Challenging Cases in Palliative Care

1. Pain Management
1:Cancer-related bone pain, Anna Schuberth and Matt Mulvey
2:Cancer-related neuropathic pain, Rebecca Gemmell and Craig Montgomery
3:Interventional pain, Lucy Hetherington and Alison Mitchell
4:Pain in people with drug dependence, Lucy Hetherington and Chris Farnham
5:Chronic non-cancer pain, Lauri Simkiss and Iain Jones
2. Management of symptoms in advanced illness
6:Breathlessness, Natasha Lovell and Sabrina Bajwah
7:Nausea, vomiting and hiccups, Holly McGuigan and Anna Sutherland
8:Cancer cachexia, Lucy Ison and Barry Laird and Richard Skipworth
9:Palliative bowel obstruction, Sarah Webster and Emily Rea and Emma Husbands
10:Pruritis, Rose O'duffy and Maggie Presswood
11:Mouth care, Grace Rowley and Phil Lodge
12:Constipation, Anna Bradley and Jason Boland
13:Diarrhoea, Rob McConnell, Michael Connolly and Leona Butterly
3. Management of the dying patient
14:Clinical uncertainty and prognostication, Simon Etkind and Paddy Stone
15:De-escalation from ITU, Sarah Longwell and Lucy Wyld
16:Community patient transferred into ED/AMU - rapid assessment and decision-making, Alice Copley and Sarah Yardley
17:Prescribing review, Luke Nathaniel Hatton and Melinda Presland
18:Co-ordination and transfer of care, Rosanna Hill and Adam Hurlow
19:Giving remote advice to families and other professional providers, Shaun Qureshi, Philippa Guppy, Georgina Osborne and Rasha Al-Qurainy
20:What to expect with death at home, Tammy Oxley and Katherine Malia
21:Individualised end of life care plans, Steph Hicks and Ben Bowers
4. Interface between palliative care and mental health
22:Depression in the context of life-limiting illness, Felicity Wood and Annabel Price
23:Hoarding, Manraj Bhamra and Khalida Ismail
24:Delirium, Kitty Jackson and Felicity Wood
25:Dementia, Kirsty Tolmie and Karen Harrison Dening
26:Learning disabilities, Jamie Richardson and Valerie Potter
27:Serious mental health and the palliative care patient, including patients under section, Dan Hughes and Maggie Bisset
5. Challenging physiology/physical conditions
28:Symptom management in organ failure (renal failure), Steph Lister Flynn and Emma Murphy
29:Rigidity, Constantina Pitsillides and Lou Wiblin
30:Sialorrhoea, Kirsty Douglas and Rachel Burman
31:Frailty/multi-morbidity, Felicity Dewhurst and Caroline Nicholson
32:Diabetic management at end of life, Jaspal Mann and Alastair Lumb
33:Palliative management of malignant spinal cord compression (MSCC), Mairi Finlay, Oliver Jackson and Mark Teo
34:Seizures, Geoff Wells and Jane Neerkin
6. Personalised palliative care
35:Care planning and goal setting, Rebecca Tiberini and Jon Martin
36:Advance care planning, Georgina Osborne and Bee Wee
37:Pandemics and disaster response, Athul Manuel and Sunitha Daniel
38:Spiritual care, Sarah Maan, Alice Gray and Andrew Goodhead
39:Cultural care, Max Charles and Jonathan Koffman
40:Supportive care/survivorship, Lara Datta-Paulin, Mark Warren and Richard Berman
41:Specific challenges: homelessness, Toni Mortimer and Caroline Shulman
42:Transition from children's to adult palliative care, Gurpreet Gupta and Joanna Elverson
43:Developing compassionate communities, Joe Sawyer and Libby Sallnow
44:Bereavement, Charlotte Chamberlain and Lucy Selman
7. Legal considerations
45:A desire for hastened death, Becky Payne and Sam Lund
46:Treatment escalation plans and CPR decisions, Gemma Lewis-Williams and Mark Taubert
47:Withdrawal of treatment, Simeon Senders Galloway and Anna Gorringe
48:Autonomy in children, Marie Claire Rooney and Jo Laddie

Palliative care has evolved rapidly in recent years. Not only is the field dealing with an increasingly elderly and multi-morbid population, it is also addressing a wider variety of complex diagnoses such as heart failure, renal failure, advanced lung disease, frailty, and dementia.

Challenging Cases in Palliative Care is unique, as it uses examples of real-world cases from palliative care practices. It also includes expert commentary to support modern clinicians in managing the 'messiness' of clinical care, as well as the increasingly complex needs of patients today.

As part of our Challenging Cases series, the cases in this book not only cover a range of physical and psychosocial problems seen in palliative care, they also reflect the core curriculum for UK speciality trainees. Each case brings together expert interpretation of the available evidence, management strategies, guidelines and best practice, while discussing complexities in clinical decision-making and controversies in approach.

Felicity Dewhurst, St Oswald's hospice and Newcastle university, Polly Edmonds, Consultant in Palliative Medicine, King's College Hospital NHS Foundation Trust, Suzie Gillon, Consultant in Palliative Medicine, Leeds Teaching Hospitals NHS Trust, Amy Hawkins, Consultant in Palliative Medicine, Royal Trinity Hospice, Mary Miller, Consultant in Palliative Medicine & End of Life Care Lead (OUH) Clinical Lead for National Audit of Care at the End of Life, NHS Benchmarking Honorary Senior Clinical Lecturer in Palliative Medicine, University of Oxford Director OxCERPC (Oxford Centre for education and research in palliative care), and Sarah Yardley, Associate Professor of Palliative Medicine, Marie Curie Palliative Care Research Department, University College London and Honorary Consultant in Palliative Medicine, Symptom Control and Palliative Care Service, University College London Hospital