具体描述
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.
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这本《Oral Care in Advanced Disease》的封面设计就很有深度，黑白为主的色调，搭配着一个抽象的、象征着脆弱和复杂的图案，第一眼就吸引了我。我一直对医学领域中那些被忽视但又至关重要的部分特别感兴趣，而口腔护理在晚期疾病患者群体中，绝对是这样一个被低估的领域。我常常在想，当一个人面临重大的健康挑战时，他们所承受的痛苦和不适，除了身体上的疾病本身，还有哪些不为人知的磨难。口腔的健康，无疑是其中非常关键的一环。例如，口腔溃疡、牙龈出血、吞咽困难、味觉改变，这些看似细微的问题，对于一个已经饱受疾病折磨的个体来说，可能会成为压垮骆驼的最后一根稻草。它们不仅影响进食，进而影响营养摄入和身体恢复，还会引发疼痛、焦虑，甚至影响社交和情绪。这本书的名字直接点明了主题，立刻勾起了我的好奇心。我迫切想知道，它会从哪些角度来探讨这个复杂的问题。是侧重于病理学机制的深入剖析，还是更偏向于临床实践的指导？亦或是对患者及家属的心理支持方面有详细的阐述？我期待它能够提供一些目前我还没有接触到的，或者是我了解但不深入的知识。特别是对于那些患有慢性疾病、癌症晚期、或者神经系统疾病的患者，他们的口腔护理需求和面临的挑战，肯定与普通人有很大的不同。我想了解，针对这些特定人群，有哪些特殊的护理方法和注意事项。例如，对于化疗患者，他们的口腔黏膜会变得非常脆弱，如何有效地预防和处理口腔黏膜炎？对于吞咽困难的患者，如何通过调整饮食和口腔护理来保证其营养和舒适度？这些都是我非常关心的问题。总而言之，这本书的出现，对于我理解和关注那些被疾病阴影笼罩的个体，提供了一个新的视角和更全面的认知框架。我坚信，这本书的价值绝不仅仅在于学术层面的探讨，更在于它能够唤醒更多人对这一领域的关注，并可能为改善这些弱势群体的生活质量提供实际的帮助。
评分The title "Oral Care in Advanced Disease" immediately sparked my interest, as I've always believed that patient comfort and dignity in the face of serious illness are paramount, and oral health plays a surprisingly significant role. It's easy to overlook the mouth when focusing on systemic diseases, but the impact of oral issues on a patient's overall well-being—from their ability to eat and speak to their susceptibility to infection and their psychological state—can be profound, especially in the advanced stages of illness. I'm curious about the depth and breadth of this book's coverage. Does it delve into the specific pathophysiological changes that occur in the oral cavity associated with various advanced diseases, such as cancer, neurological disorders, or autoimmune conditions? I'd be particularly interested in understanding how treatments for these diseases, like chemotherapy, radiation, or immunosuppressive therapy, exacerbate oral problems. Furthermore, I'm looking for practical, actionable advice. What evidence-based strategies does the book offer for managing common oral complications like mucositis, xerostomia, candidiasis, and bleeding gums in this vulnerable population? Does it address the unique challenges of providing oral care for patients who are debilitated, have impaired cognition, or are receiving palliative or end-of-life care? I hope the book provides insights into the importance of a multidisciplinary approach, highlighting the collaboration between dentists, physicians, nurses, and other healthcare professionals to optimize oral health. The title suggests a crucial area of care that often falls through the cracks, and I'm eager to see how this book illuminates its importance and provides guidance for improving the quality of life for patients with advanced diseases.
