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"Advance care planning (ACP) conversations and goals of care (GOC) discussions prepare patients and their substitute decision makers for medical decision making. When rooted in a patient's values and person-centred in approach, ACP and GOC discussions can optimize the likelihood a person receives care that is concordant with their goals. This chapter explores the definitions and clinical processes for ACP and GOC discussions and describes how a patient's values and goals can directly inform medical decision making. Differences in ACP among healthy individuals and seriously ill, common communication challenges and the pitfalls of a treatment-centered approach are described. We underscore the importance of illness understanding and provide tips on addressing prognosis. Finally, health care system impacts of ACP and GOC are considered"--
This volume brings together a range of interdisciplinary perspectives on a topic of central importance, but which has otherwise tended to be approached from within just one or another disciplinary framework. Most of the essays contained here incorporate some degree of interdisciplinarity in their own approach, but the volume nevertheless divides into three main sections: Philosophical considerations; Humanities approaches; Legal, medical, and therapeutic contexts. The volume includes essays by philosophers, medical practitioners and researchers, historians, lawyers, literary, Classical, and Judaic scholars. The essays are united by a common concern with the question of the human character of suffering, and the demands that suffering, and the recognition of suffering, make upon us.
Unlike other textbooks on this subject, which are more focused on end of life, the 4th edition of Principles and Practice of Palliative Care and Supportive Oncology focuses on supportive oncology. In fact, the goal of this textbook is to provide a source of both help and inspiration to all those who care for patients with cancer. Written in a more reader-friendly format, this textbook not only offers authoritative and up-to-date reviews of research and clinical care best practices, but also practical clinical applications to help readers put everything they learn to use.
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Gynäkologische Tumoren sind die am häufigsten zum Tode führenden Krebserkrankungen bei Frauen. Jeder Gynäkologe und Onkologe muss daher in Bezug auf Vorsorge, Diagnostik, Behandlung und Betreuung von Krebspatientinnen kompetent sein. Eine der größten Herausforderungen für Ärzte in der Facharzt-Weiterbildung ist jedoch der Umgang mit krebskranken Patientinnen. Das Buch präsentiert verständlich und praxisnah Erfahrungen anderer Kollegen, Berichte über vergleichbare Fälle und berücksichtigt auch die eigene Bewältigung des Berufsalltags.
Die Endometriose ist eine meist chronisch und in Schüben verlaufende Erkrankung bei Frauen im fortpflanzungsfähigen Alter. Sie ist oft von Schmerzen und Kinderlosigkeit begleitet, erfordert häufig operative Eingriffe und beeinträchtigt erheblich die Lebensqualität der betroffenen Frauen. Das Buch enthält erstmals eine gründlich recherchierte und umfassende Darstellung von Entstehung und Manifestation, Verlauf und Symptomen, diagnostischen Verfahren und Therapie dieser Krankheit. Neben dem wissenschaftstheoretischen Hintergrund geben die Autoren, die sich seit Jahren in ihrer täglichen Praxis mit der Endometriose beschäftigen, auch ihre eigenen Erfahrungen wieder. Zahlreiche Abbildungen und Grafiken veranschaulichen das Krankheitsbild. Das Buch ist für Frauen- und Allgemeinärzte in Klinik und Praxis, Ärzte in Weiterbildung sowie Medizinstudenten und betroffene Frauen gleichermaßen geeignet.
Supportive Oncology, by Drs. Davis, Feyer, Ortner, and Zimmermann, is your practical guide to improving your patients‘ quality of life and overall outcomes by integrating palliative care principles into the scope of clinical oncologic practice at all points along their illness trajectories. A multidisciplinary editorial team, representing the dual perspectives of palliative medicine and oncology, offers expert guidance on how to effectively communicate diagnoses and prognoses with cancer patients and their families, set treatment goals, and manage symptoms through pharmacological therapies, as well as non-pharmacological therapies and counselling when appropriate. Integrate complementary p...