The importance of palliative care for children facing life threatening illness and their families is now widely acknowledged as an essential part of care, which should be available to all children and families, throughout the childs illness and at the end of life. The new edition of the Oxford Textbook of Palliative Care for Children brings together the most up to date information, current knowledge, evidence, and developments of clinical practice in the field.The book is structured into four sections. Foundations of Care describes core issues, the foundations on which paediatric palliative care is based. Child and Family Care looks at different aspects of psychological, social, and cultural care for the sick child or young person, and their family. These chapters cover the time course of the illness, around the time of death and support for the bereaved family. Symptom Care focuses on the uses of medication, specific symptoms, and theirmanagement. Finally, Delivery of Care examines practical approaches to care in different environments and the needs of clinicians.Two new editors join the team from Canada and South Africa, reflecting our aims to contribute towards the development of care for children across the world, and to be a resource for both experienced clinicians and those new to the field.Comprehensive in scope, exhaustive in detail, and definitive in authority, this third edition has been thoroughly updated to cover new practices, current epidemiological data, and the evolving models that support the delivery of palliative medicine to children. This includes two new chapters, looking in detail at Decision Making and Perinatal Care, and a new section highlighting the emerging importance of Palliative Care for Children in Humanitarian Crises. This book is an essentialresource for anyone who works with children worldwide.
Section I: Foundations of care; History and epidemiology; Communication; Children are not little adults the distinctiveness of ethics in children; Decision making with children, young people and parents; Culture, spirituality, religion, and ritual; Section II: Child and family care; Assessment of the child and family; Children s views of death; The psychological impact of life-limiting conditions on the child; Adolescents and young adults; Children expressing themselves; Education and school; Impact on the family; Bereavement; Section III: Symptom care; Overview of symptoms and their assessment in life-limiting illness; Using medication in children s palliative care; Introduction to pain; Multimodal analgesia in pediatric palliative care; Opioids and the WHO pain ladder; Difficult pain: adjuvants or co-analgesics; Integrative approach to pain and other symptoms; Gastrointestinal and liver related symptoms in paediatric palliative care; Feeding, cachexia and malnutrition in children s palliative care; Neurological and neuromuscular conditions and symptoms; Depression, anxiety, and delirium; Cardiorespiratory symptoms; Skin symptoms; Haematological symptoms; Palliative care for children with communicable illnesses; Section IV: Delivery of care; Perinatal palliative care; Intensive-care units; Planning care; Care in the final hours and days; Delivering care around the world; Healthcare providers responses to the death of a child; Teamwork; Education; Quality improvement in paediatric hospice and palliative care; Research in paediatric palliative care; The Association of Paediatric Palliative Medicine Master Formulary, Fifth Edition, 2020;
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