IAHPC BOOK REVIEW PALLIATIVE CARE FOR NON-CANCER PATIENTS
Julia Addington-Hall and Irene Higginson (Editors)
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Oxford University Press 2001
ISBN 0-19-262960-3
292pp
RRP $US62.00 £39.95
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This book sets out to specifically describe the palliative care needs of patients who die from diseases other than cancer, and to discuss how these needs might
best be met.
The first set of chapters provides an up-to-date summary of the palliation of symptoms in each group of nonmalignant diseases, although the evidence base is
sometimes quite thin. Questions about which patients would benefit from palliative care, and when, are also addressed. For patients with nonmalignant diseases, generalizations are usually not
possible and decisions have to be individualized.
The next few chapters discuss the problems regarding palliative care for patients with nonmalignant disease in various settings including primary care, nursing
homes and hospitals. The discussions of how we might overcome the barriers and provide palliative care for all who deserve it in these situations, is quite thought provoking.
This book would be a worthwhile addition to the library shelf of any hospice or palliative care service that manages any patients with nonmalignant disease.
Besides a useful summary of symptom palliation, it provides some background and perspective on the nonmalignant conditions that will be of benefit to those us who spend most of our time managing
patients with advanced cancer.
Roger Woodruff
Director of Palliative Care, Austin & Repatriation Medical Centre, Melbourne
October 2002
Author Information
Julia Addington-Hall is from the Department of Palliative
Care and Policy, Guy’s, King’s and St. Thomas’ School of Medicine, St. Christopher’s Hospice, London
Irene Higginson is Professor and Head of the Department of
Palliative Care and Policy, Guy’s, King’s and St. Thomas’ School of Medicine, St. Christopher’s Hospice, London
Table of Contents
Introduction 1
Addington-Hall and Higginson
1. Stroke 11
Rogers
2. Respiratory Disease 20
Shee
3. Heart Disease 30
Gibbs
4. Neurodegenerative Disease 44
O’Brien
5. Children and young adults 56
Goldman and Schuller
6. The management of chronic pain in palliative non-cancer patients 66
Bruera and Neumann
7. Palliative care in liver disease 82
Heneghan and O’Grady
8. Renal palliative care 103
Cohen, Reiter, Poppel and Germain
9. Palliative care for patients with dementia 114
Hanrahan, Luchins and Murphy
10. Sickle cell disease 126
Edmonds
11. HIV/AIDS 137
Brogan and George
12. Palliative care in nursing homes 147
Maddocks and Parker
13. Palliative care in the hospital setting for patients with non-malignant disease 158
Pitcher and Davis
14. Palliative care for non-cancer patients: a UK perspective from primary care 172
Barclay
15. Specialist palliative care and non-malignant diseases 189
Dunlop
16. Patients’ perspectives 198
Benz
17. Reforming care through continuous quality improvement 210
Lynn
18. Palliative care for non-cancer patients: A purchaser perspective 217
James
19. Informal carers of dependents with advanced disease 227
Koffman and Shaw
20. Specialist palliative care for non-cancer patients: The ethical
arguments 239
Wasson and George
21. Cultural issues in palliative care for non-cancer patients 251
Speck
22. Clinical implications 261
Higginson
23. Discussion 278
Addington-Hall and Higginson
Index 287
 
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