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Principles of Palliative Care

Principles of Palliative Care  

William S. Breitbart

in Psychosocial Palliative Care

Print Publication Year: 
Apr 2014
Series: 
Other
Published Online: 
Aug 2014
eISBN: 
9780199366347
DOI: 
10.1093/med/9780199917402.003.0001
Career: 
Doctor, Qualified, specialist, Qualified, late specialism training
Specialty: 
Clinical Medicine, Palliative Medicine, Psychiatry
Item type: 
chapter
ISBN: 
9780199917402
Components of a Palliative Care Program 12 1. A home care (e.g., hospice) program 2. A hospital-based palliative care consultation service 3. A day care program or ambulatory care clinic 4. A palliative care inpatient unit or dedicated palliative care hospital beds 5. A bereavement program 6. Training and research programs 7. Internet-based services Palliative Care Does Not Hasten Death Physicians, patients, and family members often believe that the transition from curative to palliative care (e.g., di
Hospital liaison palliative care

Hospital liaison palliative care  

Max Watson, Rachel Campbell, Nandini Vallath, Stephen Ward, and Jo Wells (eds)

in Oxford Handbook of Palliative Care (3 edn)

Print Publication Year: 
Aug 2019
Series: 
Oxford Medical Handbooks
Published Online: 
Jul 2019
eISBN: 
9780191807688
DOI: 
10.1093/med/9780198745655.003.0027
Career: 
Doctor, Undergraduate Doctor, Qualified, early specialism training, Qualified, late specialism training
Specialty: 
Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780198745655
Chapter 27 Hospital liaison palliative care Introduction Introduction Introduction 764 The need for a hospital palliative care liaison service The need for a hospital palliative care liaison service The need for a hospital palliative care liaison service 765 The challenges in an acute hospital setting The challenges in an acute hospital setting The challenges in an acute hospital setting 767 Aims and evaluation of a hospital specialist palliative care team Aims and evaluation of a hospital specialist palliative care team Aims and evaluation
Geriatric Palliative Care

Geriatric Palliative Care  

Emily Chai, Diane Meier, Jane Morris, and Suzanne Goldhirsch

in Geriatric Palliative Care

Print Publication Year: 
Apr 2014
Series: 
Other
Published Online: 
Nov 2014
eISBN: 
9780199390762
DOI: 
10.1093/med/9780195389319.003.0001
Career: 
Doctor, Qualified, specialist, Qualified, late specialism training, Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Geriatric Medicine
Item type: 
chapter
ISBN: 
9780195389319
13 Health Insurance 13 : Health Insurance.) • The model of care that makes more sense for older adults with serious illness is a simultaneous model of palliative care delivered at the same time as disease-directed and life-prolonging treatments, with the ratio and nature of these treatments varying in response to patient needs and preferences. (See Chapter 12 The Hospice Model of Palliative Care 12 : The Hospice Model of Palliative Care .) This integrated and simultaneous model of palliative and disease-directed therapies is illustrated in Figure 1.1 . • Late
Ethics and Palliative Care

Ethics and Palliative Care  

Robert C. Macauley

in Ethics in Palliative Care: A Complete Guide

Print Publication Year: 
Mar 2018
Series: 
Other
Published Online: 
Apr 2018
eISBN: 
9780190652357
DOI: 
10.1093/med/9780199313945.003.0001
Career: 
Doctor, Qualified, specialist
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Ethics
Item type: 
chapter
ISBN: 
9780199313945
the benefits of palliative care and confronted common myths (including that palliative care and hospice represented “giving up”). It also revealed how much a professor at Harvard Medical School still had to learn about palliative care . With the growth of professional groups—such as the National Hospice and Palliative Care Organization (formed in 1978) and the American Academy of Hospice and Palliative Medicine (founded in 1988)—as well as advocacy groups (such as the Center to Advance Palliative Care , founded in 1998), the field of palliative care has increasingly
Research in palliative care

Research in palliative care  

Max Watson, Rachel Campbell, Nandini Vallath, Stephen Ward, and Jo Wells (eds)

in Oxford Handbook of Palliative Care (3 edn)

