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"Make it up, dammit! Just lie! How can you expect to become a physician if you don't learn how to lie?" I used to recommend to junior medical students the first day they walked into a ward. I shared the wisdom accumulated in more than thirty years. I had survived thanks to a carefully woven web of lies. The mother of all lies holds there is an objective good, such as money, power, or prestige. We are expected to pursue it at the cost of denying ourselves, our unique living truth. This book narrates the journey of Lodovico Balducci in his discovery of the living truth: the ability to give and receive unconditional love. "Agape" is purposeful, determined, and committed love inspired by our own mystery, the most intimate needs and inspiration. Agape allowed Balducci to convert his worst liabilities, such as depression, into his most valuable assets when ministering to the suffering. Agape showed Balducci that he was "sacred," that is, endowed with a mission only he can accomplish, that "sacrifice" (the recognition of one's sacredness) is the meaning of existence, and that redemption (the paying of somebody else's debt for the common good) is the goal of personal sacrifice.
Progress in the treatment of cancer over the past two decades has been rapid with many new and novel therapeutic modalities arriving at an unprecedented pace. Overall cancer mortality rates have actually begun to fall in parallel with progress in the diagnosis and treatment of malignant disease. Despite our advances in the understanding of the biology and molecular genetics of cancer, as well as the availability of an increasing array of effective therapies, cancer treatment today and for the foreseeable future will include the traditional modalities of surgery, radiation therapy and chemotherapy. Myelosuppressive agents with their potential hematopoietic toxicities remain the mainstay of sy...
Because cancer in the older adult may be present in combination with other chronic conditions, including dementia and frailty, multidisciplinary care is especially important. This book provides nurses with essential information on the care and treatment of the older adult with cancer, including: An overview of cancer in the older adult, and barriers to treatment Prevention and screening of cancer in the older adult How to perform a comprehensive geriatric assessment, as a methodfor planning multidisciplinary care Practical applications of qualiy of life assessment and decision analysis Special considerations in radiation therapy and chemotherapy with the older adult Social and caregiver issues This book reflects lessons learned from a nurse-physician team who planned and implemented the Senior Adult Oncology Program at the.Moffit Cancer Center and Research Institute in Florida.
Principles and Practice of Geriatric Surgery presents the fundamentals of surgical care for the fastest growing segment of the US population, providing a vital integration of operative strategies with the physiological changes of aging. Among the topics covered are the endocrine system, otolaryngology, respiratory system, cardiovascular system, GI system, hepatobiliary system, urogenital system, soft tissue and musculoskeletal system, neurosurgery, and transplantation.
Outlining the complex interaction between the two phenomena Cancer is clearly an age-related disease. Recent research in both aging and cancer has demonstrated the complex interaction between the two phenomena. This affects a wide spectrum of research and practice, anywhere from basic research to health care organization. Core examples of these close associations are addressed in this book. Starting with basic research, the first chapters cover cancer development, mTOR inhibition, senescent cells altering the tumor microenvironment, and immune senescence affecting cancer vaccine response. Taking into account the multidisciplinarity of geriatric oncology, several chapters focus on geriatric a...
The relationship between oncologists and their cancer patients is rapidly evolving. Oncologists and other cancer professionals master new anticancer and supportive treatment options, while working under increasing economic pressure and time constraints, and are often unprepared to deal with all the challenges of their new position in a therapeutic relationship with cancer patients and families. Good communication is as essential as are modern laboratory tests and sophisticated diagnostics to achieve the best clinical results. This book updates the evolution of truth-telling and communication patterns worldwide and offers insights into the recent trends and emerging challenges in communication with cancer patients and families. New Challenges in Communication with Cancer Patients is an invaluable resource to medical professionals, educators and patients in establishing a strong and effective partnership built on trust and mutual understanding.
This volume creates a multi-disciplinary dialogue about clinician-patient communication. It offers a description of the relevance of culture as a contextual effect that impacts the clinician-patient relationship. Some topics addressed include: oncology care, quality of life issues, supportive survivorship, etc. It is for physicians, nurses, hospice and palliative care professionals and public health professionals.
This practical book provides up-to-date information on the particular features of ovarian cancer in older women and the best management approach. The full range of relevant topics is covered. Guidance is provided on geriatric assessment, screening, pathology, diagnosis, and follow-up. The various treatment options are carefully explained, covering surgical approaches, chemotherapy as a first-line strategy, the use of anti-angiogenic agents, and treatment of relapse. The cognitive problems that may arise in elderly women during and after treatment of ovarian cancer are documented, with advice on response. Guidance is also provided on the design of clinical trials, and current directions in biological research are reviewed. This book will be of value to both practitioners and researchers with an interest in ovarian cancer and the elderly.
The epidemiological and clinical importance of bone metastases has long been recognised. For example, the incidence of bone metastases in breast and prostate cancers is 70%, whereas it is only 30 to 40% in metastatic lung cancer. In clinical terms, bone metastases have substantial negative effects on the patient's quality of life. Bone metastases have generally received insufficient attention because of the difficulty in quantifying them, which has left them outside the scope of therapeutic trials This textbook is the result of the remarkable progress made in the understanding of the molecular and cellular mechanisms involved in osteogenesis and osteolysis, and their development for therapeu...