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| Issues Specific To Palliative Care | |
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| Palliative Care Perspectives | |
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| Introduction | |
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| Definitions | |
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| Hospice Care and the Medicare Hospice Benefit | |
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| Palliative Care Programs | |
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| The Future | |
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| Summary | |
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| Advance Care Planning | |
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| Introduction | |
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| Advanced Illness Conversations | |
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| Strategies to Improve Communication Quality | |
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| Advance Care Planning | |
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| Personal Awareness and Self-Care | |
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| Summary | |
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| Evidence-Based Interventions | |
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| Evolution of Evidence-Based Practice | |
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| Tools of Evidence-Based Practice | |
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| Implementing Evidence-Based Practice | |
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| Summary | |
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| Pharmacology | |
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| Introduction | |
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| Pharmacodynamics | |
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| Pharmacokinetics | |
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| Non-Linear Pharmacokinetics | |
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| Dosing Regimens in Pharmacokinetics | |
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| Importance of P-450 Enzyme System in Pharmaceutical Management | |
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| Ethnicity and Special Populations | |
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| P-450 Specific Enzymes | |
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| Metabolism Through Glucuronidation | |
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| Multiple Drug Transporters | |
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| Polypharmacy and Drug Interactions | |
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| Pharmacokinetics in Special Populations | |
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| Summary | |
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| The Interface Of Sleep | |
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| Introduction | |
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| Normal Sleep | |
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| Impaired Sleep and Sleep Disorders | |
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| Sleep in the Palliative Care Setting | |
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| Factors Associated With Impaired Sleep | |
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| Management of Impaired Sleep | |
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| Summary | |
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| Specific Disease States and Symptom Management | |
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| Cardiovascular | |
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| Cardiovascular Disease | |
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| Pathophysiology of Advanced Heart Failure | |
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| Immune System Up-Regulation | |
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| Management of HF Symptoms | |
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| Prognostic Indicators for Palliative Interventions | |
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| Interventions Before Palliation | |
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| End-Of-Life Care | |
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| Summary | |
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| Pulmonary | |
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| Introduction | |
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| Pulmonary Function Tests | |
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| Staging | |
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| Common and Frequent Symptoms | |
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| Dyspnea | |
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| Exacerbations | |
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| Monitoring | |
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| Pharmacologic Treatment | |
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| Nonpharmacologic Treatment | |
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| Pulmonary Rehabilitation | |
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| Anxiety and Depression | |
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| Summary | |
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| Nephrology | |
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| Introduction | |
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| Symptom Burden | |
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| Common Symptoms | |
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| Discussion of Specific Symptoms and Their Management | |
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| Advance Care Planning | |
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| End-Of-Life and Hospice Care | |
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| Discontinuing Dialysis | |
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| Future Research | |
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| Oncology | |
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| Introduction | |
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| The Cost of Cancer | |
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| Culturally Competent Palliative Practices | |
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| Health Disparities | |
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| Cellular Pathophysiology of Advanced Cancer | |
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| Cancer Staging | |
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| Metastatic Sites and Associated Symptoms | |
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| Oncologic Emergencies | |
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| Hypercalcemia of Malignancy | |
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| Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) | |
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| Increased Intracranial Pressure | |
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| Spinal Cord Compression | |
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| Superior Vena Cava Syndrome | |
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| Treatment-Related Oncologic Emergencies | |
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| Symptom Management in Advanced Malignancy | |
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| Summary | |
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| Cancer Pain | |
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| Introduction | |
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| Pain Syndromes | |
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| Pain Assessment | |
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| Treatment | |
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| Summary | |
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| Neurology | |
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| Amyotrophic Lateral Sclerosis | |
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| Huntington's Disease | |
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| Summary | |
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| The Dying Process, Grief, and Bereavement | |
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| Ethical Issues | |
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| Introduction | |
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| Ethical Issues in the Transition to Palliative Care | |
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| Ethical Issues Within Palliative Care | |
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| Summary | |
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| Cultural and Spiritual Issues | |
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| Introduction | |
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| Cultural Impacts on Palliative Care | |
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| Spiritual Issues in Palliative Care | |
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| Summary | |
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| The Dying Process | |
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| Introduction | |
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| Dying in America | |
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| Theories on Death and Dying | |
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| Dimensions of Dying | |
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| Diagnosing Dying | |
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| Approaches to Care | |
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| Summary | |
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| Grief and Bereavement | |
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| Introduction | |
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| Death and Loss | |
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| Types of Grief | |
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| Stage Theories | |
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| Reactions to Grief | |
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| The Impact of Grief | |
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| Professional Responsibilities | |
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| Assistance | |
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| Summary | |
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| Answers | |
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| Appendixes | |
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| Medications by Disorder | |
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| Medication Routes and Metabolism | |
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| Palliative Care Assessment Tools | |
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| Websites | |
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