Patients with advanced cancer may develop a number of clinical complications related to tumor progression or a variety of aggressive treatments. The majority of these patients are elderly, often with multiple co-morbidities that require appropriate assessment and management. In the palliative stage of their disease, patients undergo a progressive transition from active acute care to community-based hospice care. This transition requires modification in the diagnostic tests, monitoring procedures and pharmacological treatments to adjust them to the palliative and short-term nature of the care. Internal Medicine Issues in Palliative Cancer Care looks at internal medicine through a prognosis-based framework and provides a practical approach to maximizing comfort and quality of life while minimizing aggressive investigations and therapies for patients with life-limiting disease. Forty-six common internal medicine conditions are organized into nine clinical categories: pulmonary, cardiovascular, nephrologic and metabolic, gastrointestinal, hematologic, infectious, endocrine, rheumatologic, and neuro-psychiatric. This evidence-based resource is ideal for educating clinicians delivering palliative care to cancer patients in acute care facilities about complex internal medicine problems, decision-making regarding diagnostics and therapeutics which require a good understanding of state-of-the-art internal medicine and palliative care principles.
Les mer
This book reviews the management of the main internal medicine issues as palliative care and hospice teams progressively become primary care providers. Through a prognosis-based framework, this book provides a practical approach to maximizing comfort and quality of life while minimizing aggressive investigations and therapies for patients with life-limiting disease.
Les mer
1. Introduction ; 1.1. Principles of Internal Medicine in Palliative Care ; 1.2. Principles of Prognostication ; 1.3. Principles of advance care planning ; 2. Pulmonary ; 2.1. Chronic Obstructive Pulmonary Disease ; 2.2. Pleural Effusion ; 2.3. Pulmonary Embolism ; 2.4. Non-invasive ventilation ; 3. Cardiovascular ; 3.1. Heart Failure ; 3.2. Acute Coronary Syndrome ; 3.3. Pericardial Effusion and Tamponade ; 3.4. Arrhythmias ; 3.5. Arterial Hypertension ; 3.6. Dyslipidemia ; 4. Nephrology and Metabolic Abnormalities ; 4.1. Chronic Kidney Disease & Acute Kidney Injury ; 4.2. Urinary Incontinence ; 4.3. Urinary Retention ; 4.4. Hematuria ; 4.5. Metabolic acidosis ; 4.6. Electrolyte abnormalities (Na, K, Mg) ; 4.7. Hypercalcemia ; 5. Gastrointestinal ; 5.1. Upper and Lower Gastrointestinal Bleeding ; 5.2. Acute and Chronic Diarrhea ; 5.3. Bowel Obstruction ; 5.4. Liver Failure and Hepatitis ; 5.5. Biliary Obstruction ; 5.6. Pancreatitis ; 6. Hematological Disorders ; 6.1. Anemia ; 6.2. Neutropenia ; 6.3. Thrombocytopenia ; 6.4. Bleeding Disorders ; 6.5. Deep Vein Thrombosis ; 7. Infections ; 7.1. Sepsis ; 7.2. Pneumonia ; 7.3. Urinary Tract Infections ; 7.4. Osteomyelitis ; 7.5. Skin Infections ; 7.6. Herpes Infections ; 7.7. Fungal Infections ; 8. Endocrine ; 8.1. Diabetes ; 8.2. Hyperthyroidism ; 8.3. Hypothyroidism ; 9. Rheumatology ; 9.1. Arthritis ; 10. Neuro-psychiatric ; 10.1. Acute Stroke Syndrome ; 10.2. Seizures ; 10.3. Syncope ; 10.4. Migraines ; 10.5. Dementia ; 10.6. Vitamin B12 deficiency ; 10.7. Parkinson's Disease
Les mer
This is a valuable book for everyone caring for palliative and hospice patients as it puts many issues into wider perspective.

Produktdetaljer

ISBN
9780199329755
Publisert
2014
Utgiver
Vendor
Oxford University Press Inc
Vekt
318 gr
Høyde
124 mm
Bredde
201 mm
Dybde
20 mm
Aldersnivå
P, 06
Språk
Product language
Engelsk
Format
Product format
Heftet
Antall sider
258

Om bidragsyterne

DH: Assistant Professor, Department of Palliative Care and Rehabilitation Medicine, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center; EB: Professor of Medicine, Department of Palliative Care and Rehabilitation Medicine, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center