The rapidly evolving field of Palliative Care focuses on the management of phenomena that produce discomfort and that undermine the quality of life of patients with incurable medical disorders. The interdisciplinary clinical purview includes those factors - physical, psychological, social, and spiritual - that contribute to suffering, undermine the quality of life, and prevent a death with comfort and dignity. Palliative Care is a fundamental part of clinical practice, the qparallel universeq to therapies directed at cure or prolongation of life. All clinicians who treat patients with chronic life threatening diseases are engaged in palliative care, continually attempting to manage complex symptomatology and functional disturbances. The scientific foundation of palliative care is advancing, and similarly, methods are needed to highlight, for practitioners at the bedside, the findings of empirical research. Topics in Palliative Care Series is divided into sections that address a range of issues. Addressing aspects of sumptom control, psyshocsoical functioning, spiritual or existential concerns, ethics, and other topics, the chapters in each section review the given area and focus on a small number of salient issues for analysis. The authors present and evaluate existing data, provide a context drawn from clinical and research settings, and integrate knowledge in a manner that is both practical and readable. The specific topics covered in Volume 5 are Cultural issues in Palliative Care, Palliative Care in Geriatrics, Communication Issues in Palliative Care, Outcomes Research in Palliative Care, Opiod Tolerance; Reality of Myth?, and Pain and other symptoms: Treatment Challenges.Characteristics of earlier studies on relative analgesic potency of opioids Single- dose studies Low doses used Wide confidence ... In summary, the early studies did not involve long-term treatment, high doses, and systematic monitoring of toxicity, and ... potency of different opioids in relation to route of administration and also in relation to a standard dose of morphine. ... In the last decade there have been numerous studies reported on the relative analgesic potency of different opioids.
|Title||:||Topics in Palliative Care : Volume 5|
|Author||:||Houston Eduardo Bruera Director in the Department of Symptom Control and Palliative Care University of Texas MD Anderson Cancer Center, Department of Pain Medicine and Pallative Care Beth Israel Medical Center Russell Portenoy Chairman, NY|
|Publisher||:||Oxford University Press, USA - 2001-02-19|