Status
Call number
Publication
ISBN
Description
This important book fills a gap in the literature by focusing specifically on the role of interventional radiology in patients receiving palliative medicine and supportive care, a group in which the need for minimally invasive therapy is especially high. Detailed information and guidance is provided on use of the tools of interventional radiology for the purpose of problem solving in relation to a wide variety of diseases and complications. Readers will find clear explanation of the ways in which interventional radiology techniques can assist with regard to intravenous access, feeding, musculoskeletal and neurological pain relief, tumor debulking, management of bleeding and obstructions, drainages, and treatment of fistulas. Throughout, helpful tips and tricks of value in daily practice are highlighted. The book is an ideal reference on the interventional management of palliative/supportive care and the effective use of interventional radiology techniques in a multidisciplinary environment. Beyond specialists and trainees in interventional radiology, it will have broad appeal to all who deal with patients on palliative and supportive care on a day-to-day basis.… (more)
Local notes
https://www.r2library.com/Resource/Title/3030654621
CONTENTS:
Part I: Introduction and Nutrition
Introduction to Palliative Care
1 Introduction
2 What Is Palliative Care?
3 Why Is This Important for Interventional Radiologists?
4 The History of Palliative Care
5 The "Upstreaming" of Palliative Care
6 Specialist Palliative Care
7 Awareness of Services
8 The Place of Interventional Radiology in Palliative Care
9 Practical Considerations with Interventional Radiological Palliative Procedures
10 Summary
References
Introduction to IR
References; Clinical Applications of Outcome Measurement
1 Introduction
2 Why Do We Need Outcome Measures?
3 What Outcome Measures Should We Use?
3.1 Patient-Reported Outcome Measures (PROMs)
3.2 Other Patient-Centric Outcomes
3.3 Burdens on the Caregiver
3.4 Cost Savings and Facilitating Transitions of Care
4 Choosing the Right Measures
4.1 Requirements for Good Outcome Measures in Clinical Care (Greenhalgh et al. 1998)
5 Barriers to Using Outcome Measures in Clinical Care
6 Getting Started with Outcome Measurement
References; Ethics, Consent, and Communication Challenges
1 Introduction
2 Medical Futility at the End of Life
3 Shared Decision-Making at the End of Life
4 Decision-Making Capacity
5 Informed Consent
References
Intravenous Access Solutions
1 Introduction
2 Peripherally Inserted Central Catheters (PICCs) and Non-tunneled Central Venous Catheters
2.1 Indications and Contraindications
2.2 Patient Preparation
2.3 Technique
2.3.1 Peripherally Inserted Central Catheter
2.3.2 Non-tunneled Central Catheters
2.3.3 Femoral Vein
2.3.4 Subclavian Vein; 3 Tunneled Central Venous Catheters (TCVC)
3.1 Indications
3.2 Contraindications
3.3 Patient Preparation
3.4 Technique
4 Subcutaneous Ports
4.1 Indications
4.2 Contraindications
4.3 Technique
5 Complications
6 Post-procedure Care
References
Feeding Solutions
1 Introduction
2 Ethical Issues in Nutrition in Palliative Care
3 Effects of Nutritional Support
3.1 Pathophysiological Changes
3.2 Nutritional Support
3.3 Artificial Nutrition
4 Interventional Radiology and Nutrition
4.1 Enteral Feeding; 4.1.1 Nasogastric Tube Insertion
4.1.2 Nasojejunal Tube Insertion
4.2 Modifications of Feeding Tubes
4.2.1 Percutaneous Radiological Gastrostomy (PRG)
4.2.1.1 Pull Type
4.2.1.2 Push Type
4.2.1.3 Results and Complications
4.2.2 Primary Radiological Jejunostomy
4.3 Aiding Oral Feeds by Radiological Stent Placement
4.3.1 Oesophageal Stent
4.3.2 Gastro-duodenal Stent
4.4 Parenteral Nutrition
4.4.1 Catheter Types and Recommendations
4.4.2 Complications
4.4.3 Parenteral Hydration