Written by an established, comprehensive, multidisciplinary focused, internationally-recognized team, the fifth edition has been fully revised and brought up to date with the inclusion of recent developments in the speciality, to ensure that it retains its reputation as the definitive reference on palliative care.

List of Abbreviations List of Contributors Section 1: The Worldwide Status of Palliative Care 1.1: Sheila Payne and Tom Lynch: International progress in creating palliative medicine as a specialized discipline and the development of palliative care 1.2: M.R. Rajagopal and Reena George: Providing palliative care in economically disadvantaged countries 1.3: Liliana De Lima and Eduardo Bruera: Essential medicines for palliative care 1.4: David C. Currow and Stein Kaasa: Policy in palliative care Section 2: The Challenge of Palliative Medicine 2.1: Nathan I. Cherny: The problem of suffering and the principles of assessment in palliative medicine 2.2: Megan B. Sands, Dianne L. O'Connell, Michael Piza, and Jane: The epidemiology of death and symptoms: planning for population-based palliative care 2.3: Paul Glare, Christian T. Sinclair, Patrick Stone, and Josephine Clayton: Predicting survival in patients with advanced disease 2.4: Karen E. Steinhauser and James A. Tulsky: Defining a 'good' death 2.5: LaVera Crawley and Jonathan Koffman: Ethnic and cultural aspects of palliative care 2.6: Thomas J. Smith and J. Brian Cassel: The economic challenges of palliative medicine Section 3: Service Delivery Issues in Palliative Care 3.1: Barry Laird: Barriers to the delivery of palliative care 3.2: Irene J. Higginson: Palliative care delivery models 3.3: Paul L. DeSandre and Karen May: Palliative care in the emergency department 3.4: Jane Phillips, Annmarie Hosie, and Patricia M. Davidson: Palliative care in the nursing home Section 4: The Interdisciplinary Team 4.1: Dagny Faksvag Haugen, Friedemann Nauck, and Augusto Caraceni: The core team and the extended team 4.2: Karen Forbes and Jane Gibbins: Teaching and training in palliative medicine 4.3: Deborah Witt Sherman and David C. Free: Nursing and palliative care 4.4: Terry Altilio and Nina Laing: Social work in palliative care 4.5: George Handzo and Christina Puchalski: The role of the chaplain in palliative care 4.6: Jill Cooper and Nina Kite: Occupational therapy in palliative care 4.7: Clare O'Callaghan: Music therapy in palliative care 4.8: Rosemary Richardson and Isobel Davidson: The contribution of the dietitian and nutritionist to palliative medicine 4.9: Anne M. English: Physiotherapy in palliative care 4.10: Tim Luckett and Katherine L.P. Reid: Speech and language therapy in palliative care 4.11: Michele J.M. Wood: The contribution of art therapy to palliative medicine 4.12: Jane Ellen Barr: Stoma therapy in palliative care 4.13: Anja Mehnert: Clinical psychology in palliative care 4.14: Margaret Gibbs: The contribution of the clinical pharmacist in palliative care 4.15: Deborah Franklin and Andrea Cheville: Medical rehabilitation and the palliative care patient 4.16: Nathan Cherny, Batsheva Werman, and Michael Kearney: Burnout, compassion fatigue, and moral distress in palliative care 4.17: Gary Deng and Barrie Cassileth: Integrative oncology in palliative medicine Section 5: Ethical Issues 5.1: Frank Brennan and Liz Gwyther: Human rights issues 5.2: Timothy W. Kirk: Confidentiality 5.3: Joseph J. Fins and Barbara Pohl: Neuro-palliative care and disorders of consciousness 5.4: Linda L. Emanuel and Rebecca Johnson: Truth telling and consent 5.5: Richard D.W. Hain: Ethics in paediatric palliative care 5.6: Harvey Max Chochinov, Susan E. McClement, and Maia S. Kredentser: Dignity and palliative end-of-life care 5.7: Lars Johan Materstvedt and Georg Bosshard: Euthanasia and palliative care 5.8: Danielle N. Ko and Craig D. Blinderman: Withholding and withdrawing life-sustaining treatment (including artificial nutrition and hydration) Section 6: Communication and