Category: Palliative Medicine

Internal Medicine Issues in Palliative Cancer Care 1st Edition

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Patients with advanced cancer may develop a number of clinical complications related to tumor progression or a variety of aggressive treatments. The majority of these patients are elderly, often with multiple co-morbidities that require appropriate assessment and management. In the palliative stage of their disease, patients undergo a progressive transition from active acute care to community-based hospice care. This transition requires modification in the diagnostic tests, monitoring procedures and pharmacological treatments to adjust them to the palliative and short-term nature of the care. Internal Medicine Issues in Palliative Cancer Care looks at internal medicine through a prognosis-based framework and provides a practical approach to maximizing comfort and quality of life while minimizing aggressive investigations and therapies for patients with life-limiting disease. Forty-six common internal medicine conditions are organized into nine clinical categories: pulmonary, cardiovascular, nephrologic and metabolic, gastrointestinal, hematologic, infectious, endocrine, rheumatologic, and neuro-psychiatric. This evidence-based resource is ideal for educating clinicians delivering palliative care to cancer patients in acute care facilities about complex internal medicine problems, decision-making regarding diagnostics and therapeutics which require a good understanding of state-of-the-art internal medicine and palliative care principles.

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Psychosocial Palliative Care 1st Edition

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One of the most challenging roles of the psycho-oncologist is to help guide terminally-ill patients through the physical, psychological, and spiritual aspects of the dying process. Patients with cancer, AIDS, and other life-threatening illnesses are at increased risk for the development of major psychiatric complications, and have an enormous burden of both physical and psychological symptoms. Concepts of adequate palliative care must be expanded beyond the current focus on pain and physical symptom control to include the psychiatric, psychosocial, existential, and spiritual aspects of care. The psycho-oncologist, as a consultant to or member of a palliative care team, has a unique role and opportunity to fulfill this promise of competent and compassionate palliative care for those with life-threatening illnesses. Psychosocial Palliative Care guides the psycho-oncologist through the most salient aspects of effective psychiatric care of patients with advanced illnesses. This handbook reviews basic concepts and definitions of palliative care and the experience of dying, the assessment and management of major psychiatric complications of life-threatening illness, including psychopharmacologic and psychotherapeutic approaches, and covers issues such as bereavement, spirituality, cultural sensitivity, communication and psychiatric contributions to common physical symptom control. A global perspective on death and palliative care is taken throughout the text, and an Appendix provides a comprehensive list of international palliative care resources and training programs.

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Drugs in Palliative Care 2nd Edition

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While palliative care has adopted a holistic approach to treatment, medication driven symptom management ostensibly forms the critical aspect of care. Pharmacological therapy can be extremely complex because these patients often have coexisting medical conditions in addition to symptoms caused by their terminal disease. The resulting polypharmacy can be daunting for professionals and can negatively impact on effectiveness of care.

Fully revised and updated, the second edition of Drugs in Palliative Care is a detailed yet concise handbook that will appeal to a variety of healthcare professionals involved in the provision of palliative care and medicines information. Divided into three sections it begins with an overview of pharmacology and prescribing advice then contains over 160 monographs of palliative care drugs, in an easy to use A-Z format.

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Diabetes in Old Age 4th Edition

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This new edition of the popular and market-leading Diabetes in Old Age features up-to-date and comprehensive information about the key aspects of managing older people with diabetes, predominantly type 2 diabetes.
With a strong evidence-based focus throughout, the entire range of issues surrounding diabetes and its many complications are covered, each with a clear focus on how they relate directly to the older patient. Varying approaches to optimizing diabetes care in the community, primary care and secondary care health care arenas are presented, and   the importance of comprehensive functional assessment is emphasized. Coverage of areas unique to an ageing population of older people with diabetes such as falls management, frailty and sarcopenia, and cognitive dysfunction form a key cornerstone of the book.  In every chapter, best practice points and key learning outcomes are provided, as well as published evidence bases for each major conclusion.

Diabetes in Old Age, 4th edition is essential reading for diabetologists and endocrinologists, diabetes specialist nurses, primary care physicians, general physicians and geriatricians, podiatrists and dieticians with an interest in diabetes, as well as all health professionals engaged in the delivery of diabetes care to older people.

