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
Request Academic Copy
Please copy the ISBN for submitting review copy form
Description
""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.""