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There is increasing recognition of the burden of venous
thromboembolism (VTE) in patients with advanced incurable disease
and the clinical, ethical, and philosophical challenges they may
pose. With a growing elderly population and oncological therapies
helping patients live longer with malignant disease, VTE is likely
to be an ongoing problem. Whilst presentation, diagnosis, and
treatment of VTE in general medicine is well established, its
management within the palliative care setting is less clear-cut.
Clinical presentation is often masked by other palliative symptoms,
and symptoms can be consistent with those of other conditions;
diagnosis is therefore underappreciated, and the condition can be
difficult to manage.
Bringing together contributions from international experts in the
field of VTE and palliative care, this book explores the increasing
challenges faced by healthcare professionals when managing VTE in
advanced disease. Topics such as the epidemiology and pathogenesis
of the condition are discussed. It appraises the current evidence
informing the prevention, diagnosis, and treatment of VTE, with
particular emphasis on its application to patients with incurable
malignancy and non-malignant disease. Chapters are illustrated with
key learning points and, where appropriate, case studies are
presented to illustrate the decision-making processes that may
occur when balancing the evidence with its impact on patient
quality of life.
This practical resource is invaluable for healthcare professionals
working in all areas of medicine where patients with advanced
cancer and non-malignant disease are cared for.
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