Cancer-related fatigue is one of the most frequent symptoms reported by patients, in all stages of the disease.
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Fatigue is related to secondary causes, such as anemia, electrolytes disorders, malnutrition or to cancer specific therapy chemotherapy, radiation or biologic treatment or is related to the disease itself. Material and method. Results and discussion. Most of them had low and moderate fatigue Many researches are focused on fatigue therapy - ovarian cancer final stages symptoms of them studied the effect of stimulants, corticoids and non-pharmacological interventions. The intensity of this symptom is reported differently by patient and by the physician, and this is a strong reason for assessing fatigue at every clinical evaluation of the patients in palliative settings.
The treatment option with very ovarian cancer final stages symptoms recommendation is based on non-pharmacological intervention.
Oboseala în tumorile maligne solide este una dintre cele mai frecvente simptome raportate de pacienți în flatulenta fasole etapele bolii. Oboseala este legată de cauze secundare, cum ar fi anemie, tulburări de electroliți, malnutriție sau la terapia specifică: chimioterapie, radioterapie sau biologice sau este legat de boala în sine.
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Material și metodă. Rezultate și discuții. Multe cercetări sunt concentrate pe terapia oboselii - cele mai multe ovarian cancer final stages symptoms ele au studiat diverse stimulente, corticoizi și intervenții non-farmacologice. Intensitatea acestui simptom este raportată în mod diferit de pacient și de medic, iar ovarian cancer final stages symptoms lucru este un motiv întemeiat pentru a măsura oboseala la fiecare evaluare clinică a pacienților în îngrijirile paliative.
Opțiunea de tratament se bazează pe intervenții non-farmacologice. Cancer-related fatigue is one of the most prevalent symptoms in cancer patients and it has been recognized by physicians, patients, caregivers, and researchers that fatigue needs clinical attention and strong intervention 3.
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So, cancer-related fatigue has been accepted as a diagnosis in the International Classification of Diseases, Tenth Revision 3and clinical practice guidelines for its management have been formulated by the National Institutes of Health and the National Comprehensive Cancer Network NCCN 4,5. Fatigue may be regarded as a single symptom, as a symptom cluster or as a clinical syndrome 6.
Fatigue is a subjective symptom and must be assessed at initial clinical evaluation of cancer patients, by self-evaluation ovarian cancer final stages symptoms, only in isolated cases cognitive impairments can be substituted by estimations of caregivers or medical staff 6. For the single-symptom approach, single item scales analog-visual scale have been proposed.
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Initially, in the management of fatigue should be considered the secondary causes of fatigue and these must be correctly treated. So, the patient should be evaluated for anemia, depression, thyroid disorders, hypercalcaemia, magnesium imbalance, malnutrition, too.
Most of the patients with cancer-related fatigue will benefit from the non-pharmacological treatment, such as exercises, cognitive behavioral ovarian cancer final stages symptoms, and sleep intervention. Symptomatological pharmacological treatment is based on stimulants, such as methylphenidate, modafinil, pemoline and donazepil, and corticoids 2,4,6.
In the final stage of life, fatigue may provide protection and shielding from suffering for the patient and treatment of fatigue may be detrimental 6. The severity of fatigue at the time of assessment is rated from 0 to 10 on a numerical scale, with 0 meaning that the symptom is absent, meaning low intensity of fatigue, meaning moderate intensity of fatigue, and representing severe level of fatigue.
The participants were explained the purpose and the importance of the study and the patients signed a written informed consent, in which they freely agreed ovarian cancer final stages symptoms join the study.
Data obtained were analyzed using Microsoft Office Excell However, cancer site does not seem to influence significantly the degree ovarian cancer final stages symptoms fatigue There were differences between the results of the study and the expectancy of the investigators, especially in prostate cancer patients, who seemed to have a very good performance status and a very good tolerance of the specific treatment. It is known that the prevalence and the impact of fatigue often have not been recognized by physicians In the last years, the studies focused on fatigue treatment to increase the quality of life.
The purpose of this paper is to quantify the incidence of different histological types of ovarian tumors and to demonstrate the clinical importance of an effective screening program, considering the paucisymptomatic nature of this pathology. The incidence of ovarian epithelial tumors varied across age groups, our study group including women aged between 34 and 64 years old. Knowing the age distribution plays an important role in the implementation of screening programs. All cases presented with similar symptomatology: pelvic pain, abdominal distension and ascites. The gross appearance of these tumors was overlapping in different histological subtypes, showing variable cystic and solid components.
Research on symptomatic treatment of fatigue, in palliative care, has been concentrated on stimulant drugs such as methylphenidate, modafinil, dexmethylphenidate, pemoline and donazepil. The routine use of these drugs in palliative care patients was considered controversial in the expert group because the available evidences are being too poor 6.
Best Supportive Care BSC is the treatment of choice when cure is not achievable with anticancer agents and involves management of disease-related symptoms. Advanced cancer is generally characterized by loss of moving possibilities, increasing resting time, and gradual loss of interactional capacity. The end of life is defined by: evolution of the malignant disease, depletion of conventional anticancer alternatives and signs of approaching death. The aim of the whole treatment applied is to enhance quality of life by the relief of symptoms, once they occur. Methods: We report the case of a 48 year old female patient, diagnosed with stage IV ovarian cancer, who received three chemotherapy lines.
The potentially useful interventions in cancer-related fatigue are: the correction of metabolic disorders, anemia, depression, insomnia, ovarian cancer final stages symptoms in periods of activity and rest diarycognitive therapy, behavioral therapy to modify sleep sleep hygiene and nutritional support In women with breast cancer receiving chemotherapy, exercise can significantly ovarian cancer final stages symptoms the level of fatigue, and as the duration of exercise increases, the intensity of fatigue declines In patients with melanoma receiving interferon-α, the combination of exercise and methylphenidate showed a positive effect on interferon-induced fatigue The management of fatigue in our patients included corticosteroids and light physical exercise program.
Conclusions Fatigue is one of the most frequent symptom in cancer patients with advanced and metastatic disease and seems to be more pronounced in lung cancer in association, probably, with dyspnea.
Managementul oboselii în îngrijirile paliative
The intensity of this symptom is reported differently by patient and by the papilloma on hands and this is a strong reason for assessing fatigue at every clinical evaluation of the patients in palliative settings. The treatment of the fatigue rest limited to non-pharmacological interventions and the results are inconsistent.
Click here to subscribe to the Endometriosis News Newsletter! Endometriosis is a disease where tissue similar to uterine tissue grows outside of the uterus. Each stage is based on the location, amount, depth and size of the endometrial tissue and does not automatically reflect the amount of pain, infertility risks or symptoms one may present. A patient can be on stage I and be in a great amount of pain and someone else can be on stage four with little to no symptoms. MORE: Three tips to help cope with endometriosis pain Stage I or minimal stage: This stage is usually marked by small patches or lesions or swelling either on or around the organs in the pelvis.
Limitation of the study: a multicenter study with a larger sample size would allow for more definite conclusions. Cancer-related fatigue. Clinical Practice Guidelines in Oncology.
J NatlComprCancNetw. Cancer-related fatigue: a review.
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Revista da Associação Médica Brasileira, 57 2 Maarten H. M, Pascal J. Oncology Williston Park ;— Accessed April 27, Radbruch L, Strasser F.
Management of fatigue in palliative cancer patients
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