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Menschen in ihrer letzten Lebensphase begleitenAlle beruflich Pflegenden und ehrenamtlich Begleitenden von schwerstkranken und sterbenden Menschen und deren Zugehörigen finden in diesem Buch die notwendigen Kenntnisse zu Themen und Fragestellungen rund um Sterben, Tod und Trauer:Prophylaxen, Therapien, SchmerzlinderungKommunikation und EthikPsychosoziale BetreuungGesetzliche Grundlagen und Hinweise zur Finanzierung durch die KrankenkassenBesondere Situationen bei Kindern, Menschen im Wachkoma, mit geistigen Behinderungen und DemenzPsychosoziale Begleitung von Sterbenden und ihren AngehörigenPalliative SedierungBesonderheiten im Sterben von MännernPalliative Care für Menschen am Rande der GesellschaftVom Wunsch zu Sterben und der Verantwortung der BetreuendenSuizidassistenzExistenzielle VerzweiflungHaltung im palliativen KontextAkupressur, Hypnotherapie, Musiktherapie, Kunsttherapie, TrauerDie 7. Auflage ist komplett überarbeitet und aktualisiert.

Das vorliegende Buch orientiert sich an den Weiterbildungsinhalten der BÄK für die Zusatz-Weiterbildung Palliativmedizin. Es wendet sich an alle Ärztinnen und Ärzte, die diese Zusatzbezeichnung anstreben, ebenso wie an alle palliativmedizinisch tätigen Ärztinnen und Ärzte. Es ist aber auch für palliativ interessierte Menschen anderer Berufsgruppen zur Vertiefung geeignet. Ein Herausgeber- und Autorenteam aus der Praxis der ambulanten und stationären Palliativversorgung vermittelt prägnant, praxisnah und anhand von zahlreichen Fallbeispielen die wesentlichen Aspekte für die Begleitung Sterbender. Dargestellt werden u. a. Besonderheiten der angemessenen Begleitung Versorgung bei onkologischen und nicht onkologischen Erkrankungen, Symptomkontrolle, psychosoziale und spirituelle Aspekte sowie ethische und rechtliche Fragestellungen. Die 4. Auflage erscheint komplett überarbeitet und aktualisiert, wobei die Rechtslage dem Stand vom November 2022 entspricht.

Das Buch bietet Praxiswissen für die optimale Palliativversorgung schwer kranker und sterbender Menschen. Es richtet es sich an alle, die sich professionell oder ehrenamtlich um die Begleitung Sterbender kümmern: Ärztinnen und Ärzte, Pflegefachkräfte, Tätige in der Seelsorge, Physiotherapie u.a. Aus einem reichen Erfahrungsschatz schöpfend und in klaren, einfühlsamen Worten gehen die Autoren auf alle zentralen Themen ein: Ethisch-rechtliche Grundlagen, aktive und passive Sterbehilfe, assistierter Suizid, Kommunikation mit Patienten und Angehörigen, Schmerztherapie, Symptomkontrolle, palliative Versorgung von Krebserkrankten und Nicht-Krebserkrankten, Palliativmedizin im Pflegeheim und bei Kindern. Zahlreiche Fallbeispiele helfen, die Vielschichtigkeit der Palliativmedizin zu verstehen. Die 7. Auflage erscheint komplett aktualisiert und um das Thema Spiritualität erweitert.

Using a practical, question-and-answer approach, Evidence-Based Practice of Palliative Medicine, 2nd Edition, helps you provide optimal care for patients and families who are dealing with serious illness. This unique reference focuses on patient and family/caregiver-centered care, highlighting the benefits of palliative care and best practices for delivery. The highly practical, user-friendly format sets it apart from other texts in the field, with concise, readable chapters organized around clinical questions that you're most likely to encounter in everyday care. - Uniquely organized using a question-and-answer approach, making it easy to find answers to common questions asked by practitioners and patients. - Up-to-date, reader-friendly chapters explore interventions, assessment techniques, treatment modalities, recommendations and guidelines, communication techniques, and available resources for palliative care. - Expanded discussions on hospice in every chapter, and a new emphasis on pediatrics, with increased material on pediatric malignancies, developmental delays, cystic fibrosis, and perinatal palliative care. - New chapters on wellness of the palliative care practitioner, patients with opioid use disorders, telehealth in palliative care, health disparities, rural palliative care, caring for people with hematologic malignancies, integrative and alternative therapies, LGBTQ+ populations, mobile health technologies, and national palliative care implementation strategies. - High-quality evidence gathered and reviewed by leading experts in palliative medicine, including clinicians, educators, and researchers across a broad range of disciplines. - Numerous algorithms throughout help you make informed decisions, and'take-home'points in every chapter provide a quick summary of key content. - Any additional digital ancillary content may publish up to 6 weeks following the publication date.

