The 3rd edition of this prize winning book was published in 212. Since this time the evidence base in palliative care practice has expanded in a number of areas including pain management and breathlessness. There has been the development of work on compassionate communities, as well as an increased focus on hospital-based palliative care. There has also been increased recognition of the palliative care needs of frail patients and those with multiple co-morbidities. The 4th edition will support non-specialists in palliative care, in both hospital and community settings, to utilise up-to-date evidence and guidelines. The text will have a practical focus, providing the user with an approach to clinical challenges, whilst also providing enough information to explain why this approach is suggested. This rationale will be presented in a succinct format, utilising flow charts where possible. Revised content will include: New chapter Hospital palliative care Updated chapter Palliative care in Multi-morbidity, Frailty and Dementia (replacing Palliative care in advanced dementia) New chapter Palliative care in mental health and in patients with learning disability Updated chapter Recognising deterioration and thinking ahead, replacing Advance care planning New chapters Wellbeing for Providers and Patient and carer wellbeing. These have replaced Complementary approaches to palliative cancer care Removal of chapter Palliative Care for people with HIV infection and AIDS as these conditions are rarely seen by Palliative Care Services now Pressure area care and the management of fungating wounds chapter to be absorbed into chapters Care in the last days of life and after death and Managing complications of cancer Chapters Palliative care for children and Palliative care for adolescents and young adults to be merged into the chapter Palliative care for infants, children and young people

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