ABSTRACT

This work includes a foreword by Elizabeth Rogerson. Head of Education and Development, International Virtual Nursing School Head, Distance Learning Centre (Nursing and Palliative Care), University of Dundee. It considers all the patient's symptoms and all the information available to us, then assesses the symptoms, signs and information given, using this to choose the appropriate remedies for the problem, and extra information will be offered where available and appropriate. This easy to use, evidence-based guide offers practical resources for every day use. Well laid out, with a simple alphabetical format, "Care of the Cancer Patient" covers the management of common problems, contains basic explanations of pathophysiology and relevant pharmacology, and includes vital guidance on new treatments and scientific papers. It is ideal for non-specialist doctors, nurses, carers and other health professionals who look after patients with cancer-related symptoms. 'This book recognises the complexity inherent in the cancer journey and places a spotlight on the human face of health care management, specifically on the ability to provide careful, individualised and sensitive management of symptom control that aims to make a difference to the patient's quality of life. It is written in a manner that is acceptable to professionals, patients and carers alike. This book adopts a unique approach to symptom management in palliative care, inviting the practitioner to consider the possible causes of the symptom, and then assess the patient with these in mind. Paying attention to the pathophysiology of the symptom and respecting the individual needs of the patient, one is guided to make a logical choice of treatment by thinking about the pharmacological actions of the available drugs. This is a book to be on the desk ready for quick reference, not stored on a shelf in a library.' - Elizabeth Rogerson, in the Foreword.

part 1|36 pages

Communicating with the patient

chapter 1|4 pages

Basic issues in communication

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 2|9 pages

Listening effectively:‘ALWAYS REACT’

ByJan Pederson

chapter 3|4 pages

Breaking bad news

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 4|4 pages

The angry patient

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 5|3 pages

Collusion

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 6|2 pages

Confidentiality

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 7|3 pages

Denial

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 8|2 pages

Distancing oneself from the patient

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 9|2 pages

Getting too close to the patient

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 10|2 pages

The patient who refuses to talk

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

part 2|13 pages

Therapy review

chapter 11|5 pages

A brief review of how drugs work

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 12|7 pages

Complementary therapies

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

part 3|35 pages

The problem of pain

chapter 13|4 pages

Pain assessment

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 14|6 pages

Treatment options for managing pain

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 15|6 pages

Pain that persists or becomes out of control

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 16|4 pages

Bone pain

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 17|5 pages

Nerve pain

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 18|8 pages

The syringe driver

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

part 4|116 pages

Common symptoms and their management

chapter 19|4 pages

Abdominal swelling

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 20|7 pages

Anorexia and nutrition

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 21|4 pages

Bowel obstruction

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 22|5 pages

Breathlessness

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 23|3 pages

Cachexia

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 24|4 pages

Confusion

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 25|5 pages

Constipation

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 26|6 pages

Cough and haemoptysis

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 27|5 pages

Depression and sadness

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 28|3 pages

Diarrhoea

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 29|4 pages

Dysphagia

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 30|4 pages

Fatigue

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 31|3 pages

Fistulae

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 32|4 pages

Fungating wounds

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 33|3 pages

Halitosis

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 34|3 pages

Hiccup

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 35|3 pages

Hypercalcaemia

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 36|3 pages

Itch

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 37|2 pages

Jaundice

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 38|4 pages

Lymphoedema

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 39|4 pages

Mouth problems

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 40|6 pages

Nausea and vomiting

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 41|3 pages

Nightmares

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 42|2 pages

Opioid-induced sedation

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 43|4 pages

Skin at risk of ulceration

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 44|2 pages

Sleep disorders

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 45|5 pages

Spinal cord compression

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 46|3 pages

Sweating

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 47|2 pages

Tenesmus

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 48|2 pages

Terminal restlessness

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 49|3 pages

Twitching

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

part 5|28 pages

Practical issues in the care of the patient

chapter 50|4 pages

Discharge planning

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 51|7 pages

Where can the patient be cared for?

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 52|5 pages

The family as carers

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 53|4 pages

The patient is dying

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 54|4 pages

Speaking to the relatives after a death

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 55|3 pages

Bereavement

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

part 6|38 pages

Ethical, moral and religious issues

chapter 57|3 pages

Refusing more treatment

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 58|6 pages

Resuscitation

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

chapter 59|23 pages

Spiritual and religious issues

ByWesley C. Finegan, Angela McGurk, Wilma O’Donnell, Jan Pederson, Elizabeth Rogerson

part 7|30 pages

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