The only book on the market to cover palliative care for both adults and children, Pediatric and Adult Palliative Care and Support Oncology offers an easy-to-read, interdisciplinary approach to supportive oncology as well as end-of-life care. Ideal for oncologists, residents, fellows, nurse practitioners, and physician assistants, the fifth edition provides important updates for conventional topics while also featuring several brand new chapters. Covering everything from dermatologic toxicity of cancer treatment to running family meetings for setting goals of care, this unique title is a source of both help and inspiration to all those who care for patients with cancer.

Leading palliative care experts illustrate how you can improve both communication with cancer patients and their quality of life.For more than twenty years, this guide has been the go-to resource for busy practicing oncology and palliative care clinicians. This fourth edition, now titled Comprehensive Guide to Supportive and Palliative Care for Patients with Cancer, provides physicians, advanced practice clinicians, and patients and their families with detailed information and advice for alleviating the suffering of cancer patients and their loved ones. Drawing on the work of experts who have developed revolutionary approaches to symptom management and palliative care, as well as on lessons learned during her decades as a teacher and clinician, Dr. Janet L. Abrahm and her coauthors illustrate how to help patients and families understand their prognosis, communicate their care preferences, and minimize their distress.This edition reflects important updates in the field while addressing the informational needs of a broader market of health care providers, including social workers, psychologists, psychiatrists, bereavement counselors, and chaplains. This new edition features three new chapters—'Spiritual Care in Palliative Care,''Psychological Considerations,'and'Bereavement'—as well as specific guidelines about • advance care planning at all phases of cancer• understanding complex family dynamics and communication challenges• partnering with interpreters in the care of patients and family members with limited English-language proficiency• special considerations to take into account for LGBTQ+ patients and their loved ones• caring for patients who have a serious mental illness along with a cancer diagnosis• nonpharmacologic management of pain and other symptoms associated with cancer or its treatmentThe book features self-reflective exercises that encourage readers to consider their own biases before having discussions with patients and family members, as well as numerous patient stories that illustrate the techniques and insights clinicians can use to provide holistic, multidimensional care for a diverse cancer patient population.

The new global cancer data suggests that the global burden has risen to 18.1 million new cases per year and 9.6 million cancer deaths per year. A number of factors appear to be driving this increase, in particular, a growing and aging global population and an increase of exposure to cancer risk factors linked to social and economic development. For rapidly-growing economies, the data suggests a shift from poverty- or infection-related cancers to those associated with lifestyles more typical in industrialized countries. There is still large geographical diversity in cancer occurrence and variations in the magnitude and profile of the disease between and within world regions. There are specific types of cancer that dominate globally: lung, female breast and colorectal cancer, and the regional variations in common cancer types signal the extent to which societal, economic and lifestyle changes interplay to deferentially impact on the profile of this most complexgroup of diseases.Unfortunately, despite advances in cancer care, a significant proportion of patients at home, experience sub-optimal outcomes. Barriers to successful treatment outcomes include, but are not limited to: access to oncologists in the primary health centers, non-adherence, lack of experienced oncology and palliative care nurses in the community, inadequate monitoring and the lack of training of family and pediatric physicians. Telemedicine approaches, including telephone triage/education, telemonitoring, teleconsultation and status tracking through mobile applications, have shown promise in further improving outcomes, in particular for chronic cancer patients following their hospitalization. Lessons can be learned from existing hospices in North America, the United Kingdom, Australia, Centers of Excellence in African (Uganda) and modern community services in India (Kerala). An important goal of this book is to describe and encourage professionals to develop new community programs in palliative care, which include training and empowering physicians and nurses in the community on the principles of palliative care. The Middle East Cancer Consortium (MECC) together with the American Society of Clinical Oncology (ASCO) and the American Oncology Nursing Society (ONS) have conducted multiple courses ranging from basic palliative care to more specialized training in palliative care for multiple nationalities in Europe, Asia and Africa. Our experience clearly indicates that, to promote such activities, one needs strong leadership and confirmed political will to support the endeavor. The new book will emphasize the importance of having a core of multiple stakeholders including community leaders, government, NGOs and media to be actively involved in advocating for the cause and generating public awareness.This text will provide the reader with a comprehensive understanding of the outside-of-the-hospital treatment of cancer patients by medical, paramedical and volunteer personnel. In doing so, this text will encourage the creation of new palliative care services improving upon the existing ones and stimulate further research in this field.Part 1 of the text will begin with an overview of the current state of affairs of services provided to cancer patients while being cared for by primary health centers. It will also review the current literature regarding medical and psychological-based therapy options in the community for cancer patients at different stages of their disease. Part 2 will address the unique role of the community nurse, within the framework of the multidisciplinary team treating the patient, in the attempt to provide optimal evaluation and care in very challenging situations (such as with terminal patients). Part 3 will provide insightful models

