Therapy-related issues: palliative care

Philip Wiffen, Marc Mitchell, Melanie Snelling and Nicola Stoner

in Oxford Handbook of Clinical Pharmacy

Second edition

Published on behalf of Oxford University Press

Published in print January 2012 | ISBN: 9780199603640
Published online January 2012 | e-ISBN: 9780191730610 | DOI:

Series: Oxford Medical Handbooks

Therapy-related issues: palliative care

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Anorexia and cachexia 578

Constipation 578

Fatigue 579

Hypercalcaemia of malignancy 580

Mouth care 581

Noisy breathing 581

Insomnia 582

Spinal cord compression 582

Malignant bowel obstruction 583

Syringe drivers and compatibility of medicines 584

End-of-life pathways 585

Anaemia 586

The dictionary definition of anorexia is a lack of appetite (for food). Cachexia is involuntary weight loss which can progress to an emaciated state. The majority of palliative care patients experience cachexia at some stage, and this difficult condition requires determination of the cause, if possible, and development of careful management. A number of Cochrane reviews have been published which summarize a fairly large volume of literature. The following interventions may be considered. ...

Chapter.  2970 words. 

Subjects: Pharmacology

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