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PART ONE General topics Fatal statistics Palliative care 2 Quality of life 4 Specialist palliative care services 5 Dying at home 7 Ethical considerations 9 Appropriate treatment II Euthanasia 13 Hope 18 PART TWO Psychosocial aspects of care 21 Communication 21 Breaking bad news 25 Strategies for coping with uncertainty 28 Psychological aspects of terminal illness 30 Care of the relatives 34 Spiritual care 37 Religious and cultural needs 40 Bereavement 45 Children and bereavement 54 PART THREE Symptom management I 61 General principles 61 Pain 65 Pain management 67 Use of analgesics , 74 Nonopioid (antipyretic) analgesics 76 Weak opioid analgesics 79 Strong opioid analgesics 81 Adjuvant analgesics 91 Continuous subcutaneous infusions 95 PART FOUR Symptom management II 101 Alimentary symptoms 10I Respiratory symptoms 120 Urinary symptoms 131 Other symptoms 136 Secondary mental disorders 145 PART FIVE Drug profiles 153 Corticosteroids 153 Antacids 155 Diazepam 157 Midazolam 159 Haloperidol 160 Hyoscine 161 Antimuscarinic effects 162 PART SIX Final thoughts 165 As death approaches 165 When all's said and done 166 Professional carers have needs too 167