ترجمه مقاله نقش ضروری ارتباطات 6G با چشم انداز صنعت 4.0
- مبلغ: ۸۶,۰۰۰ تومان
ترجمه مقاله پایداری توسعه شهری، تعدیل ساختار صنعتی و کارایی کاربری زمین
- مبلغ: ۹۱,۰۰۰ تومان
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.
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.