5 - Gynae - The Ovary and its disorders - Palliative Care Flashcards Preview

CP2 > 5 - Gynae - The Ovary and its disorders - Palliative Care > Flashcards

Flashcards in 5 - Gynae - The Ovary and its disorders - Palliative Care Deck (6):
1

cure rate for gynae cancer = ?
ovarian = most ?
goals of pal care? what are the 3 levels of care involved?

30%
most deaths
incr QOL for pt and fam by meeting social, psych and spiritual needs.
GP, specialist nurse, specialist hospices/gynae units

2

Sx control - pain
-4 medical trts?
-alternative therapy examples?

analgesic ladder, antidepressants, steroids, cytotoxics
alternative therapies - acupuncture/CBT

3

N+V Sx control
4 antiemetics types given?

anticholinergics, antihistamines, DA antafs or 5HT3 antags

4

Heavy PV bleeding Sx control
-what may help? do what if not done before?

high dose progestogens
RTx

5

ascites/bowel obstruction Sx control
- ? slowly with repeated ?
- manage obstruction at ? with ? and stool softeners, ? for constipation.

drain slowly with repeated paracentesis

home with metoclopramide,
enemas

6

terminal distress Sx control
-last 24hrs managed sensitively w time for pt to relax in ? ?
- good Sx control with ? and ? w/o ? can allow valuable time w family.

quiet env

anxiolytics and analgesia
sedating

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