Peter Hoskin and Wendy Makin
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780192628114
- eISBN:
- 9780191730115
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192628114.003.0006
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
This chapter discusses the different methods of systematic therapy, with stress on the importance of chemotherapy, hormone therapy, and biological therapy in palliative care. Systemic therapy is ...
More
This chapter discusses the different methods of systematic therapy, with stress on the importance of chemotherapy, hormone therapy, and biological therapy in palliative care. Systemic therapy is advantageous compared to local treatment such as surgery and radiotherapy because of its ability to deliver tumouridical therapy throughout the body so that all sites are exposed to therapy. However, it can increase exposure of normal tissues to tumour cells. While this puts a negative light on the efficacy of systemic therapy for the alleviation and palliation of cancer, the chapter affirms that systemic therapy can play a major role in palliation by employing drugs that have limited toxicity and considerable efficacy. Those drugs that are significant in systemic therapy and in palliation are discussed in the chapter, together with the methods and administration of chemotherapy and hormone therapy, the management of patients undergoing chemotherapy, and the biological agents that can be used in the management of diseases.Less
This chapter discusses the different methods of systematic therapy, with stress on the importance of chemotherapy, hormone therapy, and biological therapy in palliative care. Systemic therapy is advantageous compared to local treatment such as surgery and radiotherapy because of its ability to deliver tumouridical therapy throughout the body so that all sites are exposed to therapy. However, it can increase exposure of normal tissues to tumour cells. While this puts a negative light on the efficacy of systemic therapy for the alleviation and palliation of cancer, the chapter affirms that systemic therapy can play a major role in palliation by employing drugs that have limited toxicity and considerable efficacy. Those drugs that are significant in systemic therapy and in palliation are discussed in the chapter, together with the methods and administration of chemotherapy and hormone therapy, the management of patients undergoing chemotherapy, and the biological agents that can be used in the management of diseases.
R.J. DUNLOP and J.M. HOCKLEY
- Published in print:
- 1998
- Published Online:
- November 2011
- ISBN:
- 9780192629807
- eISBN:
- 9780191730061
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192629807.003.0008
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
There are three services that a palliative care team may be specifically involved with: the pain clinic, radiotherapy, and medical oncology. This chapter reviews the contribution of these services to ...
More
There are three services that a palliative care team may be specifically involved with: the pain clinic, radiotherapy, and medical oncology. This chapter reviews the contribution of these services to the care of patients with advanced cancer. The pain clinic and oncology services have an important role in treating pain and other symptoms of advanced cancer. Obviously, the role of the palliative care team can overlap with these services. There is the potential for misunderstanding and conflict; although such services may feel threatened by a palliative care team, the problem is not one-sided. If palliative care team members have not worked in a pain clinic or oncology ward, they may be ignorant of the benefits these services can offer. The chapter also considers the available techniques, hormone and chemotherapy, and working with oncology services.Less
There are three services that a palliative care team may be specifically involved with: the pain clinic, radiotherapy, and medical oncology. This chapter reviews the contribution of these services to the care of patients with advanced cancer. The pain clinic and oncology services have an important role in treating pain and other symptoms of advanced cancer. Obviously, the role of the palliative care team can overlap with these services. There is the potential for misunderstanding and conflict; although such services may feel threatened by a palliative care team, the problem is not one-sided. If palliative care team members have not worked in a pain clinic or oncology ward, they may be ignorant of the benefits these services can offer. The chapter also considers the available techniques, hormone and chemotherapy, and working with oncology services.
