A Guide to Symptom Relief in Palliative Care

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Radcliffe Publishing, 2010 - Analgesia - 366 pages
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This established and well-regarded Guide describes the management of patients with advanced disease. Its foundation is a clinical decision-making approach in which the patient's information guides the professional's approach to appropriate management. This Sixth Edition has been fully updated, reflecting the latest advances in knowledge and care of cancer and non-cancer patients with advanced disease, including children and people with severe communication difficulties. Sections on symptoms other than pain and emergencies are set out alphabetically, with the Emergencies section now located at the end of the book for ease of reference. The Drug Information section has been extensively updated, and colour and design refinements introduced throughout for greater clarity and emphasis. All references continue to be categorised to make their evidence base clearer. Maintaining the high standard set by previous editions over the past quarter-century, this continues to be the definitive guide to palliative care symptom relief for professionals in a wide variety of caring environments.
 

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Contents

Setting the scene and starting
11
Setting the scene and starting the interview 1
13
Answering difficult questions
19
Helping the person with the effects
25
Helping the person with the effects of difficult news
27
Identifying distress in the person with
31
Discussing preferred priorities of care advance care planning
35
Managing pain
41
Nutrition and hydration problems
165
Oedema and lymphoedema
173
Oral problems
183
Respiratory problems
191
Skin problems
203
Terminal phase the last hours and days
211
difficulties
223
Psychological symptoms
233

Choosing an analgesic
57
Using strong opioids
63
Managing the adverse effects
69
Other physical symptoms
85
Bleeding
93
Bowel obstruction
99
Constipation
107
Diarrhoea
115
Dyspepsia
123
Dysphagia
131
Fatigue drowsiness lethargy
139
Malignant ulcers and fistulae
149
Nausea and vomiting
157
Anxiety
239
Confusional states delirium
245
Withdrawal and depression
253
Difficult decisions
261
Decisions around capacity
267
Issues around cardiopulmonary
273
Drug Information
281
Effects of renal or hepatic impairment
302
Using drugs out of licence and covert
312
Problems with pump infusions
323
Emergencies
329
Breathlessness
339
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