This book is addressed to physicians and other health professionals involved in the assessment and care planning of patients at the end of life. It brings a unique and humanistic view on the challenges of good practice in palliative care. Concepts and definitions, resources and therapeutic alternatives, as well as symptoms of distress in the physical, emotional, family, social and spiritual dimensions are discussed in a clear and practical way, demystifying and dissolving the barriers of this approach.

This new edition provides the essential clinical guidance both for those embarking upon a career in palliative medicine and for those already established in the field. A team of international experts here distil what every practitioner needs to know into a practical and reliable resource.

There have been impressive improvements in the diagnosis and treatment of cancer in recent decades. In economically advantaged countries with well-developed healthcare systems over 50% of all cancer patients achieve long term survival and are probably cured. Not only has survival improved radically for cancer patients but also there has been an increasing focus on the quality of patient's lives, on improving the patient experience of care and on developing effective support for the very many cancer survivors. Despite the progress in cancer treatment, unfortunately a substantial number of cancer patients will still ultimately die of their disease. For many this will follow periods of successful treatment which results in good remissions and good quality of life. Helping patients to make the right choices about their care towards the end of their lives is one of the greatest and most challenging responsibilities of all healthcare professionals. Legal change on the provision of assisted dying by healthcare professionals has occurred in a substantial number of jurisdictions. This work brings together contributions on end of life choices from experienced professionals from oncology disciplines, palliative care, law, nurses and professions allied to medicine. The goals are: • To better inform cancer care professionals and the wider community about developments in choices in end of life care for cancer patients internationally. • To better answer questions from patients and respond to requests from patients, including questions about and requests for assisted dying in countries where it is legal to do so. • To have a balanced and well informed dialogue about choices available to patients without developing a formal policy position on change in law. • To provide a basis of information for future educational activities.

Ein chirurgisches Vorgehen kann bei Patienten mit inkurablen Tumorerkrankungen aus sehr unterschiedlichen Gründen sinnvoll oder notwendig sein. In dieser besonderen Behandlungssituation sind zahlreiche Aspekte bei der Entscheidung für einen operativen Eingriff und bei der Wahl des geeigneten Eingriffs zu berücksichtigen. Neben dem Allgemeinzustand und der Lebensperspektive ist der Patientenwille ein entscheidender Faktor. Palliative Viszeralchirurgie geht über die Indikationsstellung und Durchführung der operativen Therapie hinaus und ist immer multiprofessionell; entsprechend sind die perioperativen Aspekte in eigenen Kapiteln gezielt beschrieben. Für die häufigsten klinischen Leitsymptome, die als Komplikationen der Erkrankungen auftreten können sind die interventionellen und chirurgischen Behandlungsoptionen fundiert und praxisorientiert dargestellt. Experten analysieren für die wichtigsten Tumorerkrankungen die bestehenden Behandlungsmöglichkeiten und –ergebnisse und leiten daraus Empfehlungen zum therapeutischen Vorgehen ab.

