Palliative Care Consultations in Advanced Breast Cancer by Sara Booth, Helena Earl

By Sara Booth, Helena Earl

The Palliative Care Consultations sequence is basically geared toward these members operating in an acute sanatorium melanoma heart and/or tertiary referral heart. Books are designed to provide the busy clinician suggestion on scientific difficulties, either these hardly encountered and those who are quite common, yet tricky. The volumes are web site particular and every quantity contains a evaluation of the present oncological or haemato-oncological administration of complex illness with symptom keep watch over suggestion. those volumes will supply clinicians very good recommendation on symptom regulate within the context of palliative care. The books can also be of use and curiosity to different professions operating in acute hospitals.

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This care should be complementary to that provided by the oncology team and not seen as an alternative. A. (1999). A retrospective cohort study of post mastectomy pain syndrome. Pain, 83, 91–95. 2 Logan, V. (1995). Incidence and prevalence of lymphoedema: a literature review. J Clin Nurs, 4, 213–219. , and Tunkel, R. (1995). Predictors of psychological distress, sexual dysfunction and physical functioning among women with upper extremity lymphoedema related to breast cancer. Psycho-Oncol, 4, 255–263.

A computed tomography (CT) scan of the thorax can assess tumour infiltration into chest wall musculature. Both CT and magnetic resonance imaging (MRI) scanning can demonstrate characteristic features of lymphoedema and may also be valuable in excluding or confirming a malignant cause of lymphoedema. 6 A negative radiological investigation does not necessarily rule out a malignant cause for the pain and it should be reviewed with the radiologist to compare M A NA G EM EN T j 21 radiological findings with the clinical picture.

Such research can tell us much about the needs of advanced breast cancer patients and help clinicians to understand how to support patients in this stage of the disease. Psychosocial issues are becoming increasingly important in oncology and are central to palliative care, and this chapter will focus on some of the main psychosocial issues among patients with advanced breast cancer and will present evidence and guidelines where they exist. 7,8 34 j P S Y C H O L OG I C A L A N D S O C I A L IS S U E S F O R P A TI E N T S W I T H A D V A N C E D B R E A S T C A N C E R Not surprisingly, the experience of anxiety and depression are known to have a significant negative impact on quality of life.

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