Care at the Close of Life: Evidence and Experience

by Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz

Overview

The world's leading source of evidence-based guidance on caring for patients at the end of life. Featuirng the content of the world's most widely read medical journal, plus completely new, never-before-published content. Perfect for medical students, trainees, and clinicians alike.

Market / Audience
Medical students: 18000/yr US, 250,000 global
NP and PA students: 25,000/yr US, 50,000+ global
IM and FP residents: 30,000 US, 60,000 global
IM and FP clinicians: 140,000 US, 300,000+ global
Palliative medicine: 3000 US
Oncology: 20,000 US, 60,000 global
Social workers

About the Book
In the tradition of the User's Guides to the Medical Literature, and The Rational Clinical Examination, JAMA/Care at the Close of Life is based on a widely successful series of articles appearing over the course of the last ten years in JAMA, the world's most widely read medical journal. The series is directed by Stephen McPhee, a leading authoriity of end of life care, and the chief editor of our market leading Current Medical Diagnosis and Treatment text.

The articles in the series cover fundamental topics and challenges in caring for patients who have been given a terminal diagnosis. Featuring a strong focus on evidence-based medicine, and organized by clinical cases, the articles are widely read by faculty, medical students, and clinicians who, frankly, have not been given a solid educational experience on this very important medical issue.

The book will be physically modeled after The Rational Clinical Examination, in a full color format that highlights the clinical cases. It will be well suited for use as an required or recommended textbook for medical, PA, and NO students, and as a clinical reference text for trainees and practicing physicians and nurses.

Key Selling Features

Based on highy regarded content from the world's most widely read medical journal

All content is completely updated, and extensive new, never-before-published content has been added

Case-based, and evidence-based, so its a perfect fit for the way medical students and residents like to learn

Focuses on practical, real-world issues for primary care physicians, and avoids esoteric issues of interest only to specialists in palliative care

Full color format, modeled after the highly regarded Rational Clinical Examination

Includes multimedia materials available on line: Power Point slides for teaching, and video interviews with patients in end-of-life care, so that faculty and students get supplemental resources for learning the art and science of care at the end of life

Evidence-based guidance from the world's leading medical journal, on a critical topic that has been neglected in medical education and training until recently.

Author Profile
JAMA is the world's most widely read medical journal, and has a reputation for excellence in evidence-based medicine. Stephen McPhee has high visbility on account of his editorship of CMDT, and for his driving role in enhancing end of life care in medical education and training programs. He is: Professor of Medicine, UCSF School of Medicine, San Francisco CA

Product Details

ISBN-13:	9780071637961
Publisher:	McGraw Hill LLC
Publication date:	12/31/2010
Sold by:	Barnes & Noble
Format:	eBook
Pages:	608
File size:	44 MB
Note:	This product may take a few minutes to download.

About the Author

Author Profile
JAMA is the world's most widely read medical journal, and has a reputation for excellence in evidence-based medicine.

Stephen McPhee has high visbility on account of his editorship of CMDT, and for his driving role in enhancing end of life care in medical education and training programs. He is: Professor of Medicine, UCSF School of Medicine, San Francisco CA.

Table of Contents

Contributors

Foreword

Preface

Chapters

A. Communication Issues

1. Initiating End-of-Life Discussions with Seriously Ill Patients: Addressing the Elephant in the Room Timothy Quill, MD

2. Beyond Advance Directives: Decision Making and Communication at the End of Life James Tulsky, MD

3. Decision Making at a Time of Crisis Near the End of Life David E. Weissman, MD

4. Dealing With Conflict in Caring for the Seriously Ill: “It Was Just Out of the Question” Anthony L. Back, MD; Robert M. Arnold, MD

B. Symptom Management

5. Managing an Acute Pain Crisis in a Patient With Advanced Cancer: “This Is as Much of a Crisis as a Code” Natalie Moryl, MD; Nessa Coyle, NP, PhD; Kathleen M. Foley, MD

6. Management of Dyspnea in Patients With Far-Advanced Lung Disease: “Once I Lose It, It’s Kind of Hard to Catch It. . .” John M. Luce, MD; Judith A. Luce, MD

7. Management of Intractable Nausea and Vomiting in Patients at the End of Life: “I Was Feeling Nauseous All of the Time... Nothing Was Working” Gordon J. Wood, MD; Joseph W. Shega, MD; Beth Lynch, NP; Jamie H. von Roenn, MD

8. Palliative Care for Frail Older Adults: “There are Things I Can’t Do Anymore That I Wish I Could . . .” Kenneth S. Boockvar, MD, MS; Diane E. Meier, MD

9. Palliative Management of Fatigue at the Close of Life: “It Feels Like My Body Is Just Worn Out” Sriram Yennurajalingam, MD; Eduardo Bruera, MD

10. Spinal Cord Compression in Patients With Advanced Metastatic Cancer: “All I Care About Is Walking and Living My Life” Janet L. Abrahm, MD; Michael B. Banffy, MD; Mitchel B. Harris, MD

11. Agitation and Delirium at the End of Life: “We Couldn’t Manage Him” William Breitbart, MD; Yesnea Alici, MD

C. Disease Management

12. Alzheimer Disease: “It’s Okay, Mama, If You Want to Go, It’s Okay” Ann Hurley, RN, DNSc; Ladislav Volicer, MD, PhD

13. Practical Considerations in Dialysis Withdrawal: “To Have That Option Is a Blessing” Lewis M. Cohen, MD; Michael J. Germain, MD; David M. Poppel, MD

