Oral Care in Advanced Disease

Edited by Andrew Davies, Consultant in Palliative Medicine, Royal Marsden Hospital, Sutton, UK and Ilora Finlay, Baroness Finlay of Llandaff, Vice Dean, School of Medicine, Department of Oncology and Palliative Medicine, Cardiff University, UK DESCRIPTION Covers malignant and non-malignant disease, providing a definitive reference source Provides practical, accessible information aimed at the whole multi-disciplinary team Many of the issues relevant to mouth care in palliative medicine are also relevant to other groups of dependent patients Lesions of the oral cavity have an enormous impact on the quality of life of patients with advanced disease. They cause considerable morbidity and diminish a patient's physical and psychological well-being. Oral complications impair oral nutrition and can cause a variety of problems including malnutrition, anorexia, and cachexia. Psychological problems relate to the role that the oral cavity plays in communication and social life. This book provides comprehensive, clinically relevant, evidence-based guidelines on oral problems to ensure first-rate care. The scientific foundations and research base for their management underpin the discussion throughout. A multi-disciplinary group of contributors provide authoritative guidelines on clinical features, investigations, and pharmacological and non-pharmacological treatment, as well as complementary therapies. Chapters cover oral assessment, hygiene, domiciliary dental care, infections, taste disturbance, pain, HIV infection and AIDS, neurological diseases, and paediatric problems. Highly illustrated throughout, the book also includes an extensive colour plate section. CONTENTS 1 Andrew Davies: Introduction 2 Andrew Davies: Oral assessment 3 Petrina Sweeney: Oral hygiene 4 Angus Walls: Domiciliary dental care 5 Susan Brailsford & David Beighton: Oral infections - introduction 6 Ilora Finlay & Andrew Davies: Fungal infections 7 Jeremy Bagg: Bacterial infections 8 Jeremy Bagg: Viral infections 9 Andrew Davies: Salivary gland dysfunction 10 Carla Ripamonti & Fabio Fulfaro: Taste disturbance 11 Kate Shorthose & Andrew Davies: Halitosis 12 John Meechan: Oral pain 13 Anita Sengupta & John Eveson: Miscellaneous oral problems 14 Jan Roodenburg & Andrew Davies: Head and neck cancer 15 Mark Chambers, Adam Garden, James Lemon, Merrill Kies & Jack Martin: Oral complications of cancer treatment 16 Louis DePaola & Arley Silva: HIV infection/AIDS 17 Janice Fiske: Chronic neurological diseases 18 Richard Hain, Graham Roberts & Victoria Lucas: Paediatric problems CONTRIBUTORS: Professor Jeremy Bagg, Professor of Clinical Microbiology, University of Glasgow Dental School, UK; Professor David Beighton, Director Clinical/Industrial Research, GKT Dental Institute, Kings College, London, UK; Dr Susan Brailsford, Postdoctoral Research Fellow, GKT Dental Institute, Kings College London, UK; Professor Mark Chambers, Department of Head and Neck Surgery/Radiation Oncology, MD Anderson Cancer Center, Houston, USA; Dr Andrew Davies, Consultant in Palliative Medicine, Royal Marsden Hospital, Sutton, UK; Professor Louis DePaola, Department of Oral Medicine and Diagnostic Sciences, Dental School, University of Maryland, Baltimore, USA; Dr John Eveson, Reader and Honorary Consultant in Oral Medicine and Pathology, University of Bristol, UK; Baroness Professor Ilora Finlay, Professor of Palliative Medicine, University of Wales College of Medicine, Cardiff, UK; Dr Janice Fiske, Senior Lecturer and Consultant in Special Care Dentistry, GKT Dental Institute, Kings College, London, UK; Dr Fabio Fulfaro, Operative Unit of Medical Oncology, University of Palermo, Italy; Professor Adam Garden, Department of Radiation Oncology, MD Anderson Cancer Center, Houston, USA; Dr Richard Hain, Senior Lecturer in Paediatric Palliative Medicine, University of Wales College of Medicine, Cardiff, UK; Professor Merrill Kies, Department of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, USA; Professor James Lemon, Department of Head and Neck Surgery, MD Anderson Cancer Center, Houston, USA; Dr Victoria Lucas, Senior Clinical Research Fellow, The Eastman Dental Institute, London, UK; Professor Jack Martin, Department of Head and Neck Surgery, MD Anderson Cancer Center, Houston, USA; Dr John Meechan, Senior Lecturer and Honorary Consultant in Oral and Maxillofacial Surgery, The School of Dental Sciences, University of Newcastle, UK; Dr Carla Ripamonti, Rehabilitation and Palliative Care Operative Unit, National Cancer Institute of Milan, Italy; Professor Graham Roberts, Paediatric Dentistry, The Eastman Dental Institute, London, UK; Professor Jan Roodenburg, Department of Oral and Maxillofacial Surgery, University Hospital, Groningen, The Netherlands; Dr Anita Sengupta, Lecturer in Anatomy, University of Bristol, UK; Dr Kate Shorthose, Clinical Fellow in Oncology, Bristol Haematology and Oncology Centre, UK; Professor Arley Silva, Assistant Professor of Stomatology, Dental School, Gama Filho University, Rio de Janeiro, Brazil; Dr Petrina Sweeney, Clinical Senior Lecturer in Adult Special Needs Dentistry, University of Glasgow Dental School, UK; Professor Angus Walls, Professor of Restorative Dentistry, The School of Dental Sciences, University of Newcastle, UK