Oxford Textbook of Palliative Medicine

by Doyle, Derek; Hanks, Geoffrey W. C.; MacDonald, Neil

• ISBN13: 9780192626288
• ISBN10: 0192626280
• Format: Paperback
• Copyright: 1996-03-14
• Publisher: Oxford University Press

Summary

The Oxford Textbook of Palliative Medicine is the most comprehensive work existing on the rapidly developing specialty of care for the dying. Written by over 100 leading experts from Europe and North America, this is the first text to bring together research and practice. It provides comprehensive coverage of the physical, emotional, social, and spiritual aspects of palliative care. Throughout the book emphasis is placed on an interdisciplinary, team approach to care and the involvement of the family. Introductory chapters consider the challenge presented by palliative medicine and discuss the historical development and the future of the specialty, cultural aspects of dying, models of care provision, and aspects of communication with patients. Following sections examine the scientific principles underlying the subject, and offer a thorough review of the current status of research in the field. Comprehensive and up-to-date guidance is given on the management of pain and other problems with the dying. As well as emphasizing the emotional, social, and psychological needs of the dying, the book considers the needs of the family and discusses bereavement, support and involvement of relatives, and home. Other chapters cover ethical aspects of care, rehabilitation, and the education and training of health professionals. Specific chapters are devoted to children and those dying of AIDS. The Oxford Textbook of Palliative Medicine is unique in its broad-reaching, scientific, and humane coverage of the specialty, and in its emphasis upon the interdisciplinary team approach. It will become established as the definitive guide to the care of the dying, and will be an indispensable reference for all those involved with the terminally ill, from specialists in palliative care, oncologists, and geriatricians to nurses, hospice staff, and counselors.

Author Biography

About the Editors Derek Doyle was the first Chairman of the Association for Palliative Medicine, Vice-Chairman of the European Association for Palliative Care, and is currently Vice-Chairman of the National Council for Hospice and Specialist Palliative Care Services. He also serves as the Editor-in-Chief of Palliative Medicine. Geoffrey W.C. Hanks is Sainsbury Professor of Palliative Medicine, Guy's and St. Thomas's Hospitals, London. He has also served as Honorary Senior Lecturer in Medicine, Institute of Cancer Research, University of London. Neil MacDonald, M.D., is currently Alberta Cancer Foundation Professor of Palliative Medicine at University of Alberta Hospital, in Edmonton, Alberta. He is a former president of the Canadian Oncology Society and former National Vice President of the Canadian Cancer Society.

