The first truly interdisciplinary book on supportive oncology and palliative care returns with a new edition that serves as a practical guide to the management of the myriad symptoms and quality-of-life issues that occur in patients with cancer--including newly diagnosed patients, patients undergoing treatment, cancer survivors, and patients whose disease is no longer curable. The interdisciplinary group of contributors includes leading experts in hospice care and palliative medicine, oncology, nursing, neurology, psychiatry, anesthesiology, and pharmacology. This completely revised edition features new chapters on caregiver stress, hepatic failure, pulmonary failure, research issues in palliative care, and beginning a palliative care program. Content has been aligned with the needs of today's palliative care fellowship programs and includes additional tables, algorithms, and flow charts.
Table of Contents
SYMPTOMS AND SYNDROMES Pain: Cancer Pain: Principles of Assessment and Syndromes / Difficult Pain Syndromes: Bone Pain, Visceral Pain, Neuropathic Pain / Opioid Pharmacotherapy / Nonopioid and Adjuvant Analgesics / Non-Pharmacologic Management of Pain / Physiatric Approaches to Pain Management / Neurosurgical Interventional Approaches to Pain Constitutional Symptoms: Assessment and Management of Cancer-Related Fatigue / Fever and Sweats / Hotflashes Gastrointestinal Symptoms and Syndromes: Anorexia/Weight Loss / Dysphagia/Speech Rehabilitation / Chemotherapy-Related Nausea and Vomiting / Chronic Nausea and Vomiting / Diarrhea, Malabsorption, and Constipation / Bowel Obstruction / Diagnosis and Management of Ascites / Hiccups and other Gastrointestinal Symptoms / Oral Manifestations and Complications of Cancer Therapy Skin: Pruritus / Treatment of Tumor-Related Skin Disorders / Management of Pressure Ulcers and Fungating Wounds / Lymphedema / Principles of Fistula and Stoma Management Cardiopulmonary and Vascular Syndromes: Management of Dyspnea / Hemoptysis / Airway Obstruction, Bronchospasm, and Cough / Management of Advanced Lung Disease Including Pleural and Pericardial Effusions / Management of Advanced Hepatic Disease / Management of Advanced Heart Failure / Management of Hypercoagulable States and Coagulopathy Genitourinary Symptoms and Syndromes: Urologic Issues of Palliative Care / Management of Renal Failure Metabolic Disorders: Hypercalcemia / Metabolic Disorders in the Cancer Patient Selected Neurologic Symptoms and Syndromes: Headache and Other Neurologic Complications / Management of Spinal Cord and Cauda Equina Compression / Neuromuscular Dysfunction and Palliative Care Selected Psychiatric Symptoms and Syndromes: Cognitive Disorders: Delirium and Dementia / Depression and Anxiety / Substance Abuse Issues in Palliative Care ISSUES IN PALLIATIVE CARE Definitions and Models: Epidemiology and Prognostication in Advanced Cancer / Epidemiology and Prognostication in Non-Cancer Diagnoses / Definitions and Models of Palliative Care / Hospice Assessment Issues: Multidimensional Patient Assessment / Cross-Cultural Issues / Communication during Transitions of Care Therapies with Palliative Intent: Palliative Radiation Therapy / Palliative Chemotherapy / Palliative Surgery / Palliative Orthopedic Surgery / Palliative Endoscopic and Interventional Radiologic Procedures Other Issues in Palliative Care: Psychosocial Consequences of Advanced Cancer / Disorders of Sexuality and Reproduction / Home Care and Caregivers / Management of Symptoms in the Actively Dying Patient / Spirituality / Bereavement Care / Starting a Palliative Care Program / Staff Stress and Burnout ETHICAL CONSIDERATIONS IN PALLIATIVE CARE: Advance Directives and Assessment of Decision-Making Capacity / Withholding and Withdrawing Potentially Life-Sustaining Treatment / Palliative Care and Physician-Assisted Death / Palliative Care: Ethics and the Law SPECIAL INTERVENTIONS IN SUPPORTIVE AND PALLIATIVE CARE: Hematologic Support of the Cancer Patient / Nutrition Support / Issues in Nutrition and Hydration / Rehabilitative Medicine / Complementary and Alternative Approaches SPECIAL POPULATIONS: Long-Term Survivorship: Late Effects / Psychosocial Aspects of Cancer Survivorship / Palliative Care in Pediatrics / Geriatric Palliative Care and Palliative Care in Long-Term Settings / Palliative Care in HIV/AIDS / Palliative Care in the Intensive Care Unit Setting RESEARCH ISSUES IN SUPPORTIVE CARE AND PALLIATIVE CARE: Outcomes Assessment in Palliative Care / Measurement of Quality of Life Outcomes / Research Issues: Ethics and Study Design