Print Publication Year: 
Aug 2019
Series: 
Oxford Medical Handbooks
Published Online: 
Jul 2019
eISBN: 
9780191807688
DOI: 
10.1093/med/9780198745655.003.0003
Career: 
Doctor, Undergraduate Doctor, Qualified, early specialism training, Qualified, late specialism training
Specialty: 
Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780198745655
Webb P. (2005) Ethical Issues in Palliative Care . Oxford: Radcliffe Publishing. Cherny N. (2015) Oxford Textbook of Palliative Medicine (5th edn). Oxford: Oxford University Press. Articles Hardy J.R. (1997) Placebo-controlled trials in palliative care : the argument for. Palliative Medicine , 11 (5): 415–18. Higginson I.J. (2016). Research challenges in palliative and end of life care . BMJ Supportive & Palliative Care , 6 (1): 2–4. Kaasa S. , Caraceni A. (2010). Palliative cancer care research. Palliative Medicine , 24 (3): 259–60. Keeley
Palliative Care in Transplantation

Palliative Care in Transplantation  

Emily B. Rivet, Jeffrey M. Stern, Karunasai Mahadevan, and Danielle Noreika

in Surgical Palliative Care

Print Publication Year: 
Oct 2019
Series: 
Integrating Palliative Care
Published Online: 
Oct 2019
eISBN: 
9780190858391
DOI: 
10.1093/med/9780190858360.003.0013
Career: 
Doctor, Qualified, specialist
Specialty: 
Surgery
Item type: 
chapter
ISBN: 
9780190858360
assessments of prognosis and risk of mortality. Major themes in the literature regarding palliative care for patients with ESLD include use of prognostication tools, in particular the CP and MELD score to determine candidacy for palliative care , descriptions of care processes, investigations of access issues and advocacy for palliative care in this population, in addition to general descriptions of the ESLD population and its palliative care needs. The palliative care requirements of the ESLD population are related to severe chronic symptoms, the potential for
Research in Palliative Care

Research in Palliative Care  

Robert C. Macauley

in Ethics in Palliative Care: A Complete Guide

Print Publication Year: 
Mar 2018
Series: 
Other
Published Online: 
Apr 2018
eISBN: 
9780190652357
DOI: 
10.1093/med/9780199313945.003.0017
Career: 
Doctor, Qualified, specialist
Specialty: 
Clinical Medicine, Palliative Medicine, Medical Ethics
Item type: 
chapter
ISBN: 
9780199313945
relevant in terms of palliative care . • Patients receiving palliative care may have compromised DMC, thus making informed consent difficult to obtain. This situation is not unique to palliative care patients, however. • The value of palliative care research needs to take into account not only duration of life but also quality. • Patients at the end of life may be vulnerable, but this should not preclude them from taking part in research. • Any research protocol involves risks and potential benefits. Patients receiving palliative care may have greater
Palliative care and haematology

Palliative care and haematology  

Max Watson, Rachel Campbell, Nandini Vallath, Stephen Ward, and Jo Wells (eds)

in Oxford Handbook of Palliative Care (3 edn)

Print Publication Year: 
Aug 2019
Series: 
Oxford Medical Handbooks
Published Online: 
Jul 2019
eISBN: 
9780191807688
DOI: 
10.1093/med/9780198745655.003.0007
Career: 
Doctor, Undergraduate Doctor, Qualified, early specialism training, Qualified, late specialism training
Specialty: 
Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780198745655
of palliative care . • I do the required palliative care for my patients . The general palliative care needs are best taken care of by the primary team, be they supportive care interventions, symptom control measures, or proactive discussions on prognosis. Involving palliative care specialists in the care of patients is not to replace this, but to enhance it when the complexities require specialized care . • I am not sure whether the palliative care team can handle the care of my patient . The treating team may doubt the competency levels of palliative care
Burnout in Palliative Care

