I just got my hands on a copy of a fabulous new book by Drs Goldstein and Morrison and felt compelled to write a quick review about it. The title of the book is “Evidence-Based Practice of Palliative Medicine” and it’s 528 pages is chock-full of useful palliative care topics.
The most interesting aspect of the new book is the chapter format. The editors put together what can be best described as a detailed FAQs (Frequently Asked Questions) on palliative medicine. There are 81 questions that are addressed in depth in the corresponding chapters. Some of my favorite questions from the book include:
Symptom Management Section:
- How should patient-controlled analgesia be used in patients with serious illness and those experiencing post-op pain?
- Which opioids are safest and most effective in renal failure?
- How should methadone be started and titrated in opioid-naïve and opioid-tolerant patients?
- When should corticosteroids be used to manage pain?
- When should radiopharmaceuticals be considered for pain management?
- What nonopioid treatments should be used to manage dyspnea associated with COPD?
- What interventions are effective for relieving acute bowel obstruction in cancer and other conditions?
- What treatments are effective for anxiety in patients with serious illness?
- What is a useful strategy for estimating survival for persons with advanced non-cancer related illness in palliative care settings?
- What do palliative care clinicians need to know about teaching communication?
Disease Specific Topics
- What special considerations are needed for treatments patients with chronic liver disease?
- What special considerations are needs for individuals with ALS, MS, or Parkinson Disease?
- How is the patients who stops dialysis best managed?
- Which patients with end-stage renal disease should not be started on dialysis?
- What techniques can be used in the hospital or home setting to best manage uncontrolled bleeding?
- What can be done to improve outcomes for caregivers of patients with serious illness?
- How can palliative care be integrated into home-based primary care programs?
The other nice thing about this book is that it is pretty easy to access all the chapters online via the publishers web-portal www.expertconsult.com.
By: Eric Widera (@ewidera)
Disclosure: I was an author on 2 chapters in this book, but I have not received, nor will receive, any royalties except for a copy of the book (I have though requested it be autographed by Sean and Nate).Continue Reading