Designed with a truly global perspective with particular emphasis on practice in Europe and North America
Includes new sections on supportive care, appealing to the palliative nurse and caregiver
Uses a multidisciplinary approach, reflecting the needs of the palliative care team
Covers palliative care in less developed nations
Summary
The second edition of the Textbook of Palliative Medicine builds upon the strengths of the previous edition providing an alternative, truly international approach to this ever-growing specialty.

With fully updated chapters, this textbook expands upon its unique evidence-based, multi-professional approach and global perspective ensured by the international team of editors and contributing authors. In the absence of an international curriculum for the study of palliative medicine, this textbook continues to provide the essential guidance for those both embarking upon a career in palliative medicine or already established in the field, and the structure and content have been constructed very much with this in mind.

A completely new section on Supportive Care is incorporated with chapters on "Chemotherapy and radiation therapy induced emesis" and "Mucositis."

With an emphasis on providing a service anywhere in the world, including the important issue of palliative care in developing nations, the Textbook of Palliative Medicine offers a genuine alternative to the narrative approach of its competitors, and is an ideal complement to them. It is essential reading for all palliative care physicians in training and in practice, as well as palliative and support care nurses and other health professionals in the palliative care team.

Table of Contents
Part 1. The development of Palliative Medicine
1. The Development of Palliative Medicine in the UK and Ireland
2. The Development of Palliative Medicine in Europe
3A. The Development of Palliative Medicine in Canada
3B. The Development of Palliative Medicine in the USA
4. The Development of Palliative Medicine in Latin America
5. The Development of Palliative Medicine in Africa
6. The Development of Palliative Medicine in Australia/New Zealand
7. The Development of palliative medicine in Asia
8. The Development of Supportive Care
9. Palliative Care as a Public Health Issue
10. The Future of Palliative Medicine
11. Palliative Care, Palliative Medicine and Supportive Care
Part 2. Bioethics
12. Principles of bioethics in palliative care
13. Ethics in the practice of palliative care
14. Dignity in palliative care
Part 3. The problems and challenges of Global reach
15. Transcultural Palliative Care
16. Palliative care: global situation and initiatives
Lilliana De Lima
17. Undergraduate education
18. Graduate education
19. Changing the norms of palliative care practice by changing the norms of education
20. Public education
Part 5. Research and audit
21. Challenges of research in palliative medicine
22. The patient population: who are the subjects in palliative medicine research?
23. Study designs in palliative medicine
24. Outcomes measurements in palliative care research
25. Ethics in palliative care research
26. Practical tips for successful research in palliative care
27. Audit and quality improvement in palliative care research
Part 6. Organization and governance
28. Standards of care
29. The adoption of palliative care. The engineering of organizational change
30. Cost avoidance and other financial issues in the delivery of palliative care
31. Organization and support of the interdisciplinary team
33. Population-based needs assessment for patient care
34. The palliative care consult team
35. Models for palliative care delivery
36. Palliative home care
37. Day hospitals
38. Inpatient hospices
39. The palliative care unit
40. Combined Care Models Integrating Palliative Care
Part 7. Overview of assessment
40. Multidimensional patient assessment
41. Tools for pain and symptom assessment in Palliative Care
42. Quality of life assessment in palliative care
Part 8. Pain
43. The pathophysiology of chronic pain;
44. Causes & mechanisms of pain in palliative care
45. Opioid analgesics
46. Assessment and management of opioid side effects
47. Adjuvant analgesic drugs
48. Alternative routes for systemic opiod delivery
49. Epidural & intrathecal analgesia and neurosurgical techniques in the palliative setting
50. Topical administration of analgesics
50. Pain and opioids in children
51. Pain in older people
52. Neuropathic pain
53. Bone pain and skeletal complications
54. Episodic pain
55. Somatization and pain expression
56. Pain in patients with alcohol and drug dependence
Part 9. Gastrointestinal systems
57. Pathophysiology of anorexia-cachexia
58. Overview of the management of the anorexia/weight loss sundrome
59. Nausea/vomiting
60. Constipation/diarrhea
61. Malignant Ascites
62. Jaundice
63. Bowel obstruction
64. The endoscopic treatment of gastrointestinal symptoms
Part 10. Fatigue
65. The pathophysiology of fatigue
66. Assessment of fatigue in palliative care
67. Exercise, physical function, and fatigue in palliative medicine
68. The treatment of fatigue in palliative care
Part 11. Respiratory systems
69. Dyspnea
70. Other respiratory symptoms (cough, hiccups and secretions)
Part 12. Neuropsychiatric
71. Depression/anxiety
72. Confusion/delirium
73. Sleeping disorders
74. Counseling in palliative care
75. Hope in end-of-life care
Part 13. Assessment and management of other problems
76. Dehydration and re-hydration
77. Fever, Sweats and hot flashes
78. Pruritus
79. Infections in palliative care
80. Pressure ulcers/wounds
81. Mouth care
82. Fistulas
83. Lymphedema
Part 14. Emergencies in palliative medicine
84. Hypercalcemia
85. Hemorrhage
86. Spinal cord compression
87. Superior vena cava syndrome
88. Seizures
89. Acute pain syndromes
90. Suicide
Part 15. Specific conditions & situation
91. Cancer: radiotherapy
92. Cancer: chemotherapy
93. Physical medicine and rehabilitation in palliative care
94. Integrative and alternative medicine and palliative medicine
95. Human Immunodeficiency virus and palliative care
96. Neurological diseases
97. End-stage congestive heart failure
98. Palliative care in children
99. Chronic obstructive pulmonary disease
100. Other infectious diseases: malaria, rabies, tuberculosis
101. Practical aspects of palliative care delivery in the developing world
102. Prognostic indicators of survival
103. Palliative sedation
Part 16. Interdisciplinary issues
104. Physiotherapy and occupational therapy in palliative care
105. Staff stress & burnout in palliative care
106. Communication in palliative care
107. Spiritual care
108. Family care
109. A Transcultural perspective of advanced directives in palliative care
110. Bereavement
111. Children of palliative care patients
112. Cancer survivorship
Part 17: Supportive Care
113. Chemotherapy and radiation therapy induced emesis
114. Mucositis
115. Dermatological Toxicity of Targeted Therapies
116. Treatment Induced Peripheral Neuropathy
117. Cardiac Toxicity of Cancer Treatment
118. Supportive Care in Stem Cell Therapy
119. Red Cell, Myeloid and Thrombopoetic Growth Factors