Das vorliegende Buch orientiert sich an den Inhalten der Zusatz-Weiterbildung Palliativmedizin und wendet sich an Ärzte in Weiterbildung zum Palliativmediziner, ebenso wie an alle palliativmedizinisch tätigen Ärzte. Ein Herausgeber- und Autorenteam aus der Praxis der ambulanten und stationären Palliativversorgung vermittelt prägnant, praxisnah und anhand von zahlreichen Fallbeispielen die wesentlichen Aspekte für die Begleitung Sterbender. Die 3. Auflage erscheint komplett überarbeitet und berücksichtigt die S3 Leitlinie Palliativmedizin 2019 sowie die aktuellen Empfehlungen der WHO zur Tumorschmerztherapie. Neue Themen sind u.a.: Übertherapie am Lebensende, die Rechtsprechung von Bundesgerichtshof und Europäischem Gerichtshof für Menschenrechte bis 2019 und die Diskussion um Methadon.

Menschen in ihrer letzten Lebensphase begleitenAlle beruflich Pflegenden und ehrenamtlich Begleitende finden in diesem Buch die notwendigen Kenntnisse für eine umfassende Betreuung von schwerstkranken und sterbenden Menschen und deren Angehörige zu: Prophylaxen, Therapien, Schmerzlinderung Kommunikation und Ethik Psychosoziale Betreuung Gesetzliche Grundlagen und Hinweise zur Finanzierung durch die Krankenkassen Besondere Situationen bei Kindern, Menschen im Wachkoma, mit geistigen Behinderungen und Demenz Neu in der 6. Auflage Psychosoziale Begleitung von Sterbenden und ihren AngehörigenPalliative Sedierung Besonderheiten im Sterben von Männern Palliative Care für Menschen am Rande der Gesellschaft Vom Wunsch zu Sterben und der Verantwortung der Betreuenden Sterbehilfe Existenzielle Verzweiflung Haltung im palliativen Kontext Akupressur, Hypnotherapie, Musiktherapie, Kunsttherapie Themenrelevante Gesetzestexte, zahlreiche Links und Adressen zu Patientenverfügung und Generalvollmacht sowie Musterschreiben für Betreuer und Ärzte finden Sie auf unserer Website.

Hospice and Palliative Medicine and Supportive Care Flashcards is a comprehensive, evidence-based book of flashcards for clinicians caring for patients who require hospice and palliative care and supportive care. Written in a clinical scenario/vignette, question and answer format by experts with first-hand experience in the field, the flashcards are highly readable and serve as a source of fast answers to clinical questions in the field. A total of 300 flashcards are organized into chapters by symptom/disease and provide readers with up-to-date information that follow the core curriculum of American Board of Hospice and Palliative Medicine for ease of use and rapid review for exams. This book will equip care professionals with key concepts related to the assessment and management of palliative care, making it an ideal point-of-care quick reference material for physicians, nurse practitioners, fellows, residents, and students.

This textbook is the first to focus on comprehensive interdisciplinary care approaches aimed at enhancing the wellbeing of children with cancer and their families throughout the illness experience. Among the topics addressed are the epidemiology of pediatric cancer distress, including physical, emotional, social, and spiritual dimensions; the role of the interdisciplinary team; communication and advance care planning; symptom prevention and management; care at the end of life; family bereavement care; and approaches to ease clinician distress. The contributing authors are true experts and provide guidance based on the highest available level of evidence in the field. The book has not only an interdisciplinary but also an international perspective; it will appeal globally to all clinicians caring for children with cancer, including physicians, nurses, psychosocial clinicians, and chaplains, among others.

The Oxford American Handbook of Hospice and Palliative Medicine and Supportive Care is an easily-navigable source of information about the day-to-day management of patients requiring palliative and hospice care. The table of contents follows the core curriculum of the American Board of Hospice and Palliative Medicine, thus meeting the educational and clinical information needs of students, residents, fellows, and nurse practitioners. Succinct, evidence-based, topically-focused content is supplemented by extensive tables, algorithms, and clinical pearls. This edition includes new sections on grief and bereavement, medical marijuana, and physician assisted suicide, and has been updated throughout to incorporate National Consensus Project for Quality Palliative Care Clinical Practice Guidelines.