Table of Contents

Preface to the third edition	p. xi
Preface to the second edition	p. xiii
Preface to the first edition	p. xv
Foreword	p. xvii
Contributors	p. xxi
Introduction	p. 1
The challenge of palliative medicine
The problem of suffering	p. 7
The epidemiology of death and symptoms	p. 14
Palliative medicine and modern cancer care	p. 24
Predicting survival in patients with advanced disease	p. 29
The interdisciplinary team	p. 42
Economics-based palliative medicine	p. 46
Ethical issues
Introduction	p. 55
Confidentiality	p. 58
Truth-telling and consent	p. 61
Educating for professional competence in palliative medicine	p. 65
Palliative medicine and children: ethical and legal issues	p. 70
Ethical issues in palliative care research	p. 76
Euthanasia and withholding treatment	p. 84
Communication and palliative medicine
Communication with the patient and family in palliative medicine	p. 101
Communication with professionals	p. 107
Communication with the public, politicians, and the media	p. 112
Research in palliative medicine
The principles of evidence-based medicine	p. 119
Research in palliative care: getting started	p. 128
Qualitative research	p. 138
Clinical trials of treatments for pain	p. 144
Research into psychosocial issues	p. 154
Patient evaluation and outcome measures
The measurement of pain and other symptoms	p. 167
Clinical and organizational audit in palliative medicine	p. 183
Quality of life in palliative medicine--principles and practice	p. 195
Principles of drug use in palliative medicine	p. 211
Symptom management
Disease modifying management
Palliative medicine and the treatment of cancer	p. 229
Radiotherapy in symptom management	p. 239
Surgical palliation	p. 255
Orthopaedic principles and management	p. 266
Interventional radiology	p. 279
The management of pain
Pathophysiology of pain in cancer and other terminal diseases	p. 288
Acute and chronic cancer pain syndromes	p. 298
Opioid analgesic therapy	p. 316
Non-opioid analgesics	p. 342
Adjuvant analgesics in pain management	p. 349
Anaesthetic techniques for pain control	p. 378
Neurosurgical approaches in palliative medicine	p. 396
Transcutaneous electrical nerve stimulation (TENS)	p. 405
Acupuncture	p. 410
Psychological and psychiatric interventions in pain control	p. 424
Difficult pain problems: an integrated approach	p. 438
Gastro-intestinal symptoms
Palliation of nausea and vomiting	p. 459
Dysphagia, dyspepsia, and hiccup	p. 468
Constipation and diarrhoea	p. 483
Pathophysiology and management of malignant bowel obstruction	p. 496
Jaundice, ascites, and hepatic encephalopathy	p. 507
Nutrition in palliative medicine
Pathophysiology of the anorexia/cachexia syndrome	p. 520
Clinical assessment and decision-making in cachexia and anorexia	p. 533
Dietary and nutritional aspects of palliative medicine	p. 546
Pharmacological interventions in cachexia and anorexia	p. 552
Fatigue and asthenia	p. 560
Clinical management of anaemia, cytopenias, and thrombosis in palliative medicine	p. 568
Pruritus and sweating in palliative medicine	p. 573
Palliative medicine in malignant respiratory diseases	p. 587
Skin problems in palliative medicine
Medical aspects	p. 618
Nursing aspects	p. 628
Lymphoedema	p. 640
Genito-urinary problems in palliative medicine	p. 647
Head and neck cancer	p. 658
Mouth care	p. 673
Endocrine and metabolic complications of advanced cancer	p. 687
Neurological problems in advanced cancer	p. 702
Brain tumours	p. 727
Sleep in palliative care	p. 731
Psychiatric symptoms in palliative medicine	p. 746
Paediatric palliative medicine
Pain control	p. 775
Symptom control in life-threatening illness	p. 789
Psychological adaptation of the dying child	p. 798
Care of the dying child and adolescent: family adjustment and support	p. 806
Special consideration for children in palliative medicine	p. 822
Bereavement issues and staff support	p. 831
Palliative medicine in non-malignant disease
Introduction	p. 843
AIDS in adults	p. 847
Palliative medicine for children and adolescents with HIV/AIDS	p. 880
Palliative medicine and non-malignant, end-stage respiratory disease	p. 895
Palliative medicine for patients with end-stage heart disease	p. 917
Palliative medicine in non-malignant neurological disorders	p. 925
Palliative medicine and care of the elderly	p. 935
Palliative medicine in intensive care	p. 945
Cultural and spiritual aspects of palliative medicine	p. 949
Emotional issues in palliative medicine
The emotional problems of the patient in palliative medicine	p. 961
Emotional problems in the family	p. 985
The stress of professional caregivers	p. 992
Social work in palliative medicine	p. 1005
Rehabilitation in palliative medicine	p. 1019
The contribution to palliative medicine of allied health professions
The contribution of occupational therapy to palliative medicine	p. 1035
The contribution of music therapy to palliative medicine	p. 1041
The contribution of the dietician and nutritionist to palliative medicine	p. 1047
The contribution of physiotherapy to palliative medicine	p. 1050
The contribution of speech and language therapy to palliative medicine	p. 1057
The contribution of art therapy to palliative medicine	p. 1063
The contribution of stoma therapy to palliative medicine	p. 1068
The contribution of clinical psychology to palliative medicine	p. 1073
The contribution of the clinical pharmacist to palliative medicine	p. 1079
Complementary therapies in palliative medicine	p. 1085
Palliative medicine in the home
Palliative medicine in the home: an overview	p. 1097
Palliative care in the home: North America	p. 1114
The terminal phase	p. 1117
Bereavement	p. 1135
Education and training in palliative medicine
Introduction	p. 1155
Training family physicians	p. 1158
Training specialists in palliative medicine	p. 1166
Learning counselling	p. 1176
The role of the humanities in palliative medicine	p. 1182
Internet and IT learning	p. 1189
Palliative medicine--a global perspective	p. 1197
Index	p. 1225
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