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Palliative Care Consultations in Haemato-oncology$
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Sara Booth, Eduardo Bruera, and Jenny Craig

Print publication date: 2003

Print ISBN-13: 9780198528081

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198528081.001.0001

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Palliative care for patients undergoing intensive chemotherapy

Palliative care for patients undergoing intensive chemotherapy

(p.75) Chapter 6 Palliative care for patients undergoing intensive chemotherapy
Palliative Care Consultations in Haemato-oncology

Paul Perkins

Susan Closs

Oxford University Press

This chapter focuses on palliative care for patients undergoing aggressive treatment, specifically for haematological patients receiving chemotherapy. In patients with haematological malignancies, chemotherapies are often administered with the aim to cure. These regimens often cause adverse effects that may become a burden to the patient, a management challenge for clinicians, and which may cause delay or cessation of treatment. Unlike in other cancer patients, haematological patients may face a rapid transition from feeling well to undergoing intensive treatment, which posits dramatic psychological effects. If cured, the patients may have to face long-term sequelae; if treatment fails, the change to terminal care can be sudden and traumatic; and because of its radical nature, some will die due to treatment. The emphasis of the chapter is on the management and treatment of the adverse effects of intensive chemotherapy. Among the concerns discussed herein are depression, vomiting, chemotherapy-related nausea, mucositis, dry skin, and diarrhoea.

Keywords:   palliative care, aggressive treatment, haematological patients, chemotherapy, intensive treatment, treatment, adverse effects

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