Oxford Textbook of Palliative Medicine

issues ; 5.2 Confidentiality ; 5.3 Neuro-palliative care and disorders of consciousness ; 5.4 Truth telling and consent ; 5.5 Ethics in paediatric palliative care ; 5.6 Dignity and palliative end-of-life care ; 5.7 Euthanasia and palliative care ; 5.8 Withholding and withdrawing life-sustaining treatment (including artificial nutrition and hydration) ; SECTION 6: COMMUNICATION AND PALLIATIVE MEDICINE ; 6.1 Communication with the patient and family ; 6.2 Talking with families and children about the death of a parent ; 6.3 Communication between professionals ; 6.4 Communication with the public, politicians, and the news media ; SECTION 7: ASSESSMENT TOOLS AND INFORMATICS ; 7.1 Palliative care needs assessment tools ; 7.2 The measurement of, and tools for, pain and other symptoms ; 7.3 Informatics and literature search ; 7.4 Validated assessment tools for psychological, spiritual, and family issues ; SECTION 8: COMMON SYMPTOMS AND DISORDERS ; 8.1 Fatigue and asthenia ; 8.2 Dyspnoea and other respiratory symptoms in palliative care ; 8.3 Anaemia, cytopenias, and thrombosis in palliative medicine ; 8.4 Genitourinary aspects of palliative care ; 8.5 Oral care ; 8.6 Sleep disorders ; 8.7 The management of bleeding in palliative care ; 8.8 Sexual dysfunction: discussing patient sexuality and intimacy in palliative care ; SECTION 9: COMMON SYMPTOMS AND DISORDERS: PAIN ; 9.1 Principles of drug therapy: focus on opioids ; 9.2 Pathophysiology of pain in cancer and other terminal illnesses ; 9.3 Definition and assessment of chronic pain in advanced disease ; 9.4 Opioid therapy: optimizing analgesic outcomes ; 9.5 Opioid therapy: managing risks of abuse, addiction, and diversion ; 9.6 Non-opioid analgesics ; 9.7 Adjuvant analgesics ; 9.8 Interventional approaches for chronic pain ; 9.9 Neurostimulation in pain management ; 9.10 Rehabilitation medicine approaches to pain management ; 9.11 Psychological and psychiatric interventions in pain control ; 9.12 Complementary therapies in pain management ; 9.13 Paediatric pain control ; SECTION 10: COMMON SYMPTOMS AND DISORDERS: GASTROINTESTINAL SYMPTOMS ; 10.1 Dysphagia, dyspepsia, and hiccup ; 10.2 Palliation of nausea and vomiting ; 10.3 Constipation and diarrhoea ; 10.4 Jaundice, ascites, and encephalopathy ; 10.5 Aetiology, classification, assessment, and treatment of the anorexia-cachexia syndrome ; SECTION 11: COMMON SYMPTOMS AND DISORDERS: SKIN PROBLEMS ; 11.1 Skin problems in palliative care ; 11.2 Pruritus and sweating in palliative medicine ; 11.3 Lymphoedema ; SECTION 12: ISSUES IN POPULATIONS WITH CANCER ; 12.1 The oncologist's role in delivering palliative care ; 12.2 Disease-modifying therapies in advanced cancer ; 12.3 Radiotherapy in symptom control ; 12.4 The role of general surgery in the palliative care of patients with cancer ; 12.5 Orthopaedic surgery in the palliation of cancer ; 12.6 Interventional radiology in the palliation of cancer ; SECTION 13: CANCER PAIN SYNDROMES ; 13.1 Cancer pain syndromes: overview ; 13.2 Cancer-induced bone pain ; 13.3 Management issues in neuropathic pain ; 13.4 Visceral pain ; 13.5 Management issues in chronic pain following cancer therapy ; SECTION 14: CANCER-ASSOCIATED DISORDERS ; 14.1 Neurological problems in advanced cancer ; 14.2 Endocrine and metabolic complications of advanced cancer ; 14.3 Bowel obstruction ; 14.4 Skin problems in palliative medicine ; 14.5 Palliative issues in the care of patients with cancer of the head and neck ; SECTION 15: ISSUES IN POPULATIONS WITH NON-CANCER ILLNESSES ; 15.1 HIV/AIDS ; 15.2 Caring for the patient with advanced chronic obstructive pulmonary disease ; 15.3 Advanced heart disease ; 15.4 Dementia ; 15.5 Neurological disorders other than dementia ; 15.6 End-stage kidney disease ; 15.7 Palliative medicine in the intensive care unit ; SECTION 16: ISSUES OF THE VERY YOUNG AND THE VERY OLD ; 16.1 Talking with families and children about the death of a parent ; 16.2 Care of children with advanced illness ; 16.3 Palliative medicine and care of the elderly ; SECTION 17: PSYCHOSOCIAL AND SPIRITUAL ISSUES IN PALLIATIVE MEDICINE ; 17.1 Spiritual issues in palliative medicine ; 17.2 Coping in palliative medicine ; 17.3 Depression, demoralization, and suicidality ; 17.4 Anxiety and adjustment disorders ; 17.5 Delirium ; 17.6 The family perspective ; 17.7 Bereavement ; SECTION 18: THE TERMINAL PHASE ; 18.1 Management of the actively dying patient ; 18.2 Sedation at the end of life ; SECTION 19: RESEARCH IN PALLIATIVE MEDICINE ; 19.1 Research in palliative care ; 19.2 The principles of evidence-based medicine ; 19.3 Understanding clinical trials in palliative care research ; 19.4 Qualitative research ; 19.5 Research into psychosocial issues ; 19.6 Ethical issues in palliative care research ; 19.7 Quality of life in palliative care: principles and practice ; 19.8 Health services research in palliative care and end-of-life care ; 19.9 Clinical audit in palliative medicine ; INDEX