基本説明
４年振りの改訂版。代替医療、救急医療等の新規６６章を収録。
New sections and chapters devoted to such non-malignant conditions as cardiac disease, non-malignant respiratory disease, non-malignant neurological disease and AIDS. New in paperback. Hardcover was published in 2003.
Full Description
The Oxford Textbook of Palliative Medicine has firmly established itself as the definitive book on the subject and is used in more than 8,000 palliative care services in over 100 countries. This new edition has been completely rewritten and revised to reflect the rapid growth of the specialty. Two world-famous doctors, Sir Kenneth Calman and Nathan Cherny, bring vast experience to the book and have joined Derek Doyle and Geoffrey Hanks on the editorial team. There are authoritative, international contributions from over 150 renowned experts. The book provides comprehensive coverage of ethical issues, communication, research, patient evaluation and outcome measures, the principles of drug use, symptom management, and the management of pain. Nutrition, paediatric palliative medicine, palliative medicine in non-malignant disease, cultural and spiritual issues, social and work related issues, rehabilitation, complementary therapies, palliative medicine in the home, bereavement, and education and training are also covered in detail. The new edition includes sixty-six completely new chapters and contributors.
New sections and chapters devoted exclusively to such non-malignant conditions as cardiac disease, non-malignant respiratory disease, non-malignant neurological disease and AIDS have been added, as well as new chapters on palliative medicine in intensive care and geriatric care, and complementary and alternative therapies in palliative medicine. There is a brand new section on the contributions to palliative care of occupational therapists, physiotherapists, music-, art- and speech- therapists, stoma therapists, clinical pharmacists and clinical psychologists. Every chapter used in the first two editions has been radically reviewed and brought up-to-date. A striking new page and cover design reflects the significant changes made in this edition. Like its predecessors, the Oxford Textbook of Palliative Medicine, Third Edition will be the trusted and ultimate reference, which no palliative care service or medical library can afford to be without.
Contents
FOREWORD; INTRODUCTION; SECTION 2: THE CHALLENGE OF PALLIATIVE MEDICINE; 2.1 The problem of suffering; 2.2 The epidemiology of death and symptoms; 2.3 Palliative medicine and modern cancer care; 2.4 Predicting survival in patients with advanced disease; 2.5 The interdisciplinary team; 2.6 Economics based palliative medicine; SECTION 3: ETHICAL ISSUES; 3.1 Introduction; 3.2 Confidentiality; 3.3 Truth-telling and consent; 3.4 Educating for professional competence in palliative medicine; 3.5 Palliative medicine and children: ethical and legal issues; 3.6 Ethical issues in palliative care research; 3.7 Euthanasia and withholding treatment; SECTION 4: COMMUNICATION AND PALLIATIVE MEDICINE; 4.1 Communication with the patient and family in palliative medicine; 4.2 Communication with professionals; 4.3 Communication with public, politicians and media; SECTION 5: RESEARCH IN 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 measurement of 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 in palliative medicine - principles and practice; SECTION 7: PRINCIPLES OF DRUG USE IN PALLIATIVE MEDICINE; SECTION 8: SYMPTOM MANAGEMENT; 8.1 Disease modifying management; 8.1.1 Palliative medicine and the treatment of cancer; 8.1.2 Radiotherapy in symptom management; 8.1.3 Surgical palliation; 8.1.4 Orthopaedic principles and management; 8.1.5 Interventional radiology; 8.2 The management of pain; 8.2.1 Pathophysiology of pain in cancer and other terminal diseases; 8.2.2 Acute and chronic cancer pain syndromes; 8.2.3 Opioid analgesic therapy; 8.2.4 Non-opioid analgesics; 8.2.5 Adjuvant analgesics in pain management; 8.2.6 Anaesthetic techniques for pain management; 8.2.7 Neurosurgical techniques in the management of pain; 8.2.8 Treating pain with transcutaneous electrical nerve stimulation (TENS); 8.2.9 Acupuncture; 8.2.10 Psychological and psychiatric interventions in pain control; 8.2.11 Difficult pain problems - an integrated approach; 8.3 Gastro-intestinal symptoms; 8.3.1 Palliation of nausea and vomiting; 8.3.2 Dysphagia, dyspepsia and hiccup; 8.3.3 Constipation and diarrhoea; 8.3.4 Pathophysiology and management of malignant bowel obstruction; 8.3.5 Jaundice, ascites and hepatic encephalopathy; 8.4 Nutrition in palliative medicine; 8.4.1 Pathophysiology of the Anorexia/Cachexia syndrome; 8.4.2 Clinical assessment and decision making in cachexia and anorexia; 8.4.3 Dietary and nutritional aspects of palliative medicine; 8.4.4 Pharmacological interventions in cachexia and anorexia; 8.5 Fatigue and asthenia; 8.6 Clinical management of anaemia, cytopenias and thrombosis in palliative medicine; 8.7 Pruritu
