Management of physical symptoms in patients with advanced cancer during the last weeks and days of life

Article indépendant

AZHAR, Ahsan | HUI, David

Patients with advanced cancer are faced with many devastating symptoms in the last weeks and days of life, such as pain, delirium, dyspnea, bronchial hypersecretions (death rattle) and intractable seizures. Symptom management in the last weeks of life can be particularly challenging because of the high prevalence of delirium complicating symptom assessment, high symptom expression secondary to psychosocial and spiritual factors, limited life-expectancy requiring special considerations for prognosis-based decision-making, and distressed caregivers. There is a paucity of research involving patients in the last weeks of life, contributing to substantial variations in clinical practice. In this narrative review, we shall review the existing literature and provide a practical approach to in-patient management of several of the most distressing physical symptoms in the last weeks to days of life.

http://dx.doi.org/10.4143/crt.2022.143

Voir la revue «Cancer research and treatment, 54»

Autres numéros de la revue «Cancer research and treatment»

Consulter en ligne

Suggestions

Du même auteur

Response to oral immediate-release opioids fo...

Article indépendant | AZHAR, Ahsan | The oncologist

BACKGROUND: There is limited evidence about the response of breakthrough pain (BTP) to the most commonly used oral immediate-release (IR) opioids. Our aim was to determine response rate to oral IR opioids for BTP control in patien...

Chronic non-malignant pain in patients with c...

Article | HUI, David | Cancers | n°1 | vol.12

Palliative care is seeing cancer patients earlier in the disease trajectory with a multitude of chronic issues. Chronic non-malignant pain (CNMP) in cancer patients is under-studied. In this prospective study, we examined the prev...

Chronic non-malignant pain in patients with c...

Article indépendant | HUI, David | Cancers | n°1 | vol.12

Palliative care is seeing cancer patients earlier in the disease trajectory with a multitude of chronic issues. Chronic non-malignant pain (CNMP) in cancer patients is under-studied. In this prospective study, we examined the prev...

De la même série

Palliative sedation in end-of-life patients i...

Article indépendant | LEE, Seung Hun | Cancer research and treatment | n°3 | vol.54

Although palliative sedation (PS) is a common practice in the palliative care of cancer patients in Western countries, there is little related research on the practice in Korea. PS can be classified into several categories accordi...

Management of physical symptoms in patients w...

Article indépendant | AZHAR, Ahsan | Cancer research and treatment | n°3 | vol.54

Patients with advanced cancer are faced with many devastating symptoms in the last weeks and days of life, such as pain, delirium, dyspnea, bronchial hypersecretions (death rattle) and intractable seizures. Symptom management in t...

Psychological aspects of care in cancer patie...

Article indépendant | ANN-YI, Sujin | Cancer research and treatment | n°3 | vol.54

Palliative care is comprised of an interdisciplinary team (IDT) approach with members from different disciplines who collaboratively work together to reduce multidimensional components of pain and suffering and improve quality of ...

Development of a community-based palliative c...

Article indépendant | KIM, Sook-Nam | Cancer research and treatment | n°3 | vol.49

PURPOSE: A feasible palliative care model for advance cancer patients is needed in Korea with its rapidly aging population and corresponding increase in cancer prevalence. This study describes the process involved in the developme...

Experiences and opinions related to end-of-li...

Article indépendant | KOH, Su-Jin | Cancer research and treatment

Purpose: The aims of this study were to explore how oncologists and resident physicians practice end-of-life (EOL) discussions and to solicit their opinions on EOL discussions as a means to improve the quality of EOL care. Materia...

Chargement des enrichissements...