The Medical Care of Terminally Ill Patients (The Johns Hopkins Series in Hematology/Oncology)

Since the publication of the first edition of The Medical Care of Terminally Ill Patients , the field of palliative care has progressed significantly, both socially and scientifically. In this new edition, Dr. Robert Enck reviews the results of clinical studies devoted to the care of dying patients. Special attention is given to pain management, management of symptoms, care of advanced cancer patients, and care of patients with nonmalignant diseases. More than 100 new references, a new list of abbreviations, and tables with new drugs and dosages provides valuable information. Dr. Enck places great emphasis on enhancing the quality of life while addressing the most common symptoms of terminal illness. The Johns Hopkins University Press Is devoted to management of dying patients' common symptoms/ management of pain/management of last few days' symptoms. The Prognostication Of Survival -- Cancer -- Dementia -- Motor Neuron Disease -- Acquired Immunodeficiency Syndrome (aids) -- Central Nervous System Anoxia -- Advanced Pulmonary Disease -- Heart Disease -- The Management Of Symptoms Common Among Dying Patients -- General Symptoms Of Dying Patients -- Pain -- Gastrointestinal Symptoms -- Nausea And Vomiting -- Anorexia And Cachexia -- Nutritional Problems -- Hydration -- Constipation -- Central Nervous System Symptoms -- Delirium -- Depression -- Systemic Symptoms -- Dyspnea -- Urinary Incontinence -- Pressure Sores -- Other Problems Of Patients With Cancer -- Malignant Intestinal Obstruction -- Malignant Dysphagia -- Neuromuscular Dysfunction -- Malignant Ulceration -- Other Problems Of Patients With Nonmalignant Diseases -- Dementia -- Motor Neuron Disease -- Acquired Immunodeficiency Syndrome (aids) -- Chronic Vegetative State -- Advanced Pulmonary Disease -- Heart Disease -- Palliative Surgery -- Principles Of Preoperative Care -- Principles Of Operating For Advanced Cancer -- Principles Of Postoperative Care -- Indications For Surgery -- The Management Of Pain -- An Overview Of Pain Management -- Principles Of Pain Management -- The Ladder Approach -- Managing The Complications Of Pain Treatment -- Opioids -- Oral Morphine -- Parenteral Opioids -- Alternative Routes Of Administration -- Adjuvant Analgesic Drugs -- Anticonvulsants -- Phenothiazines -- Antidepressants -- Antihistamines -- Steroids -- Antibiotics -- Amphetamines -- Butyrophenones. Robert E. Enck. Includes Bibliographical References (p. 197-217) And Index. Since the publication of the first edition of The Medical Care of Terminally Ill Patients, the field of palliative care has progressed significantly, both socially and scientifically. In this thoroughly revised and updated new edition, Robert E. Enck reviews the results of recent clinical studies devoted to the care of dying patients and gives special attention to areas in which major progress has been made over the last decade: the management of pain and other symptoms such as fatigue and sleeplessness; new drugs and new delivery methods. including patches and implantable pumps; and palliative care for such nonmalignant conditions as dementia, motor neuron disease, AIDS, and heart failure. Above all. Dr. Enck places great emphasis on enhancing the quality of life for persons with terminal illness. The problem of accurate prognosis has plagued hospice programs since the Medicare hospice benefit was enacted in 1982.