دانلود رایگان مقاله انگلیسی مراقبت تسکین دهنده در بیماران مبتلا به کارسینوم تخمدان - یک رویکرد شخصی از کار تیمی - اشپرینگر 2017

عنوان فارسی
مراقبت تسکین دهنده در بیماران مبتلا به کارسینوم تخمدان - یک رویکرد شخصی از کار تیمی
عنوان انگلیسی
Palliative care in ovarian carcinoma patients—a personalized approach of a team work: a review
صفحات مقاله فارسی
0
صفحات مقاله انگلیسی
10
سال انتشار
2017
نشریه
اشپرینگر - Springer
فرمت مقاله انگلیسی
PDF
نوع مقاله
ISI
نوع نگارش
مقالات مروری
رفرنس
دارد
پایگاه
اسکوپوس
کد محصول
E9204
رشته های مرتبط با این مقاله
پزشکی
گرایش های مرتبط با این مقاله
زنان و زایمان
مجله
آرشیو پزشکی زنان و مامایی - Archives of Gynecology and Obstetrics
دانشگاه
Division of Gynecological Oncology - Department of Obstetrics and Gynecology - Carmel Medical Center - Israel
کلمات کلیدی
سرطان تخمدان، Palliative، درد، انسداد روده، Ascites
doi یا شناسه دیجیتال
https://doi.org/10.1007/s00404-017-4484-8
چکیده

Abstract


Most ovarian cancer patients are diagnosed in an advanced stage; and after the initial treatment experience disease recurrence, which eventually becomes palliative. Many questions arise in this setting including how to address patients in the palliative setting, how to discuss endof-life issues, and how to manage symptoms. In this review, we discuss the timing and setting of end-of-life discussion in the context of end-stage ovarian cancer. We review the approach to relieving disease burden by improving and decreasing symptoms. These symptoms include recurrent ascites, bowel obstruction, pain, pulmonary efusion, and deep vein thrombosis.

نتیجه گیری

Conclusions/summary


Most ovarian cancer patients eventually die of their disease. Most encounter pain, recurrent ascites, pleural efusion, dyspnea, and sometimes bowel obstruction and VTE. In the passage from curative to palliative care, the primary tenets of palliative care at the end of life should be upheld: symptom management, establishing goals of care in line with patients’ values and preferences, and consistent and sustained communication between the patient and all those involved in her care. In the palliative setting, we should state patient-centered achievable goals for medical care and aggressive symptom management. The healthcare team should be familiar with the options for treatment and for alleviation of symptoms. A multidimensional evaluation and multidisciplinary intervention is frequently needed to assist patients with advanced stage ovarian cancer.


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