Symptom Management in Advanced Cancer

Front Cover
Radcliffe Publishing, 2001 - Cancer - 415 pages
This practical work has clinical guidelines, and advice on controlling symptoms, as well as showing doctors and carers how to provide physical and psychological comfort. It helps the clinician to develop a scientific approach to managing symptoms.
 

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Contents

General principles
xv
Ethical considerations
xvi
Symptom management
4
As death approaches
10
Pain relief
15
Explanation
23
Nonopioid analgesics
30
Weak opioids
35
Biochemical syndromes
211
Syndrome of inappropriate ADH secretion SIADH
217
Haematological symptoms
223
Bleeding
228
Surface bleeding
233
Haemoptysis
235
Haematemesis and melaena
238
Rectal and vaginal haemorrhage
239

Strong opioids
37
Naloxone
49
Alternative routes of administration
56
Alimentary symptoms
67
Dry mouth
68
Drooling
71
Stomatitis
73
Oral candidiasis
76
Abnormal taste
78
Anorexia
80
Dehydration
83
Cachexia
84
Dysphagia
86
Endooesophageal intubation
93
Heartburn
96
Dyspepsia
97
Gastric stasis
100
Nausea and vomiting
102
Obstruction
109
Constipation
113
Faecal impaction
120
Diarrhoea
122
Rectal discharge
126
Ascites
127
Respiratory symptoms
137
Terminal breathlessness
150
Bronchorrhoea
158
Pleural effusion
159
Lymphangitis carcinomatosa
163
Death rattle
165
Noisy tachypnoea in the moribund
166
Hiccup
167
Psychological symptoms
177
Responses to loss
178
Family problems
179
Anxiety
181
Panic disorder
184
Depression
188
The withdrawn patient
196
The difficult patient
197
Insomnia
198
Secondary mental disorders
200
Delirium
202
Severe haemorrhage
240
Venous thrombosis
242
Pulmonary embolism
246
Disseminated intravascular coagulation
248
Neurological symptoms
255
Corticosteroid myopathy
257
Paraneoplastic neurological disorders
258
LambertEaton myasthenic syndrome LEMS
260
Spinal cord compression
263
Cramp
266
Spasticity
269
Myoclonus
272
Grand mal seizures
273
Patulous Eustachian tube
275
Stopping dexamethasone in patients with intracranial malignancy
276
Druginduced movement disorders
277
Urinary symptoms
287
Bladder innervation
288
Unstable bladder
289
Bladder spasms
292
Hesitancy
294
Discoloured urine
296
Skin care
299
Dry skin
305
Wet skin
307
Skin care during radiotherapy
308
Stomas
311
Fistulas
318
Fungating cancer
321
Decubitus ulcers
323
Lymphoedema
335
Evaluation
337
Management
338
Complications
351
Therapeutic emergencies
355
Respiratory
357
Infection
360
Pain
361
Psychiatric
364
Clinical guidelines
371
Index
397
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