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Contents
- Front Matter
- SECTION 1 Introduction to the fourth edition: facing the challenges of continuity and change
- SECTION 2 The worldwide status of palliative care
- 2.1 International progress in creating palliative medicine as a specialized discipline
- 2.2 Lessons learned from hospice in the United States of America
- 2.3 Providing palliative care in resource-poor countries
- 2.4 Ensuring palliative medicine availability: the development of the IAHPC list of essential medicines for palliative care
- SECTION 3 The challenge of palliative medicine
- 3.1 The problem of suffering and the principles of assessment in palliative medicine
- 3.2 The epidemiology of the end-of-life experience
- 3.3 Predicting survival in patients with advanced disease
- 3.4 Palliative medicine and modern cancer care
- 3.5 Barriers to the delivery of palliative care
- 3.6 Defining a ‘good death’
- 3.7 Ethnic and cultural aspects of palliative medicine
- 3.8 The economic challenges of palliative medicine
- SECTION 4 The interdisciplinary team
- 4.1 The core team and the extended team
- 4.2 Nursing and palliative care
- 4.3. Social work in palliative medicine
- 4.4 The role of the chaplain in palliative care
- 4.5 The contribution of occupational therapy to palliative medicine
- 4.6 The contribution of music therapy to palliative medicine
- 4.7 The contribution of the dietitian and nutritionist to palliative medicine
- 4.8 Physiotherapy in palliative care
- 4.9 The contribution of speech and language therapy to palliative medicine
- 4.10 The contribution of art therapy to palliative medicine
- 4.11 The contribution of the stoma nurse specialist to palliative care
- 4.12 The contribution of clinical psychology to palliative care
- 4.13 The contribution of the clinical pharmacist in palliative care
- SECTION 5 Ethical issues
- SECTION 6 Communication and palliative medicine
- SECTION 7 Research in palliative medicine
- 7.1 Research in palliative care
- 7.2 The principles of evidence-based medicine
- 7.3 Understanding clinical trials in palliative care research
- 7.4 Qualitative research
- 7.5 Research into psychosocial issues
- 7.6 Ethical issues in palliative care research
- 7.7 The measurement of pain and other symptoms
- 7.8 Quality of life in palliative care-principles and practice
- 7.9 Measurement of pain and other symptoms in the cognitively impaired
- 7.10 Clinical and organizational audit and quality improvement in palliative medicine
- SECTION 8 The principles of drug use in palliative medicine
- SECTION 9 Disease-modifying management in advanced cancer
- 9.1 The medical treatment of cancer in palliative care
- 9.2 Radiotherapy in symptom management
- 9.3 The role of general surgery in the palliative care of patients with cancer
- 9.4 The role of orthopaedic surgery in the palliative care of patients with cancer
- 9.5 The role of interventional radiology in the palliative care of patients with cancer
- SECTION 10 The management of common symptoms and disorders
- 10.1 The management of pain
- 10.1.1 Pathophysiology of pain in cancer and other terminal illnesses
- 10.1.2 Pain assessment and cancer pain syndromes
- 10.1.3 Neuropathic pain
- 10.1.4 Cancer-induced bone pain
- 10.1.5 Breakthrough pain
- 10.1.6 Opioid analgesic therapy
- 10.1.7 Non-opioid analgesics
- 10.1.8 Adjuvant analgesics in pain management
- 10.1.9 Injections, neural blockade, and implant therapies for pain control
- 10.1.10 The role of surgical neuroablation for pain control
- 10.1.11 Treating pain with transcutaneous electrical nerve stimulation
- 10.1.12 Acupuncture
- 10.1.13 Psychological and psychiatric interventions in pain control
- 10.2 Gastrointestinal symptoms
- 10.3 Weight loss in palliative medicine
- 10.4 Fatigue and asthenia
- 10.5 Clinical management of anaemia, cytopenias, and thrombosis in palliative medicine
- 10.6 Pruritus and sweating in palliative medicine
- 10.7 Skin problems in palliative medicine
- 10.8 Genitourinary problems in palliative medicine
- 10.9 Mouth care
- 10.10 Endocrine and metabolic complications of advanced cancer
- 10.11 Neurological problems in advanced cancer
- 10.12 Sleep in palliative care
- 10.13 Withdrawing life support: clinical advice for challenging scenarios
- 10.14 Clinical management of bleeding complications
- 10.1 The management of pain
- SECTION 11 Issues in specific neoplastic disease
- SECTION 12 Palliative medicine in non-malignant disease
- 12.1 Palliative medicine in non-malignant disease
- 12.2 HIV/AIDS in adults
- 12.3 Palliative care in non-malignant, end-stage respiratory disease
- 12.4 Palliative care for patients with end-stage heart disease
- 12.5 Palliative care in non-malignant neurological disorders
- 12.6 Palliative medicine in end-stage renal failure
- 12.7 Palliative medicine in intensive care
- SECTION 13 Paediatric palliative medicine
- SECTION 14 Geriatric palliative medicine
- SECTION 15 Psychiatric, psychosocial, and spiritual issues in palliative medicine
- SECTION 16 Medical rehabilitation and the palliative care patient
- SECTION 17 Complementary therapies in palliative medicine
- SECTION 18 Palliative care in the home
- SECTION 19 The terminal phase
- SECTION 20 Education and training in palliative medicine
- End Matter