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While many effective interventions have been developed with the potential to significantly reduce morbidity and mortality from cancer, they are of no benefit to the health of populations if they cannot be delivered. In response to this challenge, Advancing the Science of Implementation across the Cancer Continuum provides an overview of research that can improve the delivery of evidence-based interventions in cancer prevention, early detection, treatment, and survivorship. Chapters explore the field of implementation science and its application to practice, a broad synthesis of relevant research and case studies illustrating each cancer-focused topic area, and emerging issues at the intersection of research and practice in cancer. Both comprehensive and accessible, this book is an ideal resource for researchers, clinical and public health practitioners, medical and public health students, and health policymakers.Less

Cancer caregivers are an essential extension of the healthcare team. Rapid advances in cancer care, including new drugs and immunotherapies and more sophisticated diagnostic tools, have improved our ability to extend lives and enhance survival. As patients are living longer and with today’s shorter hospital stays and shift towards increased outpatient care, however, the burden on caregivers and their needs have substantially increased. Cancer Caregivers reveals the depth of complexities of caregiving experiences that the field of Psycho-Oncology has been exploring and the vast expanses we have left to understand. This text describes the characteristics and experiences of cancer caregivers based on their life stage, relationship to the patient, and ethnic group membership, as well as patients’ disease and treatment type. It highlights the significant progress in research focused on the development and dissemination of psychosocial interventions for cancer caregivers, and includes in-depth case studies to illustrate their delivery and application. The text also explores the provision of support to caregivers in the community and the legal and ethical concerns faced by caregivers across the care trajectory. Cancer Caregivers offers both fundamental and practical information and is a resource for all healthcare professionals who work with patients and families facing cancer.Less

The Clinical Pocket Guide to Advanced Practice Palliative Nursing is a companion guide to Advanced Practice Palliative Nursing, the first text devoted to advanced practice nursing care of the seriously ill and dying. Each chapter of this pocket guide presents point-of-care guidance on palliative care issues for quick reference in daily practice. Edited by leaders in the field, this handbook provides consistency in the nursing process from assessment to management and evaluation of symptoms and various clinical situations. The Clinical Pocket Guide to Advanced Practice Palliative Nursing contains clinical pearls developed from the textbook and practical tools on pain and symptom assessment, functional status, and communication, making it an ideal resource for practicing advanced practice nurses.Less

Compassion is a complex and multifaceted concept that has been explored from a range of cultural, philosophical, theological, and sociological perspectives. It can be considered a prerequisite for optimal health care, an expectation of the general public from their health care system, and a specific approach to care which should underpin the work of health care professionals globally. Given the nature of life-limiting illness and the challenges that shifting goals of care impose, the place of compassion as the underlying construct governing health care decisions would seem paramount. Yet there is an increasing concern-particularly in the UK media and recent reviews of clinical practices around end-of-life care-suggesting that somehow compassion has been lost as a governing principle of care giving. The reasons for this are not always clear, but increased clinical intervention, the over-professionalization of care, and lack of formal teaching on the topic of compassion are all indicated. Given the complex nature of care in advanced illness and life-limiting disease, the place of compassion within palliative and end-of-life care is worthy of further exploration to try to understand this phenomenon better. This book asks an international panel of expert palliative care practitioners to consider these issues for themselves and the discipline as we move into the 21st century. Through a series of interviews with some of the world’s experts in the field, the meaning, purpose, and outcome of providing compassionate care for palliative and end-of-life care is explored and critiqued. A critical commentary of themes raised by each contributor is discussed relative to the broader literature around the topic, and further reading and learning resources indicated for practitioners, educators, and students to follow up.Less

This resource discusses how a multidisciplinary and integrative approach to pain and analgesia should be considered by pain practitioners who treat patients with pain. Some familiarity with the cultural background of patients and self-awareness of the provider's own cultural characteristics will allow the pain practitioner to better understand patients' values, attitudes and preferences. This knowledge of patients' cultural practices and their impact on biological processes, including the origin and development of pain-related disease, can help to determine response to pharmacological and non-pharmacological treatments. Less

