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Challenging Cases in Palliative Care, 1ed

Palliative care has evolved rapidly in recent years. Not only is the field dealing with an increasingly elderly and multi-morbid population, it is also addressing a wider variety of complex diagnoses such as heart failure, renal failure, advanced lung disease, frailty, and dementia.

Challenging Cases in Palliative Care is unique, as it uses examples of real-world cases from palliative care practices. It also includes expert commentary to support modern clinicians in managing the ‘messiness’ of clinical care, as well as the increasingly complex needs of patients today.

As part of our Challenging Cases series, the cases in this book not only cover a range of physical and psychosocial problems seen in palliative care, they also reflect the core curriculum for UK speciality trainees. Each case brings together expert interpretation of the available evidence, management strategies, guidelines and best practice, while discussing complexities in clinical decision-making and controversies in approach.

Contents

Case 1 Cancer-​related Bone Pain
Case 2 Cancer-​related Neuropathic Pain
Case 3 Interventional Pain Management
Case 4 Pain in People with Substance Use Disorder
Case 5 Chronic Non-​cancer Pain
Case 6 Breathlessness
Case 7 Nausea, Vomiting, and Hiccups
Case 8 Cancer Cachexia
Case 9 Bowel Obstruction
Case 10 Pruritis
Case 11 Mouth Care
Case 12 Constipation
Case 13 Diarrhoea
Case 14 Uncertainty and Prognostication
Case 15 De-​escalation from Intensive Therapy Unit
Case 16 Community Patient Transferred into Emergency Department/Acute Medical Unit
Case 17 Prescribing Review
Case 18 Coordination and Transfer of Care
Case 19 Giving Remote Advice to Families and Other Professional Providers
Case 20 What to Expect with a Death at Home
Case 21 Individualized End of Life Care Plans
Case 22 Depression in Life-​limiting Illness
Case 23 Hoarding and Associated Disorders
Case 24 Delirium
Case 25 Dementia
Case 26 Learning Disabilities
Case 27 Delivering Palliative Care to the Patient with Severe Mental Illness
Case 28 Symptom Management in Organ Failure
Case 29 Rigidity
Case 30 Sialorrhoea
Case 31 Frailty and Multiple Long-​Term Conditions
Case 32 Diabetes Management at the End of Life
Case 33 Malignant Spinal Cord Compression
Case 34 Seizures
Case 35 Goal Setting and Interdisciplinary Support and Care Planning
Case 36 Advance Care Planning
Case 37 Pandemics and Disaster Response
Case 38 Spiritual Care
Case 39 Cultural Care
Case 40 Supportive Care and Survivorship
Case 41 Specific Challenges: Homelessness
Case 42 Transition from Children’s to Adult Palliative Care
Case 43 Developing Compassionate Communities
Case 44 Grief and Bereavement
Case 45 A Desire for Hastened Death
Case 46 Treatment Escalation Plans
Case 47 Withdrawal of Treatment
Case 48 Autonomy in Children