Oxford Textbook of Palliative Medicine

Oxford Textbook of Palliative Medicine

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Following publication of the first edition in 1993, the Oxford Textbook of Palliative Medicine rapidly established itself as the definitive textbook on the subject. Each edition has received widespread critical acclaim, and the book is used across the world by the wide range of health care professionals involved in the care of patients with a terminal illness, or chronic, progressive conditions. Existing readers who automatically turn to the textbook will welcome this updated edition of their familiar reference, whilst it will prove a fascinating read to a new generation of palliative care professionals. The rapid development of the specialty means the textbook is always thoroughly revised between editions, and the fourth edition is no exception. The original editors Geoffrey Hanks and Nathan Cherny are joined by 4 new editors who are leaders in the field, and represent a more global editorial approach than ever before. The multi-disciplinary nature of palliative care is emphasised throughout, whilst an entire section looks at the individual professional roles that contribute to the best-quality palliative care. Ethical issues are explored, including topical chapters on the controversial issues of withholding and withdrawing life-sustaining therapy, and euthanasia and physician-assisted suicide. Communication issues and the psychiatric, spiritual, and psychosocial issues so integral to modern palliative care are covered in depth. As palliative care has become an established and accepted specialty, there is the need for the evidence-base to match other areas of clinical medicine, and a section looks specifically at research in palliative care. The treatment of symptoms is comprehensively covered, with particular focus on the management of pain. Specific chapters are devoted to the role of palliative care in non-malignant diseases and conditions, whilst education and training are highlighted as critical to future best practice. The Oxford Textbook of Palliative Medicine has continually evolved, keeping pace with the changing face of palliative care, and this new edition ensures that it remains at the forefront of the specialty. No hospital, hospice, palliative care service, or medical library should be without a copy.show more

Product details

  • Paperback | 1704 pages
  • 220 x 274 x 66mm | 3,639.94g
  • Oxford University Press
  • Oxford, United Kingdom
  • English
  • Revised
  • 4th Revised edition
  • 54 line drawings, and 72 black and white photographs
  • 0199693145
  • 9780199693146
  • 161,775

About Geoffrey Hanks

Marie Fallon completed her Palliative Medicine Higher Specialist Training at St Thomas' Hospital London and in Bristol and was appointed to the St Columba's Hospice Chair of Palliative Medicine at the University of Edinburgh in 2006. She is based in the Edinburgh Cancer Research Centre and the Western General Hospital, Edinburgh. Her research background is in opioid analgesia, complex cancer pain and barriers to symptom control. She is a founder member of the University of Edinburgh's Translational Research in Pain Group, which has a particular interest in cancer-induced bone pain. She is the Chief Investigator on a portfolio of Cancer Research UK funded multi-centre trials investigating various aspects of cancer pain. She leads a team of several Research Fellows working on various aspects of cancer-induced bone pain. She is a member of the Advisory Board for Dimbleby Cancer Care and chairs the Pain Sub Committee of the NCRI Palliative Care Clinical Studies Group.show more

