TOPICS IN PALLIATIVE CARE, Volume 5 (2001)
Eduardo Bruera and Russell Portenoy (eds)
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Oxford University Press, 2001
331 pp
ISBN 0195132203
RRP £ 39.50 $US 65
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The Oxford Topics in Palliative Care series comprise reviews on a variety of topics covering the spectrum of palliative care. Volume 5 (2001)
includes chapters on cultural issues, geriatrics, communication, research outcomes, opioid tolerance, equianalgesic doses of opioids, spinal analgesia, and delirium.
Highlights in this volume were Borneman and Ferrell’s chapter on planning care for the care-givers, which linked nicely to Cohen’s chapter
on quality of life that includes the assessment of the family or care-giver’s quality of life. The chapters on opioid tolerance and equianalgesic doses of different drugs are thorough and clinically
useful. The reviews of intraspinal analgesia and the management of delirium are practical updates.
In general, these reviews are up-to-date, well-written and adequately referenced. They provide an in-depth discussion of various subjects
and the reviews of recent advances in therapeutics are particularly useful. Not exactly cheap, but at one volume a year, they are a worthwhile investment for any palliative care service library.
Roger Woodruff
Past Chairman, International Association for Hospice and Palliative Care (IAHPC)
Director of Palliative Care, Austin & Repatriation Medical Centre, Melbourne, Australia
AUTHOR INFORMATION
Eduardo Burera is Director, Department of Symptom Control and Palliative Care, University of Texas MD Anderson Cancer Center, Houston, Texas,
USA
Russell Portenoy is Chairman, Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, USA
TABLE OF CONTENTS
I Cultural Issues in Palliative Care
Models for the delivery of palliative care: the Canadian model 3
Brenneis, Bruera
Models for the delivery of palliative care: the Spanish model 25
Centeno, Gomez-Sancho
Models for the delivery of palliative care in developing countries: the Argentine model 39
Wenk Bertolino
II Palliative Care in Geriatrics
Exploring the need for a special model of geriatric care 55
Morrison, Meier
Care of the elderly with advanced diseases: Caregiver issues 63
Borneman, Ferrell
III Communication Issues in Palliative Care
Truth-telling and reciprocity in the doctor-patient relationship: a North American perspective 81
Fins
Truth-telling in cancer care: the Japanese perspective 95
Uchitomi
Advanced directive in different cultures 107
Akabayashi, Voltz
Assessment of symptoms in the cognitively impaired 123
Stein
IV Research outcomes in Palliative Care
Defining and measuring quality of life in palliative care 137
Cohen
Economic outcomes and palliative care 157
Smith, Lyckholm
Symptom assessment outcomes in home-based palliative care 177
De Conno, Martini
V Opioid Tolerance: Reality or Myth?
Opioid tolerance: a clinical perspective 197
Nghiemphu, Portenoy
Problems with opioid dose escalation in cancer pain: Differential diagnosis and management strategies 213
Mercadante
VI Pain and Other Symptoms: Treatment challenges
Dose ratios among different opioids: Underlying issues and an update on the use on the equianalgesic table 247
Lawlor, Pereira, Bruera
Intraspinal pain therapy in palliative care 277
Sjoberg, Rawal
Diagnosis and management of delirium in the terminally ill 303
Breitbart
Index 323
