This is an original contribution to the much debated area of the value that we should place on human life. With the euthanasia issue highlighted in the public arena this book argues for a non-absolutist highest value on life ethic and how that fits with society's current emphasis on individual autonomy. By the use of everyday examples the impact of placing a high value on life is explored. It will be useful for students of ethics, nursing and medicine and those engaged in the public debate on euthanasia.
Ever wondered if your patient's new symptoms are a manifestation of metastatic disease, treatment effects or are altogether unrelated to the cancer diagnosis; whether herbal remedies interact with cancer treatment; when to refer for genetic testing; or how to provide informed advice regarding dietary and lifestyle modifications? This volume answers these and many other questions, spanning from cancer prevention to palliative care. Each chapter is comprehensively referenced, to allow the reader to explore related fields in more detail. The book is unique in summarizing a large amount of information that is beyond conventional oncology textbooks. While cancer is treated by multidisciplinary teams of medical oncologists, hematologists, surgeons and radiation oncologists, other specialists are called upon to treat symptoms, side effects or other diseases that can occur concurrently with cancer. In addition to the physical challenges brought about by a cancer diagnosis, patients and their relatives need sensitive and skilled psychosocial support throughout the cancer journey. The book brings together specialists from a wide range of medical, surgical, psychological and supportive specialties, while keeping the focus on the interdisciplinary management of cancer.
Would you use complementary and alternative medicines (CAMS)? Well, research has shown that up to three quarters of patients with cancer may at least supplement their treatment with such therapies, spending as much on CAMS as conventional drugs. How do you decide? This book provides a full range of perspectives on CAMS from patients and CAMS practitioners to conventional doctors who oppose the use of these alternative treatments because of the lack of evidence of efficacy and safety. Then there are the CAMS researchers, educators and regulators who view CAMS from different perspectives. The broad array of opinions build a complete picture of the issues for discerning readers to be adequately informed to make up their minds and draw their own conclusions.
This book relates the experience of researching, planning, and conducting a scientific study into intercessory prayer (prayer for others). The purpose of the study was to ascertain whether the impact of prayer could be measured in a formal study, based on the large number of anecdotal reports of efficacy. The study was a prospectively randomized double-blind trial that added prayer by an established Christian prayer group to conventional therapy for cancer. The unique design feature was that the primary endpoint was a change in a validated scale of spiritual well-being. The patients were informed that they were participating in a study about spiritual well-being and quality of life but remained blinded to the intervention. The initial observation from the baseline data was that spiritual well-being made a unique contribution to quality of life. The final outcome of the study was that there was a statistically significant difference in spiritual well-being favoring the prayer group. The background includes a fascinating review of the medical literature on the topic, which contains positive and negative studies that each attracts a vigorous debate about methodology, endpoints, and whether metaphysical phenomena can or should be studied using scientific methodology. The complementary and alternative medicine literature is also equivocal as to whether prayer, arguably the most common complementary medical therapy, should be included in the range of interventions grouped under that heading. In addition to reporting the background and results of the study, the book explores the reactions of a range of individuals to the trial, all of which help reflect on the nature of prayer.
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