findings of empirical research. TOPICS IN
PALLIATIVE CARE has been designed to meet the need for enhanced
communication in this field.
To highlight the diversity of concerns in palliative care, each
volume of the TOPICS IN PALLIATIVE CARE Series is divided into
sections that address a range of issues. Addressing aspects of
symptom control, psychosocial functioning, spiritual or existential
concerns, ethics, and other topics, the chapters in each section
review the given area and focus on a small number of salient issues
to analysis. The authors present and evaluate existing data,
provide a context drawn from both the clinical and research
settings, and integrate knowledge in a manner that is both
practical and readable. The specific topics covered in Volume 2 are
Neuropathic Pain, Cachexia/Anorexia, Asthenia, and Psychological
Issues in the Caregiver.
Palliative care, which focuses on the management of phenomena that produce discomfort and otherwise undermine the quality of life of patients with incurable medical disorders, is a clinical specialty that is just beginning to define itself in the United States. This first volume in the Supportive Care Medicine series will discuss palliative care topics, such as pharmacotherapy of pain, adjustments to cancer, management of delirium, and gastrointestinal disorders.
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