This new edition provides the essential clinical guidance both for those embarking upon a career in palliative medicine and for those already established in the field. A team of international experts here distil what every practitioner needs to know into a practical and reliable resource.

List of contributors

1 The development of hospice and palliative care
Kate Kirk
2 Palliative care as a public health issue
Irene J. Higginson and Massimo Costantini
3 Palliative care as a primary care issue
Scott A. Murray, Sebastien Moine, and Kirsty Boyd
4 The future of palliative medicine
Charles F. Von Gunten and Irene J. Higginson
5 Palliative care and supportive care
Eduardo Bruera
6 Ethics in the practice of palliative care
Nelia Jain and James A. Tulsky
7 Undergraduate education in palliative medicine
Linh My Thi Nguyen
8 Graduate education for nonspecialists
Ilora G. Finlay and Fiona Rawlinson
9 Challenges of research in palliative and supportive medicine
Irene J. Higginson
10 The population: Who are the subjects in palliative medicine research?
Claudia Bausewein and Fliss E.M. Murtagh
11 Study designs in palliative medicine
Massimo Costantini
12 Outcome measurement in palliative care
Joan Teno
13 Ethics in palliative care research
Jonathan Koffman and Emel Yorganci
14 Adoption of palliative care: The engineering of organizational change
Winford E. (Dutch) Holland and Eduardo Bruera
15 Principles of measuring the financial outcomes of specialist palliative care programs
J. Brian Cassel and Thomas J. Smith
16 Population-based needs assessment for patients and those important to them, such as families
Irene J. Higginson and Richard Harding
17 Models of palliative care delivery
Eduardo Bruera and Jessica H. Brown
18 Palliative home care
Heather Grant and Dana Lustbader
19 Palliative care unit
Karen Macmillan, Kelley Fournier, Beth Tupala, and Kim Crowe Mackinnon
20 Multidimensional patient assessment
Marvin Omar Delgado-Guay and Alexander Harding
21 Tools for pain and symptom assessment
Victor T. Chang
22 Quality of life assessment in palliative care
Richard Sawatzky and S. Robin Cohen
23 Pathophysiology of chronic pain
Sebastiano Mercadante
24 Causes and mechanisms of pain in palliative care patients
Michal Kubiak, Marieberta Vidal, and Suresh K. Reddy
25 Opioid analgesics
Geana Paula Kurita, Stein Kaasa, and Per Sjogren
26 Assessment and management of opioid side effects
Shalini Dalal
27 Adjuvant analgesic drugs
Jessica Geiger
28 Alternative routes for systemic opioid delivery
Raffaele Giusti, Monica Bosco, Maurizio Lucchesi, and Carla Ida Ripamonti
29 Interventional pain procedures in palliative care
Po-Yi Paul Su, Ann Cai Shah, and Sarah Gebauer
30 Pain management in pediatrics
Kevin Madden
31 Pain in the older adult
Linh My Thi Nguyen and Michelle Peck
32 Neuropathic pain
Paolo Marchettini, Fabio Formaglio, and Marco Lacerenza
33 Bone cancer pain and skeletal complications
Yoko Tarumi
34 Breakthrough (episodic) pain in cancer patients
Shirley H. Bush
35 Somatic symptoms, symptom clusters, and symptom burden
David V. Nelson and Diane M. Novy
36 Pain in patients with alcohol and drug dependence
Leah Couture, Malisa Dang, and Danielle Noreika
37 Cachexia-anorexia syndrome
Paul Zelensky, Mallika Dammalapati, and Egidio Del Fabbro
38 Nausea/vomiting
Sebastiano Mercadante
39 Constipation
Charu Agrawal and Karina Shih
40 Jaundice
Nathan I. Cherny
41 Malignant bowel obstruction
Carla Ida Ripamonti, Alexandra M. Easson, and Hans Gerdesh
42 Endoscopic treatment of gastrointestinal symptoms
Pasquale Spinelli
43 Mechanisms, assessment, and management of fatigue
Sean Hutchinson and Sriram Yennurajalingam
44 Breathlessness
Claudia Bausewein and Sara Booth
45 Other respiratory symptoms (cough, hiccup, and secretions)
Regina M Mackey and Francisco Loaiciga
46 Depression/anxiety
Tatsuo Akechi
47 Delirium
Yesne Alici and William S. Breitbart
48 Sleep disturbances in advanced cancer patients
