Palliativ medicin

Using a practical, question-and-answer approach, Evidence-Based Practice of Palliative Medicine, 2nd Edition, helps you provide optimal care for patients and families who are dealing with serious illness. This unique reference focuses on patient and family/caregiver-centered care, highlighting the benefits of palliative care and best practices for delivery. The highly practical, user-friendly format sets it apart from other texts in the field, with concise, readable chapters organized around clinical questions that you’re most likely to encounter in everyday care. Uniquely organized using a question-and-answer approach, making it easy to find answers to common questions asked by practitioners and patients. Up-to-date, reader-friendly chapters explore interventions, assessment techniques, treatment modalities, recommendations and guidelines, communication techniques, and available resources for palliative care. Expanded discussions on hospice in every chapter, and a new emphasis on pediatrics, with increased material on pediatric malignancies, developmental delays, cystic fibrosis, and perinatal palliative care. New chapters on wellness of the palliative care practitioner, patients with opioid use disorders, telehealth in palliative care, health disparities, rural palliative care, caring for people with hematologic malignancies, integrative and alternative therapies, LGBTQ+ populations, mobile health technologies, and national palliative care implementation strategies. High-quality evidence gathered and reviewed by leading experts in palliative medicine, including clinicians, educators, and researchers across a broad range of disciplines. Numerous algorithms throughout help you make informed decisions, and "take-home" points in every chapter provide a quick summary of key content. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text and figures from the book on a variety of devices. Any additional digital ancillary content may publish up to 6 weeks following the publication date.

Ny 7. udgave om symptomkontrol i palliativ medicin- din uundværlige quickguideHermed foreligger en revideret og udvidet udgave af den klassiske håndbog i pallierende medicin og behandling. Denne udgave indeholder en række nye kapitler om bl.a. demens, sår og komplementær behandling samt reviderede afsnit om farmakologiskbehandling.Blandt de centrale opgaver hos patienter med behov for palliativintervention er identifikation, vurdering og behandling af generende symptomer. Det er vigtigt løbende at evaluere patientens samlede situation og foretage de nødvendige interventioner for der med at forbedre patientens livskvalitet og velvære i den palliative fase.SYMPTOMKONTROL I PALLIATIV MEDICIN – EN QUICKGUIDE giver en hurtig indføring i behandling af de hyppigst optrædende symptomer hos patienter med livstruende sygdom. Kittelbogen bygger på ny viden og klinisk erfaring og bidrager til, at du som sundhedsprofessionel udvikler de nødvendige og opdaterede palliative kompetencer i din daglige praksis. Håbet er, at bogen vil medvirke til hurtig klinisk indsats samt effektiv smertelindring af generende symptomer hos patienter i den palliative fase af deres sygdom. Bogen henvender sig til sundhedsprofessionelle, der arbejder med palliation, herunder læger og sygeplejersker.

A book for men and women from middle age to advanced years who have suddenly and unexpectedly become confronted with the huge effects that the male prostate can have on the body. It is a tale of what can happen to both men and women when the prostate transforms over time as the body changes, free of any of the minor or major taboos surrounding those involved.The book presents both a subjective and an objective account, from a female and a male perspective, of what the prostate is and of the physical, psychological and social effects that changes to the prostate can bring as one ages or reaches old age. The latest medical, psychotherapeutic and social measures available to help men with prostate issues and their partners are discussed. It also addresses the therapeutic taboos that have previously prevented us from attempting a systemic approach to the physical, psychological and social transformation that men and women undergo when they reach middle age and beyond.

