Topics in Palliative Care Volume 4

by Portenoy, Russell K.; Bruera, Eduardo

• ISBN13: 9780195132199
• ISBN10: 019513219X
• Format: Hardcover
• Copyright: 2000-02-17
• Publisher: Oxford University Press

Summary

This is the fourth book in a series devoted to research and practice in palliative care. This rapidly evolving field focuses on the management of phenomena that produce discomfort and that undermine the quality of life of patients with incurable medical disorders. To highlight the diversityin this field, each volume is divided into sections that address a range of issues. Various sections discuss aspects of symptom control, psyshosocial functioning, spiritual or existential concerns, ethics, and other topics. The 4 sections in this volume are Survial Estimation in Palliative Care,Education and Training in Palliative Care, Procoagulant and Anticoagulant Therapy in Palliative Care, and Issues in the Assessment and Management of Common Symptoms. The authors present and evaluate existing data, provide a context drawn from both the clinic and research, and integrate knowledge ina manner that is both practical and readable.

Table of Contents

Contributors	xi
I Survival Estimation in Palliative Care
Model for Estimation of Survival in Patients with Far-Advanced Cancer	3	(20)
Marco Maltoni
Oriana Nanni
Emanuela Scarpi
Marco Pirovano
Dino Amadori
The Value of Symptoms in Prognosis of Cancer Patients	23	(32)
Victor T. Chang
Survival Estimation in Noncancer Patients with Advanced Disease	55	(20)
Ronald S. Schonwetter
Chirag R. Jani
Communicating a Poor Prognosis	75	(20)
Gary S. Fischer
James A. Tulsky
Robert M. Arnold
II Education and Training in Palliative Care
Palliative Care Audit: Tools, Objectives, and Models for Training in Assessment, Monitoring, and Review	95	(24)
Irene J. Higginson
Julie Hearn
Cancer Pain as a Model for the Training of Physicians in Palliative Care	119	(12)
David E. Weissman
The Palliative Care Unit as a Focus for Professional Education	131	(16)
J. Cameron Muir
Charles F. von Gunten
The Palliative Care Consultation Team as a Model for Palliative Care Education	147	(16)
Janet L. Abrahm
III Procoagulant and Anticoagulant Therapy in Palliative Care
The Management of Bleeding in Advanced Cancer Patients	163	(22)
Jose Pereira
Isabelle Mancini
Eduardo Bruera
The Use of Heparin, Low Molecular Weight Heparin, and Oral Anticoagulants in the Management of Thromboembolic Disease	185	(22)
Graham F. Pineo
Russell D. Hull
Prophylactic Anticoagulant Therapy in the Terminally Ill Cancer Patient	207	(10)
Mark N. Levine
IV Issues in the Assessment and Management of Common Symptoms
Intraspinal Analgesic Therapy in Palliative Care: Evolving Perspective	217	(20)
Stuart L. Du Pen
Anna R. Du Pen
Pathophysiology and Assessment of Dyspnea in the Patient with Cancer	237	(18)
Deborah J. Dudgeon
Susan Rosenthal
The Role of Oxygen in Cancer-Related Dyspnea	255	(6)
Sharon Watanabe
Treatment of Delirium at the End of Life: Medical and Ethical Issues	261	(18)
Robin L. Fainsinger
Index	279