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InicioE-BooksE-Books Médicos The Medical Care of Terminally Ill Patients
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The Medical Checkup Book

The Medical Care of Terminally Ill Patients

Author: Enck E. Robert
Year: 2001
Edition: 2nd
Publisher: The Johns Hopkins University Press
Language: english
Pages: 244
ISBN 10: 0801867657

ISBN 13: 9780801867651
Series: The Johns Hopkins Series in Hematology Oncology
File: PDF, 669 KB

Since the publication of the first edition of The Medical Care of Terminally Ill Patients, the field of palliative care has progressed significantly, both socially and scientifically. In this new edition, Dr. Robert Enck reviews the results of clinical studies devoted to the care of dying patients. Special attention is given to pain management, management of symptoms, care of advanced cancer patients, and care of patients with nonmalignant diseases. More than 100 new references, a new list of abbreviations, and tables with new drugs and dosages provides valuable information.Dr. Enck places great emphasis on enhancing the quality of life while addressing the most common symptoms of terminal illness.

Categoría: E-Books Médicos Etiquetas: Clínica del Dolor, Geriatría, Medicina General y Familiar, Oncología, Oncology
  • Descripción
  • Por qué utilizar archivos PDF
Descripción

Since the publication of The Medical Care of Terminally Ill Patients in 1994, significant social and scientific progress has been achieved, in caring for dying patients. Society continues to address the issue of physician-assisted suicide and euthanasia with the passage of the Oregon Death with Dignity Act and the conviction of Dr. Jack Kevorkian for murder. Although these events may be viewed as a mixed message regarding societal values on assisting death, at the very least the issues are now being publicly aired. Therefore, chapter 13 (Issues Concerning the Sustaining of Life) has been expanded.

A review of the Oregon Death with Dignity Act experience reaches the somewhat surprising conclusion that the fear of intractable terminal pain is not a major factor in patients seeking physicianassisted suicide. Also, physician-assisted suicide and euthanasia, as practiced in the Netherlands, does not always result in a peaceful death. Clearly, the medical community has responded to the public pressure for better education of physicians in terminal care.

Numerous national initiatives, such as the American Medical Association’s Education for Physicians on End-of-Life Care and the American College of Physicians–American Society of Internal Medicine End-of-Life Care Consensus Panel have been undertaken to educate physicians on good care for their dying patients. Palliative care textbooks and new journals proliferate, and a few academic institutions offer palliative care fellowships.

Likewise, incremental scientific gains in caring for the dying patient have occurred over the past five years. To reflect this, over 100 new references have been added to this second edition and, as in the previous edition, I have attempted to include those papers that are scientifically sound and clinically applicable to the terminal care setting. Unlike cancer treatment palliative care has seen few randomized clinical trials; in some cases, especially the adjuvant analgesics (chapter 8, Adjuvant Analgesic Drugs), the information is often anecdotal and extrapolated from one chronic disease to another.

Por qué utilizar archivos PDF

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