Palliative Care for Chronic Cancer Patients in the Community

Palliative Care for Chronic Cancer Patients in the Community PDF Author: Michael Silbermann
Publisher: Springer Nature
ISBN: 3030545261
Category : Medical
Languages : en
Pages : 566

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Book Description
The new global cancer data suggests that the global burden has risen to 18.1 million new cases per year and 9.6 million cancer deaths per year. A number of factors appear to be driving this increase, in particular, a growing and aging global population and an increase of exposure to cancer risk factors linked to social and economic development. For rapidly-growing economies, the data suggests a shift from poverty- or infection-related cancers to those associated with lifestyles more typical in industrialized countries. There is still large geographical diversity in cancer occurrence and variations in the magnitude and profile of the disease between and within world regions. There are specific types of cancer that dominate globally: lung, female breast and colorectal cancer, and the regional variations in common cancer types signal the extent to which societal, economic and lifestyle changes interplay to deferentially impact on the profile of this most complex group of diseases. Unfortunately, despite advances in cancer care, a significant proportion of patients at home, experience sub-optimal outcomes. Barriers to successful treatment outcomes include, but are not limited to: access to oncologists in the primary health centers, non-adherence, lack of experienced oncology and palliative care nurses in the community, inadequate monitoring and the lack of training of family and pediatric physicians. Telemedicine approaches, including telephone triage/education, telemonitoring, teleconsultation and status tracking through mobile applications, have shown promise in further improving outcomes, in particular for chronic cancer patients following their hospitalization. Lessons can be learned from existing hospices in North America, the United Kingdom, Australia, Centers of Excellence in African (Uganda) and modern community services in India (Kerala). An important goal of this book is to describe and encourage professionals to develop new community programs in palliative care, which include training and empowering physicians and nurses in the community on the principles of palliative care. The Middle East Cancer Consortium (MECC) together with the American Society of Clinical Oncology (ASCO) and the American Oncology Nursing Society (ONS) have conducted multiple courses ranging from basic palliative care to more specialized training in palliative care for multiple nationalities in Europe, Asia and Africa. Our experience clearly indicates that, to promote such activities, one needs strong leadership and confirmed political will to support the endeavor. The new book will emphasize the importance of having a core of multiple stakeholders including community leaders, government, NGOs and media to be actively involved in advocating for the cause and generating public awareness. This text will provide the reader with a comprehensive understanding of the outside-of-the-hospital treatment of cancer patients by medical, paramedical and volunteer personnel. In doing so, this text will encourage the creation of new palliative care services improving upon the existing ones and stimulate further research in this field. Part 1 of the text will begin with an overview of the current state of affairs of services provided to cancer patients while being cared for by primary health centers. It will also review the current literature regarding medical and psychological-based therapy options in the community for cancer patients at different stages of their disease. Part 2 will address the unique role of the community nurse, within the framework of the multidisciplinary team treating the patient, in the attempt to provide optimal evaluation and care in very challenging situations (such as with terminal patients). Part 3 will provide insightful models of this new discipline and serve as a valuable resource for physicians, nurses, social workers and others involved in the care of cancer patients. The book will take a multidisciplinary approach, integrating clinical and environmental data for practical management to enhance the efficacy of treatment while relieving suffering. Part 4 will also discuss the application of modern technological approaches to track symptoms, quality of life, diet, mobility, duration of sleep and medication use (including pain killers) in chronic cancer patients in the community. Part 5 of the book will also be devoted to modes of developing a collaborative program between governmental and non-governmental organization sectors. This includes volunteer workers in close collaboration with medical professionals for providing emotional and spiritual support, nursing care, nutritional support and empowering family caregivers. Such a model makes palliative care in the community a “people’s movement”, thus transferring part of the responsibility and ownership to the community.

