8. SLEEP

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CHAPTER 8. SLEEP Catherine Vena Sleep is an essential human need and an important component of human homeostasis. Despite an explosion of scientific discovery about sleep in the past 50…

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18. ASCITES

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CHAPTER 18. ASCITES Debra E. Heidrich DEFINITION AND INCIDENCE Ascites is the abnormal accumulation of fluid in the peritoneal cavity. The majority of patients with ascites have advanced liver disease—usually…

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17. ANXIETY

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CHAPTER 17. ANXIETY Debra E. Heidrich and Peg Esper DEFINITION AND INCIDENCE Anxiety is an experience of diffuse apprehension or uneasiness, often accompanied by feelings of uncertainty and helplessness and…

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16. HIV/AIDS

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CHAPTER 16. HIV/AIDS James C. Pace At the end of the year 2003 approximately 790,000 to 1.2 million Americans were living with human immune deficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and…

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14. NEUROLOGICAL DISEASES

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CHAPTER 14. NEUROLOGICAL DISEASES Debra E. Heidrich and Pamela Sue Spencer Several different neurological diseases are seen as primary, and sometime secondary, diagnoses in palliative care settings. This chapter discusses…

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13. CHRONIC KIDNEY DISEASE

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CHAPTER 13. CHRONIC KIDNEY DISEASE Michael J. Germain and Debra E. Heidrich DEFINITIONS AND INCIDENCE Chronic kidney disease (CKD) is defined as kidney damage or impaired renal function that persists…

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12. HEPATIC DISEASE

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CHAPTER 12. HEPATIC DISEASE Pamela Sue Spencer This chapter specifically highlights hepatic failure and discusses the crucial role that acetaminophen metabolism plays as a causative agent in toxic liver injury….

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10. CARDIOVASCULAR DISEASE

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CHAPTER 10. CARDIOVASCULAR DISEASE Carol L. Scot and Kim Anne Pickett OVERVIEW The cardiovascular (CV) system includes the heart and the blood vessels. These vessels include the arteries, veins, and…

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11. PULMONARY DISEASE

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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…

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9. NUTRITION

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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…

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