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Palliative Care in the Home$
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Derek Doyle and David Jeffrey

Print publication date: 2000

Print ISBN-13: 9780192632272

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780192632272.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 18 June 2021

Symptom palliation

Symptom palliation

(p.5) 2 Symptom palliation
Palliative Care in the Home

Derek Doyle

David Jeffrey

Kenneth Calman

Oxford University Press

Although a person receiving palliative care may have undergone all necessary diagnostics and all potentially curative treatment, it is does not mean that diagnostic suspicion should be ignored. In palliative care, a high level of diagnostic suspicion is a must. More importantly, identification of how the patient feels and their suffering is more crucial than any other palliative strategies. Symptoms provide windows to a patient's suffering and can lead to effective relief of the factors affecting their quality of life. This chapter focuses on symptom palliation. It discusses the most common symptoms found in diseases such as anorexia, anxiety, ascites, bladder problems, breathlessness, confusion, constipation, cough, depression, diarrhoea, dry mouth, faecal incontinence, halitosis, hiccup, hypercalcaemia, insomnia, intestinal obstruction, lymphangitis carcinomatosis, night sweats, oedema, pericardial effusion, pruritus, superior vena caval obstruction, and lethargy. The chapter also includes some of the therapeutic issues encountered when offering palliative care at home.

Keywords:   diagnostics, diagnostic suspicion, symptoms, symptom palliation, effective relief, common symptoms

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