Integrated Palliative Care of Respiratory Disease
The second edition of this book brings together the knowledge, skills and attitudes of specialists in both respiratory and palliative medicine to focus on the palliative care of patients with respiratory diseases. It deals not only with end of life care b
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Integrated Palliative Care of Respiratory Disease
Stephen J. Bourke • Tim Peel Editors
Integrated Palliative Care of Respiratory Disease Second Edition
Editors Stephen J. Bourke Department of Respiratory Medicine Royal Victoria Infirmary Newcastle Upon Tyne UK
Tim Peel Policy, Ethics and Life Sciences Newcastle University Newcastle Upon Tyne UK
Previously published by Springer ISBN 978-3-030-18943-3 ISBN 978-3-030-18944-0 (eBook) https://doi.org/10.1007/978-3-030-18944-0 © Springer Nature Switzerland AG 2013, 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
One of the major successes of modern medicine has been the integration of the ethos, knowledge and skills of palliative care into the standard care of patients with progressive disease. Substantial improvements have been made in the specialty of Respiratory Medicine in recent years such that many patients are now treated by multidisciplinary teams focused on support, symptom control, restorative care, rehabilitation and psychological interventions throughout the course of the illness, in parallel with disease-modifying therapies. Palliative care of respiratory disease is often complex because of the high level of symptoms experienced by these patients and the variable and sometimes unpredictable trajectories of these diseases. Sudden death is a feature of catastrophic illnesses such as severe pneumonia or acute lung injury. The end-of-life phase may be short and is likely to be in the setting of an intensive care unit (ICU), with very little time for the patient and family to adjust to the circumstances. They need to be supported in coping with a trajectory that moves quickly from good health to death and be
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