Palliative Care in the Acute Hospital Setting: A Practical Guide

Dr Sara Booth trained in palliative care at St Christopher's Hospice in London and Sobell House in Oxford. After holding an NHS R&D Training Fellowship at the Oxford Radcliffe Trust, she moved to Cambridge in 1998 to set up a hospital palliative care service and has continued research in Breathlessness and evaluating a Breathlessness Intervention Service which she founded there. She is Honorary Senior Lecturer in the Department of Palliative Care and Policy atKings College London, and Associate Lecturer in the University of Cambridge.

Polly Edmonds is a consultant and lead clinician in Palliative Medicine at King's College Hospital NHS Foundation Trust and honorary clinical senior lecturer in the Department of Palliative Care, Policy & Rehabilitation, King's College London. She qualified from St Mary's Hospital Medical School, and trained in General Medicine, Medical Oncology and Palliative Medicine prior to taking up her consultant post in 1997. She has led the development of the clinical Palliative Care Team at King's
and is closely involved in the undergraduate curriculum at the King's College London School of Medicine, as Palliative Medicine teaching lead, deputy head of year 4 and year 4 OSCE coordinator. Jointly with Dr Rachel Burman, Polly is training programme director for the London and KSS Deanery Specialty
Training Programme for Palliative Medicine. She has previously chaired the Southeast London Palliative Care coordinating Group of the South East London Cancer Network and remains an active participant.

Margaret A Kendall is a Macmillan Consultant Nurse in Palliative Care employed by Warrington and Halton Hospitals NHS Foundation Trust. She took up this post in 2001 although her clinical career in palliative care began in 1989 with her appointment as a Macmillan Clinical Nurse Specialist in the Merseyside area. She is an Independent Nurse Prescriber since 2003 and hold outpatient clinics twice weekly. She has been involved in consultations on the nursing perspective of Palliative Care for the
Renal NSF and has contributed to the workings of National Prescribing Centre on the safe disposal of Controlled Drugs in the Community in the wake of the Shipman Inquiry. Particular areas of research interest are examining the impacts of palliative care interventions for patients with Non Malignant
Disease, and why student nurses encounter difficulties in caring for dying patients.

Based on the extensive experience of three clinicians in the area, this book provides those setting up palliative care services in hospitals with practical guidance and down to earth advice on the range of problems they might encounter.

1. Palliative care in the acute hospital ; 2. Getting started: structure and function of the team ; 3. Organising clinical care ; 4. Being part of the mainstream in the acute hospital ; 5. Multidisciplinary working in practice ; 6. Bureaucracy and money ; 7. Education in the acute hospital ; 8. Training issues in palliative medicine ; 9. Research in the acute trust ; 10. Personal survival ; Appendix 1 ; Appendix 2