Topics in pall[i]ative care. Volume 5 / edited by Eduardo Bruera, Russell K. Portenoy.

Includes bibliographical references and index.

Print version record.

The rapidly evolving field of Palliative Care focuses on the management of phenomena that produce discomfort and that undermine the quality of life of patients with incurable medical disorders. The interdisciplinary clinical purview includes those factors - physical, psychological, social, and spiritual - that contribute to suffering, undermine the quality of life, and prevent a death with comfort and dignity. Palliative Care is a fundamental part of clinical practice, the "parallel universe" to therapies directed at cure or prolongation of life. All clinicians who treat patients with chronic life threatening diseases are engaged in palliative care, continually attempting to manage complex symptomatology and functional disturbances. The scientific foundation of palliative care is advancing, and similarly, methods are needed to highlight, for practioners at the bedside, the findings of empirical research. Topics in Palliative Care Series is divided into sections that address a range of issues.; Addressing aspects of sumptom control, psyshocsoical functioning, spiritual or existential concerns, ethics, and other topics, the chapters in each section review the given area and focus on a small number of salient issues for analysis. The authors present and evaluate existing data, provide a context drawn from clinical and research settings, and integrate knowledge in a manner that is both practical and readable. The specific topics covered in Volume 5 are Cultural issues in Palliative Care, Palliative Care in Geriatrics, Communication Issues in Palliative Care, Outcomes Research in Palliative Care, Opiod Tolerance; Reality of Myth?, and Pain and other symptoms: Treatment Challenges.

English.

Cover -- Title Page -- Copyright Page -- Dedication -- Preface to the Series -- Contents -- Contributors -- I Cultural Issues in Palliative Care -- 1. Models for the Delivery of Palliative Care: The Canadian Model -- 2. Models for the Delivery of Palliative Care: The Spanish Model -- 3. Models for the Delivery of Palliative Care in Developing Countries: The Argentine Model -- II Palliative Care in Geriatrics -- 4. Exploring the Need for a Special Model of Geriatric Care -- 5. Care of the Elderly with Advanced Diseases: Caregiver Issues -- III Communication Issues in Palliative Care -- 6. Truth-Telling and Reciprocity in the Doctor-Patient Relationship: A North American Perspective -- 7. Truth-Telling in Cancer Care: The Japanese Perspective -- 8. Advance Directives in Different Cultures -- 9. Assessment of Symptoms in the Cognitively Impaired -- IV Research Outcomes in Palliative Care -- 10. Defining and Measuring Quality of Life in Palliative Care -- 11. Economic Outcomes and Palliative Care -- 12. Symptom Assessment Outcomes in Home-Based Palliative Care -- V Opioid Tolerance: Reality or Myth? -- 13. Opioid Tolerance: A Clinical Perspective -- 14. Problems with Opioid Dose Escalation in Cancer Pain: Differential Diagnosis and Management Strategies -- VI Pain and Other Symptoms: Treatment Challenges -- 15. Dose Ratios Among Different Opioids: Underlying Issues and an Update on the Use of the Equianalgesic Table -- 16. Intraspinal Pain Therapy in Palliative Care -- 17. Diagnosis and Management of Delirium in the Terminally Ill -- Index.

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