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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Published in | Medicine (Abingdon. 1995, UK ed.) Vol. 48; no. 1; pp. 14 - 17 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
Elsevier Ltd
01.01.2020
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Subjects | |
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Abstract | 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. |
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AbstractList | 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. |
Author | Keeley, Paul W. |
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References | Chand (bib4) 2014; 292 NHS Scotland (bib3) 2019 Glare, Pereira, Kristjanson, Stockler, Tattersall (bib1) 2004; 12 Collis, Mather (bib2) 2015; 351 NHS Scotland (10.1016/j.mpmed.2019.10.009_bib3) 2019 Glare (10.1016/j.mpmed.2019.10.009_bib1) 2004; 12 Collis (10.1016/j.mpmed.2019.10.009_bib2) 2015; 351 Chand (10.1016/j.mpmed.2019.10.009_bib4) 2014; 292 |
References_xml | – volume: 12 start-page: 432 year: 2004 end-page: 440 ident: bib1 article-title: Systematic review of the efficacy of antiemetics in the treatment of nausea in patients with far-advanced cancer publication-title: Support Care Cancer 2004 contributor: fullname: Tattersall – year: 2019 ident: bib3 article-title: Scottish palliative care guidelines – nausea and vomiting contributor: fullname: NHS Scotland – volume: 292 start-page: 240 year: 2014 ident: bib4 article-title: Nausea and vomiting in palliative care publication-title: Pharm J contributor: fullname: Chand – volume: 351 start-page: h6249 year: 2015 ident: bib2 article-title: Nausea and vomiting in palliative care publication-title: Br Med J contributor: fullname: Mather – volume: 292 start-page: 240 year: 2014 ident: 10.1016/j.mpmed.2019.10.009_bib4 article-title: Nausea and vomiting in palliative care publication-title: Pharm J contributor: fullname: Chand – year: 2019 ident: 10.1016/j.mpmed.2019.10.009_bib3 contributor: fullname: NHS Scotland – volume: 12 start-page: 432 year: 2004 ident: 10.1016/j.mpmed.2019.10.009_bib1 article-title: Systematic review of the efficacy of antiemetics in the treatment of nausea in patients with far-advanced cancer publication-title: Support Care Cancer 2004 doi: 10.1007/s00520-004-0629-y contributor: fullname: Glare – volume: 351 start-page: h6249 year: 2015 ident: 10.1016/j.mpmed.2019.10.009_bib2 article-title: Nausea and vomiting in palliative care publication-title: Br Med J doi: 10.1136/bmj.h6249 contributor: fullname: Collis |
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Title | Nausea and vomiting in palliative care |
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