Symptom control, management of psychosocial and spiritual concerns, decision-making consistent with values and goals, and care of the imminently dying that is appropriate and sensitive are among the critical issues in palliative care. This book explores progress made and future goals.

This comprehensive guide describes the aftercare that is appropriate in young cancer patients and discusses in detail the risk and detection of treatment sequelae. It explains the impacts on body and mind of both the disease itself and the different risk-adapted cancer treatments currently in use. Clear guidance is provided on diagnosis and management of the principal treatment-related toxicities in different organs and organ systems and for a wide variety of tumor types. In addition, the role of genetic polymorphisms in the development of adverse therapy-related outcomes is explored, and advice offered on genetic counselling. As the number of long-term survivors of childhood cancer and of cancer in young adults continues to grow, so issues surrounding potential sequelae, second malignancies, and quality of life are becoming ever more important. All practitioners involved in the care of young cancer patients will find this book to be a helpful source of up-to-date information and assistance.

'. . . worthy, scientifically-founded... will do a lot to reinvigorate clinicians who have tired of fatigue and help get this complex symptom out of the too-hard baskcet.' -IAHPC WebsiteFatigue in Cancer provides a comprehensive review of the key issues involved in the research and practical application of current evidence and best practice guidelines for addressing cancer-related fatigue. An international group of contributors draw together core topics relating to this complex area of cancer management, focusing on issues of definition, patho-physiology, treatment related variables and the psychological, social and emotional impact on patients, families and carers. Critical reviews of practical management strategies for both adults and children are included, as are the current approaches to the measurement of cancer-related fatigue in clinical and research contexts. The book contributes a multi-disciplinary overview of a problem increasingly overlooked by cancer scientists, researchers, and clinicians.This book demonstrates the considerable capacity of cancer-related fatigue to impact on quality of life. Its multi-disciplinary focus and consideration of prioritised areas of future research will ensure that it is will prove invaluable for all health professionals and researchers in oncology and palliative care.Readership: Palliative medicine and oncology physicians and other professionals caring for advanced stage cancer patients.

Recognize and treat fatigue as a major symptom of cancer and cancer treatment! The Handbook of Cancer-Related Fatigue, by Dr. Roberto Patarca-Montero, the editor of the Chronic Fatigue Syndrome series from The Haworth Medical Press, focuses exclusively on fatigue as it relates to oncology. As more people every year are affected by cancer, treating the leading symptom becomes as important as treating the disease itself. Written by one of the world’s leading experts in the study of fatigue, this detailed work studies the causes, impact, and treatment of fatigue before, during, and after cancer treatment. Considered one of the most distressing yet common symptoms of cancer, fatigue must be allayed to improve the patient’s quality of life. The Handbook of Cancer-Related Fatigue studies the close relationship between fatigue and cancer, as well as cancer therapies that cause fatigue. This book identifies fatigue’s devastating effects on the body and mind and offers solutions to maximize care for all types of cancer victims using documented clinical studies from around the world. For those interested in pursuing more information, an extensive bibliography is included for all relevant text. The Handbook of Cancer-Related Fatigue provides extensive research on: determining a diagnosis of cancer-related fatigue and recognizing the syndrome at all stages of treatment long-term and short-term effects of fatigue on the cancer victim’s body and its impact on the patient’s care and treatment, even after the cancer goes into remission the underlying factors within the body systems that contribute to cancer-related fatigue numerous beneficial intervention techniques to allay the effects of cancer-related fatigue on the patient’s quality of life clinical studies showing the statistics of cancer-related fatigue in the United States and around the world identifying the relationship between cancer and fatigue using tables, references, sidebars, and an extensive bibliography and much more! Focused and thorough, The Handbook of Cancer-Related Fatigue is written for both cancer patients and health-care providers of all disciplines. Whether you are an oncologist, a therapist, or a patient, vital information is not only accessible but made easier to understand with handy charts, tables, and referenced clinical studies throughout the chapters. With fatigue categorized as one of the most important symptoms of cancer, it becomes imperative for anyone touched by this disease—personally or professionally—to keep a copy of this book at hand.

Current literature shows that there is a gap in our knowledge about how tired ness/fatigue in cancer patients should be defined and measured. Existing fa tigue-related research in cancer patients shows conceptual and measurement differences (Piper 1993). There is no continuum of tiredness/fatigue in univer sal use. What do patients mean if they fill in a visual analogue scale indicating that they feel "very tired"? Is it an indicator of general well-being, and thus an 1993)? Most articles estimate of general quality of life (Hiirny and Bernhard written by English authors use the word fatigue to identify extreme tired ness. It could be said that in the English language, tiredness that is perceived as unusual, continuing distress is fatigue rather than tiredness. In the German language, tiredness (Mudigkeit) is not primarily a term for distress attributed to disease or unusual effort. But tiredness becomes a distressing phenomenon when it no longer regulates a healthy balance between rest and activity but represents unusual, abnormal or excessive whole-body tiredness that is dis proportionate to or unrelated to activity or excessive exertion (Piper 1993). As there is no word for fatigue in the German language, the definition "extreme, unusual tiredness" (in German: extreme, unubliche Mudigkeit), is used to explain the term "fatigue:' This clarification is needed to ensure that future fatigue research conducted in German-speaking countries can be com pared with such research carried out elsewhere.

This book provides a clinically useful resource for evaluation and management of the symptoms and issues that burden survivors of breast cancer. Improvements to breast cancer screening and treatment have resulted in more patients than ever before having been cured after local definitive and systemic therapies. Primary care providers and specialists must be increasingly familiar with the issues that breast cancer survivors routinely face. This is the first book to provide a single resource for common issues faced by breast cancer survivors from a truly multidisciplinary perspective; each chapter of this text is coauthored by at least one oncologist and one specialist outside the field of oncology in order to include the perspectives of relevant disciplines. User-friendly and clinically applicable to all specialties, individual chapters also include tables and figures that describe how best to conduct initial evaluation of the given symptom as well as an algorithm, where applicable, outlining the optimal management approach. Common Issues in Breast Cancer Survivors: A Practical Guide to Evaluation and Management empowers non-cancer specialists and practitioners who care for breast cancer survivors to address common issues that impact patient quality of life.

The Key Aspects books, each of which has won a Book-of-the-Year Award from the American Journal of Nursing, are designed to move the ideas and findings of nursing research into the practice setting. Each volume distills dozens of studies into a readable, jargon-free format with immediate relevance to nursing practice, and includes suggestions for implementation.