图书简介
This is the fifth book in a series devoted to research and practice in palliative care. This rapidly evolving field focuses on the management of phenomena that produce discomfort and that undermine the quality of life patients with incurable medical disorders. To highlight the diversity in this field, each volume is divided into sections that address a range of issues. Various sections discuss aspects of symptom control, psychosocial functioning, spiritual or existential concerns, ethics, and other topics. The 6 sections in this volume are Cultural Issues in Palliative Care, Palliative Care in Geriatrics, Communication Issues in Palliative Care, Outcomes Research in Palliative Care, Opiod Tolerance:; Reality or Myth?, and Pain and other Symptoms: Treatment Challenges. The authors present and evaluate existing data, provide a context drawn from both the clinic and research, and integrate knowledge in a manner that is both practical and readable.
Section 1: Cultural Issues in Palliative Care; 1: Carleen Brenneis and Eduardo Bruera: Models for the Delivery of Palliative Care: The Canadian Model; 2: Marcos Gomez Sancho: Models for the Delivery of Palliative Care: The Spanish Model; 3: Mariela Bertolino: Models for the Delivery of Palliative Care in Developing Countries; Section II: Palliative Care in Geriatrics; 1: R. Sean Morrison and Diane Meier: Palliative Care and Geriatrics: Is a Special Model of Care Needed?; 2: Yosuke Uchitomi: Truth Telling in Cancer Care: The Japanese Perspective; 3: Akira Akabayashi and Raymond Voltz: Advance Directives in Different Cultures; 4: Wendy Stein: Assessment of Symptoms in the Cognitively Impaired; Section IV: Outcomes Research in Palliative Care; 1: S. Robin Cohen: Quality of Life as an Outcome in Palliative Care: What Is It and How Do We Measure It?; 2: Laurie Lyckholm and Thomas J. Smith: Economic Outcomes and Palliative Care; 3: Franco De Conno and Cinzia Martini: Symptom Assessment Outcomes in Home-Based Palliative Care; Section V: Opioid Tolerance: Reality or Myth?; 1: Leia Phioanh Nghiemphu and Russell K. Portenoy: Opioid Tolerance: Clinical Perspective; 2: Sebastiano Mercadante: Problems with Opioid Dose Escalation in Cancer Pain: Differential Diagnosis and Management Strategies; Section VI: Pain and Other Symptomes: Treatment Challenges; 1: Peter Lawlor, Jose Pereira, and Eduardo Bruera: Dose Ratios Among Different Opioids: Underlying Issues and an Update on the Use of the Equianalgesic Table; 2: Magnus Sjberg and Narinder Rawal: Intraspinal Pain Therapy in Palliative Care; 3: William Breitbart: The Diagnosis and Treatment of Delirium in the Terminally Ill
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