TAILIEUCHUNG - Palliative Care

Gynecological cancers are most distressing to the patient and the family. This is so all over the world, but in resource-poor countries, it may be a death sentence with a painful journey from diagnosis to death itself. The economy of the country in which we live at the time of diagnosis, has a huge effect on our access to treatment. | 32 Palliative Care Anne Merriman and Rose Kiwanuka BASIC PALLIATIVE CARE Gynecological cancers are most distressing to the patient and the family. This is so all over the world but in resource-poor countries it may be a death sentence with a painful journey from diagnosis to death itself. The economy of the country in which we live at the time of diagnosis has a huge effect on our access to treatment. In our experience African women suffer the most and as they are the main carer in the family the children suffer with them during the illness and later. It is not just physical pain but also the traditional role of women that is now threatened by a death sentence and an illness attacking the very center of her womanhood. The psychological fears as well as physical suffering from misunderstandings with the husband can make life a living hell for her. All these problems need to be taken into account and palliative care seeks to do this. But the person who is bringing palliative care needs to be knowledgeable not only of pain and symptom control but also of the local cultural attitudes towards women and their role in the family. Spirituality and religion is a comfort and most women would want their carer to listen to their problems and to pray with them. This can be done comfortably within the home. However many gynecologists and oncologists insist on providing invasive therapy causing pain and distress up to the last Box 1 . We need to be ethical in our approach to the terminally ill patient taking into account the prognosis for life or for time left. If time was short then most patients would prefer to spend this with their family not in hospital suffering with painful treatments offering them false hope. It is heart breaking to see how many women are subjected to fruitless suffering due to the false beliefs of consultants that they can extend life. Palliative medicine improves the quality of life and may prolong the overall survival1. Box 1 A case study Mary was .

• Y khoa - Dược
• Palliative Care
• Gynecological cancers
• Basic palliative care
• Ovarian cancer
• Cervical cancer
• ABC of palliative care
• Palliative care for children
• Chronic non malignant disease
• Complementary therapies
• Community palliative care
• Evolution
• End of Life Care
• Palliative
• Involvement
• Excellent Palliative
• Clinical hypnosis
• Meditative states inspiritual care
• Techniques forpain relief
• The principles
• Advanced disease
• Respiratory problems
• Nausea and vomiting
• Intestinal obstruction
• Pediatric palliative care
• Trending longitudinal agreement between parent
• Child perceptions
• Pediatric palliative care patients
• A retrospective review
• BMC Pediatrics
• Clinical practice guideline
• Shared decision making
• SDM enhancing strategies
• Radiation oncology
• Palliative cancer care
• Palliative radiation oncology
• Palliative radiotherapy
• General principles
• Genitourinary malignancies
• Associated conditions
• Pediatric palliative radiation oncolog
• Behavioral assessment
• The relationship between clinical hypnosis
• Clinical hypnosis techniques
• Chronic obstructive pulmonary disease
• Lung cancer
• Palliative care services
• Place of death
• Specialized palliative care
• anticancer treatment
• medical oncology
• palliative medicine
• Palliative surgery
• Brain metastases
• BMC Anesthesiology
• Intensive care unit
• Patient centered care
• BMC Cancer
• Delivery of health care
• Needs assessment
• Psychometric properties
• Pediatric critical care medicine
• Care of the critically ill or injured child
• The practice of pediatric critical care medicine
• The science of pediatric critical care medicine
• Palliative care in the PICU
• Controversies and considerations
• Critical care
• Decision making
• Care processes
• Essential roles
• Tntegrative approaches
• Supporting parent caregivers
• Translating evidence into practice
• Perinatal medicine
• Qualitative analysis
• Perinatal hospices
• Health services
• Adolescents dying
• Gastro intestinal
• Complex chronic conditions
• Early integrated care
• Quality of life research
• Randomized clinical trial
• Cost effectiveness
• Cognitive therapy
• Brief psychosocial
• Cognitive behavioral therapy performed
• Depressive symptoms
• Advanced cancer
• Cancer patients
• Psychological dysfunction
• Terminally ill patients
• Early palliative care
• International medical organizations
• Quality of life
• BMC Pulmonary Medicine
• Proactive palliative care
• COPD patient
• Acute exacerbation
• Post discharge mortality
• Colorectal cancer
• Mixed methods
• Protocol study