Challenging Cases in Palliative Care

Erscheinungsjahr 2024
ISBN: 978-0-19-286474-1
Verlag: Oxford University Press

Buch, Englisch, 384 Seiten, Format (B × H): 190 mm x 246 mm, Gewicht: 772 g

Palliative care has evolved rapidly in recent years. Not only is the field dealing with an increasingly elderly and multi-morbid population, it is also addressing a wider variety of complex diagnoses such as heart failure, renal failure, advanced lung disease, frailty, and dementia.

Challenging Cases in Palliative Care is unique, as it uses examples of real-world cases from palliative care practices. It also includes expert commentary to support modern clinicians in managing the 'messiness' of clinical care, as well as the increasingly complex needs of patients today.

As part of our Challenging Cases series, the cases in this book not only cover a range of physical and psychosocial problems seen in palliative care, they also reflect the core curriculum for UK speciality trainees. Each case brings together expert interpretation of the available evidence, management strategies, guidelines and best practice, while discussing complexities in clinical decision-making and controversies in approach.

Autoren/Hrsg.

Hawkins, Amy

Dewhurst, Felicity

Edmonds, Polly

Gillon, Suzie

Yardley, Sarah

Miller, Mary

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Geriatrie, Gerontologie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Arzt-Patient-Beziehung
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete Palliativmedizin
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Innere Medizin
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Pflege Krankenpflege
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizinische Ethik
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Gesundheitssystem, Gesundheitswesen

Inhaltsverzeichnis

- 1. Pain Management

- 1: Anna Schuberth and Matt Mulvey: Cancer-related bone pain

- 2: Rebecca Gemmell and Craig Montgomery: Cancer-related neuropathic pain

- 3: Lucy Hetherington and Alison Mitchell: Interventional pain

- 4: Lucy Hetherington and Chris Farnham: Pain in people with drug dependence

- 5: Lauri Simkiss and Iain Jones: Chronic non-cancer pain

- 2. Management of symptoms in advanced illness

- 6: Natasha Lovell and Sabrina Bajwah: Breathlessness

- 7: Holly McGuigan and Anna Sutherland: Nausea, vomiting and hiccups

- 8: Lucy Ison and Barry Laird and Richard Skipworth: Cancer cachexia

- 9: Sarah Webster and Emily Rea and Emma Husbands: Palliative bowel obstruction

- 10: Rose O'duffy and Maggie Presswood: Pruritis

- 11: Grace Rowley and Phil Lodge: Mouth care

- 12: Anna Bradley and Jason Boland: Constipation

- 13: Rob McConnell, Michael Connolly and Leona Butterly: Diarrhoea

- 3. Management of the dying patient

- 14: Simon Etkind and Paddy Stone: Clinical uncertainty and prognostication

- 15: Sarah Longwell and Lucy Wyld: De-escalation from ITU

- 16: Alice Copley and Sarah Yardley: Community patient transferred into ED/AMU - rapid assessment and decision-making

- 17: Luke Nathaniel Hatton and Melinda Presland: Prescribing review

- 18: Rosanna Hill and Adam Hurlow: Co-ordination and transfer of care

- 19: Shaun Qureshi, Philippa Guppy, Georgina Osborne and Rasha Al-Qurainy: Giving remote advice to families and other professional providers

- 20: Tammy Oxley and Katherine Malia: What to expect with death at home

- 21: Steph Hicks and Ben Bowers: Individualised end of life care plans

- 4. Interface between palliative care and mental health

- 22: Felicity Wood and Annabel Price: Depression in the context of life-limiting illness

- 23: Manraj Bhamra and Khalida Ismail: Hoarding

- 24: Kitty Jackson and Felicity Wood: Delirium

- 25: Kirsty Tolmie and Karen Harrison Dening: Dementia

- 26: Jamie Richardson and Valerie Potter: Learning disabilities

- 27: Dan Hughes and Maggie Bisset: Serious mental health and the palliative care patient, including patients under section

- 5. Challenging physiology/physical conditions

- 28: Steph Lister Flynn and Emma Murphy: Symptom management in organ failure (renal failure)

- 29: Constantina Pitsillides and Lou Wiblin: Rigidity

- 30: Kirsty Douglas and Rachel Burman: Sialorrhoea

- 31: Felicity Dewhurst and Caroline Nicholson: Frailty/multi-morbidity

- 32: Jaspal Mann and Alastair Lumb: Diabetic management at end of life

- 33: Mairi Finlay, Oliver Jackson and Mark Teo: Palliative management of malignant spinal cord compression (MSCC)

