Palliative Care for Hepatocellular Carcinoma Patients: Review | ||||
| Mansoura Nursing Journal | ||||
| Volume 9, Issue 2, July 2022, Page 87-90 PDF (325.23 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mnj.2022.293711 | ||||
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| Authors | ||||
| Nehad Elkosier1; Amany Shebl2; Amal Shaaban3 | ||||
| 1B.Sc. Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
| 2Professor of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
| 3Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
| Abstract | ||||
| Hepatocellular carcinoma is a common cancer with a poor prognosis, associated with poor quality of life. While it is frequently asymptomatic in the early stages, advanced disease, treatment side effects, or decompensation of underlying cirrhosis can cause significant discomfort. Palliative care has been demonstrated to improve quality of life, physical symptoms, and psychological symptoms in patients with end-stage liver disease, as well as extend survival in various nonhepatocellular carcinoma cancers. However, in hepatocellular carcinoma, this service is underutilized, and referrals are frequently delayed due to factors such as stigma, insufficient resources, a lack of education for nonpalliative care physicians, and inadequate modeling for integrating palliative and supportive care within liver disease services. We believe that incorporating palliative care within a multidisciplinary approach to care is a possible and beneficial paradigm. This integration can be accomplished by the provision of specialty-level palliative care, particularly at certain periods in the disease course, as well as the insertion of specific palliative care aspects into normal HCC care. Early integration of palliative care revealed three major themes in the clinical approach to providing early palliative care for cancer patients: symptom management; facilitation of coping, accepting, and planning; and assisting the patient in improving medical understanding | ||||
| Keywords | ||||
| Hepatocellular carcinoma; quality of life; physical; psychological | ||||
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