Burnout in Palliative Care  

Regina M. Mackey and Suresh Reddy

in Hospice and Palliative Medicine and Supportive Care Flashcards

Print Publication Year: 
Jun 2018
Series: 
Other
Published Online: 
Jul 2018
eISBN: 
9780190633110
DOI: 
10.1093/med/9780190633066.003.0038
Career: 
Doctor, Qualified, early specialism training, Qualified, late specialism training, Qualified, specialist
Specialty: 
Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780190633066
Meditation B. Taking time off C. Techniques to develop resilience D. Antianxiety medication E. None of the above Question 38.6 Dr. J is a 35-year-old palliative care physician who just started working her first job after finishing her fellowship. She is very motivated because it is a new palliative care service and she is joining a part-time palliative care and hospitalist physician and two nurse practitioners. There is also an opportunity to grow and build a department in the future. For now, there is only the inpatient consult team,
Paediatric palliative care

Paediatric palliative care  

Max Watson, Rachel Campbell, Nandini Vallath, Stephen Ward, and Jo Wells (eds)

in Oxford Handbook of Palliative Care (3 edn)

Print Publication Year: 
Aug 2019
Series: 
Oxford Medical Handbooks
Published Online: 
Jul 2019
eISBN: 
9780191807688
DOI: 
10.1093/med/9780198745655.003.0016
Career: 
Doctor, Undergraduate Doctor, Qualified, early specialism training, Qualified, late specialism training
Specialty: 
Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780198745655
Chapter 16 Paediatric palliative care Who needs paediatric palliative care ? Who needs paediatric palliative care ? Who needs paediatric palliative care ? 478 Differences between paediatric and adult palliative care Differences between paediatric and adult palliative care Differences between paediatric and adult palliative care 480 Ethical issues in paediatric palliative care Ethical issues in paediatric palliative care Ethical issues in paediatric palliative care 483 Advance care planning Advance care planning Advance care planning 486 Psychosocial
HIV and palliative care

HIV and palliative care  

Max Watson, Rachel Campbell, Nandini Vallath, Stephen Ward, and Jo Wells (eds)

in Oxford Handbook of Palliative Care (3 edn)

Print Publication Year: 
Aug 2019
Series: 
Oxford Medical Handbooks
Published Online: 
Jul 2019
eISBN: 
9780191807688
DOI: 
10.1093/med/9780198745655.003.0019
Career: 
Doctor, Undergraduate Doctor, Qualified, early specialism training, Qualified, late specialism training
Specialty: 
Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780198745655
Chapter 19 HIV and palliative care Introduction Introduction Introduction 562 A brief history of HIV A brief history of HIV A brief history of HIV 562 Epidemiology Epidemiology Epidemiology 563 Natural history Natural history Natural history 564 Antiretroviral medication Antiretroviral medication Antiretroviral medication 567 HIV and ageing HIV and ageing HIV and ageing 570 Palliative care for PLWH Palliative care for PLWH Palliative care for PLWH 571 HIV-associated sensory neuropathy HIV-associated sensory neuropathy
Depression in Palliative Care

Depression in Palliative Care  

William S. Breitbart

in Psychosocial Palliative Care

Print Publication Year: 
Apr 2014
Series: 
Other
Published Online: 
Aug 2014
eISBN: 
9780199366347
DOI: 
10.1093/med/9780199917402.003.0005
Career: 
Doctor, Qualified, specialist, Qualified, late specialism training
Specialty: 
Clinical Medicine, Palliative Medicine, Psychiatry
Item type: 
chapter
ISBN: 
9780199917402
complicates symptom control, resulting in more frequent admissions to inpatient care settings. 1 Depressive symptoms are associated with poorer treatment compliance, increased desire for hastened death, and completed suicide in palliative care settings ( Box Box 5.1 Prevalence of Depression in Palliative Care 5.1 ). 2 Box 5.1 Prevalence of Depression in Palliative Care • Depression is prevalent, but under-recognized, underdiagnosed, and undertreated in palliative care settings. • Approximately 5% to 20% of patients with advanced cancer meet
Palliative Care Emergencies

