Internal Medicine Issues in Palliative Cancer Care

Paperback | March 14, 2014

EditorDavid Hui, Eduardo Bruera

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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 palliativestage 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 thecare. 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-sixcommon 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 deliveringpalliative 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.

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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 palliativestage of their disease, patients undergo a p...

David Hui is Assistant Professor in the Department of Palliative Care and Rehabilitation Medicine, Division of Cancer Medicine at The University of Texas MD Anderson Cancer Center. Eduardo Bruera is Professor of Medicine in the Department of Palliative Care and Rehabilitation Medicine, Division of Cancer Medicine at The University of T...

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Format:PaperbackDimensions:240 pages, 8 × 5 × 0.68 inPublished:March 14, 2014Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199329753

ISBN - 13:9780199329755

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Table of Contents

1. Introduction1.1. Principles of Internal Medicine in Palliative Care1.2. Principles of Prognostication1.3. Principles of advance care planning2. Pulmonary2.1. Chronic Obstructive Pulmonary Disease2.2. Pleural Effusion2.3. Pulmonary Embolism2.4. Non-invasive ventilation3. Cardiovascular3.1. Heart Failure3.2. Acute Coronary Syndrome3.3. Pericardial Effusion and Tamponade3.4. Arrhythmias3.5. Arterial Hypertension3.6. Dyslipidemia4. Nephrology and Metabolic Abnormalities4.1. Chronic Kidney Disease and Acute Kidney Injury4.2. Urinary Incontinence4.3. Urinary Retention4.4. Hematuria4.5. Metabolic acidosis4.6. Electrolyte abnormalities (Na, K, Mg)4.7. Hypercalcemia5. Gastrointestinal5.1. Upper and Lower Gastrointestinal Bleeding5.2. Acute and Chronic Diarrhea5.3. Bowel Obstruction5.4. Liver Failure and Hepatitis5.5. Biliary Obstruction5.6. Pancreatitis6. Hematological Disorders6.1. Anemia6.2. Neutropenia6.3. Thrombocytopenia6.4. Bleeding Disorders6.5. Deep Vein Thrombosis7. Infections7.1. Sepsis7.2. Pneumonia7.3. Urinary Tract Infections7.4. Osteomyelitis7.5. Skin Infections7.6. Herpes Infections7.7. Fungal Infections8. Endocrine8.1. Diabetes8.2. Hyperthyroidism8.3. Hypothyroidism9. Rheumatology9.1. Arthritis10. Neuro-psychiatric10.1. Acute Stroke Syndrome10.2. Seizures10.3. Syncope10.4. Migraines10.5. Dementia10.6. Vitamin B12 deficiency10.7. Parkinson's Disease