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xvii | |
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xxi | |
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Section 1 The worldwide status of palliative care |
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1 | (32) |
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1.1 International progress in creating palliative medicine as a specialized discipline and the development of palliative care |
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3 | (7) |
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1.2 Providing palliative care in economically disadvantaged countries |
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10 | (9) |
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1.3 Essential medicines for palliative care |
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19 | (6) |
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1.4 Policy in palliative care |
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25 | (8) |
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Section 2 The challenge of palliative medicine |
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33 | (70) |
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2.1 The problem of suffering and the principles of assessment in palliative medicine |
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35 | (14) |
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2.2 The epidemiology of death and symptoms: planning for population-based palliative care |
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49 | (16) |
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2.3 Predicting survival in patients with advanced disease |
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65 | (12) |
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2.4 Defining a `good' death |
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77 | (7) |
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2.5 Ethnic and cultural aspects of palliative care |
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84 | (9) |
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2.6 The economic challenges of palliative medicine |
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93 | (10) |
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Section 3 Service delivery issues in palliative care |
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103 | (34) |
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3.1 Barriers to the delivery of palliative care |
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105 | (7) |
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3.2 Palliative care delivery models |
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112 | (5) |
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3.3 Palliative care in the emergency department |
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117 | (8) |
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3.4 Palliative care in the nursing home |
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125 | (12) |
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Section 4 The interdisciplinary team |
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137 | (134) |
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4.1 The core team and the extended team |
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139 | (7) |
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4.2 Teaching and training in palliative medicine |
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146 | (8) |
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4.3 Nursing and palliative care |
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154 | (10) |
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4.4 Social work in palliative care |
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164 | (6) |
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4.5 The role of the chaplain in palliative care |
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170 | (7) |
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4.6 Occupational therapy in palliative care |
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177 | (7) |
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4.7 Music therapy in palliative care |
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184 | (7) |
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4.8 The contribution of the dietitian and nutritionist to palliative medicine |
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191 | (6) |
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4.9 Physiotherapy in palliative care |
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197 | (5) |
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4.10 Speech and language therapy in palliative care |
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202 | (8) |
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4.11 The contribution of art therapy to palliative medicine |
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210 | (6) |
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4.12 Stoma therapy in palliative care |
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216 | (5) |
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4.13 Clinical psychology in palliative care |
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221 | (7) |
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4.14 The contribution of the clinical pharmacist in palliative care |
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228 | (8) |
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4.15 Medical rehabilitation and the palliative care patient |
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236 | (10) |
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4.16 Burnout, compassion fatigue, and moral distress in palliative care |
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246 | (14) |
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4.17 Integrative oncology in palliative medicine |
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260 | (11) |
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271 | (64) |
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273 | (6) |
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279 | (6) |
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5.3 Neuro-palliative care and disorders of consciousness |
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285 | (7) |
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5.4 Truth telling and consent |
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292 | (8) |
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5.5 Ethics in paediatric palliative care |
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300 | (6) |
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5.6 Dignity and palliative end-of-life care |
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306 | (8) |
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5.7 Euthanasia and palliative care |
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314 | (9) |
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5.8 Withholding and withdrawing life-sustaining treatment (including artificial nutrition and hydration) |
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323 | (12) |
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Section 6 Communication and palliative medicine |
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335 | (26) |
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6.1 Communication with the patient and family |
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337 | (8) |
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6.2 Talking with families and children about the death of a parent |
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345 | (6) |
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6.3 Communication between professionals |
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351 | (6) |
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6.4 Communications with the public, politicians, and the news media |
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357 | (4) |
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Section 7 Assessment tools and informatics |
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361 | (46) |
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7.1 Palliative care needs assessment tools |
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363 | (13) |
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7.2 The measurement of, and tools for, pain and other symptoms |
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376 | (15) |
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7.3 Informatics and literature search |
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391 | (7) |
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7.4 Validated assessment tools for psychological, spiritual, and family issues |
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398 | (9) |
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Section 8 Common symptoms and disorders |
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407 | (84) |
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409 | (12) |
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8.2 Dyspnoea and other respiratory symptoms in palliative care |
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421 | (14) |
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8.3 Anaemia, cytopenias, and thrombosis in palliative medicine |
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435 | (6) |
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8.4 Genitourinary aspects of palliative care |
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441 | (6) |
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447 | (10) |
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457 | (10) |
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8.7 The management of bleeding in palliative care |
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467 | (13) |
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8.8 Sexual dysfunction: discussing patient sexuality and intimacy in palliative care |
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480 | (11) |
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Section 9 Common symptoms and disorders: pain |
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491 | (158) |
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9.1 Principles of drug therapy: focus on opioids |
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493 | (13) |
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9.2 Pathophysiology of pain in cancer and other terminal illnesses |
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506 | (13) |
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Richard M. Gordon-Williams |
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9.3 Definition and assessment of chronic pain in advanced disease |
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519 | (6) |
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9.4 Opioid therapy: optimizing analgesic outcomes |
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525 | (35) |
