Oxford Textbook of Palliative Medicine

Oxford Textbook of Palliative Medicine (5 ed.)

Edited by Nathan Cherny, Marie Fallon, Stein Kaasa, Russell K. Portenoy, and David C. Currow

Abstract

This new edition of the Oxford Textbook of Palliative Medicine has been thoroughly updated to offer a truly global perspective in this field, and new sections include information on assessment tools, care of patients with cancer, and the management of issues in the very young and the very old. It covers all the new and emerging topics, and the multi-disciplinary nature of palliative care is emphasized throughout, covering areas from ethical and communication issues, the treatment of symptoms, and the management of pain.

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Bibliographic Information

Publisher:: Oxford University Press

Print Publication Date:: Mar 2015

Print ISBN-13:: 9780199656097

Published online:: Apr 2015

DOI:: 10.1093/med/9780199656097.001.0001

Authors

Nathan Cherny, editor Norman Levan Chair of Humanistic Medicine; Associate Professor of Medicine (BGU); and Director, Cancer Pain and Palliative Medicine Service, Department of Medical Oncology, Shaare Zedek Medical Centre, Jerusalem, Israel

Marie Fallon, editor St Columba's Hospice Chair of Palliative Medicine, University of Edinburgh, Edinburgh Cancer Research Centre (CRUK), Western General Hospital, Edinburgh, UK

Stein Kaasa, editor Palliative Medicine Unit, Trondheim University Hospital, Norway

Russell K. Portenoy, editor Chief Medical Officer and Executive Director, MJHS Institute for Innovation in Palliative Care, New York, USA and Professor of Neurology, Albert Einstein College of Medicine, New York, USA

David C. Currow, editor Professor, Discipline of Palliative and Supportive Services, Flinders Centre for Clinical Change, Flinders University, Australia

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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

