著者紹介

内容

目次

FOREWORD; INTRODUCTION; SECTION 2: THE CHALLENGE OF PALLIATIVEMEDICINE; 2.1 The problem of suffering; 2.2 The epidemiology of deathand symptoms; 2.3 Palliative medicine and modern cancer care; 2.4Predicting survival in patients with advanced disease; 2.5 Theinterdisciplinary team; 2.6 Economics based palliative medicine;SECTION 3: ETHICAL ISSUES; 3.1 Introduction; 3.2 Confidentiality; 3.3Truth-telling and consent; 3.4 Educating for professional competence inpalliative medicine; 3.5 Palliative medicine and children: ethical andlegal issues; 3.6 Ethical issues in palliative care research; 3.7Euthanasia and withholding treatment; SECTION 4: COMMUNICATION ANDPALLIATIVE MEDICINE; 4.1 Communication with the patient and family inpalliative medicine; 4.2 Communication with professionals; 4.3Communication with public, politicians and media; SECTION 5: RESEARCHIN PALLIATIVE MEDICINE; 5.1 The principles of evidence-based medicine;5.2 Clinical research in palliative medicine: practical considerations;5.3 Qualitative research in palliative medicine; 5.4 Pain research -the design of clinical trials; 5.5 Research into psychosocial issues;SECTION 6: PATIENT EVALUATION AND OUTCOME MEASURES; 6.1 The measurementof pain and other symptoms; 6.2 Are we doing the right thing well:assessing and maintaining the quality of care?; 6.3 Quality of life inpalliative medicine - principles and practice; SECTION 7: PRINCIPLES OFDRUG USE IN PALLIATIVE MEDICINE; SECTION 8: SYMPTOM MANAGEMENT; 8.1Disease modifying management; 8.1.1 Palliative medicine and thetreatment of cancer; 8.1.2 Radiotherapy in symptom management; 8.1.3Surgical palliation; 8.1.4 Orthopaedic principles and management; 8.1.5Interventional radiology; 8.2 The management of pain; 8.2.1Pathophysiology of pain in cancer and other terminal diseases; 8.2.2Acute and chronic cancer pain syndromes; 8.2.3 Opioid analgesictherapy; 8.2.4 Non-opioid analgesics; 8.2.5 Adjuvant analgesics in painmanagement; 8.2.6 Anaesthetic techniques for pain management; 8.2.7Neurosurgical techniques in the management of pain; 8.2.8 Treating painwith transcutaneous electrical nerve stimulation (TENS); 8.2.9Acupuncture; 8.2.10 Psychological and psychiatric interventions in paincontrol; 8.2.11 Difficult pain problems - an integrated approach; 8.3Gastro-intestinal symptoms; 8.3.1 Palliation of nausea and vomiting;8.3.2 Dysphagia, dyspepsia and hiccup; 8.3.3 Constipation anddiarrhoea; 8.3.4 Pathophysiology and management of malignant bowelobstruction; 8.3.5 Jaundice, ascites and hepatic encephalopathy; 8.4Nutrition in palliative medicine; 8.4.1 Pathophysiology of theAnorexia/Cachexia syndrome; 8.4.2 Clinical assessment and decisionmaking in cachexia and anorexia; 8.4.3 Dietary and nutritional aspectsof palliative medicine; 8.4.4 Pharmacological interventions in cachexiaand anorexia; 8.5 Fatigue and asthenia; 8.6 Clinical management ofanaemia, cytopenias and thrombosis in palliative medicine; 8.7 Pruritu