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

Family General Practice

By Janet L. Abrahm

ISBN-10: 1421414031

ISBN-13: 9781421414034

This complete consultant to dealing with ache and different signs for individuals with melanoma has helped tens of millions of sufferers and households. Designed for busy training clinicians, A Physician's advisor to soreness and Symptom administration in melanoma Patients offers fundamental care physicians, complicated perform nurses, internists, and oncologists with distinctive details and recommendation for relieving the strain and ache of sufferers and family alike. Drawing at the paintings of specialists who've constructed innovative techniques 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 may also help sufferers and households heal emotionally at the same time the ailment progresses.

The 3rd variation contains updates to medicines and scientific tales, and lines new chapters: "Working with sufferers’ households" and "Sexuality, Intimacy, and Cancer." New classes from palliative care and hospice care can assist sufferers, their specialist 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

Kew will know if she also asks questions about other areas (Faulkner and Maguire 1994, pp. 36–42). Effect of treatment. Typical questions to explore the effect of Joe’s treatment would be (p. 36): “How has the treatment been affecting you? What has the effect been on your day-to-day life? ” Faulkner and Maguire also recommend asking questions that explore Joe’s relationship with his partner (including their sexual relationship), his mood, and his ability to concentrate. Checking in on how the patient thinks things are going can help Dr.

Uncertainty about the future: Will I be cured? How do I plan if I don’t know how much time I will have? 2. The search for meaning: How do I make sense of what I have done during my life? Did I leave a mark? 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?

Remind yourself to be curious, and to try your best to be sure you ask enough questions so that you understand how they see things. Find out what they know that you don’t, instead of assuming you know all you need to know. That will help you to guide them to the reality that you and your team see, and will help them move forward in the conversation. Respond to Their Feelings As I mentioned above, patients’ reactions are likely to reflect the difference between their expectations and what they have just heard.

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