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Contributing Authors
Foreword
Preface from the First Edition
Preface
Acknowledgments
1 Cancer Pain: Principles of Assessment and Syndromes 3
2 Bone Pain: Assessment and Management 53
3 Opioid Pharmacotherapy 68
4 Nonopioid and Adjuvant Analgesics 84
5 Nonpharmacologic Management of Pain 98
6 Physiatric Approaches to Pain Management 116
7 Neurosurgical Interventional Approaches to Pain 128
8 Assessment and Management of Cancer-Related Fatigue 141
9 Fever and Sweats 154
10 Anorexia/Weight Loss 169
11 Oral Sensation and Cancer 178
12 Dysphagia 194
13 Chemotherapy-Related Nausea and Vomiting 206
14 Chronic Nausea and Vomiting 222
15 Diarrhea, Malabsorption, and Constipation 233
16 Bowel Obstruction 250
17 Diagnosis and Management of Ascites 264
18 Hiccups and Other Gastrointestinal Symptoms 271
19 Oral Manifestations and Complications of Cancer Therapy 282
20 Pruritus 299
21 Treatment of Tumor-Related Skin Disorders 307
22 Management of Pressure Ulcers and Fungating Wounds 321
23 Lymphedema 333
24 Principles of Fistula and Stoma Management 344
25 Management of Dyspnea 357
26 Hemoptysis 372
27 Airway Obstruction, Bronchospasm, and Cough 378
28 Management of Pleural and Pericardial Effusions 389
29 Cardiopulmonary Toxicity of Cancer Therapy 413
30 Management of Advanced Heart Failure 441
31 Management of Hypercoagulable States and Coagulopathy 452
32 Urologic Issues of Palliative Care 463
33 Management of Renal Failure 477
34 Hypercalcemia 493
35 Metabolic Disorders in the Cancer Patient 508
36 Headache and Other Neurologic Complications 515
37 Management of Spinal Cord and Cauda Equina Compression 532
38 Neuromuscular Dysfunction and Palliative Care 544
39 Delirium 555
40 Depression and Anxiety 577
41 Substance Abuse Issues in Palliative Care 593
42 Prognostication in Advanced Disease 607
43 Epidemiology of Cancer at the End of Life 615
44 Definitions and Models of Palliative Care 635
45 Hospice 647
46 Multidimensional Patient Assessment 653
47 Cross-Cultural Issues 661
48 Communication at End of Life 673
49 Palliative Radiation Therapy 685
50 Palliative Chemotherapy 698
51 Palliative Surgery 710
52 Palliative Orthopedic Surgery 722
53 Palliative Endoscopic and Interventional Radiologic Procedures 731
54 Psychosocial Consequences of Advanced Cancer 749
55 Disorders of Sexuality and Reproduction 762
56 Home Care 775
57 Management of Symptoms in the Actively Dying Patient 789
58 Spirituality 799
59 Bereavement Care 813
60 Education and Training in Palliative Care 819
61 Staff Stress and Burnout 831
62 Assessment of Decision-Making Capacity 851
63 Advance Directives 860
64 Withholding and Withdrawing Treatment: The Doctor-Patient Relationship and the Changing Goals of Care 880
65 Palliative Care and Physician-Assisted Death 891
66 Palliative Care: Ethics and the Law 902
67 Hematologic Support of the Cancer Patient 917
68 Nutrition Support 933
69 Issues in Nutrition and Hydration 956
70 Rehabilitative Medicine 968
71 Rehabilitation of Speech Disorders 980
72 Music Therapy and Art Therapy 993
73 Complementary and Alternative Approaches 1007
74 Long-Term Survivorship: Late Effects 1019
75 Psychosocial Aspects of Cancer Survivorship 1034
76 Palliative Care in Pediatrics 1044
77 Geriatric Palliative Care 1062
78 Palliative Care in Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome 1071
79 Palliative Care in the Intensive Care Unit Setting 1086
80 Measurement of Quality of Life Outcomes 1107
81 Outcomes Assessment in Palliative Care 1123
82 Research Ethics 1131
Index 1141