Oncology and palliative care

Question 1

Sofia: list trigger factors for referral to specialist palliative care

Answer 1

for :
symptom control, psychological support, terminal care (inc spiritual needs)

the 3 levels of caree, MDT approach:
Specialist practionners - macmillan nurses
specialist hospices
specialist gynae units - gynae cancers

Question 2

what kind of things will palliative care address - ovarian cancer?

Answer 2

PAIN - who pain ladder

NAUSEA + VOMITING
- anti-emetics

HEAVY VAGINAL BLEEDING

• high dose progestogen
  - radiotherpay if not working

BOWEL OBSTRUCTION

• metoclopramide
• cyclizine

ASCITES
- paracentesis

Question 3

recall the range of palliative care patients with cancer and other conditions

Answer 3

cancer, dementia,

progressive neurological conditions,

respiratory, cardiac, renal,

chronic frailty and other life-limiting conditions

Question 4

recall the range of palliative care patients with cancer and other conditions

Answer 4

cancer, dementia,

progressive neurological conditions,

respiratory, cardiac, renal,

chronic frailty and other life-limiting conditions