CHAPTER 11. PULMONARY DISEASE Kim K. Kuebler and Rhalene Gabuat Patajo The increased prevalence of nonmalignant pulmonary disease is often underestimated because chronic obstructive pulmonary disease (COPD) is often underdiagnosed…
CHAPTER 9. NUTRITION Suzanne W. Dixon The issue of nutrition support in the palliative care environment is controversial. Between the extremes of solely appetite-driven dietary intake and feeding aggressively with…
CHAPTER 4. ADVANCE CARE PLANNING AND END-OF-LIFE DECISION MAKING Crystal Dea Moore Advance care planning is a collaborative process among patients, family members, and health care professionals whereby patients clarify…
CHAPTER 3. THE DYING PROCESS The author would like to acknowledge Patricia H. Berry, Julie Griffie, and Kate Ford Roberts for their contributions that remain unchanged from the first edition…
CHAPTER 6. SPIRITUAL CARE ACROSS CULTURES Charles Kemp The purpose of palliative care is to relieve suffering in all dimensions of human life. Stated with greater precision, the purpose of…
CHAPTER 2. PALLIATIVE AND END-OF-LIFE CARE PERSPECTIVES Mellar P. Davis and Kim K. Kuebler CURRENT TRENDS The April 21, 2005, cover story from USA Today touted that the “U.S. is…
CHAPTER 5. ETHICAL ISSUES SURROUNDING ADVANCED DISEASE Agnes Coveney The most painful sight we ever confront is that of beauty yielding to impermanence. – Arthur Frank, At the Will of…
Abbreviations CT: computed tomography GIA: gastrointestinal anastomosis IVC: inferior vena cava SMA: superior mesenteric artery Extended multivisceral resections involving the liver contribute to the armamentarium of an experienced liver surgeon.1…
Patient Position and Incision For patient safety throughout a prolonged surgical procedure, careful positioning is required. We advocate the lithotomy position with open legs, thighs flexed at 15° on the…
Fig. 14.1 Thoracoabdominal approach to an upper (right) quadrant sarcoma. The oblique incision starts above the umbilicus and is extended through the 9th intercostal space. The diaphragm is opened. The…
