Topics in Palliative Care, Volume 1

Front Cover
Russell K. Portenoy, Eduardo Bruera
Oxford University Press, 1997 - Medical - 316 pages
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.
 

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Contents

Epidemiology and Clinical Features of Delirium
7
Assessment and Management of Reversible Delirium
21
Counseling the Confused Patient and the Family
45
A Call for Research to Elucidate Causes Assessment
57
Assessment and Management of OpioidInduced Constipation
95
PHYLLIs N BUTOw PH D University of Utah Health Sciences
111
Assessment and Management of Mechanical Bowel Obstruction
113
Basic Principles
137
A Role for Sequential
195
Psychopathology in Patients with Progressive
207
Characteristics and Assessment
213
National Cancer Institute Center
237
The Family as a Unit of Treatment
245
Denial Misinformation and the Assault of Truth
263
Clinical Response to Spiritual Issues
279
Index
291

of Chronic Cancer Pain
177

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About the author (1997)


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.

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