OXFORD TEXTBOOK OF PALLIATIVE MEDICINE, 3rd edition
Derek Doyle, Geoffrey Hanks, Nathan Cherny, and Kenneth Calman (Editors)
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Oxford University Press, 2003
ISBN 019 851098 5
1224 pp
RRP £150, $US198.50, $AU485.00
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It’s here. What we’ve all been waiting for. The third edition of the OTPM. And it does not disappoint.
This edition looks to be largely re-written, not just up-dated, and there are many new contributors. There is a new section on the
palliation of non-malignant disease, which I think will be particularly useful for the majority of us who deal primarily with advanced cancer. New chapters deal with the role of each of the allied
health professionals who make up the multidisciplinary team. There are also new chapters on the principles of evidence-based medicine and on learning communication skills, both of which I think
are particularly welcome.
It is not possible to review each section of what is a very large textbook. Overall, it provides good coverage of the whole field
of palliative medicine. Duplication, as may occur in any multi-authored text, has been kept to a minimum. Although it has about the same number of pages, the use of a smaller (but very legible)
font gives the impression that this edition is considerably larger and has a lot more information than the previous one. I have to declare that I wrote the chapter on HIV/AIDS in Adults, about
which nothing more will be said, but had nothing else to do with the production of this book.
Is it up to date? I browsed a few areas where practice has changed in the last few years and found good coverage for selective COX-2
inhibitors, NMDA receptor antagonists and interventional radiology, although the usefulness of low molecular weight heparins in palliative care has not been emphasized.
Is it worth it? The book is not cheap by anybody’s standards. But the answer has to be yes because this book will remain the gold
standard reference in palliative medicine for the next few years at least. The editors are to be congratulated on the successful completion of what is a very impressive reference. And all who
work in palliative medicine owe a debt of gratitude to Derek Doyle, who has now pioneered this book through three editions.
Catherine Barnes and her team at Oxford also deserve commendation. The design and set-out are much improved and the book is both
easy and a pleasure to browse. The heading system works and the tables are user-friendly and informative.
Roger Woodruff
Director of Palliative Care, Austin Health, Melbourne
(December 2003)
Author Information
Derek Doyle OBE, is the former Medical Director/Consultant in Palliative Medicine, St. Columba’s Hospice, Edinburgh, UK.
Geoffrey Hanks is Professor of Palliative Medicine, University of Bristol, Bristol, UK
Nathan Cherny is Director, Cancer Pain and Palliative Medicine, Share Zedek Medical Centre, Jerusalem, Israel.
Sir Kenneth Calman is the Vice-Chancellor and Warden, University of Durham, Durham, UK
Table of Contents
Foreword
Dame Cicely Saunders
Section 1: Introduction
Doyle, Hanks, Cherny & Calman
Section 2: The challenge of palliative medicine
The problem of suffering
Cherny
The epidemiology of death and symptoms
Higginson & Addington-Hall
Palliative medicine and modern cancer care
MacDonald
Predicting survival in patients with advanced disease
Glare & Christakis Cherny
The interdisciplinary team
Lickiss, Pollack & Turner
Economics based palliative medicine
Maynard
Section 3: Ethical issues
Introduction
Calman
Confidentiality
MacDonald
Truth-telling and consent
Downie & Randall
Educating for professional competence in palliative medicine
Buckley & Smyth
Palliative medicine and children: ethical and legal issues
Doyal, Goldman, Chantler & Larcher
Ethical issues in palliative care research
MacDonald & Weijer
Euthanasia and withholding treatment
Roy
Section 4: Communication and palliative medicine
Communication with the patient and family in palliative medicine
Fallowfield
Communication with professionals
Jeffrey
Communication with public, politicians and media
Calman
Section 5: Research in palliative medicine
The principles of evidence-based medicine
McQuay & Wiffen
Clinical research in palliative medicine: practical considerations
Hanks, Kaasa & Robbins
Qualitative research in palliative medicine
Kristjanson & Coyle
Pain research - the design of clinical trials
Portenoy & Max
Research into psychosocial issues
Kissane & Street
Section 6: Patient evaluation and outcome measures
The measurement of pain and other symptoms
Ingham & Portenoy
Are we doing the right thing well: assessing and maintaining the quality of care?
