Symptom Management and Palliative Care for Patients with Cancer

Symptom Management and Palliative Care for Patients with Cancer
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DOI:
10.1016/j.cnur.2016.10.006
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发表时间:
2017-03-01
影响因子:
2
通讯作者:
Yates, Patsy
Yates, Patsy
中科院分区:
医学4区
文献类型:
--
作者:
Yates, Patsy

文献摘要

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近年来,晚期癌症的临床背景发生了变化,生存率延长,癌症轨迹和病理学更加多样化和复杂。在晚期疾病的症状管理方面取得了进展,姑息治疗的贡献得到了更好的理解。姑息治疗更有可能在疾病的早期提供,而不仅仅是在生命结束时。本文讨论了症状管理和姑息治疗。主要特点是更好地理解晚期癌症患者并发症状的机制的复杂性和多维性,全面和系统的症状评估以及癌症管理的个性化方法。
The clinical context for advanced cancer has changed in recent years, with extended survival rates and more diverse and complex cancer trajectories and symptomatology. Advances have been made in symptom management of advanced disease, and the contribution of palliative care is better understood. Palliative care is more likely offered earlier in the disease not just at end of life. This article discusses symptom management together with palliative care. Key features are greater appreciation of the complex and multidimensional nature of mechanisms underpinning co-occurring symptoms in advanced cancer patients, comprehensive and systematic symptom assessment, and individualized approaches to cancer management.