Surgical Palliative Care

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This book describes the principles and practice of surgery in the context of palliative and supportive care. Surgery is often considered too invasive to be useful in palliation and clinicians instinctively turn to radiotherapy, chemotherapy, and other drugs. Surgery, with increasingly minimal access techniques, may be simpler and less invasive than other treatments and produces excellent palliation. Indeed, most types of surgery are not curative and the aim of this book is to alert all concerned with palliative care to the usefulness and appropriateness of a surgical option.

The book is made up of two sections. The first deals with general issues, varying from quality of life measurement to spirituality, and the second section illustrates their application in different specialties of surgery ranging from neurosurgery to urology. The book ends with a challenge to surgeons to change their perspective from curative surgery, in terms of simply cure or failure, to improvement in quality of life and relief of symptoms. Aimed primarily at palliative medicine and pain consultants, this book will also appeal to surgeons who increasingly need to know more about palliative care.

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Editorial Reviews

From The Critics
Description: This book is the third in the Supportive Care series, which covers issues related to the holistic care of patients and their families. Supportive care includes but is not limited to psychological, social, spiritual, and palliative care. This book, however, focuses on issues unique to surgery in the palliative care setting.
Purpose: "The purpose is to provide coverage of surgical and surgical subspecialty issues in the terminally ill patient, with emphasis given to surgery as part of a multidisciplinary approach to patient care.
Audience: "
Features: The target audience for this book includes surgeons, pain medicine physicians, geriatricians, palliative care specialists, and selected nonphysician care providers of terminally ill patients.
Assessment: The multiple contributing authors and two editors provide a broad range of perspectives on the topic of surgical care in the terminally ill patient. There are two major sections, the first of which focuses on the philosophy surrounding surgeons in the care of patients at the end-of-life. The second section addresses specific problems in a specialty-oriented fashion. The book also includes a chapter addressing palliative care in the developing world.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780198510000
  • Publisher: Oxford University Press, USA
  • Publication date: 6/24/2004
  • Series: Supportive Care Series
  • Pages: 280
  • Product dimensions: 9.50 (w) x 6.70 (h) x 0.80 (d)

Meet the Author

Great Lakes Hospice, Erie, Pennsylvania

University of Sheffield (Emeritus)

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Table of Contents

Part 1
1. Introduction - is surgical palliative care a paradox?, G P Dunn
2. Selection and preparation of patients for surgical palliation, A Easson & A Ng
3. The ethics of interventional care, P Angelos
4. The physiological response to surgical trauma, M D Barber & K C H Fearon
5. The psychological response to surgery, L Stevens
6. Spirituality & surgery, P Ravenscroft & E Ravenscroft
7. Interdisciplinary care, A Mosenthal, D Price & P Murphy
8. Quality of life issues in palliative surgery, M Koller & W Lorenz
9. Anaesthesia and peri-operative pain management, K H Simpson & D J Bush
Part 2
10. Symptom palliation of diseases of the head and neck (including dentistry), S Rogers
11. The surgical relief of the symptomatic chest, B Nelems
12. Surgery for the control of symptoms in the abdomen, A Johnson
13. Symptom control in urological malignancy, A P Doherty & J M O'Sullivan
14. Wound and reconstructive problems in advanced disease, T J Krizek
15. Neurosurgical palliation, D L Johnson
16. The role of the opthalmologist in advanced disease, D Yorsten
17. Perspectives from the developing world and diverse societies, R Aluwihare
18. Epilogue: a message to all surgeons, G P Dunn & A Johnson

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  • Posted February 22, 2011

    highly recommended

    A "must have" for anyone involved in palliative care, whether a surgeon or not. Well written and edited by acknowledged experts in the field, it is a thoughtful, comprehensive contribution to the surgical aspects of comprehensive care.

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