Palliative Medicine 6.1: Thomas W. LeBlanc and James A. Tulsky: Communication with the patient and family 6.2: Mari Lloyd-Williams and Jackie Ellis: Talking with families and children about the death of a parent 6.3: Janet L. Abrahm, Amanda Moment, Jane deLima Thomas, and Katie Fitzgerald: Communication between professionals 6.4: Barry R. Ashpole: Communication with the public, politicians, and the news media Section 7: Assessment Tools and Informatics 7.1: Afaf Girgis and Amy Waller: Palliative care needs assessment tools 7.2: Jane M. Ingham, Helen M. Moore, Jane L. Phillips, and Russell K. Portenoy: The measurement of, and tools for, pain and other symptoms 7.3: Jennifer J. Tieman and David C. Currow: Informatics and literature search 7.4: Linda L. Emanuel, Richard A. Powell, George Handzo, Kelly Nichole Michelson, and Lara Dhingra: Validated assessment tools for psychological, spiritual, and family issues Section 8: Common Symptoms and Disorders 8.1: Sriram Yennurajalingam and Eduardo Bruera: Fatigue and asthenia 8.2: Kin-Sang Chan, Doris M.W. Tse, and Michael M.K. Sham: Dyspnoea and other respiratory symptoms in palliative care 8.3: Nancy Y. Zhu and Cynthia Wu: Anaemia, cytopenias, and thrombosis in palliative medicine 8.4: Olivia T. Lee, Jennifer N. Wu, Frederick J. Meyers, and Christopher P. Evans: Genitourinary aspects of palliative care 8.5: Andrew N. Davies: Oral care 8.6: Kyriaki Mystakidou, Irene Panagiotou, Efi Parpa, and Eleni Tsilika: Sleep disorders 8.7: Jose Pereira and Jennifer Brodeur: The management of bleeding in palliative care 8.8: Amanda Hordern: Sexual dysfunction: discussing patient sexuality and intimacy in palliative care Section 9: Common Symptoms and Disorders: Pain 9.1: Ruth Branford, Emily Wighton, and Joy Ross: Principles of drug therapy: focus on opioids 9.2: R.M. Gordon-Williams and Anthony H. Dickenson: Pathophysiology of pain in cancer and other terminal illnesses 9.3: Clare Rayment and Michael I. Bennett: Definition and assessment of chronic pain in advanced disease 9.4: Marie Fallon and Nathan Cherny: Opioid therapy: optimizing analgesic outcomes 9.5: Julie R. Price, Alric D. Hawkins, and Steven D. Passik: Opioid therapy: managing risks of abuse, addiction, and diversion 9.6: Per Sjogren, Frank Elsner, and Stein Kaasa: Non-opioid analgesics 9.7: David Lussier and Russell K. Portenoy: Adjuvant analgesics 9.8: Robert A. Swarm, Menelaos Karanikolas, Lesley K. Rao, and Michael J. Cousins: Interventional approaches for chronic pain 9.9: Joy Hao, Rae Lynne Kinler, Eliezer Soto, Helena Knotkova, and Ricardo A. Cruciani: Neurostimulation in pain management 9.10: Andrea L. Cheville and Jeffrey R. Basford: Rehabilitation medicine approaches to pain management 9.11: Julie R. Price, Alric D. Hawkins, Michael L. Adams, William S. Breitbart, and Steven D. Passik: Psychological and psychiatric interventions in pain control 9.12: Gary Deng and Barrie R. Cassileth: Complementary therapies in pain management 9.13: Renee McCulloch and John Collins: Paediatric pain control Section 10: Common Symptoms and Disorders: Gastrointestinal Symptoms 10.1: Katherine Clark: Dysphagia, dyspepsia, and hiccup 10.2: Janet R. Hardy, Paul Glare, Patsy Yates, and Kathryn A. Mannix: Palliation of nausea and vomiting 10.3: Nigel P. Sykes: Constipation and diarrhoea 10.4: Jeremy Keen: Jaundice, ascites, and encephalopathy 10.5: Vickie E. Baracos, Sharon M. Watanabe, and Kenneth C. H. Fearon: Aetiology, classification, assessment, and treatment of the anorexia-cachexia syndrome Section 11: Common Symptoms and Disorders: Skin problems 11.1: Patricia Grocott, Georgina Gethin, and Sebastian Probst: Skin problems in palliative care 11.2: Mark R. Pittelkow, Charles L. Loprinzi, and Thomas P. Pittelkow: Pruritus and sweating in palliative medicine 11.3: Vaughan Keeley: Lymphoedema Section 12: Issues in Populations with Cancer 12.1: Nathan I. Cherny and Stein Kaasa: The oncologist's role in delivering palliative care 12.2: Dirk