Palliative care has evolved rapidly in recent years. Not only is the field dealing with an increasingly elderly and multi-morbid population, it is also addressing a wider variety of complex diagnoses such as heart failure, renal failure, advanced lung disease, frailty, and dementia.
Challenging Cases in Palliative Care is unique, as it uses examples of real-world cases from palliative care practices. It also includes expert commentary to support modern clinicians in managing the 'messiness' of clinical care, as well as the increasingly complex needs of patients today.
As part of our Challenging Cases series, the cases in this book not only cover a range of physical and psychosocial problems seen in palliative care, they also reflect the core curriculum for UK speciality trainees. Each case brings together expert interpretation of the available evidence, management strategies, guidelines and best practice, while discussing complexities in clinical decision-making and controversies in approach.
Felicity Dewhurst,
St Oswald's hospice and Newcastle university, Polly Edmonds,
Consultant in Palliative Medicine, King's College Hospital NHS Foundation Trust, Suzie Gillon,
Consultant in Palliative Medicine, Leeds Teaching Hospitals NHS Trust, Amy Hawkins,
Consultant in Palliative Medicine, Royal Trinity Hospice, Mary Miller,
Consultant in Palliative Medicine & End of Life Care Lead (OUH) Clinical Lead for National Audit of Care at the End of Life, NHS Benchmarking Honorary Senior Clinical Lecturer in Palliative Medicine, University of Oxford Director OxCERPC (Oxford Centre for education and research in palliative care), Sarah Yardley,
Associate Professor of Palliative Medicine, Marie Curie Palliative Care Research Department, University College London and Honorary Consultant in Palliative Medicine, Symptom Control and Palliative Care Service, University College London Hospital Dr Edmonds has been a consultant at King's College Hospital NHS Foundation Trust since 1997. As honorary senior lecturer at King's College London she was heavily involved in development of the palliative care component of the undergraduate medical curriculum and examinations. She has been a training programme director for London, overseeing the delivery of postgraduate medical training and is currently the chair of the national Specialist Advisory Committee for Palliative Medicine.
Dr Gillon has been a consultant in Palliative Medicine since 2015; chairs the Association of Palliative Medicine Education and Training Committee; is the Palliative Care education lead for the trust and is an active member of the regional Specialty Training Committee. She is regularly involved in local and national research projects and quality improvement initiatives.
Dr Miller qualified from University College Cork, Ireland in 1988. Mary trained and worked in palliative medicine in Ireland, Sweden and the UK and has been a consultant in palliative medicine in Oxford since 1998. Mary has a strong interest in education; completing a Diploma in Learning and Teaching at Oxford University 2005, was Training Programme Director and Regional Specialty Advisor (2002 - 2008) and has led the Oxford Advanced Courses in Pain and Symptom Management since 2005. Mary is an elected member of the Education Committee of the Association of Palliative Medicine and joint lead of the postgraduate education special interest forum. Since the inception of OxCERPC in 2017, Mary and the team are focusing on building an exciting portfolio of courses, building research readiness and reaching out to practitioners across the globe.
Dr Hawkins has been a Consultant in Palliative Medicine since 2020. She has previously completed a number of educational research projects alongside an MSc in Medical Education. She has experience of qualitative research studies and has undertaken a systematic review. She is currently a member of the Association of Palliative Medicine Education and Training Committee.
Dr Yardley is a clinical academic interested in how patients, families, carers, and healthcare professionals do the work of frontline day-to-day healthcare and make sense of their experiences; hospital-community and specialist-generalist interfaces in palliative care; and patient transitions between hospital and community care, including palliative care in Emergency Departments and Acute Medical Units. Her research seeks to understand and improve human-dependent healthcare such as the impact therapeutic and professional collegiate relationships have on current and future care.
Dr Felicity Dewhurst is a Consultant in Palliative Medicine at St Oswald's Hospice and an NIHR Advanced Fellow and Senior Clinical Lecturer in the Population Health Sciences Institute at Newcastle University.
Following her Dunhill doctoral fellowship, she lobbied for the creation of the first NIHR Academic Clinical Lectureship in Palliative Medicine in Newcastle, and subsequently successfully applied for the first NIHR Advanced Fellowship in Palliative Medicine nationally (January 2024-6.25 years).
Felicity has a Master's in Health Professions Education and is on the education committee of the Association of Palliative Medicine (APM) and the organising committee for the Palliative Care Congress (PCC). She is passionate about trying to improve care through research, education and service modification.
Felicity Dewhurst，聖奧斯瓦德醫院及紐卡索大學，Polly Edmonds，臨終醫學顧問，國王學院醫院NHS基金會信託，Suzie Gillon，臨終醫學顧問，利茲教學醫院NHS信託，Amy Hawkins，臨終醫學顧問，皇家三一醫院，Mary Miller，臨終醫學顧問及臨終照護負責人（OUH），國家臨終照護審計的臨床負責人，NHS基準化臨床講師，牛津大學臨終醫學教育與研究中心主任，Sarah Yardley，臨終醫學副教授，瑪麗居里臨終照護研究部，倫敦大學學院及臨終醫學顧問，倫敦大學學院醫院的症狀控制與臨終照護服務。
Edmonds醫生自1997年以來一直擔任國王學院醫院NHS基金會信託的顧問。作為國王學院倫敦的榮譽高級講師，她積極參與本科醫學課程及考試中臨終照護部分的發展。她曾擔任倫敦的培訓計劃主任，負責研究生醫學培訓的實施，目前是全國臨終醫學專家諮詢委員會的主席。
Gillon醫生自2015年以來一直擔任臨終醫學顧問；擔任臨終醫學教育與培訓委員會的主席；是該信託的臨終照護教育負責人，並且是地區專業培訓委員會的活躍成員。她定期參與地方和全國的研究項目及質量改進計劃。
Miller醫生於1988年從愛爾蘭科克大學畢業。Mary在愛爾蘭、瑞典和英國接受臨終醫學的培訓並工作，自1998年以來一直擔任牛津的臨終醫學顧問。Mary對教育有濃厚的興趣；於2005年在牛津大學完成學習與教學文憑，曾擔任培訓計劃主任及地區專業顧問（2002 - 2008），並自2005年以來主導牛津高級疼痛與症狀管理課程。Mary是臨終醫學協會教育委員會的當選成員，並共同負責研究生教育專業興趣論壇。自2017年OxCERPC成立以來，Mary和團隊專注於建立一個令人興奮的課程組合，提升研究準備度，並與全球的從業人員建立聯繫。
Hawkins醫生自2020年以來一直擔任臨終醫學顧問。她之前完成了多個教育研究項目，並獲得醫學教育碩士學位。她擁有質性研究的經驗，並進行過系統性回顧。她目前是臨終醫學協會教育與培訓委員會的成員。
Yardley醫生是一位臨床學者，對患者、家庭、照護者和醫療專業人員如何進行日常醫療工作及理解其經驗感興趣；研究醫院與社區及專科與全科之間的臨終照護接口；以及患者在醫院與社區照護之間的轉換，包括急診部門和急性醫療單位的臨終照護。她的研究旨在理解和改善人依賴的醫療保健，例如治療性和專業同事關係對當前和未來照護的影響。
Felicity Dewhurst醫生是聖奧斯瓦德醫院的臨終醫學顧問，並且是NIHR高級研究員及紐卡索大學人口健康科學研究所的高級臨床講師。她在Dunhill博士後獎學金之後，積極推動在紐卡索創建首個NIHR臨終醫學學術臨床講師職位。
