CONTENTS
Contributing Authors v
Preface xiii
Acknowledgments xv
SECTION 1
Symptoms and Syndromes 1
Part A: Pain
 1. Neuropathic, Bone, and Visceral Pain 
Syndromes 2
Terry L. Barrett and Emily J. Martin
 2. Opioid Pharmacotherapy 22
Alexandra L. McPherson, Mary Lynn 
McPherson, and Judith A. Paice
 3. Nonpharmacologic Management of Pain 44
Ryan Tourtellot and Angela K. M. Lipshutz
 4. Interventional Approach to Pain 58
Philip S. Kim, Andrew Mannes, and Russell 
R. Lonser
 5. Treatment Planning in Palliative 
Radiotherapy 70
Christen R. Elledge and Sara R. Alcorn
 6. Pathophysiology of Chemotherapy-Induced 
Peripheral Neuropathy 88
Xiao-Min Wang, Jane M. Fall-Dickson, 
Zhang-Jin Zhang, and Tanya J. Lehky
Part B: Constitutional Symptoms
 7. Cancer-Related Fatigue 100
Xin Shelley Wang
 8. Fever and Sweats 114
Christopher Ahern and Elizabeth Prsic
 9. Hot Flashes 127
Cindy S. Tofthagen and Charles L. Loprinzi
Part C: Gastrointestinal Symptoms and Syndromes
 10. Anorexia/Weight Loss 141
Egidio Del Fabbro and Eduardo Bruera
 11. Swallowing and Speech Considerations in 
Palliative Care 164
Beth I. Solomon and Monique C. King
 12. Chemotherapy-Related Nausea and Vomiting 
and Treatment-Related Nausea  
and Vomiting 180
Han Le
 13. Assessment and Management of Chronic 
Nausea and Vomiting 194
Lakshmi Vaidyanathan
 14. Diarrhea, Malabsorption, and 
Constipation 207
Erica Schockett and Pallavi Doddakashi
 15. Bowel Obstruction 226
Maria Pia Morelli
 16. Diagnosis and Management of  
Effusions 245
Gary T. Buckholz and Charles F. von  
Gunten
 17. Hiccups and Other Gastrointestinal 
Symptoms 258
Nabeel Sarhill, Fade Mahmoud, and Donato 
G. Dumlao
 18. Oral Manifestations and Complications of 
Cancer Therapy 273
Jane M. Fall-Dickson, Madeline R. Kozak, 
and Ann M. Berger
Part D: Skin
 19. Pruritus 295
Ivy Akid and Ambereen K. Mehta
 20. Management of Tumor-Related Skin 
Disorders 307
Shali Zhang
 21. Dermatologic Adverse Events during 
Treatment 322
Brianna Olamiju, Sara Yumeen, Y evgeniy 
Balagula, Alyx Rosen Aigen, and Jonathan 
Scott Leventhal
 22. Management of Pressure Injury,  
Fungating Malignant Wounds, Fistulas,  
and Stomas 337
Sonika Pandey and Linda J. Stricker
 23. Lymphedema 352
Vaughan L. Keeley
Part E: Cardiopulmonary and Vascular  
Syndromes
 24. Dyspnea in the Cancer Patient 366
Ann M. Berger
 25. Hemoptysis, Airway Obstruction, 
Bronchospasm, Cough, and Pulmonary 
Complications/Symptoms of Cancer and Its 
Treatment 380
Sebastian Cousins, Hunter Groninger, and 
Jaya Vijayan 26. Prevention, Assessment, and Management 
of Treatment-Induced Cardiac Disease in 
Cancer Patients 396
Krishna Upadhyaya, Sarah C. Hull, Ben A. 
Lin, Elizabeth Prsic, Mariana Henry, and 
Lauren A. Baldassarre
 27. Noninvasive Respiratory Support and 
Palliative Care 410
John R. Bach and Liping Wang
Part F: Genitourinary Symptoms and Syndromes
 28. Urologic Issues in Palliative Care 421
Hiren V . Patel, Brian Shinder, Adam R.  
Metwalli, Peter A. Pinto, and Eric A. Singer
 29. Impact of Hepatic and Renal Dysfunction on 
Pharmacology of Palliative Care Drugs 443
Katelyn Stepanyan and Thomas Strouse
Part G: Metabolic Disorders
 30. Metabolic Disorders in the Cancer 
Patient 451
Victoria Anderson and Jaydira Del Rivero
 31. Infectious Complications/Management 465
Juan C. Gea-Banacloche and Jennifer M. 