Table of contents

SECTION 1: INTRODUCTION ; 1.1 Introduction ; SECTION 2: THE WORLDWIDE STATUS OF PALLIATIVE CARE ; 2.1 International progress in creating palliative medicine as a specialized discipline ; 2.2 Lessons learned from hospice in the United States of America ; 2.3 Providing palliative care in resource-poor countries ; 2.4 IAHPC list of the essential medicines for palliative care ; SECTION 3: THE CHALLENGE OF PALLIATIVE MEDICINE ; 3.1 The problem of suffering and the principles of assessment in palliative medicine ; 3.2 The epidemiology of death and symptoms ; 3.3 Predicting survival in patients with advanced disease ; 3.4 Palliative medicine and modern cancer care ; 3.5 Barriers to the delivery of palliative care ; 3.6 Defining a good death ; 3.7 Cultural aspects of palliative medicine ; 3.8 The economic challenges of palliative medicine ; SECTION 4: THE INTERDISCIPLINARY TEAM ; 4.1 The core team and the extended team ; 4.2 Nursing and palliative care ; 4.3 Social work in palliative care ; 4.4 The role of the chaplain in palliative care ; 4.5 Occupational therapy in palliative care ; 4.6 Music therapy in palliative care ; 4.7 The dietician and nutritionist in palliative care ; 4.8 Physiotherapy in palliative care ; 4.9 Speech and language therapy in palliative care ; 4.10 Art therapy in palliative care ; 4.11 The contribution of stoma nurse specialist to palliative care ; 4.12 Clinical psychology in palliative care ; 4.13 The clinical pharmacist in palliative care ; SECTION 5: ETHICAL ISSUES ; 5.1 Introduction ; 5.2 Confidentiality ; 5.3 Truth-telling and consent ; 5.4 Palliative medicine in children: ethical and legal issues ; 5.5 Euthanasia and physician-assisted suicide ; 5.6 Withholding and withdrawing life-sustaining therapy ; SECTION 6: COMMUNICATION AND PALLIATIVE MEDICINE ; 6.1 Communication with the patient and family in palliative medicine ; 6.2 Talking with families and children about the death of a parent ; 6.3 Communication with professionals ; 6.4 Communication with the public, policy makers and the media ; SECTION 7: RESEARCH IN PALLIATIVE MEDICINE ; 7.1 Research in palliative care: getting started ; 7.2 The principles of evidence-based medicine ; 7.3 Clinical trials in palliative care ; 7.4 Qualitative research ; 7.5 Research into psychosocial issues ; 7.6 Ethical issues in palliative care research ; 7.7 Measurement of pain and other symptoms ; 7.8 Quality of life measurement in palliative medicine - principles and practice ; 7.9 Measurement of pain and other symptoms in the cognitively impaired ; 7.10 Clinical and organisational audit and quality improvement in palliative medicine ; SECTION 8: PRINCIPLES OF DRUG USE IN PALLIATIVE MEDICINE ; 8.1 Principles of drug use in palliative medicine ; SECTION 9: DISEASE MODIFYING MANAGEMENT IN ADVANCED CANCER ; 9.1 The medical treatment of cancer in palliative care ; 9.2 Radiotherapy in symptom management ; 9.3 The role of general surgery in the palliative care of patients with cancer ; 9.4 The role of orthopaedic surgery in the palliative care of patients with cancer ; 9.5 The role of interventional radiology in the palliative care of patients with cancer ; SECTION 10: THE MANAGEMENT OF COMMON SYMPTOMS AND DISORDERS ; 10.1: THE MANAGEMENT OF PAIN ; 10.1.1 Pathophysiology of pain in cancer and other terminal diseases ; 10.1.2 Pain assessment and cancer pain syndromes ; 10.1.3 Neuropathic pain ; 10.1.4 Cancer induced bone pain ; 10.1.5 Breakthrough pain ; 10.1.6 Opioid analgesic therapy ; 10.1.7 Non-opioid analgesics ; 10.1.8 Adjuvant analgesics in pain management ; 10.1.9 Injections, neural blockade, and implant therapies for pain control ; 10.1.10 The role of surgical neuroablation for pain control ; 10.1.11 Treating pain with transcutaneous electrical nerve stimulation ; 10.1.12 Acupuncture ; 10.1.13 Psychological and psychiatric interventions in pain control ; 10.2 GASTRO-INTESTINAL SYMPTOMS ; 10.2.1 Palliation of nausea and vomiting ; 10.2.2 Dysphagia, dyspepsia and hiccup ; 10.2.3 Constipation and diarrhoea ; 10.2.4 Pathophysiology and management of malignant bowel obstruction ; 10.2.5 Jaundice, ascites and hepatic encephalopathy ; 10.3 WEIGHT LOSS IN PALLIATIVE MEDICINE ; 10.3.1 Classification and pathophysiology of the anorexia/cachexia syndrome ; 10.3.2 