Improving Palliative Care for Cancer

Improving Palliative Care for Cancer PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309074029
Category : Medical
Languages : en
Pages : 344

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Book Description
In our society's aggressive pursuit of cures for cancer, we have neglected symptom control and comfort care. Less than one percent of the National Cancer Institute's budget is spent on any aspect of palliative care research or education, despite the half million people who die of cancer each year and the larger number living with cancer and its symptoms. Improving Palliative Care for Cancer examines the barriersâ€"scientific, policy, and socialâ€"that keep those in need from getting good palliative care. It goes on to recommend public- and private-sector actions that would lead to the development of more effective palliative interventions; better information about currently used interventions; and greater knowledge about, and access to, palliative care for all those with cancer who would benefit from it.

Internal Medicine Issues in Palliative Cancer Care

Internal Medicine Issues in Palliative Cancer Care PDF Author: David Hui
Publisher: Oxford University Press
ISBN: 0199330336
Category : Medical
Languages : en
Pages : 224

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Book Description
Patients with advanced cancer may develop a number of clinical complications related to tumor progression or a variety of aggressive treatments. The majority of these patients are elderly, often with multiple co-morbidities that require appropriate assessment and management. In the palliative stage of their disease, patients undergo a progressive transition from active acute care to community-based hospice care. This transition requires modification in the diagnostic tests, monitoring procedures and pharmacological treatments to adjust them to the palliative and short-term nature of the care. Internal Medicine Issues in Palliative Cancer Care looks at internal medicine through a prognosis-based framework and provides a practical approach to maximizing comfort and quality of life while minimizing aggressive investigations and therapies for patients with life-limiting disease. Forty-six common internal medicine conditions are organized into nine clinical categories: pulmonary, cardiovascular, nephrologic and metabolic, gastrointestinal, hematologic, infectious, endocrine, rheumatologic, and neuro-psychiatric. This evidence-based resource is ideal for educating clinicians delivering palliative care to cancer patients in acute care facilities about complex internal medicine problems, decision-making regarding diagnostics and therapeutics which require a good understanding of state-of-the-art internal medicine and palliative care principles.

Principles and Practice of Palliative Care and Supportive Oncology

Principles and Practice of Palliative Care and Supportive Oncology PDF Author: Ann M. Berger
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781795951
Category : Medical
Languages : en
Pages : 960

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Book Description
The first truly interdisciplinary book on supportive oncology and palliative care returns with a new edition that serves as a practical guide to the management of the myriad symptoms and quality-of-life issues that occur in patients with cancer—including newly diagnosed patients, patients undergoing treatment, cancer survivors, and patients whose disease is no longer curable. The interdisciplinary group of contributors includes leading experts in hospice care and palliative medicine, oncology, nursing, neurology, psychiatry, anesthesiology, and pharmacology. This completely revised edition features new chapters on caregiver stress, hepatic failure, pulmonary failure, research issues in palliative care, and beginning a palliative care program. Content has been aligned with the needs of today's palliative care fellowship programs and includes additional tables, algorithms, and flow charts.

Choices in Palliative Care

Choices in Palliative Care PDF Author: Arthur Blank
Publisher: Springer Science & Business Media
ISBN: 0387708758
Category : Medical
Languages : en
Pages : 249

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Book Description
Choices in Palliative Care brings together leading experts to spotlight core issues in the field and identify ways PC can fill gaps in current care systems. This far-sighted volume redefines palliative care as interdisciplinary and integrative, bridging acute and long-term care to respond to clients’ evolving needs. Those teaching health service delivery courses will find this material especially useful.

Models and Strategies to Integrate Palliative Care Principles into Care for People with Serious Illness

Models and Strategies to Integrate Palliative Care Principles into Care for People with Serious Illness PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309466148
Category : Medical
Languages : en
Pages : 103

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Book Description
Palliative care is the interdisciplinary specialty focused on improving quality of life for people with serious illness and their families. This interdisciplinary care is provided by doctors, nurses, social workers, chaplains and others who work together with the patient's other doctors to provide an extra layer of support. Such care is appropriate for people at any age and at any stage in a serious illness, and can be provided together with curative treatment to address clinical, emotional, psychosocial and spiritual concerns of the patient and their family. To better understand how the principles of palliative care can be integrated into the overall provision of care and services to those facing serious illness, the Roundtable on Quality Care for People with Serious Illness held a public workshop in April 2017. This publication summarizes the presentations and discussions from the workshop.