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Diet and Nutrition in Palliative Care 1st Edition

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Optimal terminal and palliative care requires consideration of the patient and family unit as well as cultural and religious sensitivities. The patient’s well being in terms of mobility, anxiety, stress, social interaction, and pain control needs expert focus and attention. Furthermore, there is an increasing awareness that diet and nutritional support plays an integral part of the patient’s holistic well being. The interface between nutritional, emotional, cultural, and medicinal support challenges terminal and palliative care providers to recognize the right thing to do, often in the face of considerable uncertainty.

Currently, there is no comprehensive book on nutrition in terminal or palliative care that is suitable for novices and experts alike. Diet and Nutrition in Palliative Care addresses this deficiency in the literature. Designed for doctors, nurses, caregivers, and those working within the palliative or end of life domain, each chapter contains sections on applications to other areas of terminal or palliative care, practical methods and techniques, guidelines, key points and ethical issues. The book is divided into six sections:

  • Setting the Scene
  • Cultural Aspects
  • General Aspects
  • Cancer
  • Non-Cancer Conditions
  • Pharmacological Aspects

Despite the complexity of the correlation between diet and disease, there is now a sufficient body of evidence to encourage applying nutritional science in everyday clinical practice. Increasingly, a strong interest and up-to-date knowledge and understanding of scientific studies on nutrition enables clinicians to help patients under their care more effectively at every stage of their illness. In response to this need, this handbook presents important information on the holistic use of nutrition and diet therapy in palliative care.

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Handbook of Supportive and Palliative Radiation Oncology 1st Edition

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Handbook of Supportive and Palliative Radiation Oncology serves as a practical tool and rapid reference to assist radiation oncology practitioners in direct patient care with common palliative care issues. Containing the most recent advances in translational palliative care research, each chapter is organized in a succinct fashion to discuss major symptom burdens, suggested assessment, and various management options. Each symptom and disease section is written to be a rapid, practical guide for clinicians on the floor.

The book starts with general approaches in palliative radiation oncology that are followed by a section that focuses on common symptoms in palliative care and their management. The next section of the book is devoted to site and disease-specific evaluation, intervention, and management.

This handbook provides general guidelines and management recommendations for common clinical vignettes encountered by palliative radiation oncology practitioners and supported by palliative radiation oncology research. Concise references are cited to support treatment recommendation.

  • Provides a quick reference for the busy clinician
  • Details standard of care resources for researchers of palliative and supportive care
  • Contains updated standards of care for palliative medicine and a list of common medications and dosages
  • Includes a comprehensive index by symptom and condition to facilitate quick reference

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Long-Term Care for Frail Older People: Reaching for the Ideal System

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The aging of society is a growing concern in all advanced nations, and at the forefront of concern is long-term care for frail older people. Enactment of a new public long-term care insurance program by the Japanese government in 1997 provided an excellent opportunity for a conference focusing on an ideal long-term care system for frail older people. The conference was organized around four major themes: Social aspects, including family dynamics and the role of formal providers; Clinical aspects, including effective treatments for physical and mental disabilities; Macroeconomic and macropolitical settings for public policy; Program design and management issues. With contributions from the fields of medicine, nursing, social work, gerontology, political science, economics, and sociology, this volume provides an overview of key problems and possible solutions in programs for frail older people from a unique international perspective.

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Fundamentals of Palliative Care for Student Nurses 1st Edition

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Fundamentals of Palliative Care for Student Nurses is a thorough yet accessible introduction and overview of a key area of the nursing programme. This textbook clearly explains the palliation of symptoms and the social context of death and dying. Engaging with the latest guidelines and curriculum, it highlights the practical and communicative skills required for induction programmes and continuing professional development.

KEY FEATURES:

  • A full-colour, student-friendly, introduction to the essentials of palliative, or end of life care
  • A topical and timely subject area, explored clearly and concisely
  • Full of interactive pedagogy and features, including quizzes, multiple choice questions, vignettes/case studies and activities
  • Features a companion website with links to further reading, additional activities and resources, and self-testing interactive multiple choice questions

Fundamentals of Palliative Care for Student Nurses  focuses on this area with expert knowledge and compassion, preparing students in order to help them provide the best possible care for their patients and their families.

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