Section 1: Introduction 1.1. Introduction, Geoff Hanks, Nathan I. Cherny, Stein Kaasa, Russ Portenoy, Nicholas Christakis and Marie Fallon
Section 2: The worldwide status of palliative care
2.1. International progress in creating palliative medicine as a specialized discipline, David Clark
2.2. Lessons learned from hospice in the United States of America, Perry Fine and Stephen Connor
2.3. Providing palliative care in resource-poor countries, Robert Twycross and M. R. Rajagopal
2.4. IAHPC list of the essential medicines for palliative care, Neil Macdonald
Section 3: The challenge of palliative medicine
3.1. The problem of suffering and the principles of assessment in palliative medicine, Nathan I. Cherny
3.2. The epidemiology of death and symptoms, Jane Ingham, Meg Sands and Michael Piza
3.3. Predicting survival in patients with advanced disease, Paul Glare, Christian Sinclair, Michael Downing and Patrick Stone
3.4. Palliative medicine and modern cancer care, Raphael Catane and Nathan Cherny
3.5. Barriers to the delivery of palliative care, Fiona Graham, Suresh Kumar and David Clark
3.6. Defining a good death, Karen Steinhauser and James Tulsky
3.7. Cultural aspects of palliative medicine, Jonathan Koffman and LaVera Crawley
3.8. The economic challenges of palliative medicine, Thomas Smith and J Brian Cassel
Section 4: The interdisciplinary team
4.1. The core team and the extended team, Dagny Faksvag Haugen, Friedemann Nauck and Augusto Caraceni
4.2. Nursing and palliative care, Deborah Witt Sherman
4.3. Social work in palliative care, Barbara Monroe
4.4. The role of the chaplain in palliative care, Rev. James M. Harper, III and Rabbi Jonathan E. Rudnick
4.5. Occupational therapy in palliative care, Jennifer Miller and Jill Cooper
4.6. Music therapy in palliative care, Clare O'Callaghan
4.7. The dietician and nutritionist in palliative care, Rosemary Richardson and Isobel Davidson
4.8. Physiotherapy in palliative care, Diane Robinson and Anne English
4.9. Speech and language therapy in palliative care, Alison MacDonald and Linda Armstrong
4.10. Art therapy in palliative care, Michele Wood
4.11. The contribution of stoma nurse specialist to palliative care, Jane Ellen Barr
4.12. Clinical psychology in palliative care, Fiona Cathcart
4.13. The clinical pharmacist in palliative care, Margaret Gibbs
Section 5: Ethical issues
5.1. Introduction, Kenneth Calman
5.2. Confidentiality, Ira Byock and Diane Palac
5.3. Truth-telling and consent, Martin Tattersall
5.4. Palliative medicine in children: ethical and legal issues, Vic Larcher and Dr Dilini Rajapakse
5.5. Euthanasia and physician-assisted suicide, Lars Johan Materstvedt and Dr Georg Bosshard
5.6. Withholding and withdrawing life-sustaining therapy, Joe Fins and Elizabeth Nilson
Section 6: Communication and palliative medicine
6.1. Communication with the patient and family in palliative medicine, Lesley Fallowfield
6.2. Talking with families and children about the death of a parent, Anna C. Muriel and Paula K. Rauch
6.3. Communication with professionals, David Jeffrey
6.4. Communication with the public, policy makers and the media, Kenneth Calman
Section 7: Research in palliative medicine
7.1. Research in palliative care: getting started, Geoffrey Hanks and Stein Kaasa
7.2. The principles of evidence-based medicine, Henry J. McQuay, Andrew Moore and Philip Wiffen
7.3. Clinical trials in palliative care, John Farrar
7.4. Qualitative research, Linda J. Kristjanson and Nessa Coyle
7.5. Research into psychosocial issues, David W. Kissane, Annette F. Street and Erin Schweers
7.6. Ethical issues in palliative care research, David Casarett
7.7. Measurement of pain and other symptoms, Jane Ingham, Russ Portenoy and Anthoulla Mohamudally
7.8. Quality of life measurement in palliative medicine - principles and practice, Stein Kaasa and John Havard Loge
