Save up to 30% on Elsevier print and eBooks with free shipping. No promo code needed.
Save up to 30% on print and eBooks.
Handbook of Supportive and Palliative Radiation Oncology
1st Edition - December 23, 2016
Authors: Monica S Krishnan, Margarita Racsa, Hsiang-Hsuan Michael Yu
Language: English
Paperback ISBN:9780128035238
9 7 8 - 0 - 1 2 - 8 0 3 5 2 3 - 8
eBook ISBN:9780128035610
9 7 8 - 0 - 1 2 - 8 0 3 5 6 1 - 0
Handbook of Supportive and Palliative Radiation Oncology serves as a practical tool and rapid reference to assist radiation oncology practitioners in direct patient care with comm…Read more
Purchase options
LIMITED OFFER
Save 50% on book bundles
Immediately download your ebook while waiting for your print delivery. No promo code is needed.
Handbook of Supportive and Palliative Radiation Oncology serves as a practical tool and rapid reference to assist radiation oncology practitioners in direct patient care with common palliative care issues. Containing the most recent advances in translational palliative care research, each chapter is organized in a succinct fashion to discuss major symptom burdens, suggested assessment, and various management options. Each symptom and disease section is written to be a rapid, practical guide for clinicians on the floor.
The book starts with general approaches in palliative radiation oncology that are followed by a section that focuses on common symptoms in palliative care and their management. The next section of the book is devoted to site and disease-specific evaluation, intervention, and management.
This handbook provides general guidelines and management recommendations for common clinical vignettes encountered by palliative radiation oncology practitioners and supported by palliative radiation oncology research. Concise references are cited to support treatment recommendation.
Provides a quick reference for the busy clinician
Details standard of care resources for researchers of palliative and supportive care
Contains updated standards of care for palliative medicine and a list of common medications and dosages
Includes a comprehensive index by symptom and condition to facilitate quick reference
Radiation oncologists, clinical oncologists, oncology researchers in supportive and palliative care, and cancer researchers interested in end-of-life standard of care
List of Contributors
Preface
Acknowledgments
Part I: Issues in Supportive and Palliative Radiation Oncology
Chapter 1. General Approach to Palliative Care and Palliative Radiation Oncology
Abstract
Introduction
Life Expectancy and Prognostication
Religion and Spirituality
Relief of Pain and Suffering
Palliative Radiation Therapy
Efficacy of Palliative Radiation Therapy
Emerging Technologies
Radiation Therapy Planning and Delivery
Side Effects of Radiation Therapy
Guidelines and Quality Measures
Conclusion
List of Abbreviations
References
Chapter 2. Communication
Abstract
Introduction
ASK-TELL-ASK
Delivering Bad News: SPIKES
Responding With Empathy: NURSE
Discussing Prognosis: ADAPT
Conducting a Family Meeting/Goals of Care Discussion
FICA Spiritual History Tool
References
Chapter 3. Prognostication in Patients Receiving Palliative Radiation Therapy
Abstract
Introduction
Physician Accuracy
What Patients Want to Hear
Prognostic Factors
Prognostic Models
Future Directions
References
Chapter 4. Palliative Care, Hospice Care, Advance Care Planning, and Advance Directives
Abstract
Background
Palliative Care
Hospice
Advance Care Planning and Advance Directives
References
Chapter 5. Palliative Care Assessment
Abstract
Introduction
References
Part II: Symptom Management for Palliative Radiation Oncology Practitioners
Chapter 6. Pain Management
Abstract
Introduction
What Is Pain?
