Berger Principles and Practice of Palliative Care and Supportive Oncology

Principles and Practice of Palliative Care and Supportive Oncology CONTENTS......Page 2
DEDICATION......Page 6
FOREWORD......Page 12
PREFACE FROM THE FIRST EDITION......Page 13
PREFACE......Page 14
ACKNOWLEDGMENTS......Page 15
1 CANCER PAIN: PRINCIPLES OF ASSESSMENT AND SYNDROMES......Page 16
2 BONE PAIN: ASSESSMENT AND MANAGEMENT......Page 44
3 OPIOID PHARMACOTHERAPY......Page 52
4 NONOPIOID AND ADJUVANT ANALGESICS......Page 60
5 NONPHARMACOLOGIC MANAGEMENT OF PAIN......Page 67
APPENDIX 5-1 EXAMPLES OF PATIENT PAIN TOOLS FOR HOME AND CLINIC USE.......Page 73
6 PHYSIATRIC APPROACHES TO PAIN MANAGEMENT......Page 76
7 NEUROSURGICAL INTERVENTIONAL APPROACHES TO PAIN......Page 83
8 ASSESSMENT AND MANAGEMENT OF CANCER-RELATED FATIGUE......Page 90
9 FEVER AND SWEATS......Page 97
10 ANOREXIA/WEIGHT LOSS......Page 105
11 ORAL SENSATION AND CANCER......Page 110
12 DYSPHAGIA......Page 118
13 CHEMOTHERAPY-RELATED NAUSEA AND VOMITING......Page 125
14 CHRONIC NAUSEA AND VOMITING......Page 134
15 DIARRHEA, MALABSORPTION, AND CONSTIPATION......Page 140
16 BOWEL OBSTRUCTION......Page 149
17 DIAGNOSIS AND MANAGEMENT OF ASCITES......Page 155
18 HICCUPS AND OTHER GASTROINTESTINAL SYMPTOMS......Page 160
19 ORAL MANIFESTATIONS AND COMPLICATIONS OF CANCER THERAPY......Page 167
20 PRURITUS......Page 176
21 TREATMENT OF TUMOR-RELATED SKIN DISORDERS......Page 181
22 MANAGEMENT OF PRESSURE ULCERS AND FUNGATING WOUNDS......Page 190
23 LYMPHEDEMA......Page 198
24 PRINCIPLES OF FISTULA AND STOMA MANAGEMENT......Page 205
25 MANAGEMENT OF DYSPNEA......Page 212
26 HEMOPTYSIS......Page 220
27 AIRWAY OBSTRUCTION, BRONCHOSPASM, AND COUGH......Page 223
28 MANAGEMENT OF PLEURAL AND PERICARDIAL EFFUSIONS......Page 229
29 CARDIOPULMONARY TOXICITY OF CANCER THERAPY......Page 243
30 MANAGEMENT OF ADVANCED HEART FAILURE......Page 256
31 MANAGEMENT OF HYPERCOAGULABLE STATES AND COAGULOPATHY......Page 262
32 UROLOGIC ISSUES OF PALLIATIVE CARE......Page 268
33 MANAGEMENT OF RENAL FAILURE......Page 275
34 HYPERCALCEMIA......Page 283
35 METABOLIC DISORDERS IN THE CANCER PATIENT......Page 291
36 HEADACHE AND OTHER NEUROLOGIC COMPLICATIONS......Page 295
37 MANAGEMENT OF SPINAL CORD AND CAUDA EQUINA COMPRESSION......Page 304
38 NEUROMUSCULAR DYSFUNCTION AND PALLIATIVE CARE......Page 310
39 DELIRIUM......Page 317
40 DEPRESSION AND ANXIETY......Page 328
41 SUBSTANCE ABUSE ISSUES IN PALLIATIVE CARE......Page 337
42 PROGNOSTICATION IN ADVANCED DISEASE......Page 344
43 EPIDEMIOLOGY OF CANCER AT THE END OF LIFE......Page 349
44 DEFINITIONS AND MODELS OF PALLIATIVE CARE......Page 358
45 HOSPICE......Page 364
46 MULTIDIMENSIONAL PATIENT ASSESSMENT......Page 368
47 CROSS-CULTURAL ISSUES......Page 373
48 COMMUNICATION AT END OF LIFE......Page 379
49 PALLIATIVE RADIATION THERAPY......Page 386
50 PALLIATIVE CHEMOTHERAPY......Page 393
51 PALLIATIVE SURGERY......Page 400
52 PALLIATIVE ORTHOPEDIC SURGERY......Page 407
53 PALLIATIVE ENDOSCOPIC AND INTERVENTIONAL RADIOLOGIC PROCEDURES......Page 412
54 PSYCHOSOCIAL CONSEQUENCES OF ADVANCED CANCER......Page 421
55 DISORDERS OF SEXUALITY AND REPRODUCTION......Page 428
56 HOME CARE......Page 435
57 MANAGEMENT OF SYMPTOMS IN THE ACTIVELY DYING PATIENT......Page 443
58 SPIRITUALITY......Page 449
59 BEREAVEMENT CARE......Page 458
60 EDUCATION AND TRAINING IN PALLIATIVE CARE......Page 462
61 STAFF STRESS AND BURNOUT......Page 469
62 ASSESSMENT OF DECISION-MAKING CAPACITY......Page 479
63 ADVANCE DIRECTIVES......Page 484
APPENDIX 63-1 THE MEDICAL DIRECTIVE......Page 489
APPENDIX 63-2 EXTRAPOLATING STATED PREFERENCES......Page 490
64 WITHHOLDING AND WITHDRAWING TREATMENT: THE DOCTOR-PATIENT RELATIONSHIP AND THE CHANGING GOALS OF CARE......Page 492
65 PALLIATIVE CARE AND PHYSICIAN-ASSISTED DEATH......Page 498
66 PALLIATIVE CARE:ETHICS AND THE LAW......Page 505
67 HEMATOLOGIC SUPPORT OF THE CANCER PATIENT......Page 513
68 NUTRITION SUPPORT......Page 522
69 ISSUES IN NUTRITION AND HYDRATION......Page 534
70 REHABILITATIVE MEDICINE......Page 540
71 REHABILITATION OF SPEECH DISORDERS......Page 547
72 MUSIC THERAPY AND ART THERAPY*......Page 556
73 COMPLEMENTARY AND ALTERNATIVE APPROACHES......Page 564
74 LONG-TERM SURVIVORSHIP: LATE EFFECTS......Page 570
75 PSYCHOSOCIAL ASPECTS OF CANCER SURVIVORSHIP......Page 578
APPENDIX 75-2 ETHICAL PRINCIPLES FOR CANCER CARE......Page 582
76 PALLIATIVE CARE IN PEDIATRICS......Page 584
77 GERIATRIC PALLIATIVE CARE......Page 593
78 PALLIATIVE CARE IN HUMAN IMMUNODEFICIENCY VIRUS/ACQUIRED IMMUNODEFICIENCY SYNDROME......Page 598
79 PALLIATIVE CARE IN THE INTENSIVE CARE UNIT SETTING......Page 607
80 MEASUREMENT OF QUALITY OF LIFE OUTCOMES......Page 616
81 OUTCOMES ASSESSMENT IN PALLIATIVE CARE......Page 624
82 RESEARCH ETHICS......Page 628