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Oxford Textbook Of Palliative Medicine

Fourth Edition

Geoffrey Hanks, Nathan I.Cherny, Nicholas A. Christakis, Marie Fallon, Stein Kaasa, Russell K. Portenoy


Following publication of the first edition in 1993, the Oxford Textbook of Palliative Medicine rapidly established itself as the definitive textbook on the subject. Each edition has received widespread critical acclaim, and the book is used across the world by the wide range of health care professionals involved in the care of patients with a terminal illness, or chronic, progressive condition. Existing readers who automatically turn to the textbook will welcome the updated edition of their familiar reference, whilst it will prove a fascinating read to a new generation of palliative care professionals.
  • A fourth edition of the hugely successful Oxford Textbook of Palliative Medicine, which has gained a reputation as the definitive guide to the field
  • Six international editors guarantee a truly global perspective
  • 200 contributors and over 100 chapters deal with all aspects of this rapidly developing specialty
  • Two-colour, updated text design aids navigation

New to this edition

  • Four new editors, Russ Portenoy, Nicholas Christakis, Stein Kaasa and Marie Fallon, join the established team of Geoff Hanks and Nathan Cherny to bring this hugely successful text up to date
  • Completely new section on the international status of palliative medicine, including new chapters on: international progress in creating palliative medicine as a specialised discipline; special problems in the United States (where palliative medicine has recently become an accredited specialty); providing palliative care in the developing world; and the IAHPC list of essential medicines for palliative care These changes reflect the worldwide development of palliative medicine and particularly the recent developments in the United States which are establishing palliative medicine as an accredited specialty.
  • New chapters in the Challenge of Palliative Medicine section include: barriers to the delivery of palliative care; defining a good death; and the economic challenges of palliative medicine
  • Increased focus on the multidisciplinary team including new chapters on the core team and the extended team
  • Research section includes new material on clinical trials, and measurement of pain and other symptoms in the cognitively impaired
  • New chapters on withdrawing life support, clinical management of bleeding complications, end stage heart disease, end stage renal failure, palliative medicine and dementia, informatics, and sedation

