Handbook of Palliative Care

A Practical and Comprehensive Introduction to the Field ofPalliative Medicine

"This is not so much a handbook of palliative care as thehandbook of palliative care." Palliative Medicine

The Third Edition of the BMA′s 1999 Medical Book of theYear provides valuable insights into the complex issues that arisein the delivery of palliative care. It is an invaluable resourcefor anyone involved in palliative care no matter what thesetting be it hospital, hospice, or community.

Handbook of Palliative Care, Third Edition provides thewhat, how, and why of palliative care, helping providers followbest practices developed by specialists and supported by availableresearch. It handily combines clinical practice and theoreticalconcepts in a succinct format, making the latest knowledge easy tofind and apply.

The Third Edition provides:

Comprehensive and authoritative information as well as thoroughdetail on how to apply it Guidance from UK and North American clinicians who are expertsin their field Up–to–date overviews of medicine management and complementarymedicine in palliative care Considerations of audit and ethical issues in palliativemedicine New chapters tackling important issues like Choice, Equality,and Diversity; Dementia; and Advance Care Planning A thoroughly revised chapter on cancer complications includingthe latest on lymphoedema

This Third Edition of Handbook of Palliative Careis the book for doctors, nurses, therapists, pharmacists, socialworkers, family members, and anyone involved with or providingpalliative care. The First Edition was the winner of the1999 BMA Medical Book of the Year Prize.

List of contributors, vii

Foreword, x

Preface to the Third Edition, xii

Acknowledgements, xv

List of Abbreviations, xvi

1 The context and principles of palliative care, 1
Christina Faull

2 Palliative care in the community, 15
Daniel Munday and Rodger Charlton

3 Public and patient involvement in palliative care, 29
Neil Small

4 Palliative care: choice, equality, and diversity, 42
Liz Grant, Joanna Dunn and Aziz Sheikh

5 Ethical issues in palliative care, 52
Sharon de Caestecker

6 Communication skills in palliative care, 65
Sharon de Caestecker

7 Adapting to death, dying, and bereavement, 81
Christina Faull and Sue Taplin

8 Advance care planning, 93
Richard Wong

9 Pain and its management, 109
Alex Nicholson

10 The management of gastrointestinal symptoms and advanced liver disease, 139
Andrew Chilton, Christina Faull, Wendy Prentice and Monica Compton

11 The management of respiratory symptoms and advanced COPD, 160
Christine Jones

12 Managing complications of cancer, 184
Rachael Barton and Debbie Allanson

13 Palliative care for people with progressive neurological disorders, 207
David Oliver

14 Palliative care for people with HIV infection and AIDS, 218
Surinder Singh and Nick Theobald

15 Palliative care for children, 231
Harold Siden and Camara van Breemen

16 Palliative care for adolescents and young adults, 247
Daniel Kelly, Victoria Lidstone, Jacqueline Edwards and Jo Griffiths

17 Palliative care for people with advanced dementia, 257
Rachael E. Dixon

18 Palliative care in advanced heart disease, 265
Ryan Liebscher and Fraser Black

19 Palliative care in advanced renal disease, 279
Deb Braithwaite

20 Pressure ulcer care and the management of malignant wounds, 289
Mary Walding

21 Terminal care and dying, 295
Christina Faull and Alex Nicholson

22 The syringe driver and medicines management in palliative care, 323
Christine Hirsch and Maria McKenna

23 Complementary approaches to palliative cancer care, 340
Elizabeth Thompson and Catherine Zollman

24 Spirituality in palliative care, 356
Megory Anderson and Christina Faull

Index, 365