Incidence and Control of Symptoms at the End of Life in Cancer Patients

<strong>Background:</strong> at the end of life, the patient with cancer conditions presents various physical, emotional and spiritual symptoms. Palliative medicine allows a continuous and comprehensive treatment for the diagnosis and control of symptoms. <strong><br />Object...

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Main Authors: Celita Mairely Celada Cifuentes, Javier García Gutiérrez, Sandra Pérez Palenzuela, Cecilia Navarrete Dávalos
Format: Article
Language:Spanish
Published: Universidad de las Ciencias Médicas de Cienfuegos 2021-12-01
Series:Revista Finlay
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Online Access:https://revfinlay.sld.cu/index.php/finlay/article/view/1073
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author Celita Mairely Celada Cifuentes
Javier García Gutiérrez
Sandra Pérez Palenzuela
Cecilia Navarrete Dávalos
author_facet Celita Mairely Celada Cifuentes
Javier García Gutiérrez
Sandra Pérez Palenzuela
Cecilia Navarrete Dávalos
author_sort Celita Mairely Celada Cifuentes
collection DOAJ
description <strong>Background:</strong> at the end of life, the patient with cancer conditions presents various physical, emotional and spiritual symptoms. Palliative medicine allows a continuous and comprehensive treatment for the diagnosis and control of symptoms. <strong><br />Objective:</strong> to describe the incidence of symptoms according to the location of the initial tumor and its transition in the last stage of the disease. <br /><strong>Method:</strong> a descriptive, longitudinal, prospective study of 100 terminally ill patients treated at the Institute of Oncology and Radiobiology was carried out between September 2017 and September 2019. The medical history record with two evaluations was taken as a source, using Edmonton Symptom Rating Scale, modified. A questionnaire was developed using the in-depth interview technique to collect information on symptoms. With the information, a database was made in Microsoft Excel 16.0 and they were processed using the SPSS-PC statistical package in version 19.0.1 for Windows, which made it possible to make tables and graphs. <br /><strong>Results:</strong> the incidence of nine symptoms is described, the main ones: pain, fatigue, loss of appetite, anxiety and depression, independent of the anatomical structure affected by the primary tumor. A higher incidence of pain was found in general (78 %). During the final stage, the most frequent symptoms were: fatigue, anxiety, loss of appetite and dyspnea. <br /><strong>Conclusion:</strong> the symptoms in terminal patients with cancer diseases are multiple and variable, sometimes closely related to the natural history of their disease. Symptomatic diagnosis and control requires recognizing needs and generating collective strategies to minimize suffering.
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spelling doaj-art-d8c4ee43e87e45a683e4ec93974b7ddf2025-01-30T21:22:01ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342021-12-01114381389543Incidence and Control of Symptoms at the End of Life in Cancer PatientsCelita Mairely Celada Cifuentes0Javier García Gutiérrez1Sandra Pérez Palenzuela2Cecilia Navarrete Dávalos3Instituto de Oncología y Radiobiología. La Habana.Zona Especial de Desarrollo Mariel. La Habana.Instituto de Oncología y Radiobiología. La Habana.Instituto de Oncología y Radiobiología. La Habana.<strong>Background:</strong> at the end of life, the patient with cancer conditions presents various physical, emotional and spiritual symptoms. Palliative medicine allows a continuous and comprehensive treatment for the diagnosis and control of symptoms. <strong><br />Objective:</strong> to describe the incidence of symptoms according to the location of the initial tumor and its transition in the last stage of the disease. <br /><strong>Method:</strong> a descriptive, longitudinal, prospective study of 100 terminally ill patients treated at the Institute of Oncology and Radiobiology was carried out between September 2017 and September 2019. The medical history record with two evaluations was taken as a source, using Edmonton Symptom Rating Scale, modified. A questionnaire was developed using the in-depth interview technique to collect information on symptoms. With the information, a database was made in Microsoft Excel 16.0 and they were processed using the SPSS-PC statistical package in version 19.0.1 for Windows, which made it possible to make tables and graphs. <br /><strong>Results:</strong> the incidence of nine symptoms is described, the main ones: pain, fatigue, loss of appetite, anxiety and depression, independent of the anatomical structure affected by the primary tumor. A higher incidence of pain was found in general (78 %). During the final stage, the most frequent symptoms were: fatigue, anxiety, loss of appetite and dyspnea. <br /><strong>Conclusion:</strong> the symptoms in terminal patients with cancer diseases are multiple and variable, sometimes closely related to the natural history of their disease. Symptomatic diagnosis and control requires recognizing needs and generating collective strategies to minimize suffering.https://revfinlay.sld.cu/index.php/finlay/article/view/1073grupo de atención al pacienteneoplasiasoncología médicamedicina paliativa
spellingShingle Celita Mairely Celada Cifuentes
Javier García Gutiérrez
Sandra Pérez Palenzuela
Cecilia Navarrete Dávalos
Incidence and Control of Symptoms at the End of Life in Cancer Patients
Revista Finlay
grupo de atención al paciente
neoplasias
oncología médica
medicina paliativa
title Incidence and Control of Symptoms at the End of Life in Cancer Patients
title_full Incidence and Control of Symptoms at the End of Life in Cancer Patients
title_fullStr Incidence and Control of Symptoms at the End of Life in Cancer Patients
title_full_unstemmed Incidence and Control of Symptoms at the End of Life in Cancer Patients
title_short Incidence and Control of Symptoms at the End of Life in Cancer Patients
title_sort incidence and control of symptoms at the end of life in cancer patients
topic grupo de atención al paciente
neoplasias
oncología médica
medicina paliativa
url https://revfinlay.sld.cu/index.php/finlay/article/view/1073
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