- 34: Geoff Wells and Jane Neerkin: Seizures

- 6. Personalised palliative care

- 35: Rebecca Tiberini and Jon Martin: Care planning and goal setting

- 36: Georgina Osborne and Bee Wee: Advance care planning

- 37: Athul Manuel and Sunitha Daniel: Pandemics and disaster response

- 38: Sarah Maan, Alice Gray and Andrew Goodhead: Spiritual care

- 39: Max Charles and Jonathan Koffman: Cultural care

- 40: Lara Datta-Paulin, Mark Warren and Richard Berman: Supportive care/survivorship

- 41: Toni Mortimer and Caroline Shulman: Specific challenges: homelessness

- 42: Gurpreet Gupta and Joanna Elverson: Transition from children's to adult palliative care

- 43: Joe Sawyer and Libby Sallnow: Developing compassionate communities

- 44: Charlotte Chamberlain and Lucy Selman: Bereavement

- 7. Legal considerations

- 45: Becky Payne and Sam Lund: A desire for hastened death

- 46: Gemma Lewis-Williams and Mark Taubert: Treatment escalation plans and CPR decisions

- 47: Simeon Senders Galloway and Anna Gorringe: Withdrawal of treatment

- 48: Marie Claire Rooney and Jo Laddie: Autonomy in children

Über Autor(innen)

Dr Edmonds has been a consultant at King's College Hospital NHS Foundation Trust since 1997. As honorary senior lecturer at King's College London she was heavily involved in development of the palliative care component of the undergraduate medical curriculum and examinations. She has been a training programme director for London, overseeing the delivery of postgraduate medical training and is currently the chair of the national Specialist Advisory Committee for Palliative Medicine.

Dr Gillon has been a consultant in Palliative Medicine since 2015; chairs the Association of Palliative Medicine Education and Training Committee; is the Palliative Care education lead for the trust and is an active member of the regional Specialty Training Committee. She is regularly involved in local and national research projects and quality improvement initiatives.

Dr Miller qualified from University College Cork, Ireland in 1988. Mary trained and worked in palliative medicine in Ireland, Sweden and the UK and has been a consultant in palliative medicine in Oxford since 1998. Mary has a strong interest in education; completing a Diploma in Learning and Teaching at Oxford University 2005, was Training Programme Director and Regional Specialty Advisor (2002 - 2008) and has led the Oxford Advanced Courses in Pain and Symptom Management since 2005. Mary is an elected member of the Education Committee of the Association of Palliative Medicine and joint lead of the postgraduate education special interest forum. Since the inception of OxCERPC in 2017, Mary and the team are focusing on building an exciting portfolio of courses, building research readiness and reaching out to practitioners across the globe.

Dr Hawkins has been a Consultant in Palliative Medicine since 2020. She has previously completed a number of educational research projects alongside an MSc in Medical Education. She has experience of qualitative research studies and has undertaken a systematic review. She is currently a member of the Association of Palliative Medicine Education and Training Committee.

Dr Yardley is a clinical academic interested in how patients, families, carers, and healthcare professionals do the work of frontline day-to-day healthcare and make sense of their experiences; hospital-community and specialist-generalist interfaces in palliative care; and patient transitions between hospital and community care, including palliative care in Emergency Departments and Acute Medical Units. Her research seeks to understand and improve human-dependent healthcare such as the impact therapeutic and professional collegiate relationships have on current and future care.

Dr Felicity Dewhurst is a Consultant in Palliative Medicine at St Oswald's Hospice and an NIHR Advanced Fellow and Senior Clinical Lecturer in the Population Health Sciences Institute at Newcastle University.
Following her Dunhill doctoral fellowship, she lobbied for the creation of the first NIHR Academic Clinical Lectureship in Palliative Medicine in Newcastle, and subsequently successfully applied for the first NIHR Advanced Fellowship in Palliative Medicine nationally (January 2024-6.25 years).
Felicity has a Master's in Health Professions Education and is on the education committee of the Association of Palliative Medicine (APM) and the organising committee for the Palliative Care Congress (PCC). She is passionate about trying to improve care through research, education and service modification.