Textbook of Palliative Medicine

Eduardo Bruera, Professor and Chair, Department of Palliative Care & Rehabilitation Medicine, U.T. MD Anderson Cancer Center, Houston, Texas, USA Irene J Higginson, Professor of Palliative Care and Policy, Kings College London, UK Carla Ripamonti, Head, Day-Hospital and Outpatient Clinic of Pain Therapy and Palliative Care, Rehabilitation and Palliative Care Operative Unit, National Cancer Institute, Milan, Italy Charles von Gunten, Director, Center for Palliative Studies, San Diego Hospice and Palliative Care, San Diego California, USA

PART 1
The development of palliative medicine in: the UK and Ireland
Europe
Canada
the USA
Latin America
Africa
Australia and New Zealand
Asia
Palliative care versus palliative medicine
Palliative care as a public heath issue
The future of palliative medicine
PART 2
Principles of bioethics
Ethics
Dignity
PART 3
Dying in different cultures
Palliative care global initiatives
PART 4
Undergraduate
Graduate
Postgraduate and continuing education
Public education
PART 5
Challenges of research
The patient population
Research designs
Outcomes
Ethics in research
Practical tips for successful research
Audit and quality improvement
PART 6
Standards of care
The engineering of organizational change
Financial issues in the delivery of palliative care
Organization and support of the multiprofessional / interdisciplinary team
Needs assessment for patient care
The palliative care consult team
Models for palliative care delivery
Home care
Day hospitals
Inpatient hospices
The palliative care unit
Combined care models
PART 7
Patient assessment
Tools for pain and symptom assessment
Quality of life assessment
PART 8
The pathophysiology of chronic pain
Causes & mechanisms of pain
Opioid analgesics
The assessment and management of opioid side effects
Adjuvant analgesic drugs
Alternative routes for systemic opiod delivery
Epidural & intrathecal administration
Topical administration of analgesics
Non-pharmacological and non-invasive management of pain
Pain in children
Pain in the elderly
Neuropathic pain
Bone pain
Incidental pain
Somatization and pain expression
Pain in patients with alcohol and drug dependence
PART 9
Pathophysiology of anorexia-cachexia
Nutritional and phamacological management of cachexia
Nausea/vomiting
Constipation/diarrhea
Ascites
Jaundice
Bowel obstruction
The endoscopic treatment of gastrointestinal symptoms
PART 10
The pathophysiology of fatigue
Assessment of fatigue
The role of physical function on fatigue
The treatment of fatigue
PART 11
Dyspnea
Other respiratory symptoms
PART 12
Depression/anxiety
Confusion/delirium
Sleeping disorders
Counseling
Hope
PART 13
Dehydration and re-hydration
Fever and sweating
Pruritus
Infections
Pressure ulcers and wounds
Mouth care
Fistulas
The assessment and management of lymphedema
PART 14
Hypercalcemia
Hemorrhage
Spinal cord compression
Superior venacava syndrome
Seizures
Acute pain syndromes
Suicide
PART 15
Radiotherapy
Chemotherapy
Physical medicine and rehabilitation
Integrative and alternative medicine
AIDS
Neurological diseases
Congestive heart failure & other causes of terminal heart disease
Palliative care in children
Chronic obstructive pulmonary disease & other terminal respiratory conditions
Other infectious diseases
Practical aspects of palliative care delivery in the developing world
Prognostic indicators of survival
Palliative sedation
PART 16
Physiotherapy and occupational therapy
Stress & burnout in health care givers
Communication in palliative care
Spiritual care
Family care
Advanced directives
Bereavement
Children of palliative care patients