Addressing Common Misconceptions and Fears about Palliative CareThe first step to understanding palliative care is to address the misconceptions and fears that surround it. It is essential to know what it truly is for a person with a serious illness and their family. Let's address these misconceptions and clarify what palliative care actually is and how it can help.Misconception #1: Palliative care means giving up on life.Truth: While palliative care does address the dying process, it is not intended to give up on treatment. It works alongside treatment options to improve quality of life at the end of life. By providing pain management, symptom relief, emotional support, and spiritual care, palliative care helps individuals live fully, die peacefully, and make the most of their remaining time before death.Misconception #2: Palliative care means treatment has been given up.Truth: Palliative care can be provided either alone or alongside other treatments. Sometimes, treatments can help slow or stop the progression of a disease, while palliative care focuses on managing symptoms and improving quality of life. Palliative care and treatment complement each other and help patients achieve their goals.Here are some additional tips for addressing misconceptions and fears about palliative care:· Talk to your doctor or another healthcare provider about palliative care. They can help you understand what it is and how it can benefit you or your loved one.· Read about palliative care online or in books. There is a wealth of information available to help you learn more about this important type of care.· Talk to other people who have received palliative care. They can share their personal experiences and help you to see the benefits of this type of care.

A riveting, incisive, and wide-ranging book about the Right to Die movement, and the doctors, patients, and activists at the heart of this increasingly urgent issue.*Finalist for the New York Public Library's 2022 Helen Bernstein Book Award for Excellence in Journalism "A remarkably nuanced, empathetic, and well-crafted work of journalism."-Brooke Jarvis, The New YorkerMore states and countries are passing right-to-die laws that allow the sick and suffering to end their lives at pre-planned moments, with the help of physicians. But The Inevitable moves beyond margins of the law to the people who are meticulously planning their final hours-far from medical offices, legislative chambers, hospital ethics committees, and polite conversation. Further still, it shines a light on the people who help them: loved ones and, sometimes, clandestine groups on the Internet that together form the "euthanasia underground."Katie Engelhart, a veteran journalist, focuses on six people representing different aspects of the right to die debate. Two are doctors: a California physician who runs a boutique assisted death clinic and has written more lethal prescriptions than anyone else in the U.S.; an Australian named Philip Nitschke who lost his medical license for teaching people how to end their lives painlessly and peacefully at "DIY Death" workshops. The other four chapters belong to people who said they wanted to die because they were suffering unbearably-of old age, chronic illness, dementia, and mental anguish-and saw suicide as their only option.Spanning North America, Europe, and Australia, The Inevitable offers a deeply reported and fearless look at a morally tangled subject. It introduces readers to ordinary people who are fighting to find dignity and authenticity in the final hours of their lives.

A cutting-edge exploration of the role of psychedelics in the end-of-life experience

Julie Casson traces her husband Nigel's extraordinary journey from diagnosis of motor neurone disease to his successful death at Dignitas in Zurich. A rare and intimate account of one man's ultimate triumph over suffering and disease.

Are you stressed and exhausted because someone you love is seriously ill? Do you wish you felt less overwhelmed and more certain about how to help?Coping Courageously will be your guide. You will learn:The most important things to do, and not do, when a loved one is sickInsider strategies for getting the best medical careA simple and effective approach for managing your own stressSkills to confidently talk about tough topicsYou will be touched and inspired by the stories of Dr. Chiaramonte's patients. More importantly, Coping Courageously will give you the peace of mind, confidence, and tools to effectively support your loved one without depleting yourself.

In 'Palliative Wisdom,' we embark on a compassionate investigation of palliative care's transformational influence. This practical guide integrates sincere wisdom with actionable insights, providing a comprehensive resource for patients, families, and healthcare professionals facing the difficult road of serious illness.This book digs into the intricate components of communication, symptom management, and holistic well-being with empathy and knowledge. It gives readers practical tools for navigating complex issues, while also encouraging resilience and understanding in the face of life's most difficult circumstances. "Palliative Wisdom" is a priceless resource for anyone looking for direction and solace during times of transition since it offers real-life tales, professional advice, and approachable direction. This book offers you the opportunity to learn about the tremendous wisdom that goes along with the practice of palliative care, whether you are a patient, caregiver, or healthcare professional. It illuminates a path of compassion, dignity, and grace.