评分When I saw the title "Oral Care in Advanced Disease," my mind immediately went to the often-overlooked aspects of palliative care. It's easy to focus on the major organ systems and the primary disease process, but the subtle, yet significant, impact of oral health on a patient's quality of life, especially in the later stages of illness, is something that deserves far more attention. I've always believed that true holistic care addresses every facet of a patient's well-being, and the mouth is a gateway to so much more than just eating and speaking. It's a sensitive area, prone to a myriad of issues that can be exacerbated by chronic illness and its treatments. I'm keen to discover what specific challenges this book tackles. Does it delve into the physiological changes in the oral cavity that occur with various advanced diseases like cancer, autoimmune disorders, or neurological conditions? I'm thinking about issues such as xerostomia (dry mouth), mucositis, candidiasis, bleeding gums, and taste disturbances. How do these symptoms not only cause direct discomfort and pain but also impact nutrition, hydration, and even psychological state? I'm particularly interested in the practical guidance this book might offer. What are the recommended protocols for oral hygiene for patients who are debilitated, immunocompromised, or have difficulty swallowing? Are there specialized techniques for cleaning sensitive or ulcerated oral tissues? Does it discuss the role of nutrition and hydration in maintaining oral health, and how these might be managed when appetite is poor or swallowing is impaired? I also wonder if the book explores the interdisciplinary approach needed for effective oral care in this population, involving not just dentists and nurses, but also physicians, dietitians, and even speech therapists. The name suggests a deep dive into a critical, yet often marginalized, area of healthcare, and I'm eager to see the depth of its exploration and the practical insights it provides to improve the lives of those facing advanced illness.
评分《Oral Care in Advanced Disease》这个书名，像是一扇通往被忽视角落的窗户，让我对那些在生命晚期挣扎的个体，有了更深的关切。我一直认为，真正的医疗关怀，不仅仅在于对抗疾病的宏大叙事，更在于那些细微之处的体贴和照料，而口腔护理，恰恰是这样一个极易被忽略但又至关重要的环节。晚期疾病，往往意味着身体机能的全面衰退，患者的脆弱感和依赖性会达到顶点。在这种情况下，哪怕是微小的口腔不适，都可能被放大成难以忍受的痛苦，严重影响他们的食欲、睡眠、情绪，甚至尊严。这本书的名字，让我觉得它可能正在深入挖掘这个领域的复杂性和重要性。我非常想知道，它会如何界定“晚期疾病”？是涵盖所有进入姑息治疗阶段的患者，还是特指某些特定的、预后不良的疾病？同时，它又会如何阐述“口腔护理”？是仅仅停留在基础的清洁和预防，还是会深入到疾病相关的口腔病理学，例如，如何应对因放化疗、免疫抑制、脱水等引起的口腔黏膜炎、干燥、感染、出血等？我迫切希望书中能够提供一些切实可行的护理指南，例如，针对不同患者群体（如意识模糊者、吞咽困难者、严重过敏者）的口腔清洁方法，以及如何利用药物或辅助手段来缓解口腔疼痛、干燥和异味。我期待这本书能提供一些专业的视角，让我了解，在生命的最后阶段，口腔护理的目标是什么，如何才能在最大程度上减轻患者的痛苦，提升他们的生活品质，让他们能够更有尊严地走完生命的最后一程。
评分《Oral Care in Advanced Disease》这个书名，像是一声温柔的提醒，将我从对疾病宏观叙事的关注，引向了那些更具体、更细微但同样重要的环节。晚期疾病，意味着生命的脆弱和不确定性，而口腔，作为我们与世界连接的第一个窗口，其健康状况在此时显得尤为关键。我想象着，一个饱受疾病折磨的身体，如果再因为口腔的不适而无法好好进食、无法舒适地说话、甚至时时刻刻被疼痛和异味所困扰，那将是多么大的身心负担。这本书的名字，让我觉得它可能是在探究，在生命进入这样一个敏感而脆弱的阶段，我们该如何去精细地呵护这个“小窗口”。我好奇这本书会从哪些角度去阐释“晚期疾病”下的“口腔护理”？是仅仅停留在基础的清洁和预防，还是会涉及到更深层次的病理生理学分析，解释为什么在某些特定的晚期疾病（例如，因放化疗引起的黏膜损伤，或是免疫缺陷导致的感染，又或是神经系统疾病影响的吞咽和清洁能力）中，口腔问题会如此突出和难以处理？我特别想知道，书中是否会提供一些针对不同疾病类型、不同身体状况患者的个性化护理方案。比如，对于那些需要鼻饲或静脉输液的患者，他们的口腔护理又有哪些特别的考量？对于临终期的患者，口腔护理的目标又是什么？是否更多地是为了舒适和尊严，而非治疗？我期待这本书能够超越技术层面，触及到人文关怀的深度，教会我们在面对生命尽头的脆弱时，如何用细致入微的关怀，来减轻患者的痛苦，提升他们的生活质量，让他们在最后的日子里，也能感受到身体的舒适和生命的尊严。
