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Palliative care of patient with decompensated liver cirrhosis
Affiliations- Chair and Department of Biology and Environmental Protection Poznan University of Medical Sciences, Poznan, Poland
- Department of Infectious Diseases, Hepatology and Acquired Immunodeficiencies Poznan University of Medical Sciences, Poznan, Poland
- Department of Medicine, Jagiellonian University Medical College, Krakow, Poland
- Faculty of Health Sciences, Poznan University of Medical Sciences, Poznan, Poland
- Chair and Department of Palliative Medicine, Poznan University of Medical Sciences, Poznan, Poland
- Department of Quality of Life Research, Medical University of Gdansk, Gdansk, Poland
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Abstract
In this article a case of a patient with decompensated liver cirrhosis in whom an effective pain management was introduced with a significant reduction of pruritus intensity was submitted. Because of the liver insufficiency the care for cancer patients require a more intense monitoring regarding symptomatic treatment and sometimes causes necessity of resignation from some drugs administration. Even more caution is required during palliative treatment of patients diagnosed with decompensated liver cirrhosis. Schemes of the treatment of decompensated liver cirrhosis comprise many drugs, which are not being used in everyday clinical practice in palliative medicine. The application of these drugs in a depicted patient provided a significant improvement in efficacy of symptom management. Concurrently significant contraindications appeared for the use of drugs, which could be used in patients without liver cirrhosis
Abstract
In this article a case of a patient with decompensated liver cirrhosis in whom an effective pain management was introduced with a significant reduction of pruritus intensity was submitted. Because of the liver insufficiency the care for cancer patients require a more intense monitoring regarding symptomatic treatment and sometimes causes necessity of resignation from some drugs administration. Even more caution is required during palliative treatment of patients diagnosed with decompensated liver cirrhosis. Schemes of the treatment of decompensated liver cirrhosis comprise many drugs, which are not being used in everyday clinical practice in palliative medicine. The application of these drugs in a depicted patient provided a significant improvement in efficacy of symptom management. Concurrently significant contraindications appeared for the use of drugs, which could be used in patients without liver cirrhosis
Keywords
liver cirrhosis, hepatocelular carcinoma, puritus, paliative care, end-of-life-care
About this articleTitle
Palliative care of patient with decompensated liver cirrhosis
Journal
Palliative Medicine in Practice
Issue
Article type
Case report
Pages
59-63
Published online
2018-05-02
Page views
556
Article views/downloads
7677
Bibliographic record
Palliat Med Pract 2018;12(1):59-63.
Keywords
liver cirrhosis
hepatocelular carcinoma
puritus
paliative care
end-of-life-care
Authors
Michał Kazimierz Chojnicki
Maciej P. Bura
Anna Średniawa
Anna Suska
Mikołaj Bartoszkiewicz
Wojciech Leppert
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