Overview
Venous thromboembolism (VTE) or blood clots are a common feature of advanced disease, occurring in approximately 50% of palliative care inpatients. Whilst the presentation, diagnosis and management of VTE within general medicine is well established, its management within the palliative care setting is less so. This is made more difficult by the clinical presentation often being masked by other palliative care symptoms, and the symptoms being consistent with other conditions; diagnosis is therefore underappreciated, and the condition difficult to manage. This is a practical guide to those challenges increasingly faced by healthcare professionals managing VTE in advanced disease. It covers epidemiology and pathogenesis, and appraises the current evidence informing the prevention, diagnosis and treatment of VTE, in both malignant and non-malignant disease.
Full Product Details
Author: Simon I. R. Noble ,
Miriam J. Johnson ,
Agnes Y. Y. Lee
Publisher: Oxford University Press
Imprint: Oxford University Press
Dimensions:
Width: 15.60cm
, Height: 1.10cm
, Length: 23.40cm
Weight: 0.305kg
ISBN: 9780199232048
ISBN 10: 0199232040
Pages: 192
Publication Date: 18 December 2008
Audience:
Professional and scholarly
,
Professional & Vocational
Format: Paperback
Publisher's Status: Active
Availability: Manufactured on demand
We will order this item for you from a manufactured on demand supplier.
Reviews
<br> This is a very useful summary of what we know about venous thrombembolism in the palliative care setting and would be a useful reference when addressing clinical problems. --IAHPC NEWS<br>
Author Information
Dr Simon Noble is a Clinical Senior Lecturer and Honorary Consultant in Palliative Medicine, Cardiff University and the Royal Gwent Hospital in Wales. His research interests include the management of venous thromboembolism in advanced cancer and the anticancer effects of low molecular weight heparins. He has chaired the APM Task group for the management of VTE in palliative care and is a Trustee of Lifeblood: a UK-based thrombosis charity. Dr Miriam Johnson is a Senior Lecturer in Palliative Medicine at Hull-York Medical School and Honorary Consultant to St. Catherine's Hospice, North Yorkshire, UK. Her research interests include the management of venous thromboembolism in advanced cancer, which formed the basis of her MD thesis. Her other research interests include the palliative care of patients with end stage heart failure, and the symptom management of breathlessness. She was part of the APM Task group for the management of VTE in palliative care. Dr Lee is the co-principal investigator of the CLOT study (Randomized Comparison of Low-Molecular-Weight Heparin versus Oral Anticoagulant Therapy for the Prevention of Recurrent Venous Thromboembolism in Patients with Cancer), a landmark study that established low-molecular-weight heparin as the treatment of choice for preventing recurrent venous thromboembolism in cancer patients. Her current research activities include studies in catheter-related thromobosis, diagnosis of deep vein thrombosis and pulmonary embolism in pregnant women, and thromboprophylaxis in patients undergoing major orthpaedic surgery. She is also involved in translational research exploring the role of coagulation in cancer biology. She is a co-chair of the subcommittee on Hemostasis and Malignancy of the International Society of Thrombosis and Haemostasis and has chaired various educational sessions at annual meetings at the American Society of Hematology and the American Society of Clinical Oncology.