评分The title "Oral Care in Advanced Disease" immediately resonated with me, as I've long felt that the comprehensive needs of patients with advanced illnesses are often compartmentalized, with certain crucial aspects receiving less attention than they deserve. Oral health is a prime example. It's not merely about having clean teeth; it's intrinsically linked to nutrition, comfort, dignity, and even the prevention of secondary infections. I'm eager to understand the scope of this book and how it addresses the multifaceted challenges presented by advanced diseases. Does it explore the specific oral manifestations of various advanced conditions, such as the impact of chemotherapy and radiation therapy on oral mucosa, the increased risk of infections in immunocompromised patients, or the consequences of dysphagia and poor oral hygiene in neurological disorders? I'm also keenly interested in the practical applications it might offer. What evidence-based strategies does it propose for managing common oral complications like mucositis, xerostomia, candidiasis, and bleeding? How are these strategies adapted for patients who are frail, have cognitive impairments, or are nearing the end of life? I envision this book providing detailed guidance on assessment, prevention, and intervention, perhaps even incorporating therapeutic approaches. Furthermore, I'm curious about the book's perspective on the interdisciplinary nature of advanced oral care. Does it highlight the importance of collaboration between dentists, nurses, physicians, dietitians, and other healthcare professionals to ensure optimal patient outcomes? The title suggests a focus on a critical area that directly impacts a patient's quality of life and overall well-being, and I'm anticipating a resource that offers both a deep understanding of the underlying pathophysiology and practical, compassionate guidance for those involved in the care of individuals with advanced diseases.
评分When I encountered the title "Oral Care in Advanced Disease," my immediate thought was about the profound impact seemingly minor issues can have on an individual's overall well-being, especially when facing significant health challenges. Oral health, often taken for granted in healthier times, can become a source of immense discomfort and distress for patients with advanced illnesses. This book's title suggests a deep dive into a critically important, yet frequently underserved, aspect of palliative and end-of-life care. I'm eager to understand the book's scope. Does it explore the specific oral complications that arise from various advanced diseases, such as the changes seen in patients with advanced cancer, neurological conditions like ALS or Parkinson's, or severe chronic organ failure? I'm particularly interested in how treatments associated with these diseases, including chemotherapy, radiation, immunosuppressants, and even prolonged hospitalization, can compromise oral health. Furthermore, I'm looking for practical, evidence-based guidance. What are the recommended protocols for assessing and managing oral pain, mucositis, xerostomia, and infections in this vulnerable population? Does it offer strategies for maintaining oral hygiene for patients who are debilitated, have cognitive impairments, or are unable to perform self-care? I also wonder if the book addresses the psychological and social implications of poor oral health in advanced disease, such as the impact on appetite, speech, social interaction, and overall quality of life. The title implies a comprehensive approach, and I'm anticipating a resource that not only educates on the medical aspects but also inspires compassionate and effective care for individuals navigating the challenges of advanced illness.
