Evidence-Based Practice of Palliative Medicine

2nd Edition - January 1, 2023
Imprint: Elsevier
Editors: Nathan E. Goldstein, Christopher D. Woodrell, R. Sean Morrison
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 8 4 7 0 2 - 5
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 3 6 6 8 - 5

Using a practical, question-and-answer approach, Evidence-Based Practice of Palliative Medicine, 2nd Edition, helps you provide optimal care for patients and families who are de… Read more

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Using a practical, question-and-answer approach, Evidence-Based Practice of Palliative Medicine, 2nd Edition, helps you provide optimal care for patients and families who are dealing with serious illness. This unique reference focuses on patient and family/caregiver-centered care, highlighting the benefits of palliative care and best practices for delivery. The highly practical, user-friendly format sets it apart from other texts in the field, with concise, readable chapters organized around clinical questions that you’re most likely to encounter in everyday care.

Cover image
Title page
Table of Contents
Any screen, Any time, Anywhere
Copyright
List of Contributors
Preface
What Is Palliative Care?
What Is New in This Updated Version?
How Can We Not Thank the Following People?
Foreword
Dedication
Part I: Symptom Management
Section A: Pain
1. How Should Opioids Be Started and Titrated?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
2. What Principles Should Guide Opioid Dose Conversions?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
Summary Recommendations
References
3. How Is Patient-Controlled Analgesia Best Used to Control Pain?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
4. Which Opioids Are Safest and Most Effective in Patients With Renal or Hepatic Failure?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Opioids and Renal Impairment
Opioids and Hepatic Impairment
Key Messages to Patients and Families
Conclusion and Summary
References
5. How Should Methadone Be Started and Titrated in Opioid-Naïve and Opioid-Exposed Patients?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pharmacology
Summary of Evidence Regarding Treatment Recommendations
Conclusion and Summary
References
6. What Is Neuropathic Pain and How Is It Best Managed?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
7. How Are Adjuvant Medications Such as Corticosteroids and NSAIDs Used for Pain Management?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
8. What Are the Approaches to Pain in Skeletal Bone Disease?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
9. When and How Should Radiotherapy Be Considered for Pain Management?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
10. What Principles Should Guide the Prescribing of Opioids for Noncancer Pain?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology and Classification of Pain
Summary of Evidence and Clinical Guidelines for Opioid Prescribing
Key Messages to Patients and Families
Conclusion and Summary
References
11. How Does the Opioid Epidemic Impact Palliative Medicine Practice?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
12. How Does One Approach the Patient With an Opioid Use Disorder?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence Regarding Treatment Recommendations
Nonpharmacological Approaches to OUD
Treating Pain in Persons With OUD
Treating Pain in Persons on MOUD
Key Messages to Patients and Families
Conclusion and Summary
References
13. When Should Epidural or Intrathecal Medications and Pumps Be Considered for Pain Management?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
14. When Should Nerve Blocks Be Used for Pain Management?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section B: Dyspnea
15. What Interventions Are Effective for Managing Dyspnea in People With Cancer?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
16. What Interventions Are Effective for Managing Dyspnea in COPD?
Abstract
Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
17. What Interventions Are Effective for Managing Dyspnea in Heart Failure?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section C: Gastrointestinal
18. What Medications Are Effective in Preventing and Relieving Constipation in the Setting of Opioid Use?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
19. How Should Medications Be Initiated and Titrated to Reduce Acute and Delayed Nausea and Vomiting in the Setting of Chemotherapy?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
20. How Should Medications Be Initiated and Titrated to Prevent and Treat Nausea and Vomiting in Clinical Situations Unrelated to Chemotherapy?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
21. What Interventions Are Effective for Relieving Acute Bowel Obstruction in Cancer and Other Conditions?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section D: Anorexia/Cachexia/Feeding Difficulties
