The Medical Care of Terminally Ill Patients 2/e

JOHNS HOPKINS UNIVERSITY PRESSISBN: 9780801867651

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Sale price$176.00
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By Robert E. Enck
Imprint:
JOHNS HOPKINS UNIVERSITY PRESS
Release Date:
Format:
HARDBACK
Pages:
248

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Description


Contents:



Preface to the Second Edition

List of Abbreviations



1. The Prognostication of Survival

Cancer

Dementia

Motor Neuron Disease

Acquired Immunodeficiency Syndrome (AIDS)

Central Nervous System Anoxia

Advanced Pulmonary Disease

Heart Disease

Summary



I. The Management of Symptoms Common Among Dying Patients



2. General Symtoms of Dying Patients

Pain

Gastrointestinal Symptoms

Nausea and Vomiting

Anorexia and Cachexia

nutritional Probllmes

Hydration

Constipation



Central Nervous System Symptoms

Delirium

Depression



Systemic Symptoms

Dyspnea

Urinary Incontinence

Pressure Sores



Summary



3. Other Problems of Patients with Cancer

Malignant Intestinal Obstruction

Malignant Dysphagia

Neuromuscular Dysfunction

Malignant Ulceration

Summary



4. Other Problems of Patients with Nonmalignant Diseases

Dementia

Motor Neuron Disease

Acquired Immunodeficiency Syndrom (AIDS)

Chronic Vegetative State

Advanced Pulmonary Disease

Heart Disease

Summary



5. Palliative Surgery

Principles of Preoperative Care

Principles of Operating for Advanced Cancer

Principles of Postoperative Care

Indications for Surgery

Summary



II. The Management of Pain



6. An Overview of Pain Management

Principles of Pain Management

The Ladder Approach

Managing the Complications of Pain Treatment

Summary



7. Opioids

Oral Morphine

Parenteral Opioids

Alternative Routes of Administration

Summary



8. Adjuvant Analgesic Drugs

Anticonvulsants

Phenothiazines

Antidepressants

Antihistamines

Steroids

Antibiotics

Amphetamines

Butyrophenones

Summary



9. Complications of Pharmacologic Therapy

Opioids

Nonsteroidal Anti-inflammatory Drugs

Summary



10. Bone Pain

Pathopysiolgoy

Radiation Therapy

Pharmacotherapy

Summary

References

Index

11. Surgery and Other Nonpharmacologic Interventions to Manage PainSurgery

Acupuncture

Transcutaneous Electrical Nerve Stimulation

Relaxation Techniqu

eComplimentary/Alternative Medicine

Summary

III. The Management of Symptoms During the Last Few Days

12. The Final Moments

Terminal Symptoms and Their Managment

Drug-Induced Terminal Sedation

Summary

13. Issues Concerning the Sustaining of Life

Do Not Resuscitate

Advance Directives

Physician-Assisted Suicide and Euthanasi

aSummary

References

Index

""We can congratulate and thank [Dr. Enck] for adding to the comfort and care of a great many of our fellow human beings as death draws near.""

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