Alice Hawkins, Mariana Khawand-Azoulai, Rachel Tanenbaum, Carina Oltmann, Carolina Benjamin, Tejan Diwanji, Maria Del Pilar Guillermo Prieto Eibl, Cara Siegel, Akanksha Sharma
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引用次数: 0
摘要
脑膜病(LMD)是指癌症扩散到大脑内膜及其保护层,是许多不同类型癌症的可怕并发症。LMD对各种肿瘤类型的预后都有负面影响。姑息治疗(PC)临床医生在护理晚期癌症患者时可能会面临讨论有限的预后、协助症状管理以及帮助 LMD 患者做出医疗决策等问题。了解病理生理学、症状学、预后和治疗方案对于提供最佳护理至关重要。本文由癌症领域的临床医生撰写,采用通俗易懂的 "十条建议 "形式,帮助 PC 医生提高护理 LMD 患者的信心和能力。
Top Ten Tips Palliative Care Clinicians Should Know About Caring for People with Leptomeningeal Disease.
Leptomeningeal disease (LMD), spread of cancer to the lining of the brain and its protective coverings, is a feared complication of many different types of cancer. LMD negatively affects prognosis across tumor types. Palliative care (PC) clinicians caring for patients with advanced cancer may be faced with discussing limited prognosis, assisting with symptom management, and helping with medical decision making for patients with LMD. An understanding of pathophysiology, symptomatology, prognosis, and treatment options is essential in providing optimal care. This article, written by clinicians who work across the cancer spectrum, uses an accessible "ten tips" format to help increase PC providers' confidence and competence around caring for people with LMD.