NATIONAL BESTSELLER*SHORTLISTED FOR THE 2022 WRITERS' TRUST BALSILLIE PRIZE FOR PUBLIC POLICY*An urgently important exploration of the human stories behind Canada's evolving acceptance of Medical Assistance in Dying (MAiD), from one of its first and most thoughtful practitioners.Dr. Jean Marmoreo spent her career keeping people alive. But when the Supreme Court of Canada gave the green light to Medical Assistance in Dying (MAiD) in 2016, she became one of a small group of doctors who chose to immediately train themselves in this new field. Over the course of a single year, Marmoreo learns about end-of-life practices in bustling Toronto hospitals, in hospices, and in the facilities of smaller communities. She found that the needed services were often minimal—or non-existent.The Last Doctor recounts Marmoreo's crash course in MAiD and introduces a range of very different and memorable patients, some aged, some suffering from degenerative conditions or with a terminal disease, some surrounded by supportive love, some quite alone, who ask her help to end their suffering with dignity and on their own terms.Dr. Marmoreo also shares her own emotional transformation as she climbs a steep learning curve and learns the intimate truths of the vast range of end-of-life situations. What she experiences with MAiD shakes her to her core, makes her think deeply about pain, loneliness, and joy, and brings her closer to life’s most profound questions.At a time when end-of-life care and its quality are more in the public eye than ever before, The Last Doctor provides an accessibly personal, deeply humane, and authoritative guide through this difficult subject.

This book advocates the application of holistic and humanistic approaches in elderly care and services to achieve the goal of ageing with dignity in Hong Kong and Asia. It responds to the needs of an increasing ageing population that has to deal with related health needs in long-term care, community health and social services, particularly for chronic conditions and psychosocial support. The book consists of three sections on policy and development of aged care, holistic and humanistic care for older adults, and capacity building for ageing with dignity, respectively. Topics include the latest initiatives in aged care, appropriate services and delivery models, lifestyle modification, psychosocial and environmental considerations, professional development, technologies, and social capital. The chapters review and discuss these issues within a global context, illustrated by examples from Asian countries, underpinned by locally based empirical research. Contributors include academics and practitioners from diversified professional backgrounds that include medicine, nursing, pharmacy, traditional Chinese medicine, dietetics, and allied health. The book traverses into territories in the social sciences, life sciences, and sports sciences, while also touching on areas of business and administration, hospitality, law, public policy, and information technology in connection with public health. The contents serve as a topical reference for tertiary studies in ageing and related disciplines such as well-being and are also useful to policymakers, community and public health practitioners, health executives and interns working in areas of policy and practice pertinent to care development, health delivery models, planning, quality, ethics, better health promotion, professional training, and monitoring for older adults.

Pediatric palliative care is referred to as a specialized medical care for those infants and children who are suffering from a serious disease. The main goal of palliative care is to relieve the symptoms and stress of the disease. The intention is to enhance the family's quality of life along with the child. It can be given in conjunction with curative treatment and is appropriate for patients of all ages and at any stage of disease. Pediatric palliative care is centered on the family and it facilitates the coordination and communication of care. It is focused on the need of the patient and not prognosis. Thus, it is important to start the palliative care for the child as soon as possible. It deals with serious diseases such as cancer, neurologic disorders, genetic disorders, heart and lung conditions, prematurity, etc. This book explores the interdisciplinary aspects of pediatric palliative care in the present day scenario. It is appropriate for students seeking detailed information in this area of medicine as well as for experts.

This textbook assembles the wealth of clinical experiences across multiple medical specialties and offers clinical pearls that will result in better patient care and are highly relevant to daily practice. This book has been compiled by many renowned clinicians, medical educators, and researchers who are experts in their respective disciplines across Australia, New Zealand and the United States. The chapters provide multiple cases in vignette format, illustrating the clinical pearls, and finish with a discussion and practical tips. This format will allow the reader to easily understand how the clinical pearls can be applied in clinical practice. Evidence-based medicine and clinical guidelines help us choose the best management and treatment options for our patients. However, many questions in medicine have not been researched or are not readily amenable to research. In fact, there is more to the art and mastery of practicing clinical medicine than the evidence-based approach. Information gained over years of reflective clinical practice and cumulative wisdom adds value to evidence-based clinical medicine. With experience and clinical gestalt playing an equal, if not a more prominent role than what evidence can offer in a physician¿s approach to solving clinical problems, this book offers unique perspectives on the practice of medicine.Beyond Evidence-Based Medicine: Clinical Pearls from Experienced Physicians will be valuable for later-year medical students, medical educators, doctors in training, and consultant physicians alike. Aiming to improve the day-to-day medical practices of professionals, the Editors have invited experienced physicians to share their expertise culminating in a unique book with broad applicability and appeal.