This resource concentrates on advanced dementia, and addresses issues such as pain management, decision-making, spiritual needs, communication, the Mental Health Capacity Act, dementia in the younger patient, and the carer's perspective.Less

Providing an overview of pharmacology and prescribing advice, this second edition contains over 160 drug monographs, presented in an A-Z format. Fully revised and updated, this detailed yet concise resource will appeal to all healthcare professionals involved in the provision of palliative care and medicines information. Less

This is a practical, accessible guide to all emergency situations encountered in palliative care. It provides clinical guidance for the management of people with progressive life limiting illnesses including cancer, AIDS, end-stage organ failure and neurodegenerative diseases. Less

End of life care in the ICU presents its own unique challenges, and this resource highlights real clinical issues which need to be addressed if quality palliative care within ICUs is to be consistently delivered.Less

No specialty faces more diverse and challenging ethical dilemmas than palliative medicine. What is the best way to plan ahead for the end of life? How should physicians respond when patients refuse treatments likely to be beneficial or demand treatments not likely to be? Who makes medical decisions for patients who are too ill to decide for themselves? Do patients have the “right to die” (and, if so, what exactly does that mean)? Other ethics texts have explored these issues but often from an academic perspective that overlooks the practical realities of clinical medicine. Conversely, medical textbooks frequently lack sufficient philosophical depth to fully explore the complexities of these issues. This complete guide to the ethics of palliative care combines clinical experience with philosophical rigor to provide a comprehensive analysis of this fascinating field. Using relevant case studies, core subjects such as intensive symptom management at the end of life, physician-assisted dying, and palliative sedation are examined from historical, legal, clinical, and ethical perspectives. Whereas pediatric issues are often an afterthought in palliative care textbooks, this guide explores the unique nature of ethical dilemmas in the prenatal, neonatal, and adolescent age groups. Other important topics such as neuro-palliative care, organ donation, research, and moral distress are also covered in detail. Written with clinical nuance for medical professionals—and clear language as well as a glossary for lay readers—this guide offers all readers an opportunity to explore and understand the fascinating ethical issues facing patients suffering from life-threatening illness.Less

This resource aims to provide clinicians with expert opinion on how to manage certain common scenarios involving opioid management of chronic pain. It provides the reader not only with an easy reference to the management of common clinical scenarios where opioids are involved, but also with in depth analysis of the difficult issues surrounding a treatment that is both uniquely effective and potentially harmful.Less

As cancer treatment has evolved toward precision medicine, psychosocial research and practices for cancer patients and their family members have also raised awareness of the need for a personalized, patient-focused, family-oriented approach in the psycho-oncology field. Gender in Psycho-Oncology is the first book of its kind to provide comprehensive views on the role of gender in the adjustment of the individual and the patient–caregiver pair when dealing with cancer. The text explores the significant role of gender in diverse pairings of genders between the patient and the caregiver. It also highlights the importance of age, generation, and sociocultural characteristics, as well as the illness trajectory and lifespan trajectory of the individual and the patient–caregiver pair, and an ongoing sociocultural movement that is changing social role expectations based on gender. Offering both fundamental and practical information, Gender in Psycho-Oncology is an ideal book for health care practitioners from a spectrum of disciplines in the psycho-oncology field.Less

The growing geriatric population has created an increasing need for palliative medicine services across the range of medical and surgical specialties, but palliative medicine lacks the resources to carry such a workload itself. This online resource addresses this need by encouraging individual specialties to address the management of the elderly with the same vigor as they address other key management competencies within their specialty. This clinically focused online resource encourages this process of learning and ownership across many medical specialties. It outlines specific strategies present is specific palliative care issues common in elderly patients, and also provides evidence-based advice for helping patients, relatives, and staff cope with such issues as polypharmacy, dementia and consent, multiple pathologies, home care, elderly caregivers, and supporting the elderly in the place where they would like to be.Less

