ABC of palliative care. Emergencies.
نویسندگان
چکیده
The concept of rapid assessment, evaluation, and management of symptoms due to malignancy is generally accepted. Inherent in this concept is rapid reversal of what is reversible. Some acute events in malignancy have to be treated as an emergency if a favourable outcome is to be achieved. As in any emergency, the assessment must be as prompt and complete as possible. In patients with advanced malignancy, factors to consider include x The nature of the emergency x The general physical condition of the patient x Disease status and likely prognosis x Concomitant pathologies x Symptomatology x The likely effectiveness and toxicity of available treatments x Patients’ and carers’ wishes. While unnecessary hospital admission may cause distress for the patient and carers, missed emergency treatment of reversible symptomatology can be disastrous.
منابع مشابه
Emergencies in palliative care.
Palliative care emergencies are emergencies in patients with an incurable disease that may lead to death or decreased quality of life. During the palliative care phase of a patient's life, they differ from other medical emergencies and are mainly focusing on symptom control, whereas disease-oriented treatments are less important. Palliative care emergencies can occur on the physical, emotional,...
متن کاملInternational recommendations for outpatient palliative care and prehospital palliative emergencies – a prospective questionnaire-based investigation
BACKGROUND To determine the international recommendations and current practices for the treatment and prevention of palliative emergencies. The primary goal of the study was to gather information from experts on their nationally practised concepts. METHODS One hundred and fifty self-report surveys were distributed by email to selected leading experts (palliative and emergency medical care) in...
متن کاملInternational recommendations for outpatient palliative care and 1 prehospital “ Palliative Emergencies ” – a
26 Aim: To determine current practice among experts in palliative care and a qualitative 27 exploration of their recommendations regarding outpatient palliative emergencies. The main 28 goal of the study was to get the experts ́ opinions on their nationally practised concepts. 29 Methods: A standardised questionnaire was mailed to experts in palliative and emergency 30 care. In the search for ex...
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عنوان ژورنال:
- BMJ
دوره 315 7121 شماره
صفحات -
تاریخ انتشار 1997