Evidence-Based Practice of Palliative Medicine is the only book that uses a practical, question-and-answer approach to address evidence-based decision making in palliative medicine. Dr. Nathan E. Goldstein and Dr. R. Sean Morrison equip you to evaluate the available evidence alongside of current practice guidelines, so you can provide optimal care for patients and families who are dealing with serious illness.
- Confidently navigate clinical challenges with chapters that explore interventions, assessment techniques, treatment modalities, recommendations / guidelines, and available resources - all with a focus on patient and family-centered care.
- Build a context for best practices from high-quality evidence gathered by multiple leading authorities.
- Make informed decisions efficiently with treatment algorithms included throughout the book.
- Access the complete, fully searchable contents online at www.expertconsult.com.
SECTION I SYMPTON MANAGEMENT
1 How should opioids be started and titrated in routine outpatient settings?
2 How should opioids be started and titrated in hospital or inpatient settings?
3 How should patient-controlled analgesia be used in patients with serious illness and those experiencing postoperative pain?
4 How should opioids be used to manage pain emergencies?
5 What principles should guide oral, transcutaneous, and intravenous opioid dose conversions?
6 Which opioids are safest and most effective in renal failure?
7 How should methadone be started and titrated in opioid naïve and opioid-tolerant patients?
8 What special considerations should guide the safe use of methadone?
9 When should corticosteroids be used to manage pain?
10 When should nonsteroidal antiinflammatory drugs be used to manage pain?
11 What is Neuropathic Pain? How do opoids and nonopoids compare for neuropathic pain management?
12 Should bisphosphonates be used routinely to manage pain and skeletal complications in cancer?
13 Should bisphosphonates be used routinely to manage pain and skeletal complications in other conditions?
14 When should radiotherapy be considered for pain management and what principles should guide the consideration of limited-fraction versus full-dose radiotherapy?
15 When should radiopharmaceuticals be considered for pain management?
16 What principles should guide the prescribing of opioids for non-cancer-related pain?
17 What approaches should be used to minimize opioid diversion and abuse in palliative care?
18 When should epidural or intrathecal opioid infusions and pumps be considered for pain management?
19 When should nerve blocks be used for pain management?
20 What interventions are effective for managing dyspnea in cancer?
21 What is t
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- © Saunders 2013
- 3rd December 2012
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Associate Professor , Director of Research, Hertzberg Palliative Care Institute , Brookdale Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine; Geriatrics, Research, Education and Clinical Center, James J. Peters VA Medical Center, New York, New York
Director, National Palliative Care Research Center , Director, Hertzberg Palliative Care Institute, Hermann Merkin Professor of Palliative Medicine , Brookdale Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine; Geriatrics, Research, Education and Clinical Center, James J. Peters VA Medical Center, New York, New York