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

Question 1

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

Answer 1

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

Question 2

Sx control - pain

• 4 medical trts?
• alternative therapy examples?

Answer 2

analgesic ladder, antidepressants, steroids, cytotoxics

alternative therapies - acupuncture/CBT

Question 3

N+V Sx control

4 antiemetics types given?

Answer 3

anticholinergics, antihistamines, DA antafs or 5HT3 antags

Question 4

Heavy PV bleeding Sx control

-what may help? do what if not done before?

Answer 4

high dose progestogens

RTx

Question 5

ascites/bowel obstruction Sx control

• ? slowly with repeated ?
• manage obstruction at ? with ? and stool softeners, ? for constipation.

Answer 5

drain slowly with repeated paracentesis

home with metoclopramide,
enemas

Question 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.

Answer 6

quiet env

anxiolytics and analgesia
sedating