Palliative care focuses on the management of disease symptoms that produce discomfort and pain, compromise function, or otherwise undermine the quality of life of patients with progressive medical disorders. It is a fundamental part of clinical practice, the necessary companion to therapies directed at the prolongation of life and the cure of disease. As a clinical specialty, palliative care is just beginning to define itself in the United States. The appearance of Topics in Palliative Care meets the growing need for information in this rapidly evolving field.
This first volume in this series concentrates in four crucial areas: pharmacotherapy of pain, psychosocial adjustment to cancer, management of delirium, and gastrointestinal disorders. Contributors at the forefront of their fields come from varied medical backgrounds to address the controversies and clinical relevance of these topics from the viewpoint of their respective disciplines. They summarize the rapidly advancing scientific foundation of palliative care and discuss the methods necessary to meet patient needs, always keeping in mind practitioners at the bedside.
Every volume of Topics in Palliative Care explores many interdisciplinary concerns in the area of palliative care, including the management of physical symptoms, psychosocial and spiritual concerns, and ethical issues. The in-depth treatment will be sure to appeal to professionals in a wide range of medical fields. Each author selected for inclusion presents the most up-to-date research and places it within the clinical context in a highly readable manner. All clinicians who treat patients with chronic life-threatening diseases will benefit from the numerous insights this book provides.
Recenzijos
Each topic comprises a clear introduction followed by three or four chapters on a specific issue. Few will read this volume without developing new ideas for research and audit. Those more interested in clinical issues will find much to satisfy them... those with an interest in evidence-based palliative care as opposed to 'fashion-based' care will find plenty to satisfy them. * Palliative Medicine *
Contributors xi I Delirium in Cancer Patients 3(54) Introduction: Critical Issues in the Assessment of Delirium 3(4) Russell K. Portenoy
1. Epidemiology and Clinical Features of Delirium 7(14) Jane Ingham William Breitbart
2. Assessment and Management of Reversible Delirium 21(24) Noemi D. de Stoutz Fritz Stiefel
3. Counseling the Confused Patient and the Family 45(12) Claudia Borreani Augusto Caraceni Marcello Tamburini II Gastrointestinal Disorders in Patients with Advanced Cancer 57(76) Introduction: A Call for Research to Elucidate Causes, Assessment, and Management of Common Gastrointestinal Symptoms 57(4) Eduardo Bruera
4. Gastrointestinal Motility Disorders in Patients with Advanced Cancer 61(34) Carla Ripamonti Carlos Rodriguez
5. Assessment and Management of Opioid-Induced Constipation 95(18) Susan Derby Russell K. Portenoy
6. Assessment and Management of Mechanical Bowel Obstruction 113(20) Sebastiano Mercadante III Advances in the Pharmacotherapy of Pain 133(74) Introduction: What Might the Future Hold for Opioid Pharmacotherapy? 133(4) Russell K. Portenoy
7. Pharmacology of Opioid Drugs: Basic Principles 137(26) Arthur G. Lipman Michael E. Gauthier
8. Clinical Implications of Morphine Metabolites 163(14) Per Sjogren
9. The Emerging Role of the Fentanyl Series in the Treatment of Chronic Cancer Pain 177(18) Michael E. Gauthier Perry G. Fine
10. Intraindividual Variability in Opioid Response: A Role for Sequential Opioid Trials in Patient Care 195(12) Sharon Watanabe IV Psychosocial Adaptation to Cancer 207(84) Introduction: Psychopathology in Patients with Progressive Medical Disorders: What Is Normal? 207(6) Mary Jane Massie
11. Normal Adjustment to Cancer: Characteristics and Assessment 213(32) Linda J. Beeney Phyllis N. Butow Stewart M. Dunn
12. The Family as a Unit of Treatment 245(18) Linda J. Kristjanson
13. Denial, Misinformation, and the Assault of Truth, 263(16) Phyllis N. Butow Stewart M. Dunn Martin H. N. Tattersall
14. Clinical Response to Spiritual Issues 279(12) Michael J. McCabe Index 291
Russell K. Portenoy, M.D., is Co-Chief, Pain and Palliative Care Service, Memorial Sloan-Kettering Cancer Center. He is also Associate Professor of Neurology at Cornell University Medical College, and the Editor-in-Chief of the Journal of Pain and Symptom Management. Eduardo Bruera, M.D., is Professor of Oncology, Alberta Cancer Foundation Chair in Palliative Care, and the Director of the Palliative Care Program at the Grey Nuns Community Health Center and the Cross Cancer Institute.