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9.5 Opioid therapy: managing risks of abuse, addiction, and diversion |
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560 | (7) |
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9.6 Non-opioid analgesics |
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567 | (10) |
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577 | (12) |
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9.8 Interventional approaches for chronic pain |
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589 | (10) |
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9.9 Neurostimulation in pain management |
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599 | (7) |
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9.10 Rehabilitation medicine approaches to pain management |
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606 | (8) |
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9.11 Psychological and psychiatric interventions in pain control |
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614 | (14) |
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9.12 Complementary therapies in pain management |
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628 | (4) |
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9.13 Paediatric pain control |
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632 | (17) |
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Section 10 Common symptoms and disorders: gastrointestinal symptoms |
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649 | (64) |
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10.1 Dysphagia, dyspepsia, and hiccup |
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651 | (10) |
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10.2 Palliation of nausea and vomiting |
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661 | (14) |
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10.3 Constipation and diarrhoea |
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675 | (11) |
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10.4 Jaundice, ascites, and encephalopathy |
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686 | (16) |
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10.5 Aetiology, classification, assessment, and treatment of the anorexia-cachexia syndrome |
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702 | (11) |
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Section 11 Common symptoms and disorders: skin problems |
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713 | (34) |
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11.1 Skin problems in palliative care |
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715 | (9) |
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11.2 Pruritus and sweating in palliative medicine |
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724 | (16) |
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740 | (7) |
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Section 12 Issues in populations with cancer |
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747 | (70) |
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12.1 The oncologist's role in delivering palliative care |
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749 | (16) |
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12.2 Disease-modifying therapies in advanced cancer |
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765 | (6) |
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12.3 Radiotherapy in symptom management |
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771 | (19) |
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12.4 The role of general surgery in the palliative care of patients with cancer |
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790 | (9) |
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12.5 Orthopaedic surgery in the palliation of cancer |
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799 | (8) |
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12.6 Interventional radiology in the palliation of cancer |
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807 | (10) |
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Section 13 Cancer pain syndromes |
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817 | (66) |
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13.1 Cancer pain syndromes: overview |
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819 | (22) |
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13.2 Cancer-induced bone pain |
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841 | (19) |
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13.3 Management issues in neuropathic pain |
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860 | (7) |
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867 | (8) |
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13.5 Management issues in chronic pain following cancer therapy |
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875 | (8) |
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Section 14 Cancer-associated disorders |
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883 | (70) |
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14.1 Neurological problems in advanced cancer |
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885 | (21) |
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14.2 Endocrine and metabolic complications of advanced cancer |
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906 | (13) |
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919 | (11) |
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14.4 Skin problems in oncology |
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930 | (10) |
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14.5 Palliative issues in the care of patients with cancer of the head and neck |
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940 | (13) |
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Section 15 Issues in populations with non-cancer illnesses |
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953 | (70) |
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955 | (14) |
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15.2 Caring for the patient with advanced chronic obstructive pulmonary disease |
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969 | (10) |
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15.3 Advanced heart disease |
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979 | (11) |
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990 | (7) |
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15.5 Neurological disorders other than dementia |
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997 | (7) |
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15.6 End-stage kidney disease |
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1004 | (9) |
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15.7 Palliative medicine in the intensive care unit |
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1013 | (10) |
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Section 16 Issues of the very young and the very old |
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1023 | (34) |
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16.1 Talking with families and children about the death of a parent |
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1025 | (6) |
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16.2 Care of children with advanced illness |
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1031 | (13) |
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16.3 Palliative medicine and care of the elderly |
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1044 | (13) |
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Section 17 Psychosocial and spiritual issues in palliative medicine |
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1057 | (66) |
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17.1 Spiritual issues in palliative medicine |
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1059 | (8) |
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17.2 Coping in palliative medicine |
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1067 | (7) |
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17.3 Depression, demoralization, and suicidality |
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1074 | (11) |
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17.4 Adjustment disorders and anxiety |
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1085 | (7) |
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1092 | (9) |
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17.6 The family perspective |
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1101 | (9) |
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1110 | (13) |
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Section 18 The terminal phase |
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1123 | (20) |
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18.1 Management of the actively dying patient |
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1125 | (9) |
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18.2 Sedation at the end of life |
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1134 | (9) |
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Section 19 Research in palliative medicine |
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1143 | (86) |
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19.1 Research in palliative care |
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1145 | (10) |
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19.2 The principles of evidence-based medicine |
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1155 | (12) |
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19.3 Understanding clinical trials in palliative care research |
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1167 | (9) |
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19.4 Qualitative research |
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1176 | (6) |
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19.5 Research into psychosocial issues |
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1182 | (12) |
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19.6 Ethical issues in palliative care research |
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1194 | (4) |
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19.7 Quality of life in palliative care: principles and practice |
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1198 | (12) |
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19.8 Health services research in palliative care and end-of-life care |
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1210 | (5) |
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19.9 Clinical audit in palliative medicine |
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1215 | (14) |
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| Index |
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1229 | |
