Before starting treatment must discard reversible causes: ted monte drugs, depression, constipation

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Table of Contents What do we mean by control symptoms? Anorexia Dry mouth and / or painful spinal compression Seizures Diaphoresis (profuse sweating) Diarrhea Dysphagia Dyspnea Dysuria Spasms / muscle cramps spasm bladder tumor Rales premorten Fever Constipation Hematuria Hemoptysis Hypercalcemia Hypo intracranial hypertension Insomnia Itching Nausea and vomiting gastric Crush syndrome acute confusional syndrome (delirium ted monte and agitation) Cough Sialorrhea urinary tenesmus neoplastic ulcers Bibliography More Authors Network
16/10/2013 ted monte - 03/02/2012 Guide palliative care ***** - ***** 11/10/2011 Palliative Care - Care at the End of Life ***** 15/01/2011 - Safe use of opioids in terminally ill patients ***** 31/12/2010 - Use of laxatives in palliative care ***** 15/11/2010 - Guidelines for patients with incurable cancer ***** 03/04 / 2010 - palliative care unit: standards and recommendations 04/02/2010 ***** - ***** 23/12/2009 paliativivos guide care - Clinical Practice Guidelines for quality palliative care **** * 26/06/2009 - Haloperidol for the treatment of nausea and vomiting in palliative care ***** 29/04/2009 - 11/02/2009 ***** guide on palliative care - Treatment of the patient's symptoms terminal palliative care *****
Symptom control in terminal neoplastic patients is the foundation on which the other principles are based on palliative care. Neoplastic patients throughout ted monte the course of the illness ted monte will present multiple symptoms of varying intensity, changing and multifactorial.
To make an approach to provide adequate symptom control is needed: Prior to any treatment make an etiologic evaluation that allows us to determine whether a symptom is attributable to neoplastic secondary to treatment received or disease unrelated to them. Determine the need to treat a symptom depending on the developmental stage of the patient and the clinical situation. Assess the damage / benefit (not always appropriate is treat the symptoms. Administer antibiotics eg a dying patient with fever) Start treatment as soon as possible and keep track of the response to it. Choose dosage treatments easy to perform, adapting the route of administration to the patient's situation and maintain the oral route whenever possible. Avoid keeping unnecessary polypharmacy and no drugs until the last moment. Constant information to the patient ted monte and family or primary caregiver of the clinical situation and the real possibilities of treatment of different symptoms. Caring for household level to a neoplastic patient in the last stages of his life, generates a lot of overhead ted monte both physically and mentally especially family, we will not correct but we try palliative treatment to alleviate this situation. To do this, report and resolve all doubts that may arise and agree to take all decisions with both the patient and the family.
It is a symptom with cachexia generates ted monte a significant emotional impact on both the patient and family, it is necessary to explain ted monte the nature of the problem and limitations ted monte in their treatment.
Before starting treatment must discard reversible causes: ted monte drugs, depression, constipation, pain, mucositis, nausea and vomiting, early satiety ted monte (can be useful metoclopramide). In the treatment of the anorexia-cachexia of cancer patients have been used multiple drugs. Most clinical trials are guaranteed corticosteroids and megestrol acetate. Corticosteroids (prednisone, dexamethasone). Produce increased appetite and sense of well being disap