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Front Matter
- Preface
- List of Abbreviations
- List of Contributors
Section 1 The worldwide status of palliative care
- 1.1 International progress in creating palliative medicine as a specialized discipline and the development of palliative care Sheila Payne and Tom Lynch
- 1.2 Providing palliative care in economically disadvantaged countries M.R. Rajagopal and Reena George
- 1.3 Essential medicines for palliative care Liliana De Lima, Lukas Radbruch, and Eduardo Bruera
- 1.4 Policy in palliative care David C. Currow and Stein Kaasa
Section 2 The challenge of palliative medicine
- 2.1 The problem of suffering and the principles of assessment in palliative medicine Nathan I. Cherny
- 2.2 The epidemiology of death and symptoms: planning for population-based palliative care Megan B. Sands, Dianne L. O’Connell, Michael Piza, and Jane M. Ingham
- 2.3 Predicting survival in patients with advanced disease Paul Glare, Christian T. Sinclair, Patrick Stone, and Josephine M. Clayton
- 2.4 Defining a ‘good’ death Karen E. Steinhauser and James A. Tulsky
- 2.5 Ethnic and cultural aspects of palliative care LaVera Crawley and Jonathan Koffman
- 2.6 The economic challenges of palliative medicine Thomas J. Smith and J. Brian Cassel
Section 3 Service delivery issues in palliative care
- 3.1 Barriers to the delivery of palliative care Barry J.A. Laird
- 3.2 Palliative care delivery models Irene J. Higginson
- 3.3 Palliative care in the emergency department Paul L. DeSandre and Karen May
- 3.4 Palliative care in the nursing home Jane L. Phillips, Annmarie Hosie, and Patricia M. Davidson
Section 4 The interdisciplinary team
- 4.1 The core team and the extended team Dagny Faksvåg Haugen, Friedemann Nauck, and Augusto Caraceni
- 4.2 Teaching and training in palliative medicine Karen Forbes and Jane Gibbins
- 4.3 Nursing and palliative care Deborah Witt Sherman and David C. Free
- 4.4 Social work in palliative care Terry Altilio and Nina Laing
- 4.5 The role of the chaplain in palliative care George Handzo and Christina M. Puchalski
- 4.6 Occupational therapy in palliative care Jill Cooper and Nina Kite
- 4.7 Music therapy in palliative care Clare O’Callaghan
- 4.8 The contribution of the dietitian and nutritionist to palliative medicine Rosemary Richardson and Isobel Davidson
- 4.9 Physiotherapy in palliative care Anne M. English
- 4.10 Speech and language therapy in palliative care Tim Luckett and Katherine L.P. Reid
- 4.11 The contribution of art therapy to palliative medicine Michèle J.M. Wood
- 4.12 Stoma therapy in palliative care Jane Ellen Barr
- 4.13 Clinical psychology in palliative care Anja Mehnert
- 4.14 The contribution of the clinical pharmacist in palliative care Margaret Gibbs
- 4.15 Medical rehabilitation and the palliative care patient Deborah Julie Franklin and Andrea L. Cheville
- 4.16 Burnout, compassion fatigue, and moral distress in palliative care Nathan I. Cherny, Batsheva Werman, and Michael Kearney
- 4.17 Integrative oncology in palliative medicine Gary Deng and Barrie R. Cassileth
Section 5 Ethical issues
- 5.1 Human rights issues Frank Brennan and Liz Gwyther
- 5.2 Confidentiality Timothy W. Kirk
- 5.3 Neuro-palliative care and disorders of consciousness Joseph J. Fins and Barbara Pohl
- 5.4 Truth telling and consent Linda L. Emanuel and Rebecca Johnson
- 5.5 Ethics in paediatric palliative care Richard D.W. Hain
- 5.6 Dignity and palliative end-of-life care Harvey Max Chochinov, Susan E. McClement, and Maia S. Kredentser
- 5.7 Euthanasia and palliative care Lars Johan Materstvedt and Georg Bosshard
- 5.8 Withholding and withdrawing life-sustaining treatment (including artificial nutrition and hydration) Danielle N. Ko and Craig D. Blinderman
Section 6 Communication and palliative medicine
- 6.1 Communication with the patient and family Thomas W. LeBlanc and James A. Tulsky
- 6.2 Talking with families and children about the death of a parent Mari Lloyd-Williams and Jackie Ellis
- 6.3 Communication between professionals Jane deLima Thomas, Katie Fitzgerald Jones, Amanda Moment, and Janet Abrahm