7.9. Measurement of pain and other symptoms in the cognitively impaired, Keela Herr and Mary Ersek
7.10. Clinical and organisational audit and quality improvement in palliative medicine, Irene J. Higginson
Section 8: Principles of drug use in palliative medicine
8.1. Principles of drug use in palliative medicine, Geoffrey Hanks
Section 9: Disease modifying management in advanced cancer
9.1. The medical treatment of cancer in palliative care, Malcolm McIllmurray
9.2. Radiotherapy in symptom management, Peter J. Hoskin
9.3. The role of general surgery in the palliative care of patients with cancer, Robert Krouse
9.4. The role of orthopaedic surgery in the palliative care of patients with cancer, John Healey and Wakenda Tyler
9.5. The role of interventional radiology in the palliative care of patients with cancer, Tarun Sabharwal, N Fotiadis and Andy Adam
Section 10: The management of Common Symptoms and Disorders
10.1: The management of pain
10.1.1. Pathophysiology of pain in cancer and other terminal diseases, Gordon Williams and Tony Dickenson
10.1.2. Pain assessment and cancer pain syndromes, Nathan I Cherny
10.1.3. Neuropathic pain, Nanna Brix Finnerup and Troels Staehelin Jensen
10.1.4. Cancer induced bone pain, Lesley A Colvin and Marie Fallon
10.1.5. Breakthrough pain, Giovambattista Zeppetella
10.1.6. Opioid analgesic therapy, Geoffrey Hanks, Nathan Cherny and Marie Fallon
10.1.7. Non-opioid analgesics, Per Sjogren, Frank Elsner and Stein Kaasa
10.1.8. Adjuvant analgesics in pain management, David Lussier and Russell Portenoy
10.1.9. Injections, neural blockade, and implant therapies for pain control, Robert A. Swarm, Menelaos Karanikolas and Michael J. Cousins
10.1.10. The role of surgical neuroablation for pain control, Nicholas Park and Nik Patel
10.1.11. Treating pain with transcutaneous electrical nerve stimulation, Michaela Bercowitz and Nathan I. Cherny
10.1.12. Acupuncture, Jacqueline Filshie and John W. Thompson
10.1.13. Psychological and psychiatric interventions in pain control, William Breitbart, Steven D. Passik and David Casper
10.2 Gastro-intestinal symptoms
10.2.1. Palliation of nausea and vomiting, Kathryn A. Mannix
10.2.2. Dysphagia, dyspepsia and hiccup, Claud Regnard
10.2.3. Constipation and diarrhoea, Nigel Sykes
10.2.4. Pathophysiology and management of malignant bowel obstruction, Carla Ripamonti and Sebastian Mercadante
10.2.5. Jaundice, ascites and hepatic encephalopathy, Jeremy Keen
10.3 Weight loss in palliative medicine
10.3.1. Classification and pathophysiology of the anorexia/cachexia syndrome, Florian Strasser and Vickie Baracos
10.3.2. Classification, clinical assessment and treatment of the anorexia-cachexia syndrome., Ken Fearon, Vickie Baracos and Sharon Watanabe
10.4 Fatigue and asthenia
10.4. Fatigue and asthenia, Sriram Yennurajalingam and Eduardo Bruera
10.5 Clinical management of anaemia, cytopenias and thrombosis in palliative medicine
10.5. Clinical management of anaemia, cytopenias and thrombosis in palliative medicine, Robert Turner
10.6 Pruritus and sweating in palliative medicine
10.6. Pruritus and sweating in palliative medicine, Mark R. Pittelkow and Charles L. Loprinzi
10.7 Skin problems in palliative medicine
10.7.1. Medical aspects, Michal Lotem
10.7.2. Nursing aspects, Patricia Grocott and Vicky Robinson
10.7.3. Lymphoedema, Vaughan Keeley
10.8 Genito-urinary problems in palliative medicine
10.8. Genito-urinary problems in palliative medicine, Richard W. Norman and Greg Bailly
10.9 Mouth care
10.9. Mouth care, Franco De Conno, Cinzia Martini, Alberto Sbanotto, Carla Ripamonti and Vittorio Ventafridda
10.10 Endocrine and metabolic complications of advanced cancer
10.10. Endocrine and metabolic complications of advanced cancer, Mark Bower and Sarah Cox
