Palyatif Bakım ile Performans Skoru İyileşen Metastatik Küçük Hücreli Akciğer Karsinomlu Hasta

Öz

Palyatif bakım, iyileştirici tedavilerin tükenmesinin ardından başlayan, hastaların yaşamlarının son dönemlerinde ortaya çıkan sorunlarına semptomatik ve rahatlatıcı çözümler üreten hizmetler bütünüdür. Hasta, 1 yıl önce küçük hücreli akciğer karsinomu tanısı almış, kemoterapi ve radyoterapi tedavisi sonrası kitle kaybolmuş. Altı ay sonra kontrole gelen hastada uzak metastaz tespit edilmiş. Hastanın başvuru anında genel durumunun kötü olması, performans skorunun düşük olması nedeni ile kemoterapi başlanması düşünülmemiş. Hasta palyatif tedavi amacı ile merkezimize gönderildi. Multidisipliner yaklaşımla, fizyoterapist, psikolog, nütrisyon komitesi eşliğinde tedavi uygulandı. Hastanın klinik takiplerinde performans skoru iyileşti. Onkoloji bölümü ile görüşülerek hastanın kemoterapisine yeniden başlandı

Anahtar Kelimeler

• Palyatif bakım,karsinom,performans skoru

A Patient with Metastatic Small Cell Lung Cancer whose Performance Score İmproves with Palliative Care

Abstract

Palliative care, symptomatic and relief treatment, applied after failure of medical treatment in last period of living patients.A year ago, the patient was diagnosed with small-cell carcinoma in lung. This patient was treated with chemotherapy and radiotherapy by specialist doctor and the mass was disappeared. Six months after the treatment, the patient's control examination has been performed and distant metastases were been detect. He has got bad general condition and low performance score. For this reason, no treatment has been planned by oncologist. He was refered to paliative treatment center. Multydisipliner treatment was appleid by physioterapist, psikolog and nutricion comite in palliative center. Performance score of patient's healed with palliative treatment. Then, he was referred to oncologist for chemoterapy treatment.

Keywords

• Palliative care,carcinoma,performance score

Kaynakça

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