Common Pain Terminology
Pain Assessment
Patient Reported Outcomes
Management of Pain
Patient Case 1.1
Patient Case 1.2
Patient Case 1.3
Patient Case 1.4
Patient Case 1.5
Patient Case 1.6
Patient Case 1.7
Conclusion
Glossary
List of Abbreviations
References
Chapter 7. GI Symptoms: Radiation-Induced Adverse Effects
Abstract
Radiation-Induced Mucositis and Esophagitis
Radiation-Induced Diarrhea
Radiation-Induced Constipation
Radiation-Induced Nausea and Vomiting
References
Chapter 8. Management of Dyspnea and Central Airway Obstruction in Patients With Malignancy
Abstract
Introduction
Pathophysiology of Dyspnea
Evaluation of Dyspnea
Management of Potentially Reversible Etiologies of Dyspnea
Symptom Management for Dyspnea
Summary
Palliative Management of Malignant Central Airway Obstruction (CAO)
Summary
References
Chapter 9. Malignant Bleeding
Abstract
Scope of the Problem
Goals of Care, Communication, and Assessment
Local Therapies
Treatment Options by Site of Hemorrhage
Systemic Therapies and Considerations
Conclusion
References
Chapter 10. Skin Toxicity in Palliative Radiation Therapy
Abstract
Introduction
Acute Skin Toxicities From Radiation
Chronic Skin toxicities From Radiation
Radiation Recall Dermatitis
Conclusion
References
Part III: Disease-Specific Management for Palliative Radiation Oncology Practitioners
Chapter 11. Palliative Radiotherapy for Brain Metastasis
Abstract
Introduction
Palliative Radiotherapy Regimens
Evaluation and Management of Common Clinical Concerns
Conclusion
List of Abbreviations
References
Chapter 12. Palliative Radiotherapy for Malignant Epidural Spinal Cord Compression
Abstract
Introduction
Definition
Presentation
Prognostic Factors
Evaluation
Management
Recurrence
Summary
References
Chapter 13. Palliative Radiotherapy for Bone Metastasis
Abstract
Introduction/Background
Pathophysiology
Presentation/Evaluation
Clinical Assessment
Imaging
Management Overview
External Beam Radiation Therapy
Randomized Controlled Trials
Recommendations
Exceptions
Side Effects
QOL Improvement and Palliative EBRT
Re-Irradiation
Stereotactic Body Radiotherapy/Stereotactic Radiosurgery
External Beam Radiation Therapy Techniques
Radiopharmaceuticals for Diffuse Painful Bone Metastases
Beta Emitters
Summary
Alpha Emitters
Bisphosphonates and Denosumab to Prevent SREs
Bisphosphonates in Combination With EBRT
Denosumab
Conclusion
References
Chapter 14. Site-Specific Symptom Management: Palliative Radiotherapy for Advanced and Metastatic Lung Cancer
Abstract
Introduction
Evaluation
Treatment Recommendations
Expected Acute Side Effects
On-Treatment Management
References
Chapter 15. Palliative Radiation Oncology for Gastrointestinal Tract Malignancies
Abstract
Introduction/Background
Esophageal Cancer
Gastric Cancer
Pancreatic Cancer
Hepatobiliary Cancer
Anorectal Cancer
On Treatment Management
Conclusion
List of Abbreviations
References
Chapter 16. Palliative Radiotherapy for Advanced and Metastatic Gynecologic and Genitourinary Malignancies
Abstract
Introduction
Evaluation
Treatment Recommendations
Conclusion
List of Abbreviations
References
Chapter 17. Palliative Radiotherapy for Advanced and Metastatic Head and Neck Cancers and Skin Metastases
Abstract
Evaluation
Symptoms
Treatment Recommendation
Expected Acute Side Effects From Radiation
On Treatment Management
References
Index
No. of pages: 326
Language: English
Edition: 1
Published: December 23, 2016
Imprint: Academic Press
Paperback ISBN: 9780128035238
eBook ISBN: 9780128035610
MK
Monica S Krishnan
Monica Krishnan is an attending physician at the Dana-Farber/Brigham and Women’s Cancer Centers at South Shore and Milford. She has developed a palliative radiation clinic at these community cancer centers, working in tandem with the Supportive and Palliative Radiation Oncology (SPRO) program at the main campus in Boston. She has a strong interest in palliative radiation and has done extensive research assessing prognostication and its role in treatment decision making.
Affiliations and expertise
Attening Physician, Dana Farber-Brigham and Women's Cancer Centers, Boston, MA, USA
MR
Margarita Racsa
Margarita Racsa is a radiation oncologist who recently completed a Palliative Medicine Fellowship at Memorial Sloan Kettering in New York. She presently is a Fellow with the Supportive and Palliative Radiation Oncology (SPRO) Service at the Dana-Farber/Brigham and Women’s Cancer Center in Boston. She has a strong interest in Palliative Care Education including working on an initiative to develop a core curriculum in Palliative Care for radiation oncology residency programs.
Affiliations and expertise
Radiation Oncologist, Fellow, Supportive and Palliative Radiation Oncology Service at the Dana-Farber/Brigham and Women's Cancer Center, Boston, MA, USA
HY
Hsiang-Hsuan Michael Yu
Hsiang-Hsuan Michael Yu is a radiation oncologist at Sinai Hospital in Baltimore, MD. Prior to Sinai, he was the service chief of Central Nervous System Radiation Oncology with a focus in management of brain metastasis at H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL. He is board certified in Radiation Oncology and Hospice and Palliative Medicine. Dr. Yu has gained interest in palliative radiation oncology from clinical practice and is playing an active role to initiate a comprehensive palliative radiation oncology program.
Affiliations and expertise
Radiation Oncologist, Sinai Hospital, Baltimore, MD, USA
Read Handbook of Supportive and Palliative Radiation Oncology on ScienceDirect