PALLIATIVE Care and PAIN MANAGEMENT: Clinical Principles, Symptom Control, Communication, Interdisciplinary for Patients with Serious Illness

Serious illness demands more than symptom control-it demands clinical judgment that keeps comfort, safety, communication, and patient goals connected. Palliative Care and Pain Management is a comprehensive professional reference for clinicians and trainees who care for patients living with serious, life-limiting, or advanced illness. Across 19 structured chapters, Sara P. Broome develops an integrated approach to pain science, symptom assessment, pharmacological and nonpharmacological management, communication, ethics, hospice care, bereavement, and interdisciplinary practice. Rather than treating pain as an isolated score, the text connects biological mechanisms with function, cognition, psychological distress, culture, spirituality, caregiver capacity, prognosis, and treatment burden. It also gives sustained attention to opioid safety, equianalgesic conversion, route selection, adverse-effect monitoring, and care transitions.- Build a multidomain palliative assessment that identifies urgent, reversible, functional, psychosocial, and caregiver needs.- Differentiate nociceptive, inflammatory, neuropathic, nociplastic, acute, chronic, breakthrough, and total pain.- Apply mechanism-informed pharmacological principles while accounting for frailty, organ dysfunction, polypharmacy, and monitoring needs.- Strengthen opioid decision-making through conservative titration, rotation, conversion, rescue planning, and toxicity recognition.- Integrate communication, shared decision-making, advance care planning, ethics, cultural humility, and spiritual care.- Coordinate care across hospitals, outpatient services, home care, long-term care, hospice, emergency settings, and telehealth.- Support patients and families through the final phase of life, caregiving, grief, bereavement, and changing goals.Designed for physicians, nurses, advanced practice clinicians, pharmacists, social workers, therapists, chaplains, trainees, and other serious-illness professionals, this reference emphasizes repeated reassessment, proportional treatment, clear documentation, and interdisciplinary coordination.