- 6.4 Communications with the public, politicians, and the news media Barry R. Ashpole
Section 7 Assessment tools and Informatics
- 7.1 Palliative care needs assessment tools Afaf Girgis and Amy Waller
- 7.2 The measurement of, and tools for, pain and other symptoms Jane M. Ingham, Helen M. Moore, Jane L. Phillips, and Russell K. Portenoy
- 7.3 Informatics and Literature Search Jennifer J. Tieman and David C. Currow
- 7.4 Validated assessment tools for psychological, spiritual, and family issues Linda L. Emanuel, Richard A. Powell, George Handzo, Kelly Nichole Michelson, and Lara Dhingra
Section 8 Common symptoms and disorders
- 8.1 Fatigue and asthenia Sriram Yennurajalingam and Eduardo Bruera
- 8.2 Dyspnoea and other respiratory symptoms in palliative care Kin-Sang Chan, Doris M.W. Tse, and Michael M.K. Sham
- 8.3 Anaemia, cytopenias, and thrombosis in palliative medicine Nancy Y. Zhu and Cynthia Wu
- 8.4 Genitourinary aspects of palliative care Olivia T. Lee, Jennifer N. Wu, Frederick J. Meyers, and Christopher P. Evans
- 8.5 Oral care Andrew N. Davies
- 8.6 Sleep disorders Kyriaki Mystakidou, Irene Panagiotou, Efi Parpa, and Eleni Tsilika
- 8.7 The management of bleeding in palliative care Jose Pereira and Jennifer Brodeur
- 8.8 Sexual dysfunction: discussing patient sexuality and intimacy in palliative care Amanda Hordern
Section 9 Common symptoms and disorders: pain
- 9.1 Principles of drug therapy: focus on opioids Ruth Branford, Emily Wighton, and Joy Ross
- 9.2 Pathophysiology of pain in cancer and other terminal illnesses Richard M. Gordon-Williams and Anthony H. Dickenson
- 9.3 Definition and assessment of chronic pain in advanced disease Clare Rayment and Michael I. Bennett
- 9.4 Opioid therapy: optimizing analgesic outcomes Marie T. Fallon and Nathan I. Cherny
- 9.5 Opioid therapy: managing risks of abuse, addiction, and diversion Julie R. Price, Alric D. Hawkins, and Steven D. Passik
- 9.6 Non-opioid analgesics Per Sjøgren, Frank Elsner, and Stein Kaasa
- 9.7 Adjuvant analgesics David Lussier and Russell K. Portenoy
- 9.8 Interventional approaches for chronic pain Robert A. Swarm, Menelaos Karanikolas, Lesley K. Rao, and Michael J. Cousins
- 9.9 Neurostimulation in pain management Joy Hao, Rae Lynne Kinler, Eliezer Soto, Helena Knotkova, and Ricardo A. Cruciani
- 9.10 Rehabilitation medicine approaches to pain management Andrea L. Cheville and Jeffrey R. Basford
- 9.11 Psychological and psychiatric interventions in pain control Julie R. Price, Alric D. Hawkins, Michael L. Adams, William S. Breitbart, and Steven D. Passik
- 9.12 Complementary therapies in pain management Gary Deng and Barrie R. Cassileth
- 9.13 Paediatric pain control Renée McCulloch and John J. Collins
Section 10 Common symptoms and disorders: gastrointestinal symptoms
- 10.1 Dysphagia, dyspepsia, and hiccup Katherine Clark
- 10.2 Palliation of nausea and vomiting Janet R. Hardy, Paul Glare, Patsy Yates, and Kathryn A. Mannix
- 10.3 Constipation and diarrhoea Nigel P. Sykes
- 10.4 Jaundice, ascites, and encephalopathy Jeremy Keen
- 10.5 Aetiology, classification, assessment, and treatment of the anorexia-cachexia syndrome Vickie E. Baracos, Sharon M. Watanabe, and Kenneth C. H. Fearon
Section 11 Common symptoms and disorders: skin problems
- 11.1 Skin problems in palliative care Patricia Grocott, Georgina Gethin, and Sebastian Probst
- 11.2 Pruritus and sweating in palliative medicine Mark R. Pittelkow, Charles L. Loprinzi, and Thomas P. Pittelkow
- 11.3 Lymphoedema Vaughan Keeley
Section 12 Issues in populations with cancer
- 12.1 The oncologist’s role in delivering palliative care Nathan I. Cherny and Stein Kaasa
- 12.2 Disease-modifying therapies in advanced cancer Dirk Schrijvers
- 12.3 Radiotherapy in symptom management Peter J. Hoskin
- 12.4 The role of general surgery in the palliative care of patients with cancer Brian Badgwell and Robert S. Krouse
- 12.5 Orthopaedic surgery in the palliation of cancer John H. Healey and David McKeown
- 12.6 Interventional radiology in the palliation of cancer Tarun Sabharwal, Nicos I. Fotiadis, and Andy Adam