22. What Therapies Are Effective in Improving Anorexia and Weight Loss in Cancer?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
23. What Therapeutic Strategies Are Effective in Improving Anorexia and Weight Loss in Nonmalignant Disease?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
24. What Is the Role of Parenteral and Enteral Nutrition in Patients With Cancer and With Noncancer Illness?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section E: Psychiatric Symptoms
25. What Treatments Are Effective for Depression in Palliative Care Settings?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
26. How Are Anxiety and Fear Best Treated in Patients With Serious Illness and in Those Facing the End of Life?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
27. What Is the Approach to the Patient Seeking a Hastened Death?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section F: Delirium
28. What Is Delirium and How Should It Be Managed?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
29. What Are Effective Pharmacological and Nonpharmacological Treatments for Delirium?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section G: Symptoms at the End of Life
30. How Do Symptoms Change for Patients in the Last Days/Hours of Life?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Part II: Communication
31. How is Prognosis Estimated and Communicated for People Facing Serious Illness?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Barriers to Prognostic Estimates
Estimating Prognosis
Communicating About Prognosis
Key Messages to Patients and Families
Conclusion and Summary
References
32. What Are the Key Elements to Having a Conversation About Communicating Serious News and Setting Goals?
Abstract
chapter Outline
Introduction and Scope of the Problem
Relevant Communication Science
Summary of Evidence Regarding Communication Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
33. What Are the Elements of Advance Care Planning and What Is the Evidence That Advance Care Planning Changes Patient Outcomes?
Abstract
chapter outline
Introduction and Scope of the Problem
Advance Directives
Defining Advance Care Planning and Possible Outcomes
Does Advance Care Planning Improve Outcomes?
Early Advance Care Planning
Later Advance Care Planning
What If the Patient Doesn’t Want to Discuss Advance Care Planning?
Conclusion and Summary
References
34. What Are the Special Communication Issues Involved in Caring for Pediatric Patients?
Abstract:
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence Regarding Communication Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Part III: Disease-Specific Topics
Section A: Cancer
35. What Is the Role for Palliative Care in Patients With Advanced Solid-Tumor Malignancies?
Abstract
CHAPTER OUTLINE
Introduction and Scope of the Problem
Summary of Evidence Regarding the Role of Palliative Care
Key Messages to Patients and Families
Conclusion and Summary
References
36. What Is the Clinical Course of Advanced Solid-Tumor Cancers?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
37. What Is the Role for Palliative Care in Patients With Advanced Hematologic Malignancies?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
38. What Is the Clinical Course of Hematologic Malignancies?
chapter Outline
Introduction and Scope of the Problem
Overview of Hematological Malignancies
Symptom Burden in Patients With Hematological Malignancies
Prognostic Awareness in Patients With Hematological Malignancies
Resource Use, End-Of-Life Care, and Treatment Costs
Key Messages to Patients and Families
Conclusion and Summary
References
39. What Is the Role for Palliative Care in Children With Cancer?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
40. What Is the Clinical Course of Pediatric Cancers?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Stages in the Trajectories of Pediatric Cancer
Summary of Evidence Regarding Treatment Approaches for Pediatric Cancers
Key Messages to Patients and Families
Conclusion and Summary
Reference
Section B: Dementia
41. What Is the Clinical Course of Advanced Dementia?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
42. What Are Appropriate Palliative Interventions for Patients With Advanced Dementia?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence Regarding Palliative Care Interventions
Key Messages to Patients and Families
Conclusion And Summary
References
Section C: Advanced Liver Disease
43. What Are the Causes and Complications of Chronic Liver Disease and What Is the Evidence for Palliative Care Delivery to Those Affected by It?
Abstract
chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Conclusion and Summary
References
44. What Do We Know About the Symptoms and Palliative Care Needs of People Affected by Liver Disease?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section D: Brain Function
45. What Is the Role of Palliative Care in Stroke?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
