Palliative Care - 1st Edition - ISBN: 9781416025979, 9781437710687

Palliative Care

1st Edition

Core Skills and Clinical Competencies

Authors: Linda Emanuel S. Lawrence Librach
eBook ISBN: 9781437710687
Paperback ISBN: 9781416025979
Imprint: Saunders
Published Date: 31st July 2007
Page Count: 736

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Edited by two leading pioneers of palliative medicine, this essential guide provides you with the core knowledge and skills necessary to provide comprehensive and compassionate care. Designed to meet the needs of the daily medical caretaker, this detailed text examines patient assessment, communication, cultural considerations, legal and ethical issues, advance care planning, symptom control, clinical management of specific illnesses, service delivery, interdisciplinary team composition, and more. From diagnosis to bereavement care, PALLIATIVE CARE: CORE SKILLS AND CLINICAL COMPETENCIES addresses all major clinical, physical, psychological, and spiritual management issues encountered in palliative care - in a user-friendly, ready-reference format.

Key Features

  • Tap into expert guidance on all aspects of palliative care in one reference.
  • Enhance pain management with a better understanding of the molecular and physiological mechanisms of suffering.
  • Quickly review specific treatment protocols for both malignant and non-malignant illnesses, including HIV/AIDS, heart failure, renal failure, and cirrhosis.
  • Recognize the characteristic features of specific illnesses and master the core clinical skills needed to manage their symptoms, including surgical palliation.
  • Identify and meet the needs of special populations, including pediatric and geriatric patients.
  • Access at-a-glance information on pharmacology—mechanisms of action, indications in palliative care, incompatibility, adverse effects, dosage, and administration—with a formulary of commonly used palliative drugs.
  • Better understand and manage the common and unique challenges associated with delivering palliative care in various social settings.
  • Educate patients and their families on the options available to them with the aid of helpful resources and an appendix outlining reimbursement mechanisms.

Table of Contents

Section I: Palliative Care: Core Skills

The Philosophy and Historical Origins

Comprehensive Assessment

Negotiating Goals of Care along the Trajectory of Illness

Loss and Creative Adaptation

Advance Care Planning

Communicating Serious Information

Cultural Issues

Assisted Suicide

Legal and Ethical Issues

Pain Management

Management of Dyspnea, Nausea, Anorexia

Management of Anxiety, Depression, Delirium

Management of Constipation, Incontinence, Sexual Dysfunction

Management of Other Common Symptoms

Withdrawing and Withholding Interventions

Last Days of Living

Grief and Bereavement

Section II: Palliative Care for Specific Types of Illness



Heart failure

Alzheimer’s Disease

Renal Failure


Palliative Surgery

Chronic Diseases

Clinical Trials

Section III: Service Delivery

The Interdisciplinary Team

Nursing Care

Social Work Care

Pastoral Care

Guidelines Integration

Consult Services

Dedicated Services – Wards, Hospice, Ambulatory Care, Day Care, Home Care

Section IV: The Social Setting of Palliative Care

The Impact of Terminal illness on Household Economics

The Impact of Policies Regarding Ovoid Availability

The Potential of Palliative Care to reduce economic suffering due to terminal illness

Micro-economic Development of Health Care services among economically challenged households

Palliative Care: Global Perspectives



Reimbursement Mechanisms

Resources for Professionals

Resources for Patients and Caregivers


No. of pages:
© Saunders 2007
eBook ISBN:
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About the Author

Linda Emanuel

Affiliations and Expertise

Buehler Professor of Medicine and Director, Buehler Center on Aging, Feinberg School of Medicine, Northwestern University, Chicago, IL; Professor of Health Industry Management and Director, Ford Center on Global Citizenship’s Health Section, Kellogg School of Management, Northwestern University, Evanston, IL

S. Lawrence Librach

Affiliations and Expertise

W. Gifford-Jones Professor in Pain Control and Palliative Care, University of Toronto, Director, Temmy Latner Centre for Palliative Care, Mount Sinai Hospital, Toronto, Canada


Geriatricians, Internists, Physician Assistants, Nurse Practitioners, Family Practitioners, and Oncologists