Section 13 Cancer pain syndromes
- 13.1 Cancer pain syndromes: overview Nathan I. Cherny
- 13.2 Cancer-induced bone pain Lesley A. Colvin and Marie T. Fallon
- 13.3 Management issues in neuropathic pain Nanna Brix Finnerup and Troels Staehelin Jensen
- 13.4 Visceral pain Victor T. Chang
- 13.5 Management issues in chronic pain following cancer therapy Martin Chasen and Gordon Giddings
Section 14 Cancer-associated disorders
- 14.1 Neurological problems in advanced cancer Augusto Caraceni, Cinzia Martini, and Fabio Simonetti
- 14.2 Endocrine and metabolic complications of advanced cancer Mark Bower, Louise Robinson, and Sarah Cox
- 14.3 Bowel obstruction Carla I. Ripamonti, Alexandra M. Easson, and Hans Gerdes
- 14.4 Skin problems in oncology Sharon Merims and Michal Lotem
- 14.5 Palliative issues in the care of patients with cancer of the head and neck Barbara A. Murphy, Lauren A. Zatarain, Anthony J. Cmelak, Steven Bayles, Ellie Dowling, Cheryl R. Billante, Sheila Ridner, Kirsten Haman, Stewart Bond, Anne Marie Flores, Wisawatapnimit Panarut, and Bethany M. Andrews
Section 15 Issues in populations with non-cancer illnesses
- 15.1 HIV/AIDS Meera Pahuja, Jessica S. Merlin, and Peter A. Selwyn
- 15.2 Caring for the patient with advanced chronic obstructive pulmonary disease Graeme M. Rocker, Joanne Michaud-Young, and Robert Horton
- 15.3 Advanced heart disease Steven Z. Pantilat, Anthony E. Steimle, and Patricia M. Davidson
- 15.4 Dementia Eric Widera and Rachelle Bernacki
- 15.5 Neurological disorders other than dementia Raymond Voltz, Stefan Lorenzl, and Georg S. Nübling
- 15.6 End-stage kidney disease Fliss E. M. Murtagh
- 15.7 Palliative medicine in the intensive care unit Nathan Cherny, Sharon Einav, and David Dahan
Section 16 Issues of the very young and the very old
- 16.1 Talking with families and children about the death of a parent Anna C. Muriel and Paula K. Rauch
- 16.2 Care of children with advanced illness John J. Collins, Kirsty Campbell, Wendy Edmonds, Judith Frost, Martha F. Mherekumombe, and Natasha Samy
- 16.3 Palliative medicine and care of the elderly Meera Agar and Jane L. Phillips
Section 17 Psychosocial and spiritual issues in palliative medicine
- 17.1 Spiritual issues in palliative medicine Susan E. McClement
- 17.2 Coping in palliative medicine Simon Wein and Lea Baider
- 17.3 Depression, demoralization, and suicidality David W. Kissane and Matthew Doolittle
- 17.4 Adjustment disorders and anxiety Simon Wein and Limor Amit
- 17.5 Delirium Meera Agar, Yesne Alici, and William S. Breitbart
- 17.6 The family perspective Carrie Lethborg and David W. Kissane
- 17.7 Bereavement David W. Kissane and Talia I. Zaider
Section 18 The terminal phase
- 18.1 Management of the actively dying patient Judith Lacey
- 18.2 Sedation at the end of life Eric L. Krakauer
Section 19 Research in palliative medicine
- 19.1 Research in palliative care Stein Kaasa and Karen Forbes
- 19.2 The principles of evidence-based medicine Amy P. Abernethy
- 19.3 Understanding clinical trials in palliative care research John T. Farrar
- 19.4 Qualitative research Kate Flemming
- 19.5 Research into psychosocial issues David W. Kissane, Annette F. Street, Erin E. Schweers, and Thomas M. Atkinson
- 19.6 Ethical issues in palliative care research David Casarett
- 19.7 Quality of life in palliative care: principles and practice Stein Kaasa and Jon Håvard Loge
- 19.8 Health services research in palliative care and end-of-life care Tinne Smets and Luc Deliens
- 19.9 Clinical audit in palliative medicine Irene J. Higginson
End Matter
- Index

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Edited by Nathan Cherny, Marie Fallon, Stein Kaasa, Russell K. Portenoy, and David C. Currow

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Oxford Textbook of Palliative Medicine (5 ed.)

Edited by Nathan Cherny, Marie Fallon, Stein Kaasa, Russell K. Portenoy, and David C. Currow

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Bibliographic Information

Authors

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Contents