This book is a thought-provoking read that delves into the complex world of end-of-life care. As a nurse with years of experience in chronic illness and hospice care, the author shares stories gathered personally and from co-workers into insights that offer a unique perspective on the challenges and rewards of the important field of end-of-life care.This book is recommended for anyone interested in health care, spirituality, loss, or grief and is a must-read for anyone in the medical profession or anyone who wants to better understand the emotionally charged gift of caring for the dying. It is a reflection that offers comfort and guidance to those who are grieving. It is a powerful and uplifting read that will be of great value to anyone who has experienced loss. A very informative read.

So verschieden die individuellen Ernährungsvorlieben und Gebräuche sind, so unterschiedlich sind die Bedürfnisse älterer, betreuungsbedürftiger Menschen. Das Buch fasst die Empfehlungen für bedarfs- und bedürfnisgerechte Ernährung in der Geriatrie leicht verständlich zusammen und geht darüber hinaus auf spezielle Bedürfnisse aus der Biografie und der Religion der zu betreuenden älteren Menschen ein. In Bezug auf die Lebensqualität nimmt das Essen in der Altenbetreuung immer einen zentralen Stellenwert ein.Gemeinsamkeiten und Unterschiede von Ernährungsgewohnheiten in verschiedenen Religionen und praxisbezogene Hilfestellungen für den Verpflegungsalltag komplettieren das Buch. Mit den vielen Ratschlägen können Konflikte vermieden und die Essenssituation kann für alle Seiten angenehm gestaltet werden. Ein wichtiger Teil sind die Geschichten und Rezepte der hochaltrigen Menschen, sie helfen ein Verständnis für die individuellen Bedürfnisse zu entwickeln. Zum leichteren Nachkochen unterstützen die Videos.Das Buch richtet sich an Betreuende und Pflegende älterer Menschen, aber auch soziale Dienstleister und Ausbildungseinrichtungen werden darin Impulse für ihre Arbeit erhalten.

This book provides insights into the care of cancer patients in the intensive care unit in a comprehensive manner. It provides an evidence-based approach to practitioners and postgraduate students to understand about the critical care needs of the patients suffering from malignancies. It helps the readers to develop critical thinking and encourage discussion towards improving the overall care of the patients and their families as their optimal management requires expertise in oncology, critical care, and palliative medicine and there is a dearth of books explaining about the special requirements and critical care needs of cancer patients.Each chapter is prepared by an expert in the field and contains well-prepared illustrations, flowcharts and relevant images. Chapters include latest evidence-based information which is useful for the readers.The book is useful for residents, fellows and trainees in the field of onco-anaesthesia, onco-critical care, onco-surgery, critical care and anaesthesia; practitioners and consultants in anaesthesia and onco-anaesthesia as well as intensivist, critical care experts and postgraduates in nursing.

This book uses empirical data gathered using ethnographic methods in two contrasting prisons to provide a rare insight into death and dying in prisons in the UK. The majority of deaths in prison custody in England and Wales result from natural causes, yet the experiences of people dying in prison and the impact of these deaths on the wider prison are under-researched areas. It provides a novel insight into the impact of deaths from natural causes on the prison as an institution and challenges existing work juxtaposing occupational philosophies of ¿care¿ and ¿control¿. It also identifies how end of life care is provided in prisons and the impact this has on culture and relationships shows how deaths from natural causes in prison custody ¿soften¿ prison regimes, culture and relationships. It speaks to an international audience by drawing on the global literature including from the US.

