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Palliative and end of life care are concerned with the physical, social, psychological and spiritual care of people with advanced disease. It currently has a poorly developed research base, but the need to improve this is increasingly recognised. One of the reasons for the lack of research - and the variable quality of the research that is undertaken - is the difficulty of conducting research with very ill and bereaved people. Standard and well-established research methods may need to be adapted to work in this context. This means that existing research methods textbooks may be of limited use to palliative care practitioners seeking to do research for the first time, or to more experienced r...
This new edition provides the essential clinical guidance both for those embarking upon a career in palliative medicine and for those already established in the field. A team of international experts here distil what every practitioner needs to know into a practical and reliable resource.
The specialty of palliative care has traditionally grown out of oncology and there has been little research into the needs of patients dying from causes other than cancer. Few non-cancer patients receive hospice in-patient, home care or day care although a good proportion of hospices say that their services are available to non-cancer patients. As a result, the importance of palliative care for non-cancer patients is now being increasingly recognized internationally, and in the UK a committee reporting to the Department of Health recommended that palliative care should be accessible to all patients who need such care. Palliative Care for Non-Cancer Patients considers the needs and experiences of patients dying from, for example, stroke, heart disease or dementia by,drawing on a range of disciplines and specialties in medicine. The provision of palliative care for patients dying from causes other than cancer raises a number of important questions for policy makers and purchasers. This book summarizes what is known about the needs of and appropriate service provision for people dying of causes other than cancer and begins to set a research agenda.
Ageing populations mean that palliative and end of life care for older people must assume greater priority. Indeed, there is an urgent need to improve the experiences of older people at the end of life, given that they have been identified as the 'disadvantaged dying'. To date, models of care are underpinned by the ideals of specialist palliative care which were developed to meet the needs of predominantly middle-aged and 'young old' people, and evidence suggests these may not be adequate for the older population group. This book identifies ways forward for improving the end of life experiences of older people by taking an interdisciplinary and international approach. Providing a synergy bet...
Nearly one in three people will be diagnosed with cancer, and many of these patients will suffer from related cancer pain. Cancer-associated pain is widely feared by cancer patients, but knowledge about the causes and management of cancer pain has increased dramatically in recent years and many new treatment options are available. This comprehensive book discusses the unique characteristics of cancer pain, including its pathophysiology, clinical assessment, diagnosis, pharmacological management and nonpharmacological treatment. The internationally recognized authors are leaders in cancer pain research, and they apply their first-hand knowledge in summarizing the principal issues in the clinical management of cancer pain. This state-of-the-art book cohesively addresses the full range of disciplines regularly involved in cancer pain management, including pharmacology, communication studies, and psychology. Cancer Pain is a scholarly but accessible text that will be an essential resource for physicians, nurses, and medical students who treat patients suffering from cancer pain.
'. . . worthy, scientifically-founded... will do a lot to reinvigorate clinicians who have tired of fatigue and help get this complex symptom out of the too-hard baskcet.' -IAHPC WebsiteFatigue in Cancer provides a comprehensive review of the key issues involved in the research and practical application of current evidence and best practice guidelines for addressing cancer-related fatigue. An international group of contributors draw together core topics relating to this complex area of cancer management, focusing on issues of definition, patho-physiology, treatment related variables and the psychological, social and emotional impact on patients, families and carers. Critical reviews of pract...
This book informs healthcare professionals about the range of interventional techniques available for first-rate cancer pain management, with evidence of efficacy, side effects, and management advice.
Written for health professionals and managers involved in the planning or provision of stroke care, this book provides a comprehensive, state-of-the-art overview of the evidence and practices that underpin high quality stroke care. It sets the scene by describing the epidemiology, trends and needs of stroke patients, followed by chapters on the prevention of stroke, investigation and management of TIAs (transient ischaemic attack), early management and thrombolysis, clinical management of acute stroke patients and rehabilitation. Each chapter is thematically-linked and provides a complete, up-to-date review of evidence, its implications for clinical practice, proven multidisciplinary models ...
Now divided into four parts, the second edition of Cancer Pain delivers broad coverage of the issues that arise in the management of malignancy-related pain, from basic science, through end of life care and associated ethical issues, to therapies, both medical and complementary. Part One reviews basis considerations in cancer pain management, including epidemiology, pharmacology, history-taking and patient evaluation and teamworking. Part Two brings together the drug therapies for cancer pain, their underlying basis, and potential side-effects. Part Three covers the non-drug therapies, including nerve blocks, stimulation-induced analgesia, radiotherapy, complementary therapies and psychological interventions. The control of symptoms other than pain, so critical to cancer patients, is also considered here. Part Four describes special situations. Cancer pain management in children and older patients, and in the community setting, and pain in the dying patient and the cancer survivor are all covered here.
The fourth edition of this, the 'first' textbook of palliative care, continues to provide a concise, but authoritative, guide to the provision of palliative care. The text has been thoroughly revised and reorganized throughout to reflect the recent pace of change in this rapidly moving field.Coverage is comprehensive, ranging from symptom control t