Palliative Care Emergencies  

Sriram Yennurajalingam

in Hospice and Palliative Medicine and Supportive Care Flashcards

Print Publication Year: 
Jun 2018
Series: 
Other
Published Online: 
Jul 2018
eISBN: 
9780190633110
DOI: 
10.1093/med/9780190633066.003.0014
Career: 
Doctor, Qualified, early specialism training, Qualified, late specialism training, Qualified, specialist
Specialty: 
Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780190633066
14 Palliative Care Emergencies Sriram Yennurajalingam Question 14.1 Mrs. Smith is a 59-year-old White female who presents with a history of stage III breast cancer s/p treatment 10 years ago with new-onset back pain. Pain is dull and constant, and it is aggravated by lying flat and coughing. Workup revealed recurrent breast cancer, metastatic to thoracic spine and ribs. Metastatic workup including full spine magnetic resonance imaging (MRI) was positive for T4 disease with cord compression and rib disease. Her neurological exam showed diminished
Palliative Care Emergencies

Palliative Care Emergencies  

Emily Chai, Diane Meier, Jane Morris, and Suzanne Goldhirsch

in Geriatric Palliative Care

Print Publication Year: 
Apr 2014
Series: 
Other
Published Online: 
Nov 2014
eISBN: 
9780199390762
DOI: 
10.1093/med/9780195389319.003.0014
Career: 
Doctor, Qualified, specialist, Qualified, late specialism training, Nurse, Qualified Nurse
Specialty: 
Clinical Medicine, Palliative Medicine, Geriatric Medicine
Item type: 
chapter
ISBN: 
9780195389319
14 Palliative Care Emergencies Introduction The literature on emergencies in palliative medicine focuses on a number of serious medical events including superior vena cava syndrome, cardiac tamponade, hypercalcemia, hemorrhage, and seizures. Sudden worsening of pain or other physical symptoms, acute confusion, and the urgent need for reassurance in the face of life-threatening illness and loss of independence may also be considered emergencies and are covered in other sections of this handbook. (See Chapter 29 Management of Pain in Older Adults 29
Delirium in Palliative Care

Delirium in Palliative Care  

William S. Breitbart

in Psychosocial Palliative Care

Print Publication Year: 
Apr 2014
Series: 
Other
Published Online: 
Aug 2014
eISBN: 
9780199366347
DOI: 
10.1093/med/9780199917402.003.0007
Career: 
Doctor, Qualified, specialist, Qualified, late specialism training
Specialty: 
Clinical Medicine, Palliative Medicine, Psychiatry
Item type: 
chapter
ISBN: 
9780199917402
during cancer patients’ last days of life. J Palliat Care . 1990;6(3):7–11. 62 . Fainsinger RL , Waller A , Bercovici M , et al. A multicentre international study of sedation for uncontrolled symptoms in terminally ill patients. Palliat Med . 2000;14(4):257–265. 63 . Rietjens JA , van Zuylen L , van Veluw H , van der Wijk L , van der Heide A , van der Rijt CC . Palliative sedation in a specialized unit for acute palliative care in a cancer hospital: comparing patients dying with and without palliative sedation. J Pain Symptom Manage . 2008;36(3):228–234
Oncology and palliative care

Oncology and palliative care  

Max Watson, Rachel Campbell, Nandini Vallath, Stephen Ward, and Jo Wells (eds)

in Oxford Handbook of Palliative Care (3 edn)

Print Publication Year: 
Aug 2019
Series: 
Oxford Medical Handbooks
Published Online: 
Jul 2019
eISBN: 
9780191807688
DOI: 
10.1093/med/9780198745655.003.0006
Career: 
Doctor, Undergraduate Doctor, Qualified, early specialism training, Qualified, late specialism training
Specialty: 
Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780198745655
Chemotherapy within the palliative setting is increasingly common because of: Earlier referral for palliative care services Chemotherapeutic services and palliative care services can be enhanced by a close working relationship with good lines of communication and early referral. The journey from diagnosis to death, with different interventions is governed not by the passage of time but by a patient’s particular needs. With an integrated service and earlier referral patterns, there will be an ever-increasing number of patients in the palliative care setting who have just
Emergencies in palliative care

Emergencies in palliative care  

Max Watson, Rachel Campbell, Nandini Vallath, Stephen Ward, and Jo Wells (eds)

in Oxford Handbook of Palliative Care (3 edn)

