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№ 29Gynaecology18 min read

Principles of palliative care in gynaecological cancer

1. Big picture

Palliative care in gynaecological cancer is active, holistic care for women with advanced, recurrent, metastatic, incurable, or highly symptomatic disease. It is not “giving up.” It is a clinical approach that aims to relieve suffering, improve quality of life, support decision-making, and help the patient and family through the disease trajectory.

In the exam, the examiner wants to hear that palliative care is:

  1. Early and integrated, not only last-days care.
  2. Multidimensional: physical, psychological, social, sexual, spiritual, and family support.
  3. Symptom-focused: pain, bleeding, discharge, ascites, bowel obstruction, fistula, cachexia, dyspnoea,

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