Higginson
Quality of life in palliative medicine - principles and practice
Kaasa & Loge
Section 7: Principles of drug use in palliative medicine
Hanks, Roberts & Davies:
Section 8: Symptom management
Disease modifying management
Palliative medicine and the treatment of cancer
McIllmurray
Radiotherapy in symptom management
Hoskin
Surgical palliation
Sainsbury, Emberton, Vaizey, Spiro & Mould
Orthopaedic principles and management
Galasko
Interventional radiology
Sabharwal, Hemingway & Adam
The management of pain
Pathophysiology of pain in cancer and other terminal diseases
Payne & Gonzales
Acute and chronic cancer pain syndromes
Foley
Opioid analgesic therapy
Hanks & Cherny
Non-opioid analgesics
McQuay & Moore
Adjuvant analgesics in pain management
Lussier & Portenoy
Anaesthetic techniques for pain management
Swarm, Karanikolas & Cousins
Neurosurgical techniques in the management of pain
Hassenbusch & Cherny
Treating pain with transcutaneous electrical nerve stimulation (TENS)
Berkovitch & Waller
Acupuncture
Filshie & Thompson Acupuncture
Psychological and psychiatric interventions in pain control
Breitbart, Payne & Passik
Difficult pain problems - an integrated approach
Hanks, Portenoy & Forbes
Gastro-intestinal symptoms
Palliation of nausea and vomiting
Mannix
Dysphagia, dyspepsia and hiccup
Regnard
Constipation and diarrhoea
Sykes
Pathophysiology and management of malignant bowel obstruction
Ripamonti & Mercadente
Jaundice, ascites and hepatic encephalopathy
Kichian & Bain
Nutrition in palliative medicine
Pathophysiology of the anorexia/cachexia syndrome
Strasser
Clinical assessment and decision making in cachexia and anorexia
Fainsinger & Pereira
Dietary and nutritional aspects of palliative medicine
Richardson & Davidson
Pharmacological interventions in cachexia and anorexia
Bruera & Sweeney
Fatigue and asthenia
Sweeney, Neuenschwander & Bruera
Clinical management of anaemia, cytopenias and thrombosis in palliative medicine
Turner
Pruritus and sweating in palliative medicine
Pittelkow & Loprinzi
Palliative medicine in malignant respiratory diseases
Chan, Sham, Tse & Thorsen
Skin problems in palliative medicine
Medical aspects
Pearson & Mortimer
Nursing aspects
Grocott & Dealey
Lymphoedema
Mortimer & Badger
Genito-urinary problems in palliative medicine
Norman
Palliative issues in the care of patients with cancer of the head and neck
Murphy, Cmelak, Bayles, Dowling & Billante
Mouth care
Ventafridda, Ripamonti, Sbanotto & de Conno
Endocrine and metabolic complications of advanced cancer
Bower & Cox
Neurological problems in advanced cancer
Caraceni, Martini & Simonetti
Primary brain tumours
Bausewein, Borasio, & Voltz
Sleep in palliative medicine
Sateia & Santulli
Psychiatric symptoms in palliative medicine
Breitbart, Chochinov & Passik
Section 9: Paediatric palliative medicine
Pain control
McGrath & Brown
The symptom management of children with life-limiting illness
Collins
Psychological adaptation of the dying child
Stevens
Care of the dying child and adolescent – family adjustment and support
Stevens
Special consideration for children in palliative medicine
Davies & Sumner
Bereavement issues and staff support
Davies & Orloff
Section 10: Palliative medicine in non-malignant disease;
Introduction
Marie Fallon
AIDS in adults
Woodruff & Glare
Palliative medicine for children and adolescents with HIV/AIDS
Yogev & Oleske
Palliative medicine and non-malignant, end-stage respiratory disease
Leach
Palliative medicine for patients with end stage heart disease
Dunn & McGavigan
Palliative medicine in non-malignant neurological disease
Borasio, Voltz & Bausewein
Palliative medicine and care of the elderly
Diane E Meier
Palliative medicine in intensive care
Cohen & Prendergast
Section 11: Cultural and spiritual aspects of palliative medicine
Cassidy & Davies
Section 12: Emotional problems in palliative care
The emotional problems of the patient in palliative medicine
Vachon
Emotional problems in the family
Ferrell & Panke
The stress of professional caregivers
Vachon
Section 13: Social work in palliative medicine
Monroe
Section 14: Rehabilitation in palliative medicine
Tookman, Hopkins & Scharpen-von-Heussen
Section 15: The contribution to palliative care of professions allied to medicine
The contribution of occupational therapy to palliative medicine
Bray & Cooper
The contribution of music therapy to palliative medicine
Callaghan
The contribution of the dietician and nutritionist to palliative medicine
Richardson & Davidson
The contribution of physiotherapy to palliative medicine
Doyle, McClure & Fisher
The contribution of speech and language therapy to palliative medicine
MacDonald & Armstrong
The contribution of art therapy to palliative medicine
Wood
The contribution of stoma therapy to palliative medicine
Salter
The contribution of clinical psychology to palliative medicine
Cathcart
The contribution of the role of the pharmacist to palliative medicine
Wright & McArthur
Section 16: Comp lementary therapies in palliative medicine
Cassileth & Schulman
Section 17: Palliative medicine in the home
Palliative medicine in the home
Doyle
Palliative care in the home: North America
Librach
Section 18: The terminal phase
Furst & Doyle
Section 19: Bereavement
Kissane
Section 20: Education and training in palliative medicine
Introduction
Calman
Training the family physician
Finlay & Noble
Training specialists in palliative medicine
Hoy
Learning counselling
Maguire & Pitcealthy
The role of the humanities in palliative medicine
Kirklin
Internet and IT learning
Regnard
Section 21: Palliative medicine – a global perspective
Stjernsward & Clark
Index