Classification, clinical assessment and treatment of the anorexia-cachexia syndrome. ; 10.4 FATIGUE AND ASTHENIA ; 10.4 Fatigue and asthenia ; 10.5 CLINICAL MANAGEMENT OF ANAEMIA, CYTOPENIAS AND THROMBOSIS IN PALLIATIVE MEDICINE ; 10.5 Clinical management of anaemia, cytopenias and thrombosis in palliative medicine ; 10.6 PRURITUS AND SWEATING IN PALLIATIVE MEDICINE ; 10.6 Pruritus and sweating in palliative medicine ; 10.7 SKIN PROBLEMS IN PALLIATIVE MEDICINE ; 10.7.1 Medical aspects ; 10.7.2 Nursing aspects ; 10.7.3 Lymphoedema ; 10.8 GENITO-URINARY PROBLEMS IN PALLIATIVE MEDICINE ; 10.8 Genito-urinary problems in palliative medicine ; 10.9 MOUTH CARE ; 10.9 Mouth care ; 10.10 ENDOCRINE AND METABOLIC COMPLICATIONS OF ADVANCED CANCER ; 10.10 Endocrine and metabolic complications of advanced cancer ; 10.11 NEUROLOGICAL PROBLEMS IN ADVANCED CANCER ; 10.11 Neurological problems in advanced cancer ; 10.12 SLEEP IN PALLIATIVE CARE ; 10.12 Sleep in palliative care ; 10.13 WITHDRAWING LIFE SUPPORT - CLINICAL ADVICE FOR CHALLENGING SCENARIOS ; 10.13 Withdrawing life support - clinical advice for challenging scenarios ; 10.14 CLINICAL MANAGEMENT OF BLEEDING COMPLICATIONS ; 10.14 Clinical management of bleeding complications ; SECTION 11: ISSUES IN SPECIFIC NEOPLASTIC DISEASE ; 11.1 Palliative medicine in malignant respiratory diseases ; 11.2 Head and neck cancer ; 11.3 Brain tumours ; SECTION 12: PALLIATIVE MEDICINE IN NON-MALIGNANT DISEASE ; 12.1 Introduction ; 12.2 AIDS in adults ; 12.3 Palliative medicine and non-malignant, end-stage respiratory disease ; 12.4 Palliative medicine for patients with end-stage heart disease ; 12.5 Palliative medicine in non-malignant neurological disorders ; 12.6 Palliative medicine in end-stage renal failure ; 12.7 Palliative medicine in intensive care ; SECTION 13: PAEDIATRIC PALLIATIVE MEDICINE ; 13.1 Special consideration for children in palliative medicine ; 13.2 Paediatric pain control ; 13.3 Symptom control in life-threatening illness in children ; 13.4 Psychological adaptation of the dying child ; 13.5 Bereavement issues and staff support when caring for children ; SECTION 14: GERIATRIC PALLIATIVE MEDICINE ; 14.1 Palliative medicine in dementia ; 14.2 Palliative medicine and care of the elderly ; SECTION 15: PSYCHIATRIC, PSYCHOSOCIAL AND SPIRITUAL ISSUES IN PALLIATIVE MEDICINE ; 15.1 Sprititual issues in palliative medicine ; 15.2 The emotional problems of the patient in palliative medicine ; 15.3 The family perspective ; 15.4 The stress of professional caregivers ; 15.5 Psychiatric symptoms in palliative medicine ; 15.6 Bereavement ; SECTION 16: REHABILITATION IN PALLIATIVE MEDICINE ; 16.1 Rehabilitation in palliative medicine ; SECTION 17: COMPLEMENTARY THERAPIES IN PALLIATIVE MEDICINE ; 17.1 Complementary therapies in palliative medicine ; SECTION 18: PALLIATIVE MEDICINE IN THE HOME ; 18.1 Palliative medicine in the home: an overview ; 18.2 Palliative medicine in the home: North America ; SECTION 19: THE TERMINAL PHASE ; 19.1 The terminal phase ; 19.2 Sedation in palliative medicine ; SECTION 20: EDUCATION AND TRAINING IN PALLIATIVE MEDICINE ; 20.1 Introduction ; 20.2 Postgraduate education in palliative medicine ; 20.3 Training specialists in palliative medicine ; 20.4 The role of the humanities in palliative medicine ; 20.5 Informatics and palliative medicineshow more

Review quote

A developing specialty requires a reference textbook that develops with it, and the Oxford Textbook of Palliative Medicine is just that. Its fourth edition demonstrates the textbook's responsiveness to changing times and an emerging evidence base, capturing the multidisciplinary aspects of palliative care well with its wide editorship - comprised of key clinicians in the field. European Journal on Palliative Care, Jan 2013 My opinion remains, given the presentation and the depth of coverage to be found in OTPM 4e, that it deserves its position as the gold standard in palliative medicine. IAHPC Ever since the first edition in 1993, [Oxford Textbook of Palliative Medicine] has been the reference work in the field. There is little doubt that this new edition consolidates its position as the standard work in palliative medicine. Tidsskrift for Den norske legeforeningshow more

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