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Table of Contents
Intro
Foreword
Preface
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-tunnelled 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-tunnelled Central Catheters
2.3.3 Femoral Vein
2.3.4 Subclavian Vein
3 Tunnelled 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
5 Conclusion
References
Foreword
Preface
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-tunnelled 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-tunnelled Central Catheters
2.3.3 Femoral Vein
2.3.4 Subclavian Vein
3 Tunnelled 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
5 Conclusion
References