Dr. Perry G. Fine is a Professor in the Department of Anesthesiology, School of Medicine, University of Utah, where he serves on the faculty of the Division of Pain Medicine and the Pain Research Center, and he is an attending physician in the Pain Management Center.

• 1. General ProcessesPalliative Care at the End of Life: Blending Structure and FunctionThe Interdisciplinary Team (IDT)Documentation 2. Personal, Social, and Environmental ProcessesAbuse in the HomeAdvance Care Planning and Directives for Health-Care InterventionsChanges in Body Image and Loss of IndependenceChanges in Family DynamicsCompleting Worldly Business and Life ClosureControlled Substances: Misuse and AbuseCultural Differences: Respect, Understanding, and Adapting CareDenialGrief ReactionsLiving Environment, Finances, and Support SystemsBasic Home SafetySuicide: Risk Assessment, Prevention, and Coping If It Happens 3. Clinical Processes and Symptom ManagementAgitation and AnxietyAir Hunger (Dyspnea)Anorexia and CachexiaBelching and Burping (Eructation)Bleeding, Draining, and Malodorous LesionsConfusion/DeliriumConstipationCoughingDepressionDiarrhea and Anorectal ProblemsDysphagia and Oropharyngeal ProblemsEdema: Peripheral Edema, Ascites, and LymphedemaFatigue, Weakness (Aesthenia), and Excessive SedationFever, Flushing, and DiaphoresisHiccups (Singultus)Imminent DeathInsomnia and Nocturnal RestlessnessNausea and VomitingPainPruritusSeizuresSkeletal Muscle and Bladder SpasmsSkin Breakdown: Prevention and TreatmentUrinary ProblemsXerostomia (Dry Mouth) 4. AppendicesAppendix 1: Ketamine ProtocolAppendix 2: Clinical/Functional Assessment and StagingAppendix 3: Lidocaine Infusions for Refractory Neuropathic PainAppendix 4: Cannabis and Cannabinoids

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