Handbook of Supportive and Palliative Radiation Oncology serves as a practical tool and rapid reference to assist radiation oncology practitioners in direct patient care with common palliative care issues. Containing the most recent advances in translational palliative care research, each chapter is organized in a succinct fashion to discuss major symptom burdens, suggested assessment, and various management options. Each symptom and disease section is written to be a rapid, practical guide for clinicians on the floor.
The book starts with general approaches in palliative radiation oncology that are followed by a section that focuses on common symptoms in palliative care and their management. The next section of the book is devoted to site and disease-specific evaluation, intervention, and management.
This handbook provides general guidelines and management recommendations for common clinical vignettes encountered by palliative radiation oncology practitioners and supported by palliative radiation oncology research. Concise references are cited to support treatment recommendation.
- Provides a quick reference for the busy clinician
- Details standard of care resources for researchers of palliative and supportive care
- Contains updated standards of care for palliative medicine and a list of common medications and dosages
- Includes a comprehensive index by symptom and condition to facilitate quick reference
Part I: Issues in Supportive and Palliative Radiation Oncology 1. General Approach to Palliative Care and Palliative Radiation Oncology 2. Communication 3. Prognostication in Patients Receiving Palliative Radiation Therapy 4. Palliative Care, Hospice Care, Advance Care Planning, and Advance Directives 5. Palliative Care Assessment
Part II: Symptom Management for Palliative Radiation Oncology Practitioners 6. Pain Management 7. GI Symptoms: Radiation-Induced Adverse Effects 8. Management of Dyspnea and Central Airway Obstruction in Patients With Malignancy 9. Malignant Bleeding 10. Skin Toxicity in Palliative Radiation Therapy
Part III: Disease-Specific Management for Palliative Radiation Oncology Practitioners 11. Palliative Radiotherapy for Brain Metastasis 12. Palliative Radiotherapy for Malignant Epidural Spinal Cord Compression 13. Palliative Radiotherapy for Bone Metastasis 14. Site-Specific Symptom Management: Palliative Radiotherapy for Advanced and Metastatic Lung Cancer 15. Palliative Radiation Oncology for Gastrointestinal Tract Malignancies 16. Palliative Radiotherapy for Advanced and Metastatic Gynecologic and Genitourinary Malignancies 17. Palliative Radiotherapy for Advanced and Metastatic Head and Neck Cancers and Skin Metastases
Monica Krishnan is an attending physician at the Dana-Farber/Brigham and Women's Cancer Centers at South Shore and Milford. She has developed a palliative radiation clinic at these community cancer centers, working in tandem with the Supportive and Palliative Radiation Oncology (SPRO) program at the main campus in Boston. She has a strong interest in palliative radiation and has done extensive research assessing prognostication and its role in treatment decision making.
Margarita Racsa is a radiation oncologist who recently completed a Palliative Medicine Fellowship at Memorial Sloan Kettering in New York. She presently is a Fellow with the Supportive and Palliative Radiation Oncology (SPRO) Service at the Dana-Farber/Brigham and Women's Cancer Center in Boston. She has a strong interest in Palliative Care Education including working on an initiative to develop a core curriculum in Palliative Care for radiation oncology residency programs.
Yu, Hsiang-Hsuan Michael
Hsiang-Hsuan Michael Yu is a radiation oncologist at Sinai Hospital in Baltimore, MD. Prior to Sinai, he was the service chief of Central Nervous System Radiation Oncology with a focus in management of brain metastasis at H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL. He is board certified in Radiation Oncology and Hospice and Palliative Medicine. Dr. Yu has gained interest in palliative radiation oncology from clinical practice and is playing an active role to initiate a comprehensive palliative radiation oncology program.