Section 1: Introduction
1.1: Geoff Hanks, Nathan I. Cherny, Stein Kaasa, Russ Portenoy, Nicholas Christakis & Marie Fallon: Introduction
Section 2: The worldwide status of palliative care
2.1: David Clark: International progress in creating palliative medicine as a specialized discipline
2.2: Perry Fine & Stephen Connor: Lessons learned from hospice in the United States of America
2.3: Robert Twycross & M. R. Rajagopal: Providing palliative care in resource-poor countries
2.4: Neil Macdonald: IAHPC list of the essential medicines for palliative care
Section 3: The challenge of palliative medicine
3.1: Nathan I. Cherny: The problem of suffering and the principles of assessment in palliative medicine
3.2: Jane Ingham, Meg Sands & Michael Piza: The epidemiology of death and symptoms
3.3: Paul Glare, Christian Sinclair, Michael Downing & Patrick Stone: Predicting survival in patients with advanced disease
3.4: Raphael Catane & Nathan Cherny: Palliative medicine and modern cancer care
3.5: Fiona Graham, Suresh Kumar & David Clark: Barriers to the delivery of palliative care
3.6: Karen Steinhauser & James Tulsky: Defining a good death
3.7: Jonathan Koffman & LaVera Crawley: Cultural aspects of palliative medicine
3.8: Thomas Smith & J Brian Cassel: The economic challenges of palliative medicine
Section 4: The interdisciplinary team
4.1: Dagny Faksvåg Haugen, Friedemann Nauck & Augusto Caraceni: The core team and the extended team
4.2: Deborah Witt Sherman: Nursing and palliative care
4.3: Barbara Monroe: Social work in palliative care
4.4: Rev. James M. Harper, III & Rabbi Jonathan E. Rudnick: The role of the chaplain in palliative care
4.5: Jennifer Miller & Jill Cooper: Occupational therapy in palliative care
4.6: Clare O'Callaghan: Music therapy in palliative care
4.7: Rosemary Richardson & Isobel Davidson: The dietician and nutritionist in palliative care
4.8: Diane Robinson & Anne English: Physiotherapy in palliative care
4.9: Alison MacDonald & Linda Armstrong: Speech and language therapy in palliative care
4.10: Michèle Wood: Art therapy in palliative care
4.11: Jane Ellen Barr: The contribution of stoma nurse specialist to palliative care
4.12: Fiona Cathcart: Clinical psychology in palliative care
4.13: Margaret Gibbs: The clinical pharmacist in palliative care
Section 5: Ethical issues
5.1: Kenneth Calman: Introduction
5.2: Ira Byock & Diane Palac: Confidentiality
5.3: Martin Tattersall: Truth-telling and consent
5.4: Vic Larcher & Dr Dilini Rajapakse: Palliative medicine in children: ethical and legal issues
5.5: Lars Johan Materstvedt & Dr Georg Bosshard: Euthanasia and physician-assisted suicide
5.6: Joe Fins & Elizabeth Nilson: Withholding and withdrawing life-sustaining therapy
Section 6: Communication and palliative medicine
6.1: Lesley Fallowfield: Communication with the patient and family in palliative medicine
6.2: Anna C. Muriel & Paula K. Rauch: Talking with families and children about the death of a parent
6.3: David Jeffrey: Communication with professionals
6.4: Kenneth Calman: Communication with the public, policy makers and the media
Section 7: Research in palliative medicine
7.1: Geoffrey Hanks & Stein Kaasa: Research in palliative care: getting started
7.2: Henry J. McQuay, Andrew Moore & Philip Wiffen: The principles of evidence-based medicine
7.3: John Farrar: Clinical trials in palliative care
7.4: Linda J. Kristjanson & Nessa Coyle: Qualitative research
7.5: David W. Kissane, Annette F. Street & Erin Schweers: Research into psychosocial issues
7.6: David Casarett: Ethical issues in palliative care research
7.7: Jane Ingham, Russ Portenoy & Anthoulla Mohamudally: Measurement of pain and other symptoms
7.8: Stein Kaasa & John Havard Loge: Quality of life measurement in palliative medicine - principles and practice
7.9: Keela Herr & Mary Ersek: Measurement of pain and other symptoms in the cognitively impaired
7.10: Irene J. Higginson: Clinical and organisational audit and quality improvement in palliative medicine
Section 8: Principles of drug use in palliative medicine
8.1: Geoffrey Hanks: Principles of drug use in palliative medicine
Section 9: Disease modifying management in advanced cancer
9.1: Malcolm McIllmurray: The medical treatment of cancer in palliative care
9.2: Peter J. Hoskin: Radiotherapy in symptom management
9.3: Robert Krouse: The role of general surgery in the palliative care of patients with cancer
9.4: John Healey & Wakenda Tyler: The role of orthopaedic surgery in the palliative care of patients with cancer
9.5: Tarun Sabharwal, N Fotiadis & Andy Adam: The role of interventional radiology in the palliative care of patients with cancer
Section 10: The management of Common Symptoms and Disorders
10.1: The management of pain
10.1.1: Gordon Williams & Tony Dickenson: Pathophysiology of pain in cancer and other terminal diseases
10.1.2: Nathan I Cherny: Pain assessment and cancer pain syndromes
10.1.3: Nanna Brix Finnerup & Troels Staehelin Jensen: Neuropathic pain
10.1.4: Lesley A Colvin & Marie Fallon: Cancer induced bone pain
10.1.5: Giovambattista Zeppetella: Breakthrough pain
10.1.6: Geoffrey Hanks, Nathan Cherny & Marie Fallon: Opioid analgesic therapy
10.1.7: Per Sjøgren, Frank Elsner & Stein Kaasa: Non-opioid analgesics
10.1.8: David Lussier & Russell Portenoy: Adjuvant analgesics in pain management
10.1.9: Robert A. Swarm, Menelaos Karanikolas & Michael J. Cousins: Injections, neural blockade, and implant therapies for pain control
10.1.10: Nicholas Park & Nik Patel: The role of surgical neuroablation for pain control
10.1.11: Michaela Bercowitz & Nathan I. Cherny: Treating pain with transcutaneous electrical nerve stimulation