This book presents an important reflection on the concept and limits of the Fundamental Right to Health as opposed to a supposed ¿Right to Hope¿ in the context of the treatment of patients with advanced cancer. The central idea of the work is the question of whether and to what extent patients with advanced cancer have the right to legally demand a palliative treatment whose efficacy has not been proven from the point of view of the desired objectives. The book demonstrates how hope cannot be subject to legal protection and, also, that, even if theoretical-legal reasons were not sufficient for the absence of an abstract right to hope, ethical reasons would be. The work concludes that the best palliative care, rather than palliative treatment, guarantees the best right to health for advanced cancer patients, especially in terminal cases.In addition to this theoretical discussion, the book also presents the results of a qualitative research the author conducted with 48 advancedcancer patients in Brazil and Germany to investigate their expectations towards chemotherapy. This study has confirmed that many patients decide to undergo often toxic and exhausting treatments, unrealistically believing that their cancer is curable or that, as long as they continue with a course of chemotherapy, cancer may be beaten. Palliative Treatment for Advanced Cancer Patients: Can Hope Be a Right? will be of interest to health professionals and social workers working with advanced cancer patients, as well as to researchers in the fields of public health, bioethics, medical ethics and health law, especially those interested in the growing interdisciplinary field of end-of-life decision-making.

Fuelled by personal experience and interviews with clinicians and families, this compassionate book explores the realities of caring for a child with complex medical needs. It provides a vital insight into different parents' experiences to help medical professionals understand the roots of conflict and work with families to support patients.

This story is about how one brave woman chose to live her life with faith and love despite having ALS. Michelle Serlet was not only my sister but a daughter, aunt, cousin, wife, mother, Mimi, and friend to hundreds of people. Although her journey with ALS was not an easy one, she chose to live "Only Today" and reassign the ALS acronym to write A Love Story that epitomizes all she learned through her illness. We hope that you can use her story as an inspiration for your own walk, whether you are a person diagnosed with a terminal illness or a precious caregiver. You will also find many tips and suggestions offered by other caregivers that may make the tremendous job of caregiving a little easier. Please note that all of the book's proceeds are going to the ALS of the Heartland. To God be the Glory!

In diesem essential erfahren Sie, welche Bedeutung der Atem für den Menschen und insbesondere für Schwerstkranke und Sterbende hat. Der Band beschreibt die Grundlagen und Wurzeln der Palliativen Atemtherapie, ihre Wirkfelder und die Möglichkeiten ihrer Anwendung und vermittelt, was die Therapieform für Schwerstkranke und ihre Angehörigen zu leisten vermag. Auch die tiefgreifende spirituelle Dimension wird beschrieben, in der die Palliative Atemtherapie ihre Wirkung entfalten und den sterbenden Menschen auf heilsame Weise berühren kann.

This book summarizes evidence on frailty and ageing, how this may impact patient outcomes and how frailty can be assessed, managed and incorporated in the decision-making process for older patients with cancer.  The book aims to:  empower clinical teams to assess and support older cancer patients with frailty, ideally within a multidisciplinary setting; and to improve the selection of older cancer patients to the most appropriate management/treatment strategies in order to improve the outcomes of this group of patients often underrepresented in research. The reader will learn the methods available for assessing frailty, such as screening tools, but also how to perform different geriatric assessments covering the different key components (physical, nutritional, social, psychological, etc.). The book also provides information on how to manage and intervene on frailty with the role of pre-habilitation and re-habilitation, how to set-up specialised teams and pathways within one's hospital and community for these older cancer patients with frailty. Finally, the management of this challenging group of patients according to the cancer type is discussed in detail, alongside with mapping the unmet research needs and future directions in this field.

This book addresses the problems faced by people and hospitals dedicated to providing optimal end-of-life care and asks whether ethicists can function as experts on this subject. Though ethics consultation is a growing practice in medical contexts, difficult questions surrounding the role of ethicists in professional decision-making remain. The chapters in this book examine the nature and plausibility of moral expertise, the relationship between character and expertise, the nature and limits of moral authority, the question of how one might become a moral expert, and the trustworthiness of moral testimony. This volume not only engages with the growing literature in the debate on end-of-life care but also offers new perspectives from both academics and practitioners. Such perspectives include ways on how to get together to optimize end-of-life care. This book is of particular interest to bioethicists, clinicians, ethics committees, students of social epistemology, patient groups, and institutions, especially religious, who may not be sufficiently imparting the social teachings of end-of-life care. It also shows how they are indeed stakeholders for what is today called 'a good death'. These new essays advance discussions and provide practical information on dying as well as acting as a guide to those interested in actively effecting change.