46. What Special Considerations Are Needed for Individuals with Amyotrophic Lateral Sclerosis, Parkinson’s Disease, and Multiple Sclerosis?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Epidemiology and Disease Trajectory
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section E: Heart Failure
47. What Is the Clinical Course of Advanced Heart Failure and How Do Implanted Cardiac Devices Alter This Course?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section F: Chronic Critical Illness
48. What Is Chronic Critical Illness and What Outcomes Can Be Expected
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Considerations
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section G: Head and Neck Cancer
49. What Special Considerations Are Needed in Patients With Head and Neck Cancer?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology and Prognosis
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section H: End-Stage Renal Disease
50. What Special Considerations Are Needed in Treating Symptoms in Patients With End-Stage Renal Disease, and How Should Patients Who Stop Dialysis Be Managed?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
51. What Are Palliative Alternatives to Renal Replacement Therapy for People With Advanced Kidney Failure?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section I: Pulmonary
52. What Special Considerations Are Needed for Patients With Advanced Lung Disease?
Chapter Outline
Introduction and Scope of the Problem
Relevant Epidemiology and Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Special Considerations when Approaching End-Stage COPD and IPF
Examples of Successful Integration of Palliative Care in COPD and IPF
Key Messages to Patients and Families
Conclusion and Summary
References
Section J: Geriatrics
53. What Are the Special Needs of Older Adults With Serious Illness?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Common Geriatric Syndromes Encountered In Palliative Care
Core Concepts to Consider When Treating Older Adults With Geriatric Syndromes
Key Messages to Patients and Families
Conclusion and Summary
References
54. What Are Multimorbidity and Frailty and How Do They Affect the Care of Older Adults?
Chapter Outline
Acknowledgments
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section K: Pediatrics
55. What Are Special Considerations for Pediatric Palliative Care?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
56. What Are Special Considerations for Dosing Medications in Pediatric Populations?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
57. How Are Children With Developmental Diseases and Delays Best Managed in Palliative Care?
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
58. What Are Special Considerations for Perinatal Palliative Care?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
59. What Are Special Considerations for Patients With Cystic Fibrosis?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Part IV: Special Topics
Section A: Palliative Care Emergencies
60. What Are the Signs, Symptoms, and Treatments of Spinal Cord Compression?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Pathophysiology
Summary of Evidence Regarding Diagnostic Workup
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
61. What Framework Can Be Used to Address Uncontrolled Symptoms at the End of Life?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Framework for Approaching Palliative Emergencies
Evidence-Based Approach to Specific Emergency Conditions
Key Messages to Patients and Families
Conclusion and Summary
References
Section B: Financial Aspects of Palliative Care
62. What Are the Arguments That Show That Palliative Care Is Beneficial to Hospitals?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Background on Hospital Finances and Possible Impact of Population Health Trends
Demonstrating Value and Making the Financial Case
Connecting the Dots: Palliative Care Activities, Pilot Projects, and Population Health
Common Pitfalls in Programmatic Growth
Conclusion and Summary
References
63. What Are the Arguments That Show That Outpatient Palliative Care Is Beneficial to Medical Systems?
Abstract
Chapter Outline
Introduction
Benefits of Outpatient Palliative Care
Conclusion and Summary
References
Section C: Caregivers
64. How Does Serious Illness Impact Family Caregivers?
Abstract
Chapter Outline
Introduction and Scope of the Problem
How Caregiving Impacts Those Who Provide Care
Recommendations: Assessing Caregiver Experience
Key Messages to Patients and Families
Conclusion and Summary
References
65. What Can Be Done to Improve Outcomes for Caregivers of People With Serious Illness?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Relevant Background
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
66. What Is Prolonged Grief Disorder and How Can Its Likelihood Be Reduced?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence Regarding Treatment Recommendations
Key Messages to Patients and Families
Conclusion and Summary
References
Section D: Settings for Palliative Care Delivery
