- Summary of contents
- Preface to the fourth edition
- Preface to the third edition
- Preface to the second edition
- Preface to the first edition
- Foreword
- Contributor affiliations
- SECTION 1 Introduction to the fourth edition: facing the challenges of continuity and change
- 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
- 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
- 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
- 5.1 Introduction
- 5.2 Confidentiality
- 5.3 Truth telling and consent
- 5.4 Palliative care in children: ethical and legal issues
- 5.5 Euthanasia and physician-assisted suicide
- 5.6 Withholding and withdrawing life-sustaining care
- 6.1 Communication with the patient and family in palliative medicine
- 6.2 Talking with families and children about the death of a parent
- 6.3 Communication between professionals
- 6.4 Communication with the public, politicians, and the media
- 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
- 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
- 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
- 10.2.1 Palliation of nausea and vomiting
- 10.2.2 Dysphagia, dyspepsia, and hiccup
- 10.2.3 Constipation and diarrhoea
- 10.2.4 Pathophysiology and management of malignant bowel obstruction
- 10.2.5 Jaundice, ascites, and encephalopathy
- 10.3.1 Classification and pathophysiology of the anorexia–cachexia syndrome
- 10.3.2 Classification, clinical assessment, and treatment of the anorexia–cachexia syndrome
- 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
- 10.7.1 Skin problems in palliative medicine
- 10.7.2 Skin problems in palliative care—nursing aspects
- 10.7.3 Lymphoedema
- 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
- 11.1 Palliative medicine in malignant respiratory diseases
- 11.2 Palliative issues in the care of patients with cancer of the head and neck
- 11.3 Primary brain tumours
- 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
- 13.1 Children in palliative medicine: an overview
- 13.2 Pain control
- 13.3 Symptom control in life-threatening illness in children
- 13.4 Psychological adaptation of the dying child
- 13.5 Bereavement issues and staff support
- 14.1 Palliative medicine in dementia
- 14.2 Palliative medicine in older adults
- 15.1 Spiritual issues in palliative medicine
- 15.2 The emotional problems of the patient in palliative medicine
- 15.3 The family perspective
- 15.4 The stress of professional caregivers
- 15.5 Psychiatric symptoms in palliative medicine
- 15.6 Bereavement
- SECTION 16 Medical rehabilitation and the palliative care patient
- SECTION 17 Complementary therapies in palliative medicine
- 18.1 Palliative care in the home: an overview
- 18.2 Palliative care in the home: North America
- 19.1 The terminal phase
- 19.2 Sedation in palliative medicine
- 20.1 Introduction
- 20.2 Postgraduate education in palliative medicine
- 20.3 Education and training in palliative medicine: training specialists in palliative medicine
- 20.4 The role of the humanities in palliative medicine
- 20.5 Informatics in palliative medicine
- Index
International progress in creating palliative medicine as a specialized discipline
- Chapter:
- International progress in creating palliative medicine as a specialized discipline
- Author(s):
David Clark
This chapter begins with a retrospective of the international progress made in creating palliative medicine as a specialized discipline. There is growing evidence of increased palliative care development around the world, but progress is uneven and many regions are still underserved. The next section puts this progress into a global context, giving evidence of varying levels of palliative care development around the world. In the final section palliative medicine is discussed in the context of countries that grant it specialty or sub–specialty recognition. The 35 countries with the highest level of palliative care development are also those in which the most substantial strides have been made towards specialty recognition for palliative medicine. The International Observatory on End of Life Care archives contain evidence of just 17 countries worldwide that have established palliative medicine as a specialty or sub–specialty.
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- Summary of contents
- Preface to the fourth edition
- Preface to the third edition
- Preface to the second edition
- Preface to the first edition
- Foreword
- Contributor affiliations
- SECTION 1 Introduction to the fourth edition: facing the challenges of continuity and change
- 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
- 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
- 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
- 5.1 Introduction
- 5.2 Confidentiality
- 5.3 Truth telling and consent
- 5.4 Palliative care in children: ethical and legal issues
- 5.5 Euthanasia and physician-assisted suicide
- 5.6 Withholding and withdrawing life-sustaining care
- 6.1 Communication with the patient and family in palliative medicine
- 6.2 Talking with families and children about the death of a parent
- 6.3 Communication between professionals
- 6.4 Communication with the public, politicians, and the media
- 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
- 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
- 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
- 10.2.1 Palliation of nausea and vomiting
- 10.2.2 Dysphagia, dyspepsia, and hiccup
- 10.2.3 Constipation and diarrhoea
- 10.2.4 Pathophysiology and management of malignant bowel obstruction
- 10.2.5 Jaundice, ascites, and encephalopathy
- 10.3.1 Classification and pathophysiology of the anorexia–cachexia syndrome
- 10.3.2 Classification, clinical assessment, and treatment of the anorexia–cachexia syndrome
- 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
- 10.7.1 Skin problems in palliative medicine
- 10.7.2 Skin problems in palliative care—nursing aspects
- 10.7.3 Lymphoedema
- 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
- 11.1 Palliative medicine in malignant respiratory diseases
- 11.2 Palliative issues in the care of patients with cancer of the head and neck
- 11.3 Primary brain tumours
- 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
- 13.1 Children in palliative medicine: an overview
- 13.2 Pain control
- 13.3 Symptom control in life-threatening illness in children
- 13.4 Psychological adaptation of the dying child
- 13.5 Bereavement issues and staff support
- 14.1 Palliative medicine in dementia
- 14.2 Palliative medicine in older adults
- 15.1 Spiritual issues in palliative medicine
- 15.2 The emotional problems of the patient in palliative medicine
- 15.3 The family perspective
- 15.4 The stress of professional caregivers
- 15.5 Psychiatric symptoms in palliative medicine
- 15.6 Bereavement
- SECTION 16 Medical rehabilitation and the palliative care patient
- SECTION 17 Complementary therapies in palliative medicine
- 18.1 Palliative care in the home: an overview
- 18.2 Palliative care in the home: North America
- 19.1 The terminal phase
- 19.2 Sedation in palliative medicine
- 20.1 Introduction
- 20.2 Postgraduate education in palliative medicine
- 20.3 Education and training in palliative medicine: training specialists in palliative medicine
- 20.4 The role of the humanities in palliative medicine
- 20.5 Informatics in palliative medicine
- Index