Geriatric Psycho-Oncology is a comprehensive guide that provides best practice models for the management of psychological, cognitive, and social outcomes of older adults living with cancer and their families. Chapters cover a wide range of topics including screening tools and interventions, psychiatric emergencies and disorders, physical symptom management, communication issues, and issues specific to common cancer sites. A resource section is appended to provide information on national services and programs. This title features contributions from experts designed to help clinicians review, anticipate and respond to emotional issues that often arise in the context of treating older cancer patients. Numerous cross-references and succinct tables and figures make this concise reference easy to use.Less

Excellent end of life care for people with heart failure is challenging but possible. In easily digestible summaries, this resource presents practical advice about how and when to integrate a palliative care approach alongside standard heart failure management. Less

In the United States, the subspecialty of hospice and palliative medicine has seen rapid growth since it was recognized by the American Board of Medical Specialties. During the past decade, there has been a dramatic increase in the number of palliative care programs and improved access to palliative and hospice for patients with life-limiting illness. There has also been an increase in the educational opportunities as well as growth of fellowship programs to train palliative care fellows. Unfortunately, there are limited study aids available for learning and retaining essential concepts in palliative care. Hospice and Palliative Medicine and Supportive Care Flashcards is a comprehensive, evidence-based book of flashcards for clinicians caring for patients who require hospice and palliative care and supportive care. Written in a clinical scenario/vignette, question-and-answer format by experts with first-hand experience in the field, the flashcards are highly readable and serve as a source of fast answers to clinical questions in the field. A total of 300 flashcards are organized into chapters by disease and provide readers with up-to-date information that follows the core curriculum of American Board of Hospice and Palliative Medicine for ease of use and rapid review for exams. This book will equip care professionals with key concepts related to the assessment and management of palliative care, making it an ideal point-of-care quick reference for physicians, nurse practitioners, fellows, residents, and students.Less

Spiritual sickness troubles American medicine. Through a death-denying culture, medicine has gained enormous power—an influence it maintains by distancing itself from religion and spirituality, which too often remind us of our mortality. As a result of this separation of medicine from spiritual traditions, patients facing serious illness infrequently receive adequate spiritual care despite the large body of empirical data demonstrating its import to patient meaning-making, quality of life, and medical utilization. This secular–sacred divide also unleashes depersonalizing social forces through the market, technology, and legal-bureaucratic powers that reduce clinicians to tiny cogs in an unstoppable machine. Hostility to Hospitality is one of the first books of its kind to explore these hostilities threatening medicine and offer a path forward for the partnership of modern medicine and spirituality. Drawing from interdisciplinary scholarship including empirical studies, interviews, history and sociology, theology, and public policy, the authors argue for structural pluralism as the missing piece to changing hostility to hospitality.Less

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, renal and metabolic, gastrointestinal, hematologic, infectious, endocrine, rheumatologic, and neuro-psychiatric.Less

This resource provides practical guidance on end of life management for patients with renal disease. It is presented in easily accessible, bullet point style, and is illustrated with case histories from real life patients, and drug tables. Less

Landmark Papers in Pain offers a comprehensive inventory of over 80 key studies in pain medicine from the last 100 years. Pain medicine, a relatively new specialty, has proven increasingly relevant to medical practitioners in every field. The specialism of pain has emerged over the past 50 years, largely due to the persistence of experts and new medical evidence that points to its necessity. Today, it is a distinct and integral part of global medical practice. Each paper in this book is accompanied by a concise commentary on the significance of the original findings written by an expert in pain. The reviews discuss how the papers influenced the development of the speciality and how the findings have advanced our global comprehension of pain. Together, the selected papers and reviews chart the growth of an embryonic field into the modern speciality of pain medicine. Complied by leading specialists in the field, the papers included in this book are significant for any student, researcher, clinical practitioner, or medical historian interested in pain medicine. Organized into eight distinct topics and cross-referenced by topics and author of original paper, the book is comprehensive in its coverage and easy to use. A review of the contemporary and historical research that shaped the speciality of pain, Landmark Papers in Pain is essential reading for all medical practitioners with an interest in pain medicine and pain research.Less