10.1.12: Jacqueline Filshie & John W. Thompson: Acupuncture
10.1.13: William Breitbart, Steven D. Passik & David Casper: Psychological and psychiatric interventions in pain control
10.2 Gastro-intestinal symptoms
10.2.1: Kathryn A. Mannix: Palliation of nausea and vomiting
10.2.2: Claud Regnard: Dysphagia, dyspepsia and hiccup
10.2.3: Nigel Sykes: Constipation and diarrhoea
10.2.4: Carla Ripamonti & Sebastian Mercadante: Pathophysiology and management of malignant bowel obstruction
10.2.5: Jeremy Keen: Jaundice, ascites and hepatic encephalopathy
10.3 Weight loss in palliative medicine
10.3.1: Florian Strasser & Vickie Baracos: Classification and pathophysiology of the anorexia/cachexia syndrome
10.3.2: Ken Fearon, Vickie Baracos & Sharon Watanabe: Classification, clinical assessment and treatment of the anorexia-cachexia syndrome.
10.4 Fatigue and asthenia
10.4: Sriram Yennurajalingam & Eduardo Bruera: Fatigue and asthenia
10.5 Clinical management of anaemia, cytopenias and thrombosis in palliative medicine
10.5: Robert Turner: Clinical management of anaemia, cytopenias and thrombosis in palliative medicine
10.6 Pruritus and sweating in palliative medicine
10.6: Mark R. Pittelkow & Charles L. Loprinzi: Pruritus and sweating in palliative medicine
10.7 Skin problems in palliative medicine
10.7.1: Michal Lotem: Medical aspects
10.7.2: Patricia Grocott & Vicky Robinson: Nursing aspects
10.7.3: Vaughan Keeley: Lymphoedema
10.8 Genito-urinary problems in palliative medicine
10.8: Richard W. Norman & Greg Bailly: Genito-urinary problems in palliative medicine
10.9 Mouth care
10.9: Franco De Conno, Cinzia Martini, Alberto Sbanotto, Carla Ripamonti & Vittorio Ventafridda: Mouth care
10.10 Endocrine and metabolic complications of advanced cancer
10.10: Mark Bower & Sarah Cox: Endocrine and metabolic complications of advanced cancer
10.11 Neurological problems in advanced cancer
10.11: Augusto Caraceni, Cinzia Martini & Fabio Simonetti: Neurological problems in advanced cancer
10.12 Sleep in palliative care
10.12: Michael J. Sateia & Ira Byock: Sleep in palliative care
10.13 Withdrawing life support - clinical advice for challenging scenarios
10.13: Gordon D. Rubenfeld: Withdrawing life support - clinical advice for challenging scenarios
10.14 Clinical management of bleeding complications
10.14: Jose Pereira & Sophie Pautex: Clinical management of bleeding complications
Section 11: Issues in specific neoplastic disease
11.1: Kin-Sang Chan, Doris M.W. Tse, Michael M.K. Sham & Anne Berit Thorsen: Palliative medicine in malignant respiratory diseases
11.2: Barbara A. Murphy, Anthony Cmelak, Steven Bayles, Ellie Dowling, Cheryl R Billante, Sheila Ridner, Kirsten Hamean, Stewart Bond, Anne Marie Flores & Wisawatapnimit Panarut: Head and neck cancer
11.3: Claudia Bausewein, Gian Domenico Borasio & Raymond Voltz: Brain tumours
Section 12: Palliative medicine in non-malignant disease
12.1: Marie Fallon: Introduction
12.2: Roger Woodruff & David Cameron: AIDS in adults
12.3: Richard M. Leach: Palliative medicine and non-malignant, end-stage respiratory disease
12.4: Andrew D. McGavigan, Francis G. Dunn & Carolyn Datta: Palliative medicine for patients with end-stage heart disease
12.5: G.D. Borasio, A. Rogers, S. Lorenzl & R. Voltz: Palliative medicine in non-malignant neurological disorders
12.6: Jo Chambers: Palliative medicine in end-stage renal failure
12.7: Simon Cohen & Thomas J. Prendergast: Palliative medicine in intensive care
Section 13: Paediatric palliative medicine
13.1: Betty Davies & Harold Siden: Special consideration for children in palliative medicine
13.2: Stephen C. Brown & Patricia A. McGrath: Paediatric pain control
13.3: John J. Collins: Symptom control in life-threatening illness in children
13.4: Michael M. Stevens: Psychological adaptation of the dying child
13.5: Betty Davies & Stacy Orloff: Bereavement issues and staff support when caring for children
Section 14: Geriatric palliative medicine
14.1: Ladislav Volicer: Palliative medicine in dementia
14.2: Diane E. Meier & Nathan Goldstein: Palliative medicine and care of the elderly
Section 15: Psychiatric, psychosocial and spiritual issues in palliative medicine
15.1: Susan McClement & Harvey Chochinov: Sprititual issues in palliative medicine
15.2: Mary L.S. Vachon: The emotional problems of the patient in palliative medicine
15.3: Joan T. Panke & Betty R. Ferrell: The family perspective
15.4: Liz Jamieson, Emma Teasdale, Alison Richardson & Amanda Ramirez: The stress of professional caregivers
15.5: William Breitbart: Psychiatric symptoms in palliative medicine
15.6: David W. Kissane & Talia Zaider: Bereavement
Section 16: Rehabilitation in palliative medicine
16.1: Deborah Franklin & Andrea Cheville: Rehabilitation in palliative medicine
Section 17: Complementary therapies in palliative medicine
17.1: Gary Deng & Barrie R. Cassileth: Complementary therapies in palliative medicine
Section 18: Palliative medicine in the home
18.1: Derek Doyle: Palliative medicine in the home: an overview
18.2: S. Lawrence Librach: Palliative medicine in the home: North America
Section 19: The terminal phase
19.1: Mike Harlos: The terminal phase
19.2: Eric Krakauer & Thomas Quinn: Sedation in palliative medicine
Section 20: Education and training in palliative medicine
20.1: Kenneth Calman: Introduction
20.2: Meg Hegarty & David Currow: Postgraduate education in palliative medicine
20.3: Charles von Gunten, Barry Buckholz & Frank Ferris: Training specialists in palliative medicine
20.4: Deborah Kirklin: The role of the humanities in palliative medicine
20.5: Jose Pereira: Informatics and palliative medicine