10.11 Neurological problems in advanced cancer
10.11. Neurological problems in advanced cancer, Augusto Caraceni, Cinzia Martini and Fabio Simonetti
10.12 Sleep in palliative care
10.12. Sleep in palliative care, Michael J. Sateia and Ira Byock
10.13 Withdrawing life support - clinical advice for challenging scenarios
10.13. Withdrawing life support - clinical advice for challenging scenarios, Gordon D. Rubenfeld
10.14 Clinical management of bleeding complications
10.14. Clinical management of bleeding complications, Jose Pereira and Sophie Pautex
Section 11: Issues in specific neoplastic disease
11.1. Palliative medicine in malignant respiratory diseases, Kin-Sang Chan, Doris M.W. Tse, Michael M.K. Sham and Anne Berit Thorsen
11.2. Head and neck cancer, Barbara A. Murphy, Anthony Cmelak, Steven Bayles, Ellie Dowling, Cheryl R Billante, Sheila Ridner, Kirsten Hamean, Stewart Bond, Anne Marie Flores and Wisawatapnimit Panarut
11.3. Brain tumours, Claudia Bausewein, Gian Domenico Borasio and Raymond Voltz
Section 12: Palliative medicine in non-malignant disease
12.1. Introduction, Marie Fallon
12.2. AIDS in adults, Roger Woodruff and David Cameron
12.3. Palliative medicine and non-malignant, end-stage respiratory disease, Richard M. Leach
12.4. Palliative medicine for patients with end-stage heart disease, Andrew D. McGavigan, Francis G. Dunn and Carolyn Datta
12.5. Palliative medicine in non-malignant neurological disorders, G.D. Borasio, A. Rogers, S. Lorenzl and R. Voltz
12.6. Palliative medicine in end-stage renal failure, Jo Chambers
12.7. Palliative medicine in intensive care, Simon Cohen and Thomas J. Prendergast
Section 13: Paediatric palliative medicine
13.1. Special consideration for children in palliative medicine, Betty Davies and Harold Siden
13.2. Paediatric pain control, Stephen C. Brown and Patricia A. McGrath
13.3. Symptom control in life-threatening illness in children, John J. Collins
13.4. Psychological adaptation of the dying child, Michael M. Stevens
13.5. Bereavement issues and staff support when caring for children, Betty Davies and Stacy Orloff
Section 14: Geriatric palliative medicine
14.1. Palliative medicine in dementia, Ladislav Volicer
14.2. Palliative medicine and care of the elderly, Diane E. Meier and Nathan Goldstein
Section 15: Psychiatric, psychosocial and spiritual issues in palliative medicine
15.1. Sprititual issues in palliative medicine, Susan McClement and Harvey Chochinov
15.2. The emotional problems of the patient in palliative medicine, Mary L.S. Vachon
15.3. The family perspective, Joan T. Panke and Betty R. Ferrell
15.4. The stress of professional caregivers, Liz Jamieson, Emma Teasdale, Alison Richardson and Amanda Ramirez
15.5. Psychiatric symptoms in palliative medicine, William Breitbart
15.6. Bereavement, David W. Kissane and Talia Zaider
Section 16: Rehabilitation in palliative medicine
16.1. Rehabilitation in palliative medicine, Deborah Franklin and Andrea Cheville
Section 17: Complementary therapies in palliative medicine
17.1. Complementary therapies in palliative medicine, Gary Deng and Barrie R. Cassileth
Section 18: Palliative medicine in the home
18.1. Palliative medicine in the home: an overview, Derek Doyle
18.2. Palliative medicine in the home: North America, S. Lawrence Librach
Section 19: The terminal phase
19.1. The terminal phase, Mike Harlos
19.2. Sedation in palliative medicine, Eric Krakauer and Thomas Quinn
Section 20: Education and training in palliative medicine
20.1. Introduction, Kenneth Calman
20.2. Postgraduate education in palliative medicine, Meg Hegarty and David Currow
20.3. Training specialists in palliative medicine, Charles von Gunten, Barry Buckholz and Frank Ferris
20.4. The role of the humanities in palliative medicine, Deborah Kirklin
20.5. Informatics and palliative medicine, Jose Pereira