67. What Are Models for Delivering Palliative Care in Hospitals?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Prevalence and Predictors of Hospital Palliative Care
The Value of Palliative Care for Hospitals
Delivery Models of Hospital Palliative Care
Future Challenges and Directions
Key Messages to Patients and Families
Conclusion and Summary
References
68. What Models Exist for Delivering Palliative Care and Hospice in Nursing Homes?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Special Considerations in Delivering Palliative Care in Nursing Homes
Strategies for Enhancing Palliative Care in Nursing Homes
Evidence for Different Delivery Models for Hospice and Palliative Care in Nursing Homes
Key Messages to Patients and Families
Conclusion and Summary
References
69. What Are the Models for Delivering Palliative Care in the Ambulatory Practice Setting?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Key Messages to Patients and Families
Conclusion and Summary
References
70. What Are the Models for Delivering Palliative Care in the Home?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Models and Evidence Supporting Their Benefits
Differentiating Home-Based Primary Care From Home-Based Palliative Care
Impact Of Home-Based Palliative Care on Clinical Outcomes, Utilization, and Costs of Care
Key Messages to Clinicians Considering Starting a Home-Based Palliative Care Program
Conclusion and Summary
References
71. What Are the Models for Delivering Palliative Care in Rural Areas?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Barriers and Opportunities for Effective Rural Palliative Care
Summary of Evidence Regarding Models for Palliative Care Delivery in Rural Areas
Key Messages to Patients and Families
Conclusion and Summary
References
72. How Is Palliative Care Best Integrated Into Surgical Services?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Surgical Culture
Surgical Patients
Primary Palliative Care: Bolstering Surgeon-Delivered Palliative Care
Specialist-Level Palliative Care: Facilitating Palliative Care Consultation
Embedding Palliative Care Clinicians in Surgical Teams
Expanding the Definition of Surgical Quality
Knowledge Gaps
Key Messages to Patients and Families
Conclusion and Summary
References
73. What Models Exist to Deliver Palliative Care via Telemedicine?
Abstract
Chapter Outline
Introduction
Telemedicine Models for Palliative Care and Hospice
Challenges and Opportunities
Conclusion and Future Directions
References
74. What Are National Strategies and Frameworks for Palliative Care?
Chapter Outline
Introduction and Scope of the Problem
What Are the Barriers to Accessing High-Quality Palliative Care?
What Is the Status of Palliative Care Development Globally and What National Strategies and Frameworks for Palliative Care Currently Exist?
Conclusion and Summary
References
75. What Are Sources of Spiritual and Existential Suffering for Patients With Advanced Illness?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Definitions
Sources of Suffering
Screening, Assessment, and Diagnosis of Suffering
Treatment of Suffering
Conclusions and Summary
References
76. What Are the Racial and Ethnic Health Disparities That Exist in Palliative Care?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Access to Palliative Care
Receipt of Palliative Care
Quality of Care
Moving Toward Health Equity
Key Messages to Patients and Families
Conclusion and Summary
References
77. What Are the Palliative Care Needs of LGBTQ+ People?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Conceptual Frameworks That Inform the Palliative Care Needs of LGBTQ+ People
Palliative Care Needs and Considerations for Lgbtq+ People
Recommendations for Palliative Care for LGBTQ+ People
Key Messages to Palliative Care Providers
Conclusion and Summary
References
78. What Is the Evidence for Integrative and Alternative Therapies in Palliative Care?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence Regarding Treatment Recommendations
Breathing
Massage Alone or in Combination With Aromatherapy/Meditation
Music Therapy
Reiki
Key Messages to Patients and Families
Conclusion and Summary
References
79. What Is the Evidence Supporting the Use of Mobile Health Technologies in Palliative Care?
Abstract
Chapter Outline
Introduction and Scope of the Problem
The Evolution of mHealth and the “Research–Market Divide”
Summary of Evidence
Key Messages to Clinicians, Researchers, and Developers
Conclusion and Summary
References
80. How Can Clinician Well-Being Be Improved and Sustained in Palliative Care?
Abstract
Chapter Outline
Introduction and Scope of the Problem
Summary of Evidence
Conclusions of Literature Review
Key Messages
Conclusion and Summary
References
Index
Confidence is ClinicalKey

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Evidence-Based Practice of Palliative Medicine

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Nathan E. Goldstein

Christopher D. Woodrell

R. Sean Morrison

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