Palliative care in pediatric Leukemia: The value added to care

Manjusha Nair
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引用次数: 0

Abstract

Childhood leukemias are one of the most curable cancers, because of revolutionary developments in the field of pediatric oncology. The diagnosis of leukemia in a child impacts the whole family, with disruption in their routines, behavior, attitudes and relationships, with long-term adverse psychosocial consequences. Comprehensive treatment of cancer involves not only the management of physical symptoms due to cancer but also attention to psychological, socio-cultural and spiritual domains of the child and family as a unit. Pediatric palliative care offers a holistic approach towards supporting the children and families during the entire course of treatment regardless of prognosis, and includes the full spectrum of physical, psychological, social, and spiritual care. Palliative care should go along with active cancer treatment and should be smoothly introduced to patients and their families, so that they do not feel abandoned by their treating teams if curative treatment is unsuccessful and palliative care teams are abruptly involved. Recent evidence proves that integration of palliative care is associated with significant improvements in the quality of life of children affected with cancer and their families, and should begin at diagnosis itself. This review explores the various ways in which palliative care can be incorporated in the treatment of children with haematological malignancies.
儿童白血病的姑息治疗:增加护理的价值
由于儿科肿瘤学领域的革命性发展,儿童白血病是最可治愈的癌症之一。儿童白血病的诊断会影响整个家庭,扰乱他们的日常生活、行为、态度和关系,并产生长期的不良心理社会后果。癌症的综合治疗不仅包括对癌症引起的身体症状的管理,还包括对儿童和家庭作为一个整体的心理、社会文化和精神领域的关注。儿童姑息治疗提供了一种整体方法,在整个治疗过程中为儿童和家庭提供支持,无论预后如何,包括身体、心理、社会和精神方面的全方位护理。姑息治疗应与积极的癌症治疗一起进行,并应顺利地介绍给患者及其家属,这样,如果治愈治疗不成功,姑息治疗团队突然介入,他们就不会感到被治疗团队抛弃。最近的证据证明,姑息治疗的整合与显著改善受癌症影响的儿童及其家庭的生活质量有关,应该从诊断本身开始。本综述探讨了姑息治疗可纳入儿童血液恶性肿瘤治疗的各种方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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