Surgical Palliative Care

by Dunn, Geoffrey P.; Johnson, Alan G.

• ISBN13: 9780198510000
• ISBN10: 0198510004
• Format: Hardcover
• Copyright: 2004-06-24
• Publisher: Oxford University Press

Summary

Surgical Palliative Care describes the principles and practice of surgery in the context of palliative and supportive care. Surgery is often considered too invasive to be useful in palliation and clinicians instinctively turn to radiotherapy, chemotherapy, and other drugs. Surgery, withincreasingly minimal access techniques, may be simpler and less invasive than other treatments and produces excellent palliation. Indeed, most types of surgery are not curative and the aim of this book is to alert all concerned with palliative care to the usefulness and appropriateness of a surgicaloption. The text is divided into two sections; the first dealing with general issues, varying from quality of life measurement to spirituality, and the second illustrating their application in different specialties of surgery ranging from neurosurgery to urology. The book ends with a challenge to surgeonsto change their perspective from curative surgery, in terms of simply cure or failure, to improvement in quality of life and relief of symptoms. Aimed primarily at palliative medicine and pain consultants, this book will also appeal to surgeons who increasingly need to know more about palliativecare.

Table of Contents

Foreword	vii
John L. Cameron
Preface	ix
Geoffrey P. Dunn
Alan G. Johnson
List of contributors	xi
Part I
Introduction: is surgical palliative care a paradox?	3	(13)
Geoffrey P. Dunn
Selection and preparation of patients for surgical palliation	16	(17)
Alexander Ng
Alexandra M. Easson
The ethics of interventional care	33	(6)
Peter Angelos
The physiological response to surgical trauma	39	(15)
Matthew D. Barber
Kenneth C.H. Fearon
Psychological response to surgery	54	(11)
Laurie Stevens
Spirituality and surgery	65	(20)
Peter Ravenscroft
Elizabeth Ravenscroft
Interdisciplinary care	85	(9)
Anne Mosenthal
David Price
Patricia Murphy
Quality of life issues in palliative surgery	94	(18)
Michael Koller
Christoph Nies
Wilfried Lorenz
Anaesthesia and perioperative pain management	112	(23)
Karen H. Simpson
Dudley J. Bush
Part II
Symptom palliation of diseases of the head and neck (including dentistry)	135	(17)
Simon Rogers
The surgical relief of the symptomatic chest	152	(7)
Bill Nelems
Surgery for the control of symptoms in the abdomen	159	(14)
Alan G. Johnson
Symptom control in urological malignancy	173	(18)
Alan P. Doherty
Joe M. O'Sullivan
Wound and reconstructive problems in advanced disease	191	(16)
Thomas J. Krizek
Neurosurgical palliation	207	(20)
Dennis L. Johnson
The role of the ophthalmologist in advanced disease	227	(12)
David Yorston
Perspectives from the developing world and diverse societies	239	(9)
Arjuna Aluwihare
Epilogue: a message to all surgeons	248	(13)
Geoffrey P. Dunn
Alan G. Johnson
Index	261