Childhood cancer is an area of oncology that has seen both remarkable progress as well as substantial continuing challenges. While survival rates for some pediatric cancers present a story of success, for many types of pediatric cancers, little progress has been made. Many cancer treatments are known to cause not only significant acute side effects, but also lead to numerous long-term health risks and reduced quality of life. Even in cases where the cancer is considered curable, the consequences of treatment present substantial long-term health and psychosocial concerns for children, their families, their communities, and our health system. To examine specific opportunities and suggestions for driving optimal care delivery supporting survival with high quality of life, the National Cancer Policy Forum of the Institute of Medicine and the American Cancer Society co-hosted a workshop which convened experts and members of the public on March 9 and 10, 2015. At this workshop, clinicians and researchers in pediatric oncology, palliative, and psychosocial care, along with representatives from the U.S. Food and Drug Administration, National Cancer Institute, Children's Oncology Group, pharmaceutical companies, and patient advocacy organizations, discussed and developed a menu of options for action to improve research, quality of care, and outcomes for pediatric cancer patients and their families. In addition, parents of children with cancer and pediatric cancer survivors shared their experiences with care and provided poignant personal perspectives on specific quality of life concerns and support needs for children and families across the life spectrum. This report summarizes the presentations and discussion of the workshop.

As the definition of palliative-intent radiation therapy (RT) continues to evolve, the application of advanced radiotherapeutic technologies, such as intensity-modulated RT, and techniques, such as image-guidance, are no longer the provision solely of the curative realm. Treatment options previously considered strictly palliative are expanding, with conventional RT being delivered in conjunction with other modalities such as highly conformal radiation, surgery or systemic therapy, or being bypassed entirely. Additionally, as the median survival rate for many primary cancer histologies improve, more and more patients are outliving the palliative benefit of their first course of RT, making reirradiation a commonly encountered scenario. Many factors should be taken into account when making RT treatment decisions, including those incorporating advanced technologies, such as individualized considerations of symptom burden, extent of disease, life expectancy, performance status, comorbidities, toxicity, prior treatment, and patient wishes. However, while palliative RT should be appropriately customized for each patient, it should also have a convincing evidence base. To date, research investigating the optimal use of palliative RT has been strikingly underrepresented, especially considering it comprises up to 50% of a department's workload. This book reviews state of the art in palliative radiation therapy across all disease sites, discussing available evidence supporting the use of advanced technologies and related clinical and dosimetric outcomes. Areas in which practice diverges from available evidence, as well as those in which no supporting evidence exists, are described. Many chapters include a historical overview highlighting lessons learned from past experience and techniques. Additionally, where specific palliative literature does not exist, generalizable excerpts from the curative setting are examined as well. Also, key practice points pertinent to management approaches and decisions, treatment planning and other clinical pearls are summarized by more than 60 international experts from three continents, often incorporating a multinational and/or multi-institutional perspective. A foundational chapter reviewing these technologies is complimented by sections on their use in each primary cancer site, along with chapters focusing on emerging techniques such as stereotactic radiation, clinical settings such as oligometastases, and patient-reported outcomes including quality of life and toxicity. Clinical trial methodology applicable to palliative RT, prognostication, health services research, and the interface of radiation oncology with palliative care in the 21st century are highlighted. Finally, a concluding chapter provides an overview of clinical contexts in which conventional radiation therapy or best supportive care may be favoured.

Palliative care provides comprehensive support for severely affected patients with any life-limiting or life-threatening diagnosis. To do this effectively, it requires a disease-specific approach as the patients'needs and clinical context will vary depending on the underlying diagnosis. Experts in the field of palliative care and oncology describe in detail the needs of patients with advanced cancer in comparison to those with non-cancer disease and also identify the requirements of patients with different cancer entities. Basic principles of symptom control are explained, with careful attention to therapy for pain associated with either the cancer or its treatment and to symptom-guided antineoplastic therapy. Complex therapeutic strategies for palliative cancer patients are highlighted that involve both cancer- and symptom-directed options and address a range of therapeutic aims. Issues relating to drug use in palliative cancer care are fully explored, and a separate section is devoted to care in the final phase. A range of organizational and policy issues are also discussed, and the book concludes by considering likely future developments in palliative care for cancer patients. Palliative Care in Oncology will be of particular interest to palliative care physicians who are interested in broadening the scope of their disease-specific knowledge, as well as to oncologists who wish to learn more about modern palliative care concepts relevant to their day-to-day work with cancer patients.