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Satoko Kono
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P3.CR - Case Reports (Not CME Accredited Session) (ID 984)
- Event: WCLC 2018
- Type: Poster Viewing in the Exhibit Hall
- Track:
- Presentations: 1
- Moderators:
- Coordinates: 9/26/2018, 12:00 - 13:30, Exhibit Hall
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P3.CR-06 - Effect of Palliative Care and Cancer Rehabilitation on Lung Cancer Survivorship - Patient's Perspective (ID 13084)
12:00 - 13:30 | Presenting Author(s): Satoko Kono
- Abstract
Background
Pate et al,(1995) and Bryan et al,(2007) reported that approximately 30% of total cancer deaths are related to poor exercise and nutrition. Though importance of palliative care, cancer rehabilitation and nutritional advice has been recognized, those information tend to be fragmented. Considering the importance of palliative care and cancer rehabilitation in patients’ treatment outcome and survivorship, joint and comprehensive advocacy to strengthen those intervention is necessary.
a9ded1e5ce5d75814730bb4caaf49419 Method
Case study of a 56-year old Japanese male patient diagnosed with pulmonary adenocarcinoma NSCLC (stage 4) metastases and worked with cancer for 7 years.
4c3880bb027f159e801041b1021e88e8 Result
Various treatment were used including chemotherapy, EGFR Tyrosine kinase inhibitor, and immunotherapy. Bone metastases and brain metastases were observed and palliative radiotherapy and strontium were used. Vertebroplasty was considered but not conducted. Irradiation to whole brain was considered but not done.
Early introduction of palliative care and cancer rehabilitation helped to improve the patient QOL and enable patient to continue his work. Though ADL decreases over the period, the patient continued to receive support from rehabilitation team, try to exercise and manage his QOL.
Patient kept his own record on urine, defecation, medication, meals, mental condition, in daily basis. Patient’s conditions and effectiveness of treatment were examined regularly at the consultation based on the laboratory result and the patient’s record. Regular feedback towards the patient’s condition and his record from the Palliative care and the rehabilitation team gave patient better perspective and understanding of his changing condition and enable him to coop with advancing stage.
8eea62084ca7e541d918e823422bd82e Conclusion
The life of the patient has had its ups and downs. The case shows effect of palliative care and cancer rehabilitation on patent's QOL and survivorship. More integrated approach of cancer rehabilition into palliative care and lung cancer treatment need to be explored. It also suggest that more study from patients' perspective could contribute towards comprehensive understanding and advocacy.
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