Delmer A. Montoya and Sriram Yennurajalingam
49 Counseling in palliative care
Sophie A McGilvray and David W Kissane
50 Hope in end-of-life care
Cheryl L. Nekolaichuk
51 Dehydration and rehydration
Robin L. Fainsinger
52 Fever, sweats, and hot flashes
Ahsan Azhar and Shalini Dalal
53 Pruritus
Michael Tang, Katie Taylor, and Andrew Thorns
54 Infections in palliative care
Rudolph M. Navari
55 Pediatric palliative wound care: The unique anatomy and physiology of neonatal skin
Joyce M. Black and Ann Marie Nie
56 Mouth care
Flavio Fusco
57 Fistulas
Maurizio Lucchesi, Fabio Fulfaro, Raffaele Giusti, and Carla Ida Ripamonti
58 Assessment and mangement of lymphedema
Ying Guo and Mark V Schaverien
59 Hypercalcemia
Kimberson Tanco and Saima Rashid
60 Hemorrhage
Timothy Fuller, Kencee Graves, and Jen-Yu Wei
61 Spinal cord compression
Maitry Patel, Adrian Cozma, Edward Chow, and Srinivas Raman
62 Clinical features and management of superior vena cava syndrome
Alvaro Sanz, Maria Luisa del Valle, and Carlos Centeno
63 Acute pain and management
Mellar P. Davis
64 Suicide
Daniel C. McFarland, Yesne Alici, and William S. Breitbart
65 Cancer: Radiotherapy
Adrian Cozma, Maitry Patel, Edward Chow, and Srinivas Raman
66 Chemotherapy, hormonal therapy, targeted agents, and immunotherapy
David Hui
67 Integrative medicine in supportive and palliative care
Gabriel Lopez, Santhosshi Narayanan, Wenli Liu, and Lorenzo Cohen
68 Neurological diseases
Tobias Walbert and Joel Phillips
69 End-stage congestive heart failure
Sam Straw, Klaus K. Witte, and Mark T. Kearney
70 Geriatric palliative care
Kimberson C. Tanco and Maxine de la Cruz
71 Advanced chronic obstructive pulmonary disease
Daisy J.A. Janssen, Lynn F. Reinke, and J. Randall Curtis
72 Other infectious diseases: Malaria, rabies, tuberculosis
Richard Harding, Rene Krause, and Sue Marsden
73 Practical resources for palliative care development in countries with limited resources: An IAHPC perspective
Liliana De Lima
74 Prognostic indicators of survival
Morena Shkodra, Augusto T. Caraceni, Marco Maltoni, and Caterina Modonesi
75 Palliative sedation
Nathan I. Cherny
76 Staff stress and burnout in palliative care
Aimee E. Anderson and Eduardo Bruera
77 Spiritual care
Marvin Omar Delgado-Guay and Alexander Harding
78 Family caregivers and cultural sensitivity
Rony Dev and Ali Haider
79 Bereavement
Victoria H. Raveis
80 Children of palliative care patients
Estela Beale and Sujin Ann-Yi
81 Neutropenic fever
Hiroshi Ishiguro and Harumi Gomi
82 Side effects of radiation therapy
Michael Wang, Elizabeth A Barnes, and Alysa Fairchild
83 Cardiac and pulmonary toxicities of treatments
Marieberta Vidal
84 Oral complications of cancer therapies
Siri Beier Jensen and Deborah P. Saunders
85 Dermatologic side effects
Jen-Yu Wei and Michael Goodblatt
86 Peripheral neuropathy and neurotoxicity
Sheetal Shroff, Akhil Shivaprasad, and Ivo W. Tremont-Lukats
87 Sex and sexuality
Mary K. Hughes
88 Managing communication challenges with patients and families
Anthony L. Back
89 Supportive and palliative care for patients with HIV infection
Richard Harding, Elizabeth J. Chuang, and Peter A. Selwyn
90 Implantable cardiac devices
Laura J. Morrison
91 Supportive care for patients with advanced chronic kidney disease
Sara N. Davison
92 Palliative care in the emergency department
Travis DeVader and Tammie Quest
93 Optimal symptom management in hematopoietic stem cell transplantation
Katie N Kanter, Allison Kestenbaum, Thomas W LeBlanc, and Eric J Roeland
94 End of therapy: Building the psychosocial and spiritual bridges to survivorship
Marvin Omar Delgado-Guay and Paige Farinholt
95 Rehabilitation in the acute and chronic care setting
George J. Francis and Ki Y. Shin
96 Long-term cognitive function
Asao Ogawa
97 Gonadal functions and reproductive health
Koji Kawai, Miyuki Harada, Yutaka Osuga, and Hiroyuki Nishiyama
98 Pulmonary rehabilitation
Ryo Kozu

Index