Print Publication Year: 
Aug 2019
Series: 
Oxford Medical Handbooks
Published Online: 
Jul 2019
eISBN: 
9780191807688
DOI: 
10.1093/med/9780198745655.003.0029
Career: 
Doctor, Undergraduate Doctor, Qualified, early specialism training, Qualified, late specialism training
Specialty: 
Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780198745655
it is too late ( see Chapter Chapter 23 Spiritual care 23 ) • pain crisis or other unrelieved symptoms It is important to have a clear understanding of emergencies in palliative care , as their timely management is critical. A crisis situation filled with anxiety may be transformed to an atmosphere of comfort and well-being by pre-decided standardized team responses that demonstrate clarity and decisiveness to the patient and their family. Faced with an emergent, acute problem in the palliative care setting, clinicians would do well to first establish answers
Pediatric Palliative Care

Pediatric Palliative Care  

Kevin Madden

in Hospice and Palliative Medicine and Supportive Care Flashcards

Print Publication Year: 
Jun 2018
Series: 
Other
Published Online: 
Jul 2018
eISBN: 
9780190633110
DOI: 
10.1093/med/9780190633066.003.0029
Career: 
Doctor, Qualified, early specialism training, Qualified, late specialism training, Qualified, specialist
Specialty: 
Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780190633066
29 Pediatric Palliative Care Kevin Madden Question 29.1 Kate is a 16-year-old female with metastatic gastric adenocarcinoma. Dr. Jones, her pediatric oncologist, tells you that her cancer has been unresponsive to chemotherapy and there are no further disease-directed therapies. Kate’s parents understand that she can no longer be cured. During your consultation, Kate’s parents request that you not tell her about her poor prognosis. Which of the following is the best initial response to Kate’s parents? A. “I know how you must feel. I of course
Feeding in palliative care

Feeding in palliative care  

Angela Thompson, Anita MacDonald, and Chris Holden

in Oxford Textbook of Palliative Care for Children (2 ed.)

Print Publication Year: 
May 2012
Series: 
Oxford Textbooks, Oxford Textbooks in Palliative Medicine
Published Online: 
Jul 2012
eISBN: 
9780199665020
DOI: 
10.1093/med/9780199595105.003.0025
Career: 
Doctor, Qualified, early specialism training, Qualified, late specialism training, Qualified, specialist, Nurse, Qualified Nurse
Specialty: 
Paediatrics, Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780199595105
1998; 137: 1075–82. 7. Steiner N, Bruera E. Methods of hydration in palliative care patients. J Palliat Care 1998; 14(2): 6–13. 8. Joint Working Party of the National Council for Hospice and Specialist Palliative Care Services and the Ethics Committee of the Association for Palliative Medicine of Great Britain and Ireland. Ethical Decision Making in Palliative Care : artificial hydration for people who are terminally ill . London: National Council for Hospice and Specialist Palliative Care Services; 2002. 9. Royal College of Paediatrics and Child Health.
Communication in palliative care

Communication in palliative care  

Max Watson, Rachel Campbell, Nandini Vallath, Stephen Ward, and Jo Wells (eds)

in Oxford Handbook of Palliative Care (3 edn)

Print Publication Year: 
Aug 2019
Series: 
Oxford Medical Handbooks
Published Online: 
Jul 2019
eISBN: 
9780191807688
DOI: 
10.1093/med/9780198745655.003.0002
Career: 
Doctor, Undergraduate Doctor, Qualified, early specialism training, Qualified, late specialism training
Specialty: 
Clinical Medicine, Palliative Medicine
Item type: 
chapter
ISBN: 
9780198745655
reliably improve unless specific educational effort is made. Effective symptom control is impossible without effective communication. Buckman, 2001 Reproduced from Buckman, R. (2001) Communication skills in palliative care : a practical guide. Neurologic Clinics 19(4):989–1004, with permission from Elsevier. Communication is fundamental to good palliative care , but difficulties can arise that need to be understood and addressed. It is always a two-way activity, requiring sensitivity, empathy, and ‘active listening’. Society’s attitudes towards death and dying

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