EBOOK: New Themes In Palliative Care

EBOOK: New Themes In Palliative Care PDF Author: David Clark
Publisher: McGraw-Hill Education (UK)
ISBN: 0335231098
Category : Health & Fitness
Languages : en
Pages : 322

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Book Description
Palliative care is moving through an important period of expansion and development, spreading beyond its original hospice base to encompass care in the community, in hospitals, health centres, clinics and nursing homes. It can now be found in over 70 countries of the world. What challenges does this multidisciplinary speciality face as it seeks to combine high grade pain and symptom control with sensitive psychological, spiritual and social care? What are the implications of current constraints on health policy and planning? How do ethical issues about resource allocation and end of life care impinge? Can palliative care be further extended to include conditions other than cancer? New Themes in Palliative Care addresses these and many related issues in ways which will be readily accessible to students of health and social care as well as to those involved in purchasing or providing palliative care services, and to social scientists interested in chronic illness, death and dying. Its editors are respected experts in the field with backgrounds in the social sciences, nursing and medicine and the book's contributors include leading international figures from a wide range of palliative care and academic disciplines.

Improving Palliative Care

Improving Palliative Care PDF Author: National Cancer Policy Board
Publisher: National Academies Press
ISBN: 9780309089845
Category : Medical
Languages : en
Pages : 20

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Book Description
As a society, we have made amazing gains in being able to detect and treat cancer. Even so, about half the people who are told by their doctors that they have cancer will die within a few years. This means that every year about one million people find out that they have cancer and are treated, and about one-half million people die of cancer nationwide. So far, most cancer research and treatment has focused on trying to cure cancer. There hasn't been much attention paid to other important issues, such as pain control and taking care of other troubling symptoms. Now more and more people are aware that there are cancer care needs beyond just trying to cure it. Attention is now being paid to helping people with cancer cope better with the problems that may arise when people are being treated or as they approach death.

Hospice and Palliative Care

Hospice and Palliative Care PDF Author: Walter B. Forman
Publisher: Jones & Bartlett Publishers
ISBN:
Category : Medical
Languages : en
Pages : 316

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Book Description
Hospice and Palliative Care: Concepts and Practice, Second Edition offers theoretical perspectives and practical information about this growing field. Contributing authors from a variety of backgrounds working in end-of-life care present a historical overview of hospice and explain how the interdisciplinary team functions in the hospice setting. They then discuss challenges to the team including symptom management, death education, ethical issues, and support groups. The future of hospice is addressed in the final part of the book. The contributors are experts in community medical care, geriatric care, nursing care, pain management, research, counseling, and hospice management.

Palliative Care for Non-cancer Patients

Palliative Care for Non-cancer Patients PDF Author: Julia M. Addington-Hall
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 328

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Book Description
The specialty of palliative care has traditionally grown out of oncology and there has been little research into the needs of patients dying from causes other than cancer. Few non-cancer patients receive hospice in-patient, home care or day care although a good proportion of hospices say that their services are available to non-cancer patients. As a result, the importance of palliative care for non-cancer patients is now being increasingly recognized internationally, and in the UK a committee reporting to the Department of Health recommended that palliative care should be accessible to all patients who need such care. Palliative Care for Non-Cancer Patients considers the needs and experiences of patients dying from, for example, stroke, heart disease or dementia by,drawing on a range of disciplines and specialties in medicine. The provision of palliative care for patients dying from causes other than cancer raises a number of important questions for policy makers and purchasers. This book summarizes what is known about the needs of and appropriate service provision for people dying of causes other than cancer and begins to set a research agenda.