Contributors viii
Preface xi
List of Abbreviations xii
About the companion website xiv
Part 1 Introduction 1
1 Setting the scene 2
Christine Ingleton
2 Managing the needs of family caregivers 4
Philip J. Larkin
3 Principles of effective communication 6
Alison Pilsworth and Martyn Geary
4 Advance care planning 8
Christine Ingleton
5 Delivering palliative approaches in different care contexts 10
Christine Ingleton
6 Integrated care pathways 12
Christine Ingleton
Part 2 Clinical applications 15
7 Principles of symptom management 16
Philip J. Larkin
8 Best practice in pain management 18
Pat Schofield
9 Managing pain 20
Pat Schofield
10 Complex pain problems and treatment challenges 22
Pat Schofield
11 Managing nausea and vomiting 24
Jackie Robinson
12 Managing constipation 26
Philip J. Larkin
13 Understanding depression 28
Mari Lloyd-Williams
14 Understanding delirium and confusion 30
Peter Lawlor and Katie Marchington
15 Managing myoclonus, tremors and muscle spasms 32
Jackie Robinson
16 Managing lymphoedema 34
Lorna Malcolm
17 Managing hypercalcaemia of malignancy 36
Geraldine Tracey
18 Assessing and managing oral hygiene 38
Philip J. Larkin
19 Caring for people with dysphagia 40
Philip J. Larkin
20 Managing breathlessness 42
Liz Darlison
21 Cough and haemoptysis 44
Jackie Robinson
22 Explaining and exploring cachexia, anorexia and fatigue 46
Cathy Payne
23 Continual subcutaneous infusion: using a syringe pump 48
Philip J. Larkin
24 Emergencies: superior vena cava obstruction 50
Joanna De Souza
25 Emergencies: haemorrhage 52
Joanna De Souza
26 Emergencies: malignant spinal cord compression 54
Joanna De Souza
27 Chemotherapy 56
Clare Warnock
28 Radiotherapy 58
Clare Warnock
Part 3 Palliative care for all 61
29 Palliative care approaches in heart failure 62
Gill Horne and Sarah Human
30 Palliative care approaches to chronic obstructive pulmonary disease 64
Clare McVeigh
31 Palliative care approaches in motor neurone disease 66
David Oliver
32 Palliative care approaches for people receiving dialysis 68
Rachel Lewis and Helen Noble
33 Palliative care approaches for people with progressive kidney disease: a non-dialytic pathway 70
Helen Noble and Rachel Lewis
34 Care of the patient following a stroke 72
Tony Ryan
35 Principles of palliative care for older people 74
Amanda Clarke and Paula Smith
36 Care of the person with dementia 76
Tony Ryan
37 Care for people with mental illness 78
Ann Sheridan
38 Care for people with learning disabilities 80
Dorry McLaughlin
39 Care for the homeless person 82
Brian Nyatanga
40 Care for people in prison 84
Mary Turner and Marian Peacock
Part 4 Professional roles in palliative care 87
41 Understanding rehabilitation in palliative care 88
Cathy Payne
42 The social worker 90
Niamh Finucane
43 The occupational therapist 92
Deirdre Rowe
44 The physiotherapist 94
Helena Talbot-Rice
45 Complementary and supportive therapy 96
Philip J. Larkin
46 The clinical nurse specialist 98
Liz Bryan
47 The advanced nurse practitioner 100
Geraldine Tracey
48 The nurse consultant 102
Jo Hockley
49 The chaplain 104
Mark Cobb
50 The medical consultant 106
Bill Noble
Part 5 Ethical challenges in palliative care practice 109
51 Stress in palliative care nursing 110
Liz Bryan
52 Responses to euthanasia and physician-assisted suicide 112
Joanna De Souza
53 Withholding and withdrawing life-sustaining care 114
Joanna De Souza
54 Recognising and planning for the terminal phase of life 116
Pauline Ui Dhuibhir
Part 6 Managing end-of-life care 119
55 Changing goals of care at the end of life 120
Deborah Hayden
56 Managing respiratory secretions at the end of life 122
Jackie Robinson
57 Care at the moment of death 124
Michael Connolly
58 Spiritual perspectives at the end of life 126
Mark Cobb
59 Bereavement 128
Pam Firth
Index 131
