Christine Ingleton is Professor of Palliative Care Nursing, School of Nursing and Midwifery, University of Sheffield.  Philip Larkin is Associate Professor of Clinical Nursing (Palliative Care), School of Nursing, Midwifery and Health Systems, University College Dublin and Our Lady’s Hospice and Care Services, Harold's Cross Dublin.

• Contributors viiiPreface xiList of Abbreviations xiiAbout the companion website xivPart 1 Introduction 11 Setting the scene 2Christine Ingleton2 Managing the needs of family caregivers 4Philip J. Larkin3 Principles of effective communication 6Alison Pilsworth and Martyn Geary4 Advance care planning 8Christine Ingleton5 Delivering palliative approaches in different care contexts 10Christine Ingleton6 Integrated care pathways 12Christine IngletonPart 2 Clinical applications 157 Principles of symptom management 16Philip J. Larkin8 Best practice in pain management 18Pat Schofield9 Managing pain 20Pat Schofield10 Complex pain problems and treatment challenges 22Pat Schofield11 Managing nausea and vomiting 24Jackie Robinson12 Managing constipation 26Philip J. Larkin13 Understanding depression 28Mari Lloyd-Williams14 Understanding delirium and confusion 30Peter Lawlor and Katie Marchington15 Managing myoclonus, tremors and muscle spasms 32Jackie Robinson16 Managing lymphoedema 34Lorna Malcolm17 Managing hypercalcaemia of malignancy 36Geraldine Tracey18 Assessing and managing oral hygiene 38Philip J. Larkin19 Caring for people with dysphagia 40Philip J. Larkin20 Managing breathlessness 42Liz Darlison21 Cough and haemoptysis 44Jackie Robinson22 Explaining and exploring cachexia, anorexia and fatigue 46Cathy Payne23 Continual subcutaneous infusion: using a syringe pump 48Philip J. Larkin24 Emergencies: superior vena cava obstruction 50Joanna De Souza25 Emergencies: haemorrhage 52Joanna De Souza26 Emergencies: malignant spinal cord compression 54Joanna De Souza27 Chemotherapy 56Clare Warnock28 Radiotherapy 58Clare WarnockPart 3 Palliative care for all 6129 Palliative care approaches in heart failure 62Gill Horne and Sarah Human30 Palliative care approaches to chronic obstructive pulmonary disease 64Clare McVeigh31 Palliative care approaches in motor neurone disease 66David Oliver32 Palliative care approaches for people receiving dialysis 68Rachel Lewis and Helen Noble33 Palliative care approaches for people with progressive kidney disease: a non-dialytic pathway 70Helen Noble and Rachel Lewis34 Care of the patient following a stroke 72Tony Ryan35 Principles of palliative care for older people 74Amanda Clarke and Paula Smith36 Care of the person with dementia 76Tony Ryan37 Care for people with mental illness 78Ann Sheridan38 Care for people with learning disabilities 80Dorry McLaughlin39 Care for the homeless person 82Brian Nyatanga40 Care for people in prison 84Mary Turner and Marian PeacockPart 4 Professional roles in palliative care 8741 Understanding rehabilitation in palliative care 88Cathy Payne42 The social worker 90Niamh Finucane43 The occupational therapist 92Deirdre Rowe44 The physiotherapist 94Helena Talbot-Rice45 Complementary and supportive therapy 96Philip J. Larkin46 The clinical nurse specialist 98Liz Bryan47 The advanced nurse practitioner 100Geraldine Tracey48 The nurse consultant 102Jo Hockley49 The chaplain 104Mark Cobb50 The medical consultant 106Bill NoblePart 5 Ethical challenges in palliative care practice 10951 Stress in palliative care nursing 110Liz Bryan52 Responses to euthanasia and physician-assisted suicide 112Joanna De Souza53 Withholding and withdrawing life-sustaining care 114Joanna De Souza54 Recognising and planning for the terminal phase of life 116Pauline Ui DhuibhirPart 6 Managing end-of-life care 11955 Changing goals of care at the end of life 120Deborah Hayden56 Managing respiratory secretions at the end of life 122Jackie Robinson57 Care at the moment of death 124Michael Connolly58 Spiritual perspectives at the end of life 126Mark Cobb59 Bereavement 128Pam FirthIndex 131

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