14. Comprehensive Care for Late-Stage HIV/AIDS: Overcoming the False Dichotomy of “Curative” vs “Palliative” Care. “Let Me Live the Way I Want to Live, Until I Can’t” Peter A. Selwyn, MD, MPH; Marshall Forstein, MD

15. Palliative Care for Patients with Heart Failure Steven Z. Pantilat, MD; Anthony E. Steimle, MD

16. Integrating Palliative Care for Liver Transplants: “Too Well for Transplant, Too Sick for Life” Anne M. Larson, MD, FACP, AGAF; J. Randall Curtis, MD, MPH

17. Palliative Care for Patients with Amyotrophic Lateral Sclerosis: “Prepare for the Worst and Hope for the Best” Hiroshi Mitsumoto, MD, DSc; Judith G. Rabkin, PhD, MPH

18. Palliative Care for Patients With Head and Neck Cancer: “I Would Like a Quick Return to a Normal Lifestyle” Nathan E. Goldstein, MD; Eric Genden, MD; R. Sean Morrison, MD

D. Other Patient Management Issues

19. Complexities in Prognostication in Advanced Cancer. “To Help Them Live Their Lives the Way They Want To” Elizabeth B. Lamont, MD, MS; Nicholas A. Christakis, MD, PhD, MPH

20. Caring for the Child with Cancer at the Close of Life: “There are People Who Make It, and I’m Hoping I’m One of Them” Craig A. Hurwitz, MD; Janet Duncan, MSN, CPNP; Joanne Wolfe, MD, MPH

21. Sudden Traumatic Death in Children: “We Did Everything, but Your Child Didn’t Survive” Robert D. Truog, MD; Grace Christ, DSW; David M. Browning, MSW; Elaine C. Meyer, PhD, RN

22. The Role of Chemotherapy at the End of Life: “When is Enough, Enough?” Sarah E. Harrington, MD; Thomas J. Smith, MD FACP

23. Palliative Care in the Final Days of Life: “They Were Expecting It At Any Time” James Hallenbeck, MD

E. Psychological, Social, and Spiritual Issues

24. Psychological Considerations, Growth, and Transcendence at the End of Life: The Art of the Possible Susan D. Block, MD

25. Caring for Bereaved Patients: “All the Doctors Just Suddenly Go” Holly Gwen Prigerson, PhD; Selby C. Jacobs, MD, MPH

26. Adolescent Grief: “It Never Really Hit Me… Until It Actually Happened” Grace Christ, DSW; Karolynn Siegel, PhD; Adolph E. Christ, MD, DrMSc

27. Dignity-conserving Care—A New Model for Palliative Care: Helping the Patient Harvey Chochinov, MD, PhD, FRCPC

28. Supporting Family Caregivers at the End of Life: “They Don’t Know What They Don’t Know” Michael W. Rabow, MD; Joshua Hauser, MD; Jocelia Adams, RN

29. Spiritual Issues in the Care of Dying Patients: “. . . It’s Okay Between Me and God” Daniel P. Sulmasy, OFM, MD, PhD

30. Responding to Requests for Physician-Assisted Suicide: “These Are Uncharted Waters for Both of Us. . .” Paul Bascom, MD; Susan Tolle, MD

31. Palliative Sedation in Dying Patients: “We Turn to It When Everything Else Hasn’t Worked” Bernard Lo, MD; Gordon D. Rubenfeld, MD, MSc

G. Cross-Cultural and Special Populations Issues

32. Negotiating Cross-Cultural Issues at the End of Life: “You Got to Go Where He Lives” Marjorie Kagawa-Singer, PhD, MA, MN, RN; Leslie J. Blackhall, MD, MTS

33. Palliative Care for Latino Patients and Their Families: “Whenever We Prayed, She Wept” Alexander K. Smith, MD, MS, MPH; Rebecca Sudore, MD; Eliseo Pérez-Stable, MD

34. End-of-life Care for Homeless Patients: “She Says She Is There to Help Me in Any Situation” Margot B. Kushel, MD; Christine Miaskowski, RN, PhD

35. Palliative Care for Prison Inmates: “Don’t Let Me Die in Prison” John F. Linder, LCSW; Frederick J. Meyers, MD, MACP

H. Settings of Care (Structural Issues)

36. Serving Patients Who May Die Soon and Their Families: The Role of Hospice and Other Services Joanne Lynn, MD, MA, MS

37. Secondary and Tertiary Palliative Care in US Hospitals Charles F. von Gunten, MD, PhD, FACP, FAAHPM

38. Withdrawal of Life Support: Intensive Caring at the End of Life. Thomas Prendergast, MD; Kathleen A. Puntillo, RN, DNSc

39. Meeting Palliative Care Needs in Post-Acute Care Settings: “To Help Them Live Until They Die” Laura C. Hanson MD, MPH; Mary Ersek, PhD, RN

40. Referring a Patient and Family to High-Quality Palliative Care at the Close of Life: “We Met a New Personality... With This Level of Compassion and Empathy” Joan M. Teno, MD, MS; Stephen R. Connor, PhD

I. Clinician Self-Care

41. Care of the Dying Doctor: On the Other End of the Stethoscope Erik Fromme, MD; J. Andrew Billings, MD

42. Self-Care of Physicians Caring for Patients at the End of Life: “Being Connected … A Key to My Survival” Michael K. Kearney, MD; Radhule B. Weininger, MD, PhD; Mary L. S. Vachon, RN, PhD; Balfour M. Mount, MD; Richard L. Harrison, PhD