Nausea and vomiting in palliative care

Nausea and vomiting are common problems in palliative care, occurring in up to 70% of patients with advanced incurable disease. Nausea and vomiting can be disease- or treatment-related. They require a holistic approach to their management, involving a thorough clinical assessment with a focused hist...

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Bibliographic Details
Published inMedicine (Abingdon. 1995, UK ed.) Vol. 48; no. 1; pp. 14 - 17
Main Author Keeley, Paul W.
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.01.2020
Subjects
Emesis
MRCP
nausea
palliative care
vomiting
palliative care
MRCP
Emesis
nausea
vomiting
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Summary:Nausea and vomiting are common problems in palliative care, occurring in up to 70% of patients with advanced incurable disease. Nausea and vomiting can be disease- or treatment-related. They require a holistic approach to their management, involving a thorough clinical assessment with a focused history, appropriate examination and limited range of key investigations. A knowledge of the receptors likely to be involved in this complex phenomenon is vital to ensure that proper pharmacological (and other) measures are employed. Although many of the relevant drugs have been available for many years, newer agents have improved the management of several types of nausea and vomiting (specifically emesis related to surgery, chemotherapy or radiotherapy). Non-pharmacological measures, including stenting, laser treatment and venting gastrostomy, can be considered in selected patients.
ISSN:1357-3039
1878-9390
DOI:10.1016/j.mpmed.2019.10.009