Cuellar-Rodríguez
Part H: Selected Neurologic Symptoms and 
Syndromes
 32. Management of Intracranial  
Metastases 482
Karine A. Al Feghali and Caroline Chung
 33. Management of Spinal Cord and Cauda 
Equina Compression 494
Sharon M. Weinstein and Jason G. Ramirez
Part I: Selected Psychiatric Symptoms and 
Syndromes
 34. Recognizing and Managing  
Delirium 512
Elizabeth L. Cobbs and Jacob W . Phillips
 35. Depression and Anxiety in Palliative 
Care 526
Paul Noufi, Haniya Raza, and  
Maryland Pao
 36. Cognitive Decline Following Cancer 
Treatment 554
Elizabeth Ryan, Alexandra M. Gaynor, 
Katrazyna McNeal, Tim A. Ahles, and James 
C. Root
 37. Substance Use Disorders and Palliative 
Care 570
Karen Blackstone
SECTION II
Issues in Palliative Care 584
Part A: Definitions and Models
 38. Hospice 585
Martha L. Twaddle and Laura Patel
Part B: Assessment Issues
 39. Cultural Issues in Palliatives and Supportive 
Oncology 595
Joseph F. O’Neill, Margaret M. Mahon, and 
Gregory Pappas
 40. Communication During Transitions of 
Care 600
Anne M. Kelemen, Clara Van Gerven, and 
Terry Altilio
 41. The Family Meeting 614
Sumi K. Misra and Mohana B. Karlekar
Part C: Other Issues in Palliative Care
 42. Psychosocial Consequences of Advanced 
Cancer 626
James R. Zabora and Matthew J. Loscalzo
 43. Disorders of Sexuality and Reproduction 645
Mary K. Hughes
 44. Caregiving in the Home 656
Betty Ferrell and Pierce DiMauro
 45. Management of Symptoms in the Actively 
Dying Patient 670
Teresa Khoo and Christopher J. Pietras
 46. Spirituality 683
Christina M. Puchalski
 47. Grief and Bereavement 703
Carol Kummet and Susan E. Merel
 48. Staff Stress and Burnout 713
Laura D. Johnson, Alvin L. Reaves III, and 
Hunter Groninger
SECTION III
Ethical Considerations in Palliative 
Care 725
 49. Advance Care Planning, Advance Directives, 
and Withholding and Withdrawing 
Treatment 726
Hae Lin Cho and Christine Grady
 50. Palliative Care: Ethics and the Law 736
Ryan R. Nash and Nicole Shirilla
 51. Assisted Suicide or Understanding and 
Responding to Requests for Hastened 
Death 750
Margaret M. MahonSECTION IV
Special Interventions in Supportive and 
Palliative Care 765
 52. Hematologic Support of the Cancer 
Patient 766
Vanessa Wookey and Lee Schwartzberg
 53.  Issues in Nutrition and Hydration 785
Elizabeth Kvale and Christine S. Ritchie
 54. Complementary and Integrative Therapies in 
Oncology 797
Maleeha Ruhi, Karen Baker, and M. Jennifer 
Cheng
 55. Cannabinoids 821
Sonia Malani, Mary Brown, Jessica Streufert, 
and Sunil Kumar Aggarwal
SECTION V
Special Populations 829
 56. Geriatric Palliative Care 830
Jessica Israel and R. Sean Morrison
 57. Palliative Care in Pediatrics 840
Stacie Stapleton, Valerie A. Cruz Flores, 
Anna Sedney, Jasmine Williams, and Laura 
Drach
 58. Hematopoietic Cell Transplantation and 
Supportive Care 879
Nina L. Bray and Ann M. Berger
 59. Survivorship Issues in Pediatrics 894
Rebecca Berger and Lynda Kwon Beaupin
 60. Survivorship Issues in Adults 911
Rachel Ombres, M. Jennifer Cheng, and 
Schuyler C. Cunningham
 61. Cancer Genetics and Palliative Care 938
Xiao P . Peng, Ruthann M. Giusti, and Joann 
N. Bodurtha
 62. Palliative and Supportive Care: The Global 
Context 962
Joseph O’Neill and Stephen Connor
SECTION VI
Research Issues in Supportive Palliative 
Care 971
 63. Outcomes Assessment in Palliative 
Care 972
Joan M. Teno
 64. Research Issues: Ethics and Study 
Design 981
Ryan D. Stephenson, Biren Saraiya, and  
Eric A. Singer
Index 991