Palliative Medicine: A Case-Based Manual

Susan MacDonald completed her nursing and medical training at McMaster University. She completed a residency in Family Medicine at Queen's University and two Fellowships in Palliative Medicine, one at the University of Alberta and the other at Harvard. She has worked as a consultant in palliative care since 1999. She is an Associate Professor of Medicine and Family Medicine at Memorial University and had a very active role in teaching at both the undergraduate and graduate levels. She has won six teaching awards, including the CAME award of Merit. She was the President of the Canadian Society of Palliative Care Physicians, and a member of the Canadian Council of Academies Panel on Advance Requests in MAID. She was awarded Founder's Status with the Royal College for her work in the development of Palliative Medicine as a Specialty.Leonie Herx is Associate Professor and Division Head of Palliative Medicine at Queen's University. She completed her MD-PhD at the University of Calgary followed by Family Medicine and Palliative Medicine. Over the past 14 years, Leonie has been actively involved in growing and building the discipline of palliative care at a national level. She co-founded the Royal College Subspecialty in Palliative Medicine and is now the Chair of the Royal College Specialty Committee for Palliative Medicine. She has been on the board of the Canadian Society for Palliative Care Physicians (CSPCP) for over 8 years, just completing a 2-year term as President and is now Past-President of CSPCP. Leonie has contributed to many national initiatives including the development of the Framework for Palliative Care in Canada, a CSPCP staffing model for planning palliative care programs and co-leading the development of a national set of competencies for palliative care for all postgraduate medical education programs.Anne Boyle is President of the Canadian Society of Palliative Care Physicians, Associate Clinical Professor at McMaster University, Ontario, Canada, and a palliative care physician. With roots in outpost nursing and family medicine, she has devoted her academic career to palliative care education. In collaboration with colleagues at the University of Ottawa, they developed a Team Based Objective Structured Clinical Encounter tool (TOSCE) focusing on interprofessional education for undergraduate health sciences students and developed similar tools for primary care clinicians. Anne led the Canadian medical school palliative care undergraduate medical education competencies revamp and collaborated with the team creating the competencies for post-graduates. Anne and her colleagues have also developed curriculum for noncancer palliative care subspecialty education. She has spent the last 10 years working on The 3 Wishes Project and has enjoyed watching its philosophy of caring spread around the world.

• 1: Jessica Simon and Jeff Myers: Advance care planning and goals of care discussions 2: Pippa Hawley: Opioids overview 3: Sharon Watanabe, Yoko Tarumi, and Megan Sellick: Somatic pain 4: Michael Downing: Visceral pain 5: Srini Chary, Susan MacDonald, Leonie Herx, and Anne Boyle: Neuropathic pain 6: Danielle Kain, Susan MacDonald, and Shalini Nayar: Dyspnea and lung disease 7: Bernard J. Lapointe: Nausea and vomiting 8: Tim Hiebert and Stefan Riel: Constipation 9: Carl Bromwich: Malignant bowel obstruction 10: Neil Macdonald and Vickie Baracos: Anorexia-cachexia 11: Ravi Bhargava and Martin Chasen: Cancer fatigue 12: Shirley H. Bush, Bruno Gagnon, and Peter G. Lawlor: Delirium 13: Madeline Li, Gilla K. Shapiro, and Gary Rodin: Anxiety and depression 14: Alexandra Farag: Grief and bereavement 15: Cheryl Hurley and Vincent Maida: Wounds in advanced illness 16: José Pereira: Urological symptoms and complications in palliative care 17: Samir Azzaria, Marie-Andrée Fournier, and Mélanie Simard: Mouth care 18: Anna Towers and Marie-Eve Letellier: Lymphedema 19: Dave Henderson and Leonie Herx: The last days and hours 20: Leonie Herx: Continuous palliative sedation therapy (CPST) 21: Crystal Hann, Anand Swaminath, and Jonathan Sussman: Radiation therapy: Advancing technologies 22: Rachel Rudney and Paul J. Daeninck: Chemotherapy 23: Michael Slawnych: Palliative care in heart failure 24: Tenille Gofton: Neurological disorders 25: Hasitha Welihinda: Renal failure 26: Tim Hiebert: Cirrhosis and diseases of the gastrointestinal tract 27: Anne Boyle and Dave Henderson: Palliative care in the community 28: Valerie N. Schultz and James Downar: Palliative care in the intensive care unit (ICU) 29: Dave Lysecki and Christina Vadeboncoeur: Pediatric palliative care 30: Naheed Dosani and Anna Voeuk: Palliative care for structurally vulnerable populations (SVPs) 31: Pippa Hawley: Methadone 32: Pippa Hawley and Vincent Maida: Medical cannabis 33: Philip Chan and Kelly Shinkaruk: Interventional analgesic techniques 34: Stephen B. Singh: Useful apps and websites 35: Deborah Dudgeon, Leonie Herx, and Susan MacDonald: Response to suffering 36: Denise Marshall and Doris Barwich: Public health palliative care