评分读完《Oral Care in Advanced Disease》的简介，我脑海中瞬间浮现出许多画面，也引发了我对生命末期护理的深度思考。当疾病进入晚期，患者的身体机能会逐渐衰退，脆弱感和无助感会倍增。在这种时刻，任何能够缓解痛苦、提升生活品质的细节，都显得弥足珍贵。口腔，这个常常被我们忽略的“小宇宙”，在晚期疾病患者身上，却可能成为痛苦的重要来源。我好奇这本书是如何将这个“小宇宙”的健康，与患者整体的福祉紧密联系起来的。是不是会详细阐述，在不同类型的晚期疾病（比如癌症、艾滋病、严重的糖尿病并发症、衰老相关的多系统衰竭等）中，口腔会出现哪些特异性的病变和问题？例如，放化疗、免疫抑制剂的使用、营养不良、脱水、以及呼吸道感染等，都可能直接或间接导致口腔干燥、溃疡、真菌感染、出血、以及味觉减退等。我期待这本书能提供一些关于这些问题的科学解释，让我们理解“为什么”会发生这些。更重要的是，我希望书中能提供切实可行的“怎么做”。这包括但不限于：针对不同口腔问题的具体护理技术，例如如何清洁脆弱的口腔黏膜，如何处理出血和疼痛，如何使用药物缓解干燥和感染。我非常想知道，是否有专门为晚期疾病患者设计的口腔护理方案，这些方案又需要考虑哪些特殊的生理和心理因素。比如，对于意识不清的患者，家属或护理人员应该如何进行口腔清洁？对于有吞咽障碍的患者，如何通过口腔护理来促进进食，甚至挽救生命？这本书的名字，虽然听起来比较专业，但其背后承载的是对生命的尊重和对个体尊严的关怀。我希望它不仅仅是一本技术手册，更能传递一种人文关怀的精神，让更多人意识到，即使在生命的最后阶段，口腔的舒适和健康，也是患者能够尊严地走完人生旅程的重要组成部分。
评分《Oral Care in Advanced Disease》这个书名，一下子就抓住了我的注意力，因为我对“被忽视的关怀”总有一种莫名的情结。在医疗领域，太多焦点集中在疾病的治愈和根除上，而对于那些病情复杂、难以逆转的患者，他们的日常照护，特别是那些看似“次要”的方面，却常常被忽略。口腔护理，就是这样一环。我想象着，一个身患晚期重疾的病人，他们承受的痛苦已经难以想象。如果再伴随着口腔疼痛、异味、进食困难，那种身心的双重折磨，该是多么难以忍受。这本书的名字，让我觉得它可能在填补这样一个重要的空白。我非常好奇，它会如何去定义“晚期疾病”？是所有进入姑息治疗阶段的患者，还是特指某些特定的致命性疾病？而对于这些患者，它会如何去探讨“口腔护理”？是仅仅停留在基础的清洁卫生，还是会深入到更复杂的医学、心理和人文层面？我期待这本书能够详细解释，为什么口腔健康对于晚期疾病患者如此重要。它是否会触及到口腔病变如何影响患者的整体营养状态，如何影响他们的情绪和社交，甚至如何影响临终前的舒适度和尊严？例如，我会想知道，对于那些由于疾病本身或治疗副作用而导致免疫力低下、凝血功能障碍的患者，他们的口腔护理会有哪些特殊的风险和对策？书中是否会提供一些具体的案例分析，来展示不同类型的晚期疾病患者在口腔护理方面所面临的独特挑战，以及如何通过专业的护理来改善他们的处境？我希望这本书不仅仅是给医护人员看的，也能够让患者家属，甚至对临终关怀有兴趣的普通读者，都能从中获得启发，了解如何更好地陪伴和照顾身边的亲人，在生命的最后旅程中，给予他们尽可能多的温暖和舒适。
评分《Oral Care in Advanced Disease》这个书名，像是一束光，照亮了我之前未曾细想过的角落。当疾病进入晚期，患者的身体往往已经不堪重负，任何微小的痛苦都可能被无限放大。口腔，这个我们日常生活中常常不太在意的地方，在晚期疾病患者身上，却可能成为痛苦的重要来源，影响他们的进食、睡眠、沟通，甚至与世界的连接。这本书的名字，让我觉得它可能是在努力填补这样一个重要的、但又常常被忽略的照护空白。我迫切想知道，它会如何去阐述“晚期疾病”与“口腔护理”之间的复杂关系？是会深入探讨，例如，癌症放化疗如何导致严重的口腔黏膜炎，免疫缺陷疾病如何增加口腔感染的风险，神经系统疾病如何影响吞咽和清洁能力？我期待它能提供一些非常具体的、实操性的指导。比如，对于那些口腔黏膜极度脆弱、容易出血的患者，应该如何进行清洁？对于吞咽困难、需要依靠鼻饲管的患者，口腔的护理又有哪些特殊的注意事项？书中是否会讨论，如何通过口腔护理来改善患者的食欲和营养摄入？我更希望，这本书不仅仅是一本技术指南，更能传递一种人文关怀的精神，让我明白，在生命的最后阶段，对口腔的细致照料，不仅仅是为了缓解身体的不适，更是为了守护患者的尊严，让他们感受到被尊重和关爱，安详地走完人生的旅程。
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