Contributors:
Andy Adam, Department of Radiology, Guy's and St Thomas' Hospital, NHS Foundation, London, UK Linda Armstrong, Consultant Speech and Language Therapist, Perth, UK Greg G. Bailly, Assistant Professor, Department of Urology, Dalhousie University, Halifax, Canada Jane Ellen Barr, Phillips Beth Israel School of Nursing, New York, USA Vickie Baracos, Department of Oncology, University of Alberta, Canada Claudia Bausewein, The Cicely Saunders Foundation Research Training Fellow, King's College London, UK Steven Bayles, Assistant Professor, Vanderbilt-Bill Wilkerson Center for Otolaryngology and Communication Sciences, Nashville, USA Michaela Bercovitch, Sheba Medical Center, Tel Aviv, Israel Cheryl R Billante, Vanderbilt Voice Center, Nashville, USA Stewart Bond, Research Associate, John A. Hartford Foundation Claire M. Fagin Fellow, Vanderbilt University School of Nursing, Nashville, USA Gian Domenico Borasio, Int

Review(s) from previous edition

"'This new edition consolidates the position of the Oxford Textbook as the definitive text in Palliative Medicine. It remains a very readable, well-resourced and well-presented book.' - Hospice Information Bulletin, March 2004

"'Its predecessors, published in 1993 and 1998 respectively, garnered high praise and wide acceptance, establishing the Oxford Textbook as the gold standard reference text in our rapidly expanding field. The third edition continues this proud tradition... a wonderful testament to a rapidly growing body of knowledge in a dynamic new field of health care competence.'" - Palliative Medicine, July 2004

"'This textbook will remain a core text.'" - International Journal of Palliative Nursing, 2004

"'When the Oxford Textbook of Palliative Medicine was first published in 1993 it was immediately acclaimed as the best and most comprehensive textbook in the field. Specialists in palliative medicine came to regard both the first and second edition (published in 1998) as indispensable sources of reliable information to assist in the management of complex problems... Should libraries, palliative care teams, medical schools and individual specialists invest in the new tome? My answer would be an unequivocal yes.'" - Professor Mike Richards CBE, National Cancer Director in Palliative Medicine, July 2004

"'This book will remain the gold standard reference in palliative medicine for the next few years at least. The editors are to be congratulated on the successful completion of what is a very impressive reference.'" - IAHPC Website, January 2004

"When a book with the title 'Oxford Textbook' lands on your desk, you know there is a fair chance that this will be a quality book and without doubt this one is. ...at a shade under £60, all practices should have a copy. It is simply brilliant and seemingly covers everything. ...1244 pages of packed text which results in a superb reference resource. There is a lot of wisdom within its pages and offers a lot to hospice based and community based palliative care teams as well as the general practioner. There are a large number of contributors from a number of countries which provides a global perspective, this gives more stature to the book. ...an outstanding and superb book and an essential addition to anyone that has to deal with a palliative care patient.'" - Dr Harry Brown, July 2007

"'This textbook gives a good overview of palliative care and medicine and every medical oncologist should have access to this standard of care.'" - Annals of Oncology

"' . . . the gold standard reference for palliative medicine.'" - IAHPC Website