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Management of Physical Symptoms in Patients with Advanced Cancer during the Last Weeks and Days of Life
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Ahsan Azhar, David Hui
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Cancer Res Treat. 2022;54(3):661-670. Published online June 30, 2022
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DOI: https://doi.org/10.4143/crt.2022.143
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 Abstract
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- Patients with advanced cancer are faced with many devastating symptoms in the last weeks and days of life, such as pain, delirium, dyspnea, bronchial hypersecretions (death rattle) and intractable seizures. Symptom management in the last weeks of life can be particularly challenging because of the high prevalence of delirium complicating symptom assessment, high symptom expression secondary to psychosocial and spiritual factors, limited life-expectancy requiring special considerations for prognosis-based decision-making, and distressed caregivers. There is a paucity of research involving patients in the last weeks of life, contributing to substantial variations in clinical practice. In this narrative review, we shall review the existing literature and provide a practical approach to in-patient management of several of the most distressing physical symptoms in the last weeks to days of life.
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Citations
Citations to this article as recorded by  - Nursing Practice for Patients with Cancer Pain with Predicted Prognosis of Months or Weeks: A Multicenter Cross-Sectional Study in Japan
Miharu Morikawa, Masamitsu Kobayashi, Kohei Kajiwara, Kimiko Nakano, Yusuke Kanno, Yoshinobu Matsuda, Jun Kako
Palliative Medicine Reports.2025; 6(1): 129. CrossRef - Comparing the use of aggressive end-of life care among frail and non-frail patients with cancer using a claims-based frailty index
Rishi Sachdev, Galen Shearn-Nance, Long Vu, Wyatt P. Bensken, Sara L. Douglas, Siran M. Koroukian, Johnie Rose
Journal of Geriatric Oncology.2024; 15(2): 101706. CrossRef
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