By Janet L. Abrahm

ISBN-10: 1421414031

ISBN-13: 9781421414034

This accomplished consultant to handling soreness and different indicators for individuals with melanoma has helped tens of hundreds of thousands of sufferers and households. Designed for busy training clinicians, A Physician's consultant to ache and Symptom administration in melanoma Patients presents fundamental care physicians, complex perform nurses, internists, and oncologists with designated info and suggestion for easing the tension and ache of sufferers and kin alike. Drawing at the paintings of specialists who've built innovative methods to symptom administration and palliative care, in addition to at the classes discovered from sufferers and their households in the course of her thirty years as a instructor and clinician, Dr. Janet L. Abrahm exhibits how physicians and different caregivers can assist sufferers and households heal emotionally while the disorder progresses.

The 3rd variation contains updates to medicinal drugs and medical tales, and lines new chapters: "Working with sufferers’ households" and "Sexuality, Intimacy, and Cancer." New classes from palliative care and hospice care might help sufferers, their expert caregivers, and their households aid one another each step of the way.

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Extra info for A Physician's Guide to Pain and Symptom Management in Cancer Patients

Example text

Her anger turned to a flood of tears, and we all supported them; the physician found his voice and was able to help Abigail and her family move forward. Some patients turn the anger inward. They may not seem angry right after you tell them the news, but at later visits they may appear depressed or withdrawn. Some are blaming themselves for sins of omission or commission that they feel caused the cancer or delayed its diagnosis. Have tissues within reach for the tearful patient, and try to offer some form of nonverbal support such as putting a hand on the patient’s arm or shoulder.

Will I be remembered? 3. Loss of control: Is there anything I can do to increase my chance of cure? What if there isn’t? 4. The need for openness: Who should I tell? What will they think? 5. The need for emotional support: I don’t want to be a burden. Do I have enough support from my friends or my family? 6. The need for medical support: Can I count on my oncologist? My primary care physician? What if there’s nothing more they can offer? If these questions remain unresolved, patients can develop chronic anxiety or depression.

Basset to focus on what she wanted done if she died. Even if she did not want to be resuscitated, she might find it acceptable to use life support for a period to recover from a complication. If, like Monica’s father, she developed pneumonia, she might let us use ventilatory support for a week or two. What if I could help Selina see what resuscitation was actually like? Preliminary data from a randomized controlled trial suggest that patients with advanced cancer who viewed a video of cardiopulmonary resuscitation being performed in addition to hearing a discussion of likely outcomes after CPR had a better understanding of CPR, and more chose not to have it performed than control patients who heard the same verbal discussion but did not view the video (Volandes et al.

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A Physician's Guide to Pain and Symptom Management in Cancer Patients by Janet L. Abrahm

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