Schrijvers: Disease-modifying therapies in advanced cancer 12.3: Peter J. Hoskin: Radiotherapy in symptom control 12.4: Brian Badgwell and Robert S. Krouse: The role of general surgery in the palliative care of patients with cancer 12.5: John H. Healey and David McKeown: Orthopaedic surgery in the palliation of cancer 12.6: Tarun Sabharwal, Nicos I. Fotiadis, and Andy Adam: Interventional radiology in the palliation of cancer Section 13: Cancer Pain Syndromes 13.1: Nathan I. Cherny: Cancer pain syndromes: overview 13.2: Lesley A. Colvin and Marie Fallon: Cancer-induced bone pain 13.3: Nanna Brix Finnerup and Troels Staehelin Jensen: Management issues in neuropathic pain 13.4: Victor T. Chang: Visceral pain 13.5: Martin Chasen and Gordon Giddings: Management issues in chronic pain following cancer therapy Section 14: Cancer-Associated Disorders 14.1: Augusto Caraceni, Cinzia Martini, and Fabio Simonetti: Neurological problems in advanced cancer 14.2: Mark Bower, Louise Robinson, and Sarah Cox: Endocrine and metabolic complications of advanced cancer 14.3: Carla I. Ripamonti, Alexandra M. Easson, and Hans Gerdes: Bowel obstruction 14.4: Sharon Merims and Michal Lotem: Skin problems in palliative medicine 14.5: Barbara A. Murphy, Lauren A. Zatarain, Anthony J. Cmelak, Steven Bayles, Ellie Dowling, Cheryl R. Billante, Sheila Ridner, Kirsten Haman, Stewart Bond, Anne Marie Flores, Wisawatapnimit Panarut, and Bethany M. Andrews: Palliative issues in the care of patients with cancer of the head and neck Section 15: Issues in Populations with Non-Cancer Illnesses 15.1: Meera Pahuja, Jessica S. Merlin, and Peter A. Selwyn: HIV/AIDS 15.2: Graeme M. Rocker, Joanne Young, and Robert Horton: Caring for the patient with advanced chronic obstructive pulmonary disease 15.3: Steven Z. Pantilat, Anthony Steimle, and Patricia M. Davidson: Advanced heart disease 15.4: Eric Widera and Rachelle Bernacki: Dementia 15.5: Raymond Voltz, Stefan Lorenzl, and Georg Nubling: Neurological disorders other than dementia 15.6: Fliss E. M. Murtagh: End-stage kidney disease 15.7: Nathan Cherny, Sharon Einav, and David Dahan: Palliative medicine in the intensive care unit Section 16: Issues of the Very Young and the Very Old 16.1: Anna C. Muriel and Paula K. Rauch: Talking with families and children about the death of a parent 16.2: John J. Collins, Kirsty Campbell, Wendy Edmonds, Judith Frost, Martha F. Mherekumombe, and Natasha Samy: Care of children with advanced illness 16.3: Meera Agar and Jane Phillips: Palliative medicine and care of the elderly Section 17: Psychosocial and Spiritual Issues in Palliative Medicine 17.1: Susan E. McClement: Spiritual issues in palliative medicine 17.2: Simon Wein and Lea Baider: Coping in palliative medicine 17.3: David W. Kissane and Matthew Doolittle: Depression, demoralization, and suicidality 17.4: Simon Wein and Limor Amit: Anxiety and adjustment disorders 17.5: Meera Agar, Yesne Alici, and William S. Breitbart: Delirium 17.6: Carrie Lethborg and David W. Kissane: The family perspective 17.7: David W. Kissane and Talia I. Zaider: Bereavement Section 18: The Terminal Phase 18.1: Judith Lacey: Management of the actively dying patient 18.2: Eric L. Krakauer: Sedation at the end of life Section 19: Research in Palliative Medicine 19.1: Stein Kaasa and Karen Forbes: Research in palliative care 19.2: Amy P. Abernethy: The principles of evidence-based medicine 19.3: John T. Farrar: Understanding clinical trials in palliative care research 19.4: Kate Flemming: Qualitative research 19.5: David W. Kissane, Annette F. Street, Erin E. Schweers, and Thomas M. Atkinson: Research into psychosocial issues 19.6: David Casarett: Ethical issues in palliative care research 19.7: Stein Kaasa and Jon Havard Loge: Quality of life in palliative care: principles and practice 19.8: Tinne Smets and Luc Deliens: Health services research in palliative care and end-of-life care 19.9: Irene J. Higginson: Clinical audit in palliative medicine Index