Internal Medicine Issues in Palliative Cancer Care

Overview

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 ...

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Internal Medicine Issues in Palliative Cancer Care

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Overview

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.

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Editorial Reviews

From the Publisher
"This is a valuable book for everyone caring for palliative and hospice patients as it puts many issues into wider perspective." Weighted Numerical Score: 100 - 5 Stars! —Doody's Health Sciences Book Review
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Product Details

  • ISBN-13: 9780199329755
  • Publisher: Oxford University Press, USA
  • Publication date: 4/1/2014
  • Pages: 256
  • Product dimensions: 5.00 (w) x 7.90 (h) x 1.00 (d)

Meet the Author

David Hui, Assistant Professor, Department of Palliative Care and Rehabilitation Medicine, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center.

Eduardo Bruera, Professor of Medicine, Department of Palliative Care and Rehabilitation Medicine, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center.

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Table of Contents

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

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