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1	Approaching the specialty of physiotherapy in palliative care
1.1	Definition of palliative care and end of life care
1.2	Who is the palliative care physiotherapist?
1.2.1	Professional profile: The value of the physiotherapist in palliative care
1.2.2	Clinical skills and knowledge
1.2.3	Education opportunities for physiotherapists in palliative care
1.2.4	Conclusion
1.3	From symptom control to rehabilitation: Physiotherapy approaches to end of life care
1.3.1	Physiotherapy then and now
1.3.2	Current context and aim of intervention
1.3.3	Patient goals and outcomes
1.3.4	Understanding the patient in depth
1.3.5	Team-working
1.3.6	The collaborative physiotherapy model
1.3.7	Physiotherapy at end of life
1.3.8	Alternative contexts for physiotherapy intervention
1.3.9	The educational role of the physiotherapist
1.3.10	Innovation
1.3.11	Conclusion
1.4	The right time for physiotherapy: Is there a 'too late' or a 'too early'?
1.4.1	Early referral to physiotherapist
1.4.2	Late physiotherapeutic interventions
1.4.3	The patient journey
1.4.4	Determining the right time for physiotherapy
1.4.5	Conclusion
1.5	Physiotherapy at end of life: Patient's perspectives
1.5.1	Patients' needs and priorities
1.5.2	Patients' thoughts on physiotherapy in palliative care
1.5.3	How can we learn from our patients?
1.5.4	The goldfish bowl
1.5.5	What have we learnt from our patients this far?
1.5.6	Three personal testimonies
1.6	Physiotherapy Students in Palliative Care
2	Physiotherapy and medical aspects
2.1	Clinical reasoning
2.1.1	Clinical reasoning in physiotherapy
2.1.2	Clinical reasoning in physiotherapy in palliative care
2.1.3	Conclusions
2.2	Pain
2.2.1	Case study
2.2.2	Pain
2.2.3	Spinal cord compression
2.2.4	Conclusions
2.2.5	Reflective questions
2.3	Respiratory symptoms: dyspnoea/breathlessness from airway obstruction and impaired oxygen capacity
2.3.1	Case study
2.3.2	Airway obstruction in the palliative care setting
2.3.3	Impaired oxygen capacity in the palliative care setting
2.3.4	Medication for breathlessness and associated symptoms
2.3.5	Summary
2.3.6	Reflective questions
2.4	Breathlessness and fear
2.4.1	Case study
2.4.2	Context of breathlessness at end of life
2.4.3	Effective physiotherapy strategies for managing breathlessness
2.4.4	Context of anxiety and panic in the breathless patient
2.4.5	A physiotherapy approach to managing anxiety and panic in the context of breathlessness
2.4.6	Conclusions
2.4.7	Reflective questions
2.5	Lymphoedema
2.5.1	Case study
2.5.2	Lymphatic system and potential disorders
2.5.3	Physiotherapy for lymphoedema in the palliative care setting
2.5.4	Reflective questions
2.6	Fatigue and weakness
2.6.1	What is fatigue?
2.6.2	Case study
2.6.3	Physiotherapy and fatigue
2.6.4	Conclusions
2.6.5	Reflective questions
2.6.6	Group work in palliative care
2.7	Anxiety in the context of palliative physiotherapy
2.7.1	Case study
2.7.2	Anxiety in palliative care patients
2.7.3	Specific and practical assessment methods related to anxiety
2.7.4	Physiotherapeutic interventions related to anxiety
2.7.5	Conclusions
2.7.6	Reflective questions
2.8	Dementia
2.8.1	Development and types of dementia
2.8.2	Diagnosing dementia
2.8.3	Dementia and the body
2.8.4	Principles of supportive physiotherapy in dementia
2.8.5	Patient cases and physiotherapeutic interventions
2.8.6	Conclusion
2.8.7	Reflective questions
2.9	Physiotherapy in paediatric palliative care
2.9.1	Features of paediatric palliative care
2.9.2	Principles of physiotherapy with children and adolescents in the palliative care setting
2.9.3	Special features of therapy in different situations
2.9.4	Case study
2.9.5	Conclusions
2.9.6	Reflective questions
2.10	Physiotherapy in the terminal phase
2.10.1	Physiotherapy at end of life – yes or no?
2.10.2	Physiotherapeutic interventions in the terminal phase
2.10.3	Conclusions
2.10.4	Reflective questions
3	Psycho-social aspects
3.1	Communication in palliative care: an introduction
3.2	'Of sad lions that roar' and handling strong emotions
4	Ethical, spiritual and cultural aspects
4.1	Ethics and ethical reasoning in palliative physiotherapy
4.2	The interface between function and meaning
4.2.1	What does society tell us about our bodies?
4.2.2	To what is the healthy body an antidote?
4.2.3	Function and meaning
4.2.4	The use of narrative: A key approach for the physiotherapist
4.2.5	Conclusion
4.2.6	Reflective questions
4.3	With respect and openness: intercultural competence in palliative physiotherapy
5	"Self care" for Physiotherapists
5.1	"How am I really feeling?" – questions and suggestions for (self-)supervision
5.2	Closeness and distance, to touch and be touched; the physiotherapeutic dynamic

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