scholarly journals Who to Treat First: The Oncological Patient or the Oncological Disease?

2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Joana Espiga de Macedo ◽  
Manuela Machado
Author(s):  
Ivica GULÁŠOVÁ ◽  
Nadežda PETERKOVÁ JUSTHOVÁ ◽  
Jozef BABEČKA

The authors hereby discuss the social aspect of treatment of an oncological patient in a spa institution. The aim of this article is to analyse social changes and needs of an oncological patient, creating a burden to both the patient and their family. The disease is an unbalanced bio-psycho-socio-spiritual phenomenon affecting the quality of life. It is the result of interaction of pathologic and compensation processes that lead to the degeneration and damage of cells, tissues and systems of an organism. The way of coping with the disease is also influenced patients’ attitudes to the disease, their knowledge about the same and, of course, existing prejudices and distorted views that are still present among the public in relation to oncological diseases. A person lives in a certain social environment, has their own family, employment, problems, and interests. Satisfaction of social needs is aimed at moderation of social isolation, effective communication with the patient and provision of social support system. Communication is the exchange of information; it is the basic principle of interpersonal relationships in nursing healthcare. Effective communication is one of the basic and important psychosocial needs and positively influences the quality of relationship between the nurse and the patient. Communication with an oncological patient requires the nurse to have a variety of communication skills that cannot be learned, but are formed through real life situations, constant contact with the patient, knowledge of human psyche, but especially kind and open heart and love of their job. Oncological disease and the treatment thereof significantly influences physical activity, not only at home but also in employment. The patients find themselves in a new social role; can experience changes in their employment, role of a parent and/or a partner. The temporary incapacity to work has longer duration and can end with the return to the previous job position, change to a less exhausting job or a job with shorter working hours, in partial or complete disability and possibly also in death of the patient. The return to work often means the end of loneliness and increased self-awareness for the patient. Spa treatment is expected to provide restoration of organs or systems affected by the oncological disease after the termination of anti-carcinoma treatment, restore the unsatisfactory functioning of organs or systems induced secondarily by the disease or by the treatment thereof.


2020 ◽  
pp. 19-23
Author(s):  
Lilia Shagvaleeva

The article discloses the role of the medical sister of the oncological department in the creation of a positive psychological microclimate, which is the key to the successful treatment and rehabilitation of the oncological patient. Experience of organization of nursing process in the department of tumors of external localizations is presented.


2021 ◽  
Vol 11 (7) ◽  
pp. 99
Author(s):  
Gian Piero Turchi ◽  
Marta Silvia Dalla Riva ◽  
Luisa Orrù ◽  
Eleonora Pinto

Starting from statistical data derived from the oncological field, some articles have highlighted the importance of communication in the patient–caregiver dyad and have considered the various roles involved in a cancer diagnosis situation. Thus, the question of how to intervene in terms of “quality of life” from the time of diagnosis to the recovery or death of a cancer patient, beyond the sanitary and physical dimensions, has become relevant. Therefore, the present narrative review aims to offer an overview of the state of the art in terms of the psychological treatment modalities of cancer patients, from the diagnosis to the post-surgery period. A total of 67 articles were collected and analyzed, in relation to (1) psychological constructs employed in the oncological field, (2) intervention models and (3) quality of life and well-being measurement and evaluation tools. We described these articles, differentiating between those focusing on the role of (1) the patient, (2) the caregiver, (3) the patient–caregiver dyad and (4) healthcare professional roles. The oncological diagnosis and its repercussions in the lives of the patient and caregiver were explored and critical aspects that emerged from the literature were highlighted. In conclusion, the analysis allowed some considerations about the need to define research protocols and useful management strategies for increasing the overall health of patients with cancer diagnoses and the people who surround them.


2021 ◽  
Vol 32 (2) ◽  
pp. 171-174
Author(s):  
I Mirón Fernández ◽  
L Romacho López ◽  
A Durán Campos ◽  
A González Sánchez ◽  
J Aranda Narváez ◽  
...  

Resumen El carcinoma seroso de ovario es un tumor peritoneal multicéntrico que supone el 70-80% de las neoplasias malignas ováricas. Se diagnostica hasta en un 50% de los casos en fase avanzada con afectación peritoneal. En la etapa terminal de la enfermedad las pacientes pueden presentar ascitis refractaria con necesidad de evacuación periódica. Hasta la fecha no había constancia en la literatura de la utilización de stents para drenaje de colecciones ascíticas loculadas en pacientes en situación paliativa. El uso de estas prótesis se había limitado al tratamiento de necrosectomías pancreáticas o drenaje de pseudoquistes pero en los últimos años se han ido ampliando sus indicaciones. Presentamos el caso de una paciente con cáncer de ovario Estadio IIIC de la FIGO en situación paliativa con intolerancia digestiva secundaria a compresión gástrica extrínseca por colección ascítica resuelta con prótesis Hot Axios™.


2013 ◽  
Vol 7 (3) ◽  
pp. 315-321 ◽  
Author(s):  
Tomáš Vyhlídal ◽  
Kateřina Holická ◽  
Ondřej Ješina

The allowance introduces the lay and professional public project The mole in the network. This project aims at support the comprehensive care of children with oncological disease, their siblings and parents. The chief aim of the project is to create networks of organizations at the level of nonprofit organizations, educational and health organizations and universities that deal with improving the quality of life of children with oncological disease during and after treatment. It will be created a system of cooperation at the level of Endowment fund pediatric Oncology KRTEK (Czech Republic), Palacky University in Olomouc (Czech Republic) and the Regional youth council of Žilina (Slovak Republic). With the czech-slovak cooperation we want to create an unique system of exchangeable residential programs aimed at adapted physical activity where the children with oncological disease, their parents and siblings from the Czech and Slovak Republic will meet together and attend the programs under professional guidance.


2019 ◽  
Vol 0 (15) ◽  
pp. 0-0
Author(s):  
Aysun CAN ◽  
Sevilay HİNTİSTAN
Keyword(s):  

2021 ◽  
Vol 108 (Supplement_4) ◽  
Author(s):  
L F Azenha Figueiredo ◽  
S Deckarm ◽  
G Kocher

Abstract Objective The management of malignant pleural effusion is a common problem in thoracic surgery. Patients are often polymorbid and are usually referred at a terminal stage of their oncological disease. Our objective was to compare the efficiency and outcomes after different treatment strategies of malignant pleural effusion. Methods We retrospectively reviewed the charts of a total of 416 patients treated during the period of 2010 to 2020 who underwent thoracoscopic pleurodesis with or without implantation of tunneled pleural catheter (TPC) as well as patients who underwent the implantation of TPC alone. Primary outcome was postoperative survival and secondary outcome was length of stay (LOS). In addition, we documented the recurrence of ipsilateral pleural effusion and the need for reintervention as well as the pulmonary reexpansion of the lung on postoperative chest x-ray. Inclusion criteria were malignant pleural effusion and documented follow-up until time of death. Exclusion criteria were treatment for mesothelioma, pneumothorax and emphysema. Results A total of 199 patients were included for analysis. Median LOS of patients treated with implantation of TPC alone in analgosedation (n = 28) was 1 day (range:1-4 days). Median LOS of patients who received video-assisted talcum pleurodesis (n = 65) without implantation of a TPC was 6 days (range 1-38 days). Median LOS of patients who received VATS talcum pleurodesis and TPC (n = 106) was 3 days (range 1-34 day). The difference in LOS was statistically significant (p < 0.05). Median overall survival was 108 days (range 3-3001 days). There was no statistically significant difference in survival between the different treatment groups (p = 0.47). Conclusion The primary goal when treating patients with malignant pleural effusion is relief of dyspnea and/or pain and to keep the duration of the inpatient treatment to a minimum. In patients with a considerable surgical risk due to comorbidities and their underlying oncological disease and who don’t require the sampling of histological material, a conservative treatment option with implantation of a TPC can be sufficient. The additional insertion of a TPC not only reduces the length of stay, but also has a positive effect on the efficacy of the pleurodesis in terms of less recurrence. We therefore recommend the routine use of TPC